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Discussion: Hospital beds

in: AliC; AliC > 2020-03-17

Mar 23, 2020 7:44 PM # 
Looks more like like it's high in remote places (4.8 beds / 1000 people in SD, 4.3 in SD); few in the west but also few in New England (between 2.0 and 2.3 in all the New England states except ME).

Demographics (population age structure) must be relevant for interpreting this statistic too.
Mar 24, 2020 11:58 PM # 
Could be - I didn't think super much, but that was a first hypothesis. Wonder how state-mandated anything is versus just how many bed each hospital tends to find it needs at a time? If later, maybe with smaller hospitals for more rural state, you need more total beds b/c Poisson noise is v. significant for each hospital?
Mar 25, 2020 5:12 PM # 
I can only speak for MGH but they are currently hugely increasing their capacity in a really encouraging way. Probably still not enough but the action plans are quite something.
Mar 25, 2020 6:20 PM # 
@AliC: yes, that was my thought. Small towns need enough capacity to meet local surge demand. In NYC you can reallocate patients across hospitals if needed. So, you can get away with less system-wide excess capacity to meet normal demand. That works fine until there is an aggregate shock that affects bed needs at all hospitals simultaneously.
Mar 25, 2020 9:57 PM # 
St Francis Hospital in Hartford put up a field hospital yesterday - State of CT has three such mobile hospital tents. 25 bed capacity which is equivalent to one floor of the hospital. Mobile hospital was put up with assistance of the Governors Horse & Foot Guard in about 6 hours as a precautionary measure.
Mar 26, 2020 2:29 PM # 
OR put a 250 bed field hospital up at the fair grounds near the state capitol, Salem. I don't think it's being used yet, but probably will soon.

The OR Health Authority is now updating us with hospital bed, ICU and ventilator availability numbers: "Figures shared for the first time Wednesday show that Oregon has available 394 ICU beds, 608 ventilators and 2,028 non-ICU beds." ( That's out of a total of 688 ventilators state-wide at the moment...

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