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DEMOGRAPHICS
HOSPITALS/SYSTEMS DIGEST 2015
SANOFI / MANAGED CARE DIGEST SERIES
®
/
WHERE INFORMATION BECOMES INTELLIGENCE
.
™
HOSPI TALS IN MULT IHOSPI TAL SYSTEMS
Staffing Ratios Grow Faster in MHS-Owned Hospitals in 2013
• From 2011 to 2013, staffing per occupied bed
for five of 10 full-time-equivalent (FTE) positions
increased more rapidly in MHS-owned hospitals
than in their non-MHS-owned counterparts.
• For instance, the number of registered
nurses per occupied bed rose 21.2% in
MHS-owned facilities during that time, but
only 9.5% in non-MHS-owned hospitals.
Data source: IMS Health © 2015
HOSPITAL STAFFING RATIOS
1
MHS Hospitals
Non-MHS Hospitals
FTEs PER OCCUPIED BED
2011
2012
2013
2011
2012
2013
Staff Physicians
0.28
0.27
0.34
0.51
0.47
0.54
Resident Physicians
0.36
0.35
0.38
0.30
0.29
0.29
Registered Nurses
2.45
2.49
2.97
3.28
3.07
3.59
Licensed Practical Nurses
0.45
0.43
0.47
0.97
0.88
0.93
Physician Assistants
0.13
0.11
0.13
0.31
0.23
0.29
Registered Pharmacists
0.11
0.12
0.14
0.19
0.20
0.20
Occupational Therapists
0.06
0.06
0.08
0.14
0.13
0.15
Inhalation Therapists
0.19
0.18
0.21
0.31
0.28
0.31
Physical Therapists
0.12
0.12
0.16
0.27
0.25
0.28
All Other Employees
5.96
5.88
6.00
8.91
8.76
8.99
TOTAL FTE STAFF
2
10.13
10.02
9.42
15.20
14.57
13.97
Key Takeaway
New quality care measures and reimbursement methodologies arising from the Affordable Care Act
and private-payer initiatives make coordinated care among providers across settings paramount.
The more rapid growth in employment ratios at MHS hospitals for some clinical positions than those at
non-MHS facilities might reflect efforts by the former to boost care coordination activities.
1
Data are for all beds in nonfederal, short-term, acute-care hospitals only. Psychiatric, rehabilitation and children’s hospitals are excluded.
2
Column totals represent the average of each facility’s total full-time equivalent employees. Therefore, the totals cannot be derived by adding the
numbers in the columns.
FTE STAFF PHYSICIANS AND PHYSICIAN ASSISTANTS PER OCCUPIED BED, BY MHS OWNERSHIP
1
2011
2012
2013
0.00
0.15
0.30
0.45
0.60
FTEs per Occupied Bed
MHS Hospitals
Non-MHS Hospitals
MHS Hospitals
Non-MHS Hospitals
MHS Hospitals
Non-MHS Hospitals
0.28
0.51
0.13
0.31
0.27
0.47
0.11
0.23
0.34
0.54
0.13
0.29
Staff Physicians
Physician Assistants
Disparity in Physician Count Narrows Between MHS and Non-MHS Hospitals
• In 2011, the number of FTE staff physicians per
occupied bed was 82.1% greater in non-MHS-
owned hospitals than in MHS-owned facilities. By
2014, the difference had shrunk to 58.8%.
• From 2011 to 2013, the number of physician
assistants per occupied bed in MHS-owned
hospitals was unchanged (0.13). The number in
non-MHS hospitals contracted to 0.29 from 0.31.