46
HOSPI TALS IN INTEGRATED SYSTEMS
HOSPITALS/SYSTEMS DIGEST 2013
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
Surgery Volumes at System Hospitals Exceed Nonsystem Counts in Five Large MSAs
LOCAL SPOTLIGHT
UT I L I ZAT ION
• Inpatient and outpatient surgery volumes
were higher for hospitals in systems than for
those not in systems in 18 of 20 MSAs profiled
in 2011 (Houston and Kansas City excepted).
• Likewise, occupancy was higher at system
hospitals than at nonsystem facilities in most
MSAs—in Phoenix, for example, this occupancy
gap was a notable 26.3 percentage points.
• In the five MSAs shown, inpatient and outpatient
surgery volumes were notably higher at system
hospitals than at nonsystem facilities in 2011.
• The gap between system (205,026) and
nonsystem (4,376) outpatient surgery volumes
was particularly wide in the Cleveland market.
Inpatient and Outpatient Surgery Volumes for Hospitals in Selected MSAs, 2011
Data source: IMS Health © 2013
Utilization measures for hospitals in selected MSAs, 2011
1
Inpatient Surgery
Volume
Outpatient Surgery
Volume
2
Average
Occupancy
3
METROPOLITAN
STATISTICAL AREA (MSA)
System Nonsystem System Nonsystem System Nonsystem
Atlanta, GA
80,379
36,403
129,243
92,555
60.4%
55.1%
Baltimore, MD
121,214
10,681
183,638
32,581
74.5
72.7
Boston, MA–NH
96,027
44,762
190,075
163,682
81.1
70.1
Chicago, IL
135,493
100,225
199,381
134,347
67.0
62.5
Cleveland–Lorain–Elyria, OH
97,222
2,465
205,026
4,376
60.2
62.8
Dallas, TX
74,506
59,738
126,020
83,983
46.4
52.3
Detroit, MI
94,095
38,348
116,564
68,666
61.4
43.6
Houston, TX
82,324
100,709
106,784
140,877
56.7
47.4
Kansas City, MO–KS
18,409
52,026
34,968
88,028
63.4
53.3
Los Angeles–Long Beach, CA 138,017
124,350
152,521
138,439
60.3
51.3
Miami, FL
42,935
32,203
47,350
36,690
58.3
59.5
Minneapolis–St. Paul, MN–WI
68,680
37,580
128,013
66,272
59.6
44.6
New York, NY
161,763
82,160
424,834
164,449
91.8
75.6
Philadelphia, PA–NJ
139,793
79,912
307,931
158,165
65.5
54.4
Phoenix–Mesa, AZ
69,118
40,099
57,056
56,903
76.6
50.3
Pittsburgh, PA
128,245
31,026
172,435
73,094
66.1
54.2
San Diego, CA
67,712
16,315
74,071
20,223
64.8
59.9
San Francisco, CA
42,866
7,932
63,503
10,382
44.1
49.1
St. Louis, MO–IL
67,834
38,986
101,275
65,090
70.5
61.8
Washington, DC–MD–VA–WV
75,676
54,301
161,713
112,496
73.1
68.7
Total Surgeries (000)
0
150
300
450
600
System Nonsystem System Nonsystem System Nonsystem System Nonsystem System
Boston, MA–NH
Chicago, IL
Philadelphia, PA–NJ
New York, NY
Cleveland–Lorain–
Elyria, OH
Nonsystem
161.8
424.8
82.2
164.4
139.8
307.9
79.9
158.2
97.2
205.0
2.5
4.4
135.5
199.4
100.2
134.3
96.0
190.1
44.8
163.7
Inpatient
Outpatient
1
Hospital data are based on all short-term, acute-care, nonfederal hospitals. All data are as of December 31, 2011.
2
Outpatient surgery volume includes hospital-based surgeries only.
3
Average occupancy represents only the acute-care portion of the hospitals’ occupancy.
NOTE: In 2011, nonsystem hospitals accounted for less than 2% of all discharges in the Cleveland-Lorain-Elyria, OH MSA (see page 45), hence the
comparably low number of nonsystem inpatient and outpatient surgery volumes.
System Facilities Report High Surgery Volumes, Occupancy Rates
I...,36,37,38,39,40,41,42,43,44,45 47,48,49,50,51,52,53,54,55,56,...IV