Page 13 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
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HOSPI TALS
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
68.8% 69.1% 69.0% 68.8% 69.2% 69.5%
65.0% 65.1% 65.4% 65.5% 65.9% 66.3%
74.4%
75.0% 74.9%
75.9% 76.3%
77.0%
2006
2007
2008
2009
2010
2011
62%
66%
70%
74%
78%
Outpatient Surgeries as a
Percentage of Total Surgeries
Not-for-Profit
For-Profit
Government
Data source: IMS Health © 2013
Outpatient Share of Total Surgeries Edges up in 2011
• Although the overall number of outpatient
surgeries per day held steady between
2010 and 2011, at 10.3, outpatient surgeries
accounted for an increasing share of total
surgeries in 2011 (70.7%) vs. 2010 (70.2%).
• Meanwhile, the number of inpatient surgeries
per staffed bed fell slightly at not-for-profit
facilities, to 12.4 in 2011 from 12.6 in 2010,
resulting in a fractional decline among hospitals
overall (to 11.9 from 12.0 the previous year).
• For not-for-profit, for-profit and government
hospitals, the outpatient portion of total
surgeries was higher in 2011 than in 2006.
Growth in this measure was greatest, over this
six-year period, for government facilities.
• Indeed, outpatient surgeries accounted for more
than three-quarters of all surgeries performed
at government facilities in each of the last
three years; despite annual rises, this share
remained below two-thirds at for-profit hospitals.
Key Takeaway
Falling inpatient surgery ratios and rising outpatient shares of total surgeries indicate that efforts
to decrease hospital inpatient utilization remain pervasive as patients and payers alike seek to
further manage medical costs. Such efforts may even be driving hospital outpatient volume to
freestanding ambulatory surgery centers (see page 39), where costs are typically even lower. The
Medicare Payment Advisory Commission (MedPAC) found that Medicare payment rates were 74%
lower at ambulatory surgery centers than at hospital outpatient departments in 2012.
1
UT I L I ZAT ION
HOSPITAL SERVICE VOLUME, BY OWNERSHIP TYPE
Not-for-Profit
For-Profit
Government
ALL HOSPITALS
SERVICE VOLUME
2010
2011
2010
2011
2010
2011
2010
2011
Inpatient Surgeries/Staffed Bed 12.6
12.4
14.7
15.0
8.0
8.0
12.0
11.9
Outpatient Surgeries/Day
12.4
12.5
8.6
8.5
5.5
5.7
10.3
10.3
Outpatient Surgeries as a
Percentage of Total Surgeries
69.2% 69.5% 65.9% 66.3% 76.3% 77.0%
70.2% 70.7%
OUTPATIENT SURGERIES AS A PERCENTAGE OF TOTAL SURGERIES, 2006–2011
Government Facilities Have the Highest Percentage of Outpatient Surgeries
LONG-TERM TREND
1
MedPAC. (2012). Report to the Congress: Medicare Payment Policy. Retrieved fro
