Page 25 - 2013 Hospitals/Systems Digest US.NMH.13.02.007

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HOSPI TALS IN MULT IHOSPI TAL SYSTEMS
SANOFI / MANAGED CARE DIGEST SERIES® / WHERE INFORMATION BECOMES INTELLIGENCE.™ HOSPITALS/SYSTEMS DIGEST 2013
• The average numbers of hospital inpatient
cases at non-MHS facilities declined between
2010 and 2011 for all 12 disease states listed. In
fact, this average dropped at least 20% for 11 of
the 12 diseases shown (osteoarthritis excluded).
• For example, the number of inpatient stroke
cases per non-MHS hospital dropped by more
than a quarter (26.6%) in 2011, to 68.1 cases
from 92.8 in 2010. Inpatient stroke cases at
MHS-owned facilities edged up 0.8% in 2011.
Numbers of Inpatient and Outpatient Cases per Hospital, by MHS Ownership
MHS Hospitals Non-MHS Hospitals
disease state 2010 2011 2010 2011
Acute Coronary Syndromes (ACS)
Inpatient Cases 125.4 111.8 55.2 41.6
Outpatient Cases 48.6 55.6 30.7 31.4
Angina
Inpatient Cases 67.0 56.3 26.5 19.8
Outpatient Cases 150.6 166.6 79.1 69.1
Asthma
Inpatient Cases 629.3 626.0 259.9 194.4
Outpatient Cases 2,144.4 2,405.0 1,021.3 884.0
Atrial Fibrillation/Atrial Flutter
Inpatient Cases 855.5 889.7 334.6 260.2
Outpatient Cases 2,260.7 2,598.9 1,446.4 1,266.8
Breast Cancer
Inpatient Cases 53.6 53.5 25.6 19.7
Outpatient Cases 717.3 964.0 392.3 367.1
Depression
Inpatient Cases 451.9 462.2 184.8 145.5
Outpatient Cases 739.3 856.8 374.3 337.7
Diabetes Mellitus
Inpatient Cases 1,737.3 1,759.4 714.1 567.4
Outpatient Cases 5,937.2 6,748.3 3,390.2 3,021.3
Hypertension
Inpatient Cases 2,824.6 2,775.9 1,132.6 884.5
Outpatient Cases 8,841.2 9,775.6 4,709.5 4,107.2
Multiple Sclerosis (MS)
Inpatient Cases 38.4 39.7 17.7 13.1
Outpatient Cases 138.0 170.8 73.6 63.6
Osteoarthritis
Inpatient Cases 223.3 221.3 101.8 82.2
Outpatient Cases 395.0 495.6 226.4 220.7
Prostate Cancer
Inpatient Cases 59.5 60.7 25.5 19.6
Outpatient Cases 480.6 619.2 301.4 262.1
Stroke
Inpatient Cases 247.4 249.4 92.8 68.1
Outpatient Cases 355.6 436.8 189.2 177.7
Key Takeaway
Since 2004, the number of hospitals belonging to MHSs has increased each year, whereas the
number of non-MHS facilities has generally decreased (see page 23). Meanwhile, as MHSs continue
to acquire large, independent facilities—especially those with robust outpatient capabilities—
the ongoing shift away from inpatient treatment at non-MHS facilities will likely accelerate.
Data source: IMS Health © 2013
DEMOGRAPHICS
Non-MHS Inpatient Case Counts Fall for All Disease States
CHRONIC DISEASE