CONTENTS
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
1
CONTENTS , VOL . 8
INTRODUCTION..................................................................................................3
Executive Summary. ......................................................................................4
HOSPITALS
Backgrounder............................................................................................................................... 5
Demographics
Total U.S. Hospital Count Rebounds in 2011................................................................................ 6
Not-for-Profit Hospital Count Gains, but Lags 2009 Mark.......................................................... 7
Outpatient Cases per Hospital Continues to Climb. ................................................................. 8
Aging Population Drives Need for Cardiovascular Care.......................................................... 9
Type 2 Diabetes Affects One in Five Hypertension Patients................................................... 10
RN Staffing Ratio Increase Helps Boost Overall Staffing Ratios............................................... 11
Utilization
Admissions Dip at For-Profit and Not-for-Profit Hospitals Alike. ............................................... 12
Outpatient Share of Total Surgeries Edges up in 2011............................................................. 13
Average Length of Stay Is Often Higher at Large Facilities.................................................... 14
30-Day Diabetes Readmission Rates Are Noteworthy............................................................. 15
CCU Utilization Subsides Both at MHS and Non-MHS Hospitals .............................................. 16
Financials
Costs per Occupied Bed Increase at MHS and Non-MHS Facilities...................................... 17
Charges Rise For Inpatient Treatment of Chronic Diseases.................................................... 18
Growth in Medicare Charges Outpaces Reimbursement...................................................... 19
Professional Office/Clinic Charges for AFib Patients Drop ..................................................... 20
Ph
armacy
Rx Costs per Discharge Are Higher at Hospitals With Fewer Surgeries...........................................21
Retail Prescription Use per 1,000 Patients Declines ................................................................. 22
HOSPITALS IN MULTIHOSPITAL SYSTEMS
Backgrounder............................................................................................................................. 23
De
mographics
Top 20 MHSs Collectively Add to Number of Hospitals Owned............................................. 24
Non-MHS Inpatient Case Counts Fall for All Disease States.................................................... 25
RN Staffing Ratio Climbs by 18% at Hospitals in MHSs With HMOs.......................................... 26
Ut
ilization
Average Admissions Decline for 11 of the Top 20 MHSs.......................................................... 27
Utilization Measures Are Relatively Low for MHS-Owned HMOs............................................. 28
Non-MHS Facilities Post Shorter ALOS for Six Disease States.................................................... 29
Fi
nancials
Total Revenue Declines at Hospitals in MHSs Owning HMOs.................................................. 30
Total Costs per Occupied Bed Increase at Non-MHS Hospitals............................................. 31
Charges per Case Grow at MHS and Non-MHS Hospitals...................................................... 32
Ph
armacy
Gap Widens Between MHS, Non-MHS Rx Cost Ratios............................................................. 33
Pharmacy Utilization Drops for MHS-Owned HMOs in 2011.................................................... 34
I,II 2,3,4,5,6,7,8,9,10,11,...IV