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https://ems.marinhhs.org/documents/Policies/5400_Ambulance_Diversion.pdf#:~:text=Under%20this%20policy%2C%20no%20diversion%20incident%20shall%20exceed,the%20Communications%20Center%20to%20initiate%20another%20diversion%20status.
https://pubmed.ncbi.nlm.nih.gov/12540152/
These reductions in diversion hours occurred as numbers of ambulance transports increased by 7%, and numbers of emergency department visits increased by 5%. Conclusion: The study demonstrated that a combination of approaches can produce meaningful reductions of ambulance diversion at the community-wide and hospital-specific levels.
https://www.rwjf.org/en/library/research/2016/06/ambulance-diversion.html
One study at an urban teaching hospital calculated that each hour of diversion was associated with a loss of more than $1,000 in revenue from patients brought by ambulance, while implementation of changes that limited diversion led to increased revenue of almost $200,000 a month. Yet widespread progress in mitigating diversion has not occurred.
https://epmonthly.com/article/the-true-cost-of-ambulance-diversion/
So the cost of an hour of diversion for an ED that greets two EMS patients per diversion hour is $5400. This is direct revenue loss only, not the loss of the patient for future visits and admissions, and loss of relationship with EMS. One could speculate that ED crowding and diversion are increasing the acuity of EMS patients.
https://ems.marinhhs.org/documents/Policies/5400_Ambulance_Diversion.pdf
ED Saturation Diversion: a. Ambulance traffic may be diverted due to emergency department saturation when emergency department resources are fully committed and unable to accept incoming ambulance traffic. b. Trauma, STEMI, and suspected CVA patients will NOT be rerouted. c. Under this policy, no diversion incident shall exceed two hours.
http://www.jasoncartermd.com/resources/pdf/Ambulance%20Diversion%20and%20Lost%20Hospital%20Revenues.pdf
ambulance diversion hours. Primary Data Analysis Data on ambulance arrivals in the ED and ambulance arrivals were available on a real-time, minute-by-minute basis for 2002 and 2003. We divided each day into 24 periods, each period spanning 1 hour, and determined the number of ambulance arrivals, hospital net revenues, and hospital charges
https://www.hennepin.us/-/media/hennepinus/business/work-with-hennepin-county/ems/hospital-closure-ambulance-diversion.pdf
• Full Closed – Closed to all ambulance transports and transfers Closures to ED and/or Trauma are limited to 120 minutes (2 hours). Regardless of how long the hospital or stand-alone ED is closed, they must then remain open a minimum of 240 minutes (4 hours) before re-closing. No hospital or stand-alone ED
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