title: Hospital closure and insights into patient dispersion: the closure of Saint Vincent's Catholic Medical Center in New York City.
abstract: BACKGROUND
  Hospital closures are becoming increasingly common in the United States. Patients who received care at the closing hospitals must travel to different, often farther hospitals for care, and nearby remaining hospitals may have difficulty coping with a sudden influx of patients.
  
  
  OBJECTIVE
  Our objectives are to analyze the dispersion patterns of patients from a closing hospital and to correlate that with distance from the closing hospital for three specific visit types: emergency, inpatient, and ambulatory.
  
  
  METHODS
  In this study, we used data from a health information exchange to track patients from Saint Vincent's Medical Center, a hospital in New York City that closed in 2010, to determine where they received emergency, inpatient, and ambulatory care following the closure.
  
  
  RESULTS
  We found that patients went to the next nearest hospital for their emergency and inpatient care, but ambulatory encounters did not correlate with distance.
  
  
  CONCLUSIONS
  It is likely that patients followed their ambulatory providers as they transitioned to another hospital system. Additional work should be done to determine predictors of impact on nearby hospitals when another hospital in the community closes in order to better prepare for patient dispersion.
authors.affiliation: Icahn School of Medicine at Mount Sinai, Emergency Medicine , New York, New York, United States.
authors.forename: N
authors.initials: N
authors.lastname: Garg
authors.affiliation: Mount Sinai - Beth Israel, Emergency Medicine , New York, New York, United States.
authors.forename: G
authors.initials: G
authors.lastname: Husk
authors.affiliation: Mount Sinai - Beth Israel, Emergency Medicine , New York, New York, United States.
authors.forename: T
authors.initials: T
authors.lastname: Nguyen
authors.affiliation: Icahn School of Medicine at Mount Sinai, Emergency Medicine , New York, New York, United States.
authors.forename: A
authors.initials: A
authors.lastname: Onyile
authors.affiliation: Mount Sinai - Beth Israel, Emergency Medicine , New York, New York, United States.
authors.forename: S
authors.initials: S
authors.lastname: Echezona
authors.affiliation: Department of Information Systems, New York-Presbyterian Hospital , New York, New York, United States ; Department of Biomedical Informatics, Columbia University , New York, New York, United States.
authors.forename: G
authors.initials: G
authors.lastname: Kuperman
authors.affiliation: Icahn School of Medicine at Mount Sinai, Emergency Medicine , New York, New York, United States.
authors.forename: J S
authors.initials: JS
authors.lastname: Shapiro
mesh_terms: D006271:Health Facility Closure; D006761:Hospitals; D006801:Humans; D009519:New York City; D010361:Patients / Q000706:statistics & numerical data*; D013997:Time Factors
keywords: Health information systems; health facility closure; health policy; health services research; medical informatics
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