NYC 9/11 Public Portal Document
Dr. Gil/HHC Achievements
10/25/99
2
Between 1994 and 1998, through a variety of education and disease management
programs, the rate of revisits by asthma patients to HHC emergency rooms
declined significantly. The rate of pediatric asthma revisits declined from 5.90%
to 4.63% and the rate of adult asthma revisits declined from 10.20% to 9.09%.
• Between 1994 and 1999, the number of children receiving their essential
immunizations increased by 3%, from 94.80% to 98.02%.
Utilization Trends — Since 1994, HHC has had to adapt to external forces, including
changes in reimbursement and the growth of managed care, that have had an impact on
the organization and delivery of health care services. HHC's successful response to these
forces is evidenced by the following:
• The total number of discharges/admissions has declined from 235,621 in FY94 to
around 214,000 in FY99, a drop of 9%.
• The number of beds in operation in HHC facilities declined 28%, from 10,512
beds to 7,604 beds.
• This decrease in utilization was followed by decreases in the workforce as HHC
sought to contain its costs and remain competitive. The number of employees
declined 31%, from 51,183 employees (excluding EMS) to 35,297.
• While utilization was declining on the inpatient side, it was increasing on the
outpatient side. The number of primary care visits increased by almost 25%, from
1,621,682 visits to 2,023,176 visits.
• This increase was accompanied by a decrease in the number of emergency room
visits (excluding admissions) which declined almost 8%, from 878,599 visits to
811,741 visits.
• The number of home care visits increased by 95%, from 150,163 visits to 292,222
visits.
Affiliation Contracts
• The Corporation's expenditures on its affiliation contracts reached a highpoint of
$535 million in FY95. Since then, HHC has negotiated performance-based
contracts with affiliates at 15 of its facilities, for a total savings of $344 million
between FY95 and FY99.
Financial Strength
NYC-WTC 000137987
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