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Chapter 3: Utilization and Volume. Chart 3.1: Inpatient Admissions in Community Hospitals 1980 - 2002. Millions. Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals. - PowerPoint PPT Presentation
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Chapter 3:Utilization and Volume
Utilization and Volume
Chartbook 2004
27
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33
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35
36
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80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02
Chart 3.1:Inpatient Admissions in Community
Hospitals1980 - 2002
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals.
Mill
ions
33
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
Chart 3.2:Total Inpatient Days in Community
Hospitals1980 - 2002
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals
Mill
ions
Utilization and Volume
Chartbook 2004
Chart 3.3:Inpatient Admissions per 1,000 Persons
1980 - 2002
Chart 3.4:Inpatient Days per 1,000 Persons
1980 - 2002
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals and US Census Bureau data
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals and US Census Bureau data
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
34
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
Utilization and Volume
Chartbook 2004
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
0
1
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3
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9
80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals
Chart 3.5:Average Length of Stay in Community
Hospitals1980 - 2002
Days
Chart 3.6:Average Length of Stay in Community
Hospitalsby State
2002
5.0 to 6.9 Days
7.0 to 8.9 Days
4.0 to 4.9 Days
9 Days
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 2002, for community hospitals
RI 5.3 DaysDE 5.9 DaysDC 6.8 Days
35
Utilization and Volume
Chartbook 2004
80
85
90
95
100
105
110
115
90 91 92 93 94 95 96 97 98 99 00 01 023,500
3,700
3,900
4,100
4,300
4,500
4,700
4,900
5,100
5,300
Chart 3.7:Emergency Department Visits
and Emergency Departments(1) in Community Hospitals
1990 - 2002
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1990 – 2002, for community hospitals
(1) Defined as hospitals reporting ED visits
Chart 3.8:Hospital Emergency Department Visits
per 1,000 Persons1990 - 2002
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1990 – 2002, for community hospitals and US Census Bureau data
ED
Vis
its
Per
Thousa
nd
36
250
270
290
310
330
350
370
390
90 91 92 93 94 95 96 97 98 99 00 01 02
Num
ber
of
ED
Vis
its
(Mill
ions)
Em
erg
ency
Dep
art
ments
ED Visits Emergency Departments
Utilization and Volume
Chartbook 2004
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
Chart 3.9: Percent of Hospitals Reporting Emergency
Department Capacity Issues by Type of Hospital2004
Source: American Hospital Association 2004 Survey of Hospital Leaders
Chart 3.10:Percent of Hospitals Reporting Time on Ambulance Diversion in Last 12 Months
January 2004
37
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
Percentage of Hospitals
30%
64%
77%
44%
48%
ED is “At” Capacity
ED is “Over” Capacity
Utilization and Volume
Chartbook 2004
Chart 3.11:Conditions Hospitals Reported as Number One
Factor Contributing to Ambulance Diversions 2003 – 2004
38
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
Utilization and Volume
Chartbook 2004
Chart 3.12:Total Hospital Outpatient Visits
in Community Hospitals1980 - 2002
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals
Mill
ions
Chart 3.13:Hospital Outpatient Visits per 1,000
Persons1980 - 2002
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals and US Census Bureau data
Per
Thousa
nd
39
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
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
Utilization and Volume
Chartbook 2004
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
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals
Chart 3.14:Percentage Share of Inpatient vs. Outpatient Surgeries
1980 - 2002
OutpatientSurgeries
InpatientSurgeries
40
