8
HOSPITALS/SYSTEMS DIGEST 2013
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
Key Takeaway
Although the treatment of many chronic diseases has been shifting to the less costly and
resource-intensive outpatient setting for some time, the average number of diabetes mellitus
cases is rising in the inpatient and outpatient settings alike—a trend that is expected to continue,
especially if the growing incidence of diabetes continues unabated.
2
Data source: IMS Health © 2013
• Between 2010 and 2011, per-hospital outpatient
case counts rose for all 12 disease states listed.
Meanwhile, the per-hospital inpatient case
count fell for seven of these 12 diseases states.
• Between 2010 and 2011, the total number
of outpatient cases per hospital climbed
more than 20% for breast cancer (26.7%) and
osteoarthritis (20.6%).
• The number of inpatient diabetes mellitus
cases per hospital was highest, by state, in
Delaware in 2011, at 3,281.1, more than
double the national benchmark (1,282.8).
• Between 2009 and 2011, the number of inpatient
diabetes cases per Delaware hospital increased
11.0%, reversing the gradual decline in the
number of such cases between 2007 and 2009.
HOSPI TALS
DEMOGRAPHICS
NUMBER OF INPATIENT aND OUTPATIENT CASES PER HOSPITAL
1
Inpatient Cases
Outpatient Cases
DISEASE STATE
2010
2011
2010
2011
Acute Coronary Syndromes (ACS)
97.3
87.8
40.8
46.3
Angina
50.3
43.3
118.8
127.9
Asthma
465.4
455.9
1,638.0
1,795.8
Atrial Fibrillation/Atrial Flutter
622.3
637.5
1,894.6
2,063.2
Breast Cancer
42.4
41.6
572.1
725.0
Depression
338.4
342.8
575.8
649.8
Diabetes Mellitus
1,281.0
1,282.8
4,789.9
5,251.4
Hypertension
2,070.8
2,020.2
6,979.1
7,497.7
Multiple Sclerosis (MS)
30.1
30.5
109.8
128.8
Osteoarthritis
173.3
170.6
319.5
385.4
Prostate Cancer
45.2
45.6
400.4
475.6
Stroke
179.5
178.3
280.8
332.8
NUMBER OF INPATIENT DIABETES MELLITUS CASES PER HOSPITAL, DELAWARE VS. NATION, 2007–2011
0
850
1,700
2,550
3,400
Average Number of Cases
2007
2008
2009
2010
2011
3,184.2
1,259.4
3,079.2
1,267.2
2,957.7
1,265.3
3,029.5
1,281.0
3,281.7
1,282.8
Delaware
Nation
Outpatient Cases per Hospital Continues to Climb
CHRONIC DISEASE
Per-Hospital Inpatient Diabetes Case Count in Delaware Far Exceeds National Benchmark
LOCAL SPOTLIGHT
1
Some data were unavailable for the selected disease states.
2
Centers for Disease Control and Prevention. (2010). Number of Americans with Diabetes Projected to Double or Triple by 2050. Retrieved from
I,II,1,2,3,4,5,6,7 9,10,11,12,13,14,15,16,17,18,...IV