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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
.
™
16
Occupancy Falls for MHS and Non-MHS CCUs and ICUs Alike
• Regardless of MHS ownership, occupancy for
cardiac care units (CCUs) and intensive care
units (ICUs) alike fell between 2011 and 2013.
Occupancy was highest in MHS-hospital CCUs.
• Even as occupancy fell, patient-days per
hospital rose during this time, at both MHS and
non-MHS CCUs, as well as at non-MHS ICUs, but
edged down slightly at MHS ICUs.
Key Takeaway
With the Affordable Care Act linking hospital Medicare reimbursement to quality measures like
readmission rates for key conditions, including AMI and heart failure, hospitals may be shifting
patients to more appropriate settings of care, such as non-acute centers, contributing in part to
lower occupancy rates at CCUs and ICUs. Yet those patients who do require admissions to CCU/ICU
facilities may require even more resources, as evidenced by the continued increase in patient-days.
Data source: IMS Health © 2015
CCU UTILIZATION, BY MHS OWNERSHIP
MHS Hospitals
Non-MHS Hospitals
ALL HOSPITALS
SERVICE VOLUME
2011
2012
2013
2011
2012
2013
2011
2012
2013
Average CCU Occupancy 65.4% 64.7% 64.2% 63.9% 60.6% 61.0%
65.2% 64.1% 63.8%
Average CCU Patient-Days
per Hospital
3,854 3,973 3,931 2,758 2,606 2,761
3,690 3,768 3,775
ICU UTILIZATION, BY MHS OWNERSHIP
MHS Hospitals
Non-MHS Hospitals
ALL HOSPITALS
SERVICE VOLUME
2011
2012
2013
2011
2012
2013
2011
2012
2013
Average ICU Occupancy 62.2% 60.6% 59.4% 53.8% 52.0% 52.5%
59.8% 58.2% 57.6%
Average ICU Patient-Days
per Hospital
4,107 4,011 3,970 2,227 2,219 2,250
3,537 3,499 3,506
QUALITY SPOTLIGHT
Hospital ALOS for AMI Continues Gradual Decline, While ALOS for Heart Failure Rises
• Hospitals slowly reduced their average lengths
of stay (ALOS) per inpatient case of acute
myocardial infarction, unspecified (AMI) in
2013, to 3.5 days from 3.8 days in 2008.
• Although still below the 2008 mean of 4.8 days,
ALOS per inpatient heart failure case edged up
to 4.6 days in 2013 (from 4.5 in 2012), marking
the first annual increase in the six years profiled.
4.8
4.6
4.6
4.6
4.5
4.6
3.8
3.7
3.6
3.6
3.6
3.5
2008
2009
2010
2011
2012
2013
2
3
4
5
6
Length of Stay (Days)
Heart Failure
AMI, Unspecified Site
AVERAGE LENGTH OF STAY (DAYS) PER CASE, 2008–2013