Violence cost hospitals $2.7B in 2016, AHA report finds

by Paige Minemyer / Aug 2, 2017 12:24pm  / FierceHealthcare.

Hospitals spend millions on security and uncompensated care costs for victims of violence, according to a new report.

Providers spend billions of dollars preparing for and responding to violence both inside and outside of hospitals. That number includes losses from uncompensated care, added security spending and more,  according to a new report.

Consulting firm Milliman analyzed (PDF) prior research and estimated that hospitals spent $2.7 billion in 2016 on both proactive and reactive violence response efforts.

The researchers divided costs into four groups: preparedness and prevention for public violence, post-incident public violence costs, preparedness and prevention for violence in healthcare facilities, and costs following a violent incident in a health facility.

Hospitals spent $1.1 billion shoring up security in their own facilities in advance of a violent incident, and about $429 million in medical care, indemnity, staffing and other costs following one. About $280 million went toward prevention programs for community violence, and the final $852 million covered uncompensated care and utilization review costs for victims of violence.

Healthcare workers are at significant risk for workplace violence—between 2011 and 2013, nearly 75% of workplace assaults took place in healthcare settings. Nurses are in particular danger. Workplace violence is also an underreported problem, and executives have been criticized for not making it easier for employees to report assaults or other incidents.

Hospitals are also on the front lines of responding to community violence and play an important role in prevention, according to the report. AHA President Rick Pollack said in a statement that preventing violence is central to hospitals’ missions.

“Keeping people healthy is at the heart of healthcare, and violence runs counter to that,” Pollack said. “It’s our hope that quantifying the resources hospitals and health systems commit illustrates the enormity of this issue as a public health problem while giving hospitals the chance to highlight their efforts to keep their communities and workplaces safer.”


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