Table 2.

Destinations for EMS patients, stratified by prehospital critical illness risk score. Data are presented for both the baseline system and the three regionalization scenarios. Dashes represent destinations that were either not possible (in the baseline data) or not allowed (in the simulation); zeros represent destinations that were allowed but did not occur. Values are N (%).

Prehospital critical illness score	Destination	Baseline	Regionalization scenario
			Up-triage only	Up and down triage	Up and down triage with bed reduction
Score ≥ 2 (N=7,817)	Referral hospital (any)	2,271 (29)	7,817 (100)	7,817 (100)	7,817 (100)
	Non-referral (any)	5,546 (71)	0 (0)	0 (0)	0 (0)
	Referral hospital by type
	Nearest, same as observed	1,041 (13)	909 (12)	920 (12)	781 (10)
	Nearest, different than observed	--	6,741 (86)	6,785 (87)	6,115 (78)
	Non-nearest, same as observed	1,230 (16)	27 (<1)	22 (<1)	151 (2)
	Non-nearest, different than obs.	--	140 (2)	90 (1)	770 (10)
	Non-referral hospital, by type
	Nearest, same as observed	3,738 (43)	0 (0)	0 (0)	0 (0)
	Nearest, different as observed	--	0 (0)	0 (0)	0 (0)
	Non-nearest, same as observed	1,808 (23)	0 (0)	0 (0)	0 (0)
	Non-nearest, different than obs.	--	0 (0)	0 (0)	0 (0)
Score < 2 (N=10.242)	Referral hospital (any)	3,167 (30)	3,167 (30)	0 (0)	0 (0)
	Non-referral (any)	7,075 (70)	7,075 (70)	10,242 (100)	10,242 (100)
	Referral hospital by type
	Nearest, same as observed	1,381 (13)	1,381 (13)	0 (0)	0 (0)
	Nearest, different than observed	--	--	0 (0)	0 (0)
	Non-nearest, same as observed	1,786 (17)	1,786 (17)	0 (0)	0 (0)
	Non-nearest, different than obs.	--	--	0 (0)	0 (0)
	Non-referral hospital, by type
	Nearest, same as observed	4,728 (46)	4,728 (46)	4,548 (44)	4,466 (44)
	Nearest, different as observed	--	--	5,646 (55)	5,504 (54)
	Non-nearest, same as observed	2,347 (23)	2,347 (23)	21 (<1)	40 (<1)
	Non-nearest, different than obs.	--	--	27 (<1)	232 (2)