The institution saw steady increases in annual hospital diversion rates from 7.5% (659.58 hours per year) in 2004 up to 11.2% (979.37 hours) in 2006. After the hospital directed its diversion avoidance efforts beyond the ED, the amount of
hospital diversion took a precipitous drop in 2007 (0.8%, 68.02 hours) and remained at this point in 2008 (0.8%, 68.57 hours) and has remained under the 5% threshold for the first 3 quarters in 2009 (1.4%, 88.83 hours in 9 months) despite our hospital closing its on-site acute rehabilitation center, which had been consistently used as a discharge location for trauma patients.