Page 41 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
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HOSPI TALS IN INTEGRATED SYSTEMS
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
Key Takeaway
The Medicare Payment Advisory Commission (MedPAC) noted a 4.2% annual increase in outpatient
service volume per fee-for-service beneficiary, between 2004 and 2010, with much of that growth
resulting from a shift to hospital-based outpatient physician office visits.
1
This may, in turn, help
account for the more rapid growth in the average numbers of outpatient cases for system-tied
hospitals, which may be better able to capitalize on relationships with on-site physician practices.
Data source: IMS Health © 2013
DEMOGRAPHICS
Numbers of Inpatient and Outpatient Cases per Hospital, By integrated system affiliation
Hospitals in Systems
Hospitals Not in Systems
disease state
2010
2011
% Change
2010
2011
% Change
Acute Coronary Syndromes (ACS)
Inpatient Cases
119.9
106.8
–10.9%
68.3
62.6
–8.4%
Outpatient Cases
46.9
52.1
11.1
33.2
38.9
17.2
Angina
Inpatient Cases
64.5
54.6
–15.3%
32.5
28.8
–11.3%
Outpatient Cases
142.6
154.2
8.1
90.4
96.4
6.7
Asthma
Inpatient Cases
608.0
598.0
–1.6%
302.5
293.1
–3.1%
Outpatient Cases
2,082.8
2,279.9
9.5
1,131.0
1,237.2
9.4
Atrial Fibrillation/Atrial Flutter
Inpatient Cases
827.8
850.2
2.7%
388.3
392.4
1.0%
Outpatient Cases
2,321.9
2,543.3
9.5
1,407.0
1,507.4
7.1
Breast Cancer
Inpatient Cases
52.6
51.6
–1.9%
29.1
28.6
–2.0%
Outpatient Cases
703.0
894.7
27.3
420.5
525.9
25.1
Depression
Inpatient Cases
433.6
439.4
1.3%
226.1
228.7
1.1%
Outpatient Cases
722.8
812.7
12.4
406.0
459.9
13.3
Diabetes Mellitus
Inpatient Cases
1,658.2
1,669.0
0.6%
855.4
844.9
–1.2%
Outpatient Cases
5,858.9
6,406.5
9.3
3,577.9
3,922.9
9.6
Hypertension
Inpatient Cases
2,701.2
2,645.0
–2.1% 1,356.7
1,309.3
–3.5%
Outpatient Cases
8,662.5
9,302.5
7.4
5,067.7
5,419.2
6.9
Multiple Sclerosis (MS)
Inpatient Cases
38.5
39.0
1.3%
19.3
19.3
–0.4%
Outpatient Cases
138.2
162.6
17.7
75.8
87.8
15.8
Osteoarthritis
Inpatient Cases
220.3
216.6
–1.7%
114.7
112.7
–1.7%
Outpatient Cases
398.1
481.1
20.8
228.8
273.4
19.5
Prostate Cancer
Inpatient Cases
57.8
58.7
1.7%
29.8
29.3
–1.8%
Outpatient Cases
480.0
567.7
18.3
308.4
367.1
19.0
Stroke
Inpatient Cases
235.3
235.1
–0.1%
113.5
111.0
–2.2%
Outpatient Cases
350.4
414.5
18.3
200.4
236.6
18.0
Outpatient Case Counts Rise Sharply at System Hospitals
CHRONIC DISEASE
• Outpatient case counts rose at all hospitals,
regardless of system affiliation or disease state.
However, system-tied hospitals witnessed greater
increases for eight of the 12 diseases profiled.
• Hospitals not in systems shed inpatient
volumes between 2010 and 2011 for 10 of
the 12 diseases states shown; system hospitals
recorded declines in just seven diseases.
1
MedPAC. (2012). Report to the Congress: Medicare Payment Policy. March 2012. Retrieved from
