Post on 27-Mar-2015
Chartbook 2005
Utilization and Volume
Chapter 3:Utilization and Volume
Chartbook 2005
Utilization and Volume
3-2
Chart 3.1:Inpatient Admissions in Community
Hospitals1980 - 2003
27
28
29
30
31
32
33
34
35
36
37
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals.
Mill
ions
Chartbook 2005
Utilization and Volume
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100
120
140
160
180
200
220
240
260
280
300
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals.
Chart 3.2:Total Inpatient Days in Community
Hospitals1980 - 2003
Mill
ions
Chartbook 2005
Utilization and Volume
3-4
0
20
40
60
80
100
120
140
160
180
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Chart 3.3:Inpatient Admissions per 1,000
Persons1980 - 2003
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals and US Census Bureau: State and County QuickFacts, 2003 population estimate data derived from Population Estimates, 2000 Census of Population and Housing
Per
Thousa
nd
Chartbook 2005
Utilization and Volume
3-5
0
200
400
600
800
1,000
1,200
1,400
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Chart 3.4:Inpatient Days per 1,000
Persons1980 - 2003
Per
Thousa
nd
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals and US Census Bureau: State and County QuickFacts, 2003 population estimate data derived from Population Estimates, 2000 Census of Population and Housing
Chartbook 2005
Utilization and Volume
3-6
7.6
7.6
7.6
7.6
7.3
7.1
7.1
7.2
7.2
7.2
7.2
7.2
7.1
7.0
6.7
6.5
6.2
6.1
6.0
5.9
5.8
5.7
5.7
5.7
0
1
2
3
4
5
6
7
8
9
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Chart 3.5:Average Length of Stay in Community
Hospitals1980 - 2003
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals
Days
Chartbook 2005
Utilization and Volume
3-7
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 2003, for community hospitals
5.0 to 6.9 Days
4.0 to 4.9 Days
7.0 to 8.9 Days
> 9 Days
RI 5.4 DaysDE 6.2 DaysDC 6.7 Days
Chart 3.6:Average Length of Stay in Community Hospitals
by State2003
Chartbook 2005
Utilization and Volume
80
85
90
95
100
105
110
115
90 91 92 93 94 95 96 97 98 99 00 01 02 03
3,500
3,700
3,900
4,100
4,300
4,500
4,700
4,900
5,100
5,300
3-8
Chart 3.7:Emergency Department Visits
and Emergency Departments(1) in Community Hospitals
1990 - 2003
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1990 – 2003, for community hospitals
(1) Defined as hospitals reporting ED visits
Num
ber
of
ED
V
isit
s(M
illio
ns)
Em
erg
ency
Depart
ments
ED Visits Emergency Departments
Chartbook 2005
Utilization and Volume
3-9
250
270
290
310
330
350
370
390
90 91 92 93 94 95 96 97 98 99 00 01 02 03
Per
Thousa
nd
Chart 3.8:Hospital Emergency Department
Visits per 1,000 Persons
1990 - 2003
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1990 – 2003, for community hospitals and US Census Bureau: State and County QuickFacts, 2003 population estimate data derived from Population Estimates, 2000 Census of Population and Housing
Chartbook 2005
Utilization and Volume
3-10
ED is “At” Capacity
ED is “Over” Capacity
Chart 3.9: Percent of Hospitals Reporting
Emergency Department Capacity Issues by Type of Hospital
2004
Source: American Hospital Association 2004 Survey of Hospital Leaders
24%
23%
34%
18%
29%
24%
21%
43%
12%
35%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
All Hospitals
Non-teachingHospitals
Teaching Hospitals
Rural Hospitals
Urban Hospitals
30%
64%
77%
44%
48%
Chartbook 2005
Utilization and Volume
3-11
Source: American Hospital Association 2004 Survey of Hospital Leaders
46%
43%
68%
20%
69%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
All Hospitals
Non-teaching
Teaching
Rural
Urban
Chart 3.10:Percent of Hospitals Reporting Time
on Ambulance Diversion in Last 12
MonthsJanuary 2004
Percentage of Hospitals
Chartbook 2005
Utilization and Volume
3-12
Source: American Hospital Association 2004 Survey of Hospital Leaders
5%
9%
19%
20%
39%
0% 10% 20% 30% 40% 50%
Lack of SpecialtyPhysician Coverage
Staff Shortages
ED Overcrowded
Lack of GeneralAcute Care Beds
Lack of Critical CareBeds
Percentage of Hospitals
Chart 3.11:Conditions Hospitals Reported as
Number One Factor Contributing to Ambulance Diversions
2003 – 2004
Chartbook 2005
Utilization and Volume
3-13
0
100
200
300
400
500
600
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Mill
ions
Chart 3.12:Total Hospital Outpatient Visits in Community
Hospitals1980 - 2003
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals
Chartbook 2005
Utilization and Volume
3-14
0
500
1,000
1,500
2,000
2,500
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Per
Thousa
nd
Chart 3.13:Hospital Outpatient Visits per 1,000
Persons1980 - 2003
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1990-2003, for community hospitals and US Census Bureau: State and County QuickFacts, 2003 population estimate data derived from Population Estimates, 2000 Census of Population and Housing
Chartbook 2005
Utilization and Volume
3-15
Chart 3.14:Percentage Share of Inpatient vs. Outpatient Surgeries
1980 - 2003
0%
20%
40%
60%
80%
100%
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2003, for community hospitals
OutpatientSurgeries
InpatientSurgeries