45
HOSPI TALS IN INTEGRATED SYSTEMS
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
Data source: IMS Health © 2013
UT I L I ZAT ION
System Facilities Account for Majority of Discharges in Many MSAs
• For 18 of the 20 selected MSAs profiled, the
system percentage of total hospital discharges
exceeded 50%. Indeed, in three of these
markets (Baltimore, Cleveland and San
Francisco), system shares topped 80%.
• Average lengths of stay (ALOS) for system
hospitals were shorter than for nonsystem
facilities in 11 of 20 local markets. For example,
nonsystem ALOS in New York was 7.0 days
compared with 4.7 days at system hospitals.
UPMC Outpatient Surgery Volume Is Nearly Triple the U.S. Average in 2011
• The University of Pittsburgh Medical Center
(UPMC), which operated 12 acute-care
facilities in 2011, recorded average
outpatient surgery counts that topped state
and national averages in both profiled years.
• Although the average number of outpatient
surgeries dipped slightly for facilities in the
UPMC system between 2010 (10,867.5) and
2011 (10,302.5), it remained nearly three
times the national average of 3,868.4 in 2011.
Utilization measures for hospitals in selected MSAs, 2011
1
Number of Discharges System %
of Total
Discharges
Number of
Emergency
Department Visits
ALOS
2
METROPOLITAN
STATISTICAL AREA (MSA)
System Nonsystem
System Nonsystem System Nonsystem
Atlanta, GA
307,731 151,095
67.1% 1,224,500 728,876
5.5
3.9
Baltimore, MD
397,477
37,353
91.4
1,220,947 113,919
4.8
2.3
Boston, MA–NH
354,448 192,634
64.8
914,747 681,081
5.7
4.5
Chicago, IL
579,988 458,446
55.9
1,572,808 1,424,458
4.7
4.8
Cleveland–Lorain–Elyria, OH 293,408
5,699
98.1
1,087,934
27,277
4.4
3.7
Dallas, TX
268,104 155,126
63.3
958,384 639,658
4.4
3.5
Detroit, MI
407,482 161,744
71.6
1,139,541 631,051
4.4
4.6
Houston, TX
271,648 291,345
48.3
799,885 992,995
3.9
5.3
Kansas City, MO–KS
63,157 171,854
26.9
273,565 668,038
4.3
3.9
Los Angeles–Long Beach, CA 522,490 501,748
51.0
1,645,531 1,295,524
5.1
6.0
Miami, FL
216,437 136,114
61.4
712,573 371,734
4.6
5.8
Minneapolis–St. Paul, MN–WI
243,912
95,798
71.8
555,325 373,892
3.2
4.0
New York, NY
953,204 287,277
76.8
2,606,938 774,988
4.7
7.0
Philadelphia, PA–NJ
488,653 284,567
63.2
1,480,976 1,053,694
4.1
4.7
Phoenix–Mesa, AZ
318,184 180,183
63.8
758,990 461,293
4.1
3.3
Pittsburgh, PA
311,290
86,675
78.2
837,577 334,450
4.6
5.8
San Diego, CA
239,857
68,410
77.8
573,971 251,709
4.3
6.5
San Francisco, CA
138,800
28,997
82.7
384,733 127,455
4.7
6.0
St. Louis, MO–IL
256,185 151,469
62.8
701,624 458,797
4.9
4.7
Washington, DC–MD–VA–WV 335,613 221,660
60.2
1,127,048 926,598
4.9
4.4
1
Hospital data are based on all short-term, acute-care, nonfederal hospitals. All data are as of December 31, 2011.
2
ALOS represents only the acute-care portion of the hospitals’ occupancy.
SYSTEM SPOTLIGHT
UPMC
Pittsburgh
Pennsylvania
Nation
0
2,875
5,750
8,625
11,500
10,867.5
10,302.5
9,457.9
9,093.7
6,409.7
6,576.2
3,819.0
3,868.4
2010
2011
Number of Surgeries
AVERAGE NUMBER OF OUTPATIENT SURGERIES
I...,35,36,37,38,39,40,41,42,43,44 46,47,48,49,50,51,52,53,54,55,...IV