Table 2. Distribution of person-centred episodes of care (PCE) and related costs among high-cost health system users originating in the community by clinical grouping, April 1, 2010 to March 31, 2011.
Clinical Groupings for PCE, Ordered Based on Total Costs* | Number of PCE (%) | Average Cost per PCE $ (SD) | Median Cost per PCE $ (IQR) | Total Costs for PCE |
---|---|---|---|---|
$Millions (%) | ||||
All PCE | 697,059 (100) | 30,961 (38,069) | 18,251 (12,160–33,978) | 11,815.3 (100) |
Post-Admission Events | 75,126 (10.8) | 36,303 (52,279) | 20,687 (12,207–39,579) | 2,727.3 (23.1) |
Acute Unplanned Medical | 146,079 (21.0) | 17,057 (23,515) | 9,505 (6,373–17,981) | 2,491.6 (21.1) |
Acute Planned Surgical | 245,329 (35.2) | 7,717 (12,291) | 3,865 (1,712–10,919) | 1,893.3 (16.0) |
Mental Illness & Addictions | 41,327 (5.9) | 30,948 (44,262) | 17,224 (10,325–32,126) | 1,279.0 (10.8) |
Trauma, Accidents, Injuries, Poisonings | 44,326 (6.4) | 26,971 (34,807) | 15,753 (8,947–31,731) | 1,195.5 (10.1) |
Cancer | 51,825 (7.4) | 13,521 (18,500) | 9,073 (4,113–15,298) | 700.7 (5.9) |
Acute Unplanned Surgical | 28,574 (4.1) | 18,676 (22,155) | 13,647 (8,900–19,356) | 533.6 (4.5) |
Ambulatory Care Sensitive Conditions | 26,911 (3.9) | 14,719 (20,987) | 8,416 (6,022–14,750) | 396.1 (3.4) |
Low Birth Weight | 10,714 (1.5) | 27,491 (42,026) | 15,492 (9,863–29,135) | 294.5 (2.5) |
Pregnancy | 18,095 (2.6) | 8,095 (6,552) | 7,255 (5,243–8,974) | 146.5 (1.2) |
Acute Planned Medical | 7,783 (1.1) | 17,281 (25,539) | 9,679 (5,759–18,839) | 134.5 (1.1) |
Other Causes | 970 (0.1) | 23,283 (33,368) | 11,965 (4,912–26,509) | 22.6 (0.2) |
*Clinical groupings for PCE were based on the first acute encounter that started the PCE.
PCE were determined to begin with an admission to an acute hospital setting (inpatient acute care, same-day surgery or emergency department) or inpatient mental health institutions.