Page 29 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
Basic HTML Version
29
HOSPI TALS IN MULT IHOSPI TAL SYSTEMS
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
Data source: IMS Health © 2013
Key Takeaway
With increased focus on hospitals’ quality of care, facilities may face a balancing act in managing
certain utilization measures, like pneumonia patients’ readmission rates and corresponding
average length of stay. Given Medicare’s edict—via the Affordable Care Act—to reduce
readmission rates, hospitals will continue to look for ways to maximize patient care in the inpatient
setting, as well as methods of coordinating care once patients have been discharged.
• Between 2007 and 2011, MHS and non-MHS
hospitals alike pared ALOS for inpatient cases of
sepsis/pneumonia (to 6.0 days from 6.2) at MHS
hospitals and to 4.9 from 5.2 at those not in MHSs.
• For each of the five years shown, ALOS for
inpatient sepsis/pneumonia cases at non-MHS
hospitals was roughly a day shorter than for
such cases at hospitals belonging to an MHS.
• In 2011, facilities not belonging to MHSs
reported shorter average lengths of stay (ALOS)
than their MHS counterparts for six of the 12
common disease states featured.
• The most marked change between 2010 and
2011 among the diseases listed was at non-MHS
hospitals, which reduced ALOS for depression
inpatient cases to 5.8 days from 6.3 (–7.9%).
UT I L I ZAT ION
Average Length of Stay (Days) per Inpatient Case, by MHS Ownership
MHS Hospitals
Non-MHS Hospitals
ALL HOSPITALS
Disease state
2010
2011
2010
2011
2010
2011
Acute Coronary Syndromes (ACS)
1.9
2.0
1.9
1.9
1.9
1.9
Angina
2.0
2.0
2.0
2.0
2.0
2.0
Asthma
3.4
3.4
3.2
3.2
3.3
3.4
Atrial Fibrillation/Atrial Flutter
3.4
3.3
3.1
3.1
3.2
3.2
Breast Cancer
2.7
2.7
2.7
2.8
2.7
2.8
Depression
6.0
5.9
6.3
5.8
6.1
5.9
Diabetes Mellitus
4.4
4.4
4.0
4.0
4.3
4.3
Hypertension
2.3
2.4
2.4
2.8
2.4
2.5
Multiple Sclerosis (MS)
4.4
4.2
4.4
4.3
4.4
4.3
Prostate Cancer
3.3
3.3
3.7
3.8
3.4
3.4
Osteoarthritis
3.5
3.4
3.6
3.5
3.5
3.4
Stroke
4.3
4.3
4.2
4.1
4.3
4.3
AVERAGE LENGTH OF STAY PER INPATIENT SEPSIS/PNEUMONIA CASE, BY MHS OWNERSHIP, 2007–2011
4.5
5.0
5.5
6.0
6.5
ALOS (Days)
6.2
6.2
6.0
6.0
6.0
5.2
5.4
5.1
5.0
4.9
5.7
5.8
5.6
5.6
5.5
2007
2008
2009
2010
2011
MHS Hospitals
Non-MHS Hospitals
Total
Non-MHS Facilities Post Shorter ALOS for Six Disease States
CHRONIC DISEASE
Hospitals Trim ALOS for Inpatient Sepsis/Pneumonia Cases
LONG-TERM TREND
