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UT I L I ZAT ION
HOSPI TALS
HOSPITALS/SYSTEMS DIGEST 2015
SANOFI / MANAGED CARE DIGEST SERIES
®
/
WHERE INFORMATION BECOMES INTELLIGENCE
.
™
12
Admission Counts Decline Across All Hospital Ownership Types
• Facility admissions per hospital counts dipped
overall (to 7,107 in 2013 from 7,143 in 2012) and
regardless of hospital ownership type; patient-
day counts also fell, to 34,944 from 35,791.
• Meanwhile, outpatient visits per day counts
increased for all hospitals, to 228.3 from 226.4.
Emergency department (ED) visits per day
counts also rose, to 77.3 in 2013 from 76.6 in 2012.
Key Takeaway
A drop in inpatient admission counts at not-for-profit, for-profit and government hospitals from
2012 to 2013 was accompanied by an increase in outpatient visit counts. The two seem indicative
of progress toward the goal of shifting care to less intensive and expensive settings. Meanwhile,
readmission rates continue to fall for heart attack, heart failure and pneumonia cases. However,
ED visits per day increased slightly overall, which may point to ingrained patient behavior regarding
treatment settings or the need for earlier interventions and continued coordination of care.
Data source: IMS Health © 2015
HOSPITAL SERVICE VOLUME, BY OWNERSHIP TYPE
Not-for-Profit
For-Profit
Government
ALL HOSPITALS
SERVICE VOLUME
2012
2013
2012
2013
2012
2013
2012
2013
Total Facility Admissions
8,855
8,805
5,659
5,594
4,097
4,096
7,143
7,107
Total Facility Patient-Days
44,169 43,205 25,891 24,893 23,060 22,593
35,791 34,944
Outpatient Visits/Day
287.5
289.9
121.3
123.2
161.9
165.5
226.4
228.3
Emergency Room Visits/Day
89.8
90.1
68.4
69.8
50.1
51.1
76.6
77.3
30-DAY HOSPITAL READMISSION RATES, NATION
16%
19%
22%
25%
28%
Percentage Readmitted
Heart Attack
Heart Failure
Pneumonia
19.7%
18.3%
17.8%
24.8%
23.1%
22.7%
18.5%
17.6% 17.3%
2011
2012
2013
Readmission Rates for Heart Attack, Heart Failure and Pneumonia Continue to Fall
• Thirty-day hospital readmission rates for heart
attack, heart failure and pneumonia all declined
from 2011 to 2013. The rate was highest, among
the three conditions, for heart failure (22.7%).
• The 30-day readmission rate for heart
attack cases dropped, to 17.8% in 2013
from 19.7% in 2011; the rate of pneumonia
cases was also down, to 17.3% from 18.5%.