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8

DEMOGRAPHICS

HOSPI TALS

HOSPITALS/SYSTEMS DIGEST 2015

SANOFI / MANAGED CARE DIGEST SERIES

®

/

WHERE INFORMATION BECOMES INTELLIGENCE

.

Key Takeaway

That outpatient case counts rose in recent years across almost all the common disease states listed

should perhaps come as little surprise, given the emphasis in health care on reducing admissions

and shifting care to less costly settings. A coincident drop in inpatient admissions count would

also be expected. The challenge for providers will be to sustain these trends, which likely means

increasing coordinated prevention efforts to help patients minimize chronic disease progression.

Data source: IMS Health © 2015

Outpatient Case Counts Climb for 11 Disease States

CHRONIC DISEASE

• From 2012 to 2013, outpatient (OP) case counts

per hospital rose for 11 of 12 profiled disease

states; depression was the exception, with

OP case counts falling, to 750.3 from 761.0.

• During this period, the numbers of inpatient

cases per hospital decreased for nine of these

disease states, but increased for depression (to

350.4), osteoarthritis (176.7) and stroke (180.3).

LOCAL SPOTLIGHT

Hypertension Outpatient Case Counts Climb in Florida, as Inpatient Case Counts Drop

• The average number of OP hypertension

cases in Florida increased 19.8%, to 12,422.6 in

2013 from 10,365.5 in 2009. By comparison, the

national average rose, to 8,805.3 from 6,554.2.

• After rising 1.7% from 2009 (4,048.5) to 2010

(4,118.3), average inpatient hypertension

case counts in Florida fell each year

from 2011 (4,019.1) to 2013 (3,811.5).

NUMBERS OF INPATIENT AND OUTPATIENT CASES PER HOSPITAL

1

Inpatient Cases

Outpatient Cases

DISEASE STATE

2012

2013

2012

2013

Acute Coronary Syndromes (ACS)

81.2

74.7

51.5

54.2

Angina

38.4

33.7

146.7

150.6

Asthma

447.8

433.7

2,047.9

2,249.0

Breast Cancer

41.7

39.8

814.5

954.2

Depression

342.3

350.4

761.0

750.3

Diabetes Mellitus

1,249.3

1,245.5

5,748.0

6,435.5

Hypercholesterolemia

245.8

228.0

1,664.3

1,671.3

Hypertension

1,938.6

1,851.9

8,262.1

8,805.3

Osteoarthritis

171.8

176.7

459.6

584.4

Prostate Cancer

41.0

40.2

491.1

511.1

Rheumatoid Arthritis

74.0

73.2

363.3

409.9

Stroke

176.4

180.3

358.0

424.9

NUMBERS OF INPATIENT AND OUTPATIENT HYPERTENSION CASES PER HOSPITAL, FLORIDA, 2009–2013

2009

2010

2011

2012

2013

2,000

5,000

8,000

11,000

14,000

Average Number of Cases

4,048.5

10,365.5

4,118.3

10,920.7

4,019.1

11,096.8

3,991.0

11,339.6

3,811.5

12,422.6

Inpatient

Outpatient

1

Hospital data are based on all short-term, acute-care, nonfederal hospitals and are effective as of end-of-year 2013. Psychiatric, rehabilitation

and children’s hospitals are excluded.