Page 14 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
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14
HOSPI TALS
HOSPITALS/SYSTEMS DIGEST 2013
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
Key Takeaway
In an effort to streamline care, hospitals are monitoring patients to ensure they are not spending
unneeded time in the hospital. Some facilities offer internal incentives based on measures such as
ALOS.
1
One tool to help accomplish this is electronic tracking systems, which record milestones in
patient care, thus increasing accountability and coordination in reducing ALOS.
2
Data source: IMS Health © 2013
• By size, hospitals with 250 or more beds posted
the longest—or equaled the longest—average
length of stay (ALOS) per inpatient case
across all 10 featured disease states in 2011.
• In 2011, MHS-owned facilities recorded longer
ALOS per inpatient case than did their non-MHS
counterparts for six of the 10 diseases profiled
(most notably diabetes mellitus, 4.4 days vs. 4.0).
• Between 2007 and 2011, hospitals shortened
ALOS for by half a day inpatients receiving
treatment for colorectal cancer, head and
neck cancer, and lung cancer.
• Although hospitals did not record similar ALOS
reductions for breast cancer or prostate cancer,
both of these tumor types had notably shorter
ALOS than the other cancers listed.
UT I L I ZAT ION
AVERAGE LENGTH OF STAY (DAYS) PER INPATIENT CASE, 2011
ACS Angina Asthma AFib/
AFlutter
Depres-
sion
Dia-
betes
Mellitus
Hyper-
tension
Multiple
Sclerosis
Osteo-
arthritis Stroke
SIZE
<50 beds
1.7
1.8
3.1
2.7
5.1
3.7
2.6
3.4
3.5
3.7
50–119 beds
1.7
1.9
3.4
3.1
5.3
4.1
2.3
4.2
3.4
4.0
120–249 beds
2.0
2.0
3.5
3.5
5.7
4.5
2.5
4.2
3.5
4.5
250+ beds
2.2
2.1
3.5
3.7
6.5
5.0
2.6
4.5
3.5
5.0
OWNERSHIP TYPE
Not-for-Profit
1.9
2.0
3.3
3.2
5.8
4.2
2.4
4.2
3.4
4.2
For-Profit
2.0
2.0
3.7
3.4
5.4
4.7
2.4
4.1
3.5
4.4
Government
1.9
2.0
3.2
3.1
6.6
4.1
3.0
4.7
3.6
4.3
MHS OWNERSHIP
MHS Hospitals
2.0
2.0
3.4
3.3
5.9
4.4
2.4
4.2
3.4
4.3
Non-MHS Hospitals
1.9
2.0
3.2
3.1
5.8
4.0
2.8
4.3
3.5
4.1
ALL HOSPITALS
1.9
2.0
3.4
3.2
5.9
4.3
2.5
4.3
3.4
4.3
AVERAGE LENGTH OF STAY (DAYS) PER INPATIENT CASE, 2007–2011
0.0
2.5
5.0
7.5
10.0
ALOS (Days)
Colorectal Cancer
Breast Cancer
Prostate Cancer
Lung Cancer
Head and Neck
Cancer
—2.7— 2.8 2.7 2.8
8.2 8.1 7.9 7.8 7.7
7.2 6.9 6.8 6.9 6.7 6.5 —6.3— 6.2 6.0
—3.5— —3.4—
2007
2008
2010
2009
2011
Average Length of Stay Is Often Higher at Large Facilities
CHRONIC DISEASE
1
Hartocollis, A. (2013). New York City Ties Doctors’ Income to Quality of Care. The New York Times. Retrieved from
2
Vaidya, A. (2013). TeleTracking: Recording Milestones During Care Improves Patient Throughput. Becker’s Hospital Review. Retrieved from
Hospitals Reduce Average Length of Stay for Several Types of Cancer Cases
LONG-TERM TREND
