VA wait times are out of line but not that out of line with other types of hospitals

Overall, across established and new patients, VA wait times are actually not that out of line with other types of hospitals.

Highlights from the June 2014 VA wait time data,

Average VA wait time across hospitals and specialities: 22.78 days.

96% of VA patients have a wait time of 30 days or less to see a physician (significantly less for established patients (most less than 4 days))

Nearly 85% of 141 VA hospitals in the data have wait times less than 30 days

Longer wait times are concentrated in 15 out of 141 VA hospitals

In comparison, Merrit Hawkins 2014 study on hospital wait times for non-VA hospitals finds:

– Finds 18.5 day avg. wait times for all medical specialties, which is about 4 days shorter than wait times at VA hospitals

– Wait times vary significantly by location

 

 

 

Top 3 occupations with the most new job openings in Texas for August

The top three occupations with the most new job openings in Texas for the month of August were elementary and middle school teachers with 221.93 new openings, waiters and waitresses with 230.08 new openings, and cooks with 236.90 new openings.

August 2014

Date Occupation Total_Openings New_Openings
Aug-14 Elementary and middle school teachers 3,594.52 221.93
Aug-14 Waiters and waitresses 4,610.36 230.08
Aug-14 Cooks 4,963.26 236.90

Source: BLS

Really long wait times at VA hospitals for established and new patients are concentrated at a few hospitals

Another preliminary finding from our research on VA wait times suggest that really long wait times at VA hospitals are concentrated at a few VA hospitals.  A significant amount of Vets (about 20%) are found at these hospitals with long wait times.

The graph below presents a histogram of VA wait times for Vets waiting more than 90 days for a new appoint

Histogramofwait times

 

California RN’s, PA’s, and therapists see increase in job openings from July 2014 to August 2014

healthcare

The number of job openings in California for nurses, therapists, and physician assistants increased from 16,429 in July 2014 to 16,994 in August 2014. The searcher-to-job opening ratio decreased from 2.10 to 1.90 in the same span.

nurse_2014_08

Source: BLS

Image source: http://pediatric-nurse-practitioners.blogspot.com/2012/12/top-5-cardiac-care-nursing-jobs-for-we.html

Examining the distribution of industry payments made to medical doctors

The Center for Medical and Medicaid Services (CMS) new Open Payments database shows the consulting fees, research grants, travel and other reimbursements made to medical industry in 2013

There are 2,619,700 payments in the CMS data made to 356,190 physicians.   The average payment made to physicians was $255.22.   The median payment was $15.52

Table 1: Summary of Payments – STATA  output

table1

 

The physicians received an average total  of $1,877.11 in payments.  The median total payment for the 356,190 physicians in the data was $94.15

Table 2: Summary of Payments – STATA  output

tabl2

 

Below is the STATA code for the results:
count gen
bysort phy: gen hj =_n
bysort physician_p: gen hj =_n
sum hj, det
count if hj==1
sum tot, det
bysort physician_p: egen hj2 = tot(total)
bysort physician_p: egen hj2 = total(total_am)
sum hj2
sum hj2, det
sort physcian_p
sort physician_p
sum hj2 if _n==1, det
sum hj, det
sum hj2 if hj==1, det

California innovation job openings decreased from July 2014 to August 2014

innovation

The number of job openings in California for “Innovation Type Jobs” decreased from 25,143 in July 2014 to 24,132 in August 2014. The searcher-to-job opening ratio also decreased from 1.09 to 1.06 in the same span.

Innovation jobs definition: http://www.employstats.com/blog/2014/09/26/1233/

innovation_2014_08

Image source: http://www.bizjournals.com/sacramento/news/2013/09/23/symposium-innovation-ecosystems-jobs-wea.html

Business interruption damages come in many different shapes and sizes

 download (3)
Business interruption cases come in many different shapes and sizes. In some business interruption cases the allegation is that the defendants’ actions increased the operating cost of the plaintiff.
For instance and one recent business interruption case the defendant’s drill and on-going construction activity unknowingly interfered with the plaintiffs’ fiber optic lines  drilling.
After the damaged lines were discovered by the plaintiff, the plaintiff spent a number of months fixing and creating new fiber optic lines. In addition to the out-of-pocket expense associated with the with the punctured fiber-optic lines, the plaintiffs also allege that they also incurred a correlated expense of having to use some of their existing employees to help mitigate the damage.
For instance, the plaintiff indicated that the mitigation of the damage caused by the defendant caused them to require substantial overtime hours from its employees to reestablish the lines and to maintain their service. The plaintiff after about eight months was able to get back up to speed and back to where there were prior to the incident.
In this case the alleged out-of-pocket expenses were relatively easy to determine. The company had to purchase more fiber optic and faced of the increased cost associated with installing those lines.
However the plaintiff also alleged that they experienced increased operating expenses, especially in terms of employee expenses.
Increased employee operating expenses is not always as straightforward to calculate. In this instance, employer did not necessarily hire more employees. Instead,  the employer used their existing employees at a higher level, required overtime, and shifted employees from one job or project to another. In these types of instances the employee expenses associated with the disruption is not so clear.
One way to determine damages in this case is to look at up is to use financial ratios. Financial ratios such as the employee expense to revenue ratio determine show how the company employs its employees.
For instance, a high employee expense ratio to revenue indicates that the company uses a lot of employees relevant relative to their revenue. A company with a high expense to revenue ratio is a relatively labor intensive company. Conversely, a company with a relatively low expense to revenue ratio is a relatively less employee intensive employer or company.
In a business interruption case, one approach is to look at the changes in these ratios both before and after the incident. Changes in these ratios can indicate the impact of the alleged actions. For instance the employee expense to revenue ratio could change dramatically following the alleged incident.
Other useful financial expense ratios include the full-time employee equivalent (FTE) ratios. FTE ratios are ratios that show how many full-time employees the company typically utilizes.  FTE measures take into account the part time work, overtime, and the different compensation structures that the company may utilize in its business.

Texas innovation job openings decreased from July 2014 to August 2014

innovation

The number of job openings in Texas for “Innovation Type Jobs” decreased from 13,218 in July 2014 to 12,762 in August 2014. The searcher-to-job opening ratio also decreased from 0.97 to 0.94 in the same span.

Innovation jobs definition: http://www.employstats.com/blog/2014/09/26/1233/

innovation_2014_08

Source: BLS

Image source: http://www.americas.gecapital.com/insight-and-ideas/capital-perspectives/innovation-secrets-of-steve-jobs

Texas STEM job openings decreased from July 2014 to August 2014

STEM logoThe number of job openings in Texas for STEM (science, technology, engineering, math) jobs decreased from 44,105 in July 2014 to 43,210 in August 2014. The searcher-to-job opening ratio also decreased from 1.30 to 1.24 in the same span.

Our definition of STEM jobs: http://www.employstats.com/blog/2014/09/19/growing-national-interest-in-stem-fields-has-focused-our-research/

STEM_2014_08

Source: BLS

Image source: http://projecttomorrowblog.blogspot.com/2013/11/i-am-scientist.html