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Updated: Apr 29, 2026

Continuous Instream Monitoring of Nutrients and Sediment in Agricultural Watersheds
Published on: September 26, 2017
Time to replace adjusted discharges
Abstract:
With inpatient revenue averaging less than 50 percent of total operating revenue for hospitals and bundled payments becoming the norm, Equivalent Discharges is a simple, alternative metric that offers superior predictive power of hospital volume. Equivalent Discharges are not subject to the same measurement flaws as adjusted discharges or adjusted patient days. The new metric also explains cost variation in situations where there is a more complex case mix.
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