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HOSPI TALS IN MULT IHOSPI TAL SYSTEMS
SANOFI / MANAGED CARE DIGEST SERIES
®
/
WHERE INFORMATION BECOMES INTELLIGENCE
.
™
HOSPITALS/SYSTEMS DIGEST 2015
Data source: IMS Health © 2015
Key Takeaway
Given the high cost of inpatient care, the Affordable Care Act and commercial payer
initiatives have placed an emphasis on trying to manage unnecessary hospitalizations
and, when possible, lengths of stay. In an effort to reduce their ALOS for various
disease states, MHS hospitals often can resort to skilled nursing facilities, intermediate
care facilities or other transitional care settings that non-MHS hospitals cannot.
• ALOS per inpatient hypertension case rose 4.3%
(to 2.4 days from 2.3 days) in MHS hospitals from
2010 to 2013. However, the 2013 mean was
lower than the all-hospital average of 2.5 days.
• In non-MHS facilities, ALOS for such patients
climbed 16.7% during the same time period
(to 2.8 days from 2.4 days). It exceeded the
all-hospital average from 2011 to 2013.
• From 2012 to 2013, average length of stay
(ALOS) per inpatient case increased in MHS
hospitals for two profiled disease states: breast
cancer and depression, both by 0.1 days.
• At the same time, in non-MHS hospitals,
ALOS crept up for acute coronary
syndromes, angina, breast cancer,
diabetes mellitus and hypertension.
UT I L I ZAT ION
AVERAGE LENGTH OF STAY (DAYS) PER INPATIENT CASE, BY MHS OWNERSHIP
MHS Hospitals
Non-MHS Hospitals
ALL HOSPITALS
DISEASE STATE
2012
2013
2012
2013
2012
2013
Acute Coronary Syndromes (ACS)
2.0
2.0
1.9
2.0
2.0
2.0
Angina
2.0
1.9
2.1
2.6
2.0
2.1
Asthma
3.3
3.3
3.3
3.2
3.3
3.3
Breast Cancer
2.8
2.9
2.8
3.0
2.8
2.9
Depression
5.9
6.0
6.4
5.9
6.0
6.0
Diabetes Mellitus
4.3
4.3
3.9
4.1
4.2
4.2
Hypercholesterolemia
3.6
2.4
3.2
—
3.6
3.0
Hypertension
2.4
2.4
2.5
2.8
2.4
2.5
Osteoarthritis
3.3
3.1
3.4
3.4
3.4
3.2
Prostate Cancer
3.3
3.3
4.0
3.8
3.5
3.4
Rheumatoid Arthritis
3.6
3.5
3.6
3.7
3.8
3.6
Stroke
4.2
4.1
4.1
3.9
4.2
4.0
AVERAGE LENGTH OF STAY PER INPATIENT HYPERTENSION CASE,
BY MHS OWNERSHIP, 2010–2013
2010
2011
2012
2013
2.0
2.2
2.5
2.8
3.0
ALOS (Days)
2.3
—2.4—
2.4
2.8
2.5
2.4
2.5
2.4
2.4
2.8
2.5
MHS Hospitals
Non-MHS Hospitals
All Hospitals
ALOS Rises Slightly for Two Disease States in MHS Hospitals
CHRONIC DISEASE
NOTE: Some length of stay data were unavailable.
Length of Stay per Inpatient Hypertension Case Edges Up in MHS Facilities