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Mayview Regional Service Area Community Inpatient Utilization July 2006 – Oct 2011 1

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Mayview Regional Service Area. Community Inpatient Utilization July 2006 – Oct 2011. Findings Tracking since July 2006. For the region, inpatient admissions, as well as readmissions, per month have slowly decreased over the period. - PowerPoint PPT Presentation

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Page 1: Mayview Regional Service Area

Mayview Regional Service Area

Community InpatientUtilization

July 2006 – Oct 2011

1

Page 2: Mayview Regional Service Area

FindingsTracking since July 2006

• For the region, inpatient admissions, as well as readmissions, per month have slowly decreased over the period.

• For the region, Average Length of Stay has trended upward. The Median Length of Stay, however, usually falls within five to six days.

• Total Inpatient Days per month has trended nearly flat over time.

2* Upon request, Lawrence and Greene Counties, are no longer included in the analysis.

Page 3: Mayview Regional Service Area

Inpatient Admissions

• For the region, there continues to be a downward trend.

3

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110

100

200

300

400

500

600

700

800

R² = 0.638063059522645

MRSAP RegionCommunity Acute Psychiatric

Inpatient Admissions

Admissions Linear (Admissions)* Adult, Healthchoices Only* Adult, Healthchoices Only

Page 4: Mayview Regional Service Area

Inpatient Admissions

• Admissions per month continue to trend downward.

4

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110

100

200

300

400

500

600

557

480

551550510

489

543571

530541501

460

516

449

548529

479492524

477506523

446473

515

437

509498498

444465483

449466

416421

476

408

470427443440

503494454459

416388

415

353

437401384

406421401

368379406

371380355

409431

464428

458451

370384

R² = 0.637226249621444

Allegheny CountyCommunity Acute Psychiatric

Inpatient Admissions

Admissions Linear (Admissions)* Adult, Healthchoices Only* Adult, Healthchoices Only

Page 5: Mayview Regional Service Area

Inpatient Admissions

• Monthly admissions vary widely.

5

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110

10

20

30

40

50

60

70

65

34

58

51

4245

47

55

3941

4847

52

29

41

5251

38

51

4442

48

36

43

59

34

41

60

46

30

5349

44

3639

21

50

3236

42

5155

50

63

42

53

35

28

50

30

46

36

4545

5249

4443

37

3129

34

44

38

50

42

32

40

4743

R² = 0.082285477855081

Beaver CountyCommunity IP-MH Admissions

Admissions Polynomial (Admissions)* Adult, Healthchoices Only

Page 6: Mayview Regional Service Area

Inpatient Admissions

• Admissions vary, however, overall trend is slightly downward.

6

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110

10

20

30

40

50

60

70

65

44

56

4848

65

55

4850

57

48

4038

59

53

31

47

39

5152

4647

3741

60

48

55

50495352

4541

51

3839

51

40

4543

48

42

3738

33

28

393943

40

51

44

60

475051

4042

37

484947

54

47

40

56

37

32

5049

R² = 0.188710116034616

Washington CountyCommunity IP-MH Admissions

Admissions Polynomial (Admissions)* Adult, Healthchoices Only

Page 7: Mayview Regional Service Area

Inpatient Admission Rate

• Allegheny shows the highest admission rate, with an average of 6.88 admissions per 1000 enrollees vs. 4.07 in the two other counties.

7

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00

9.00

10.00

MRSAP RegionCommunity IP-MH Admission Rate Per 1,000 Enrollees

Allegheny vs. Other Counties

AGH Linear (AGH) Other CTYs Linear (Other CTYs)

Page 8: Mayview Regional Service Area

Inpatient – Bed Days

• Total Bed Days per month appears relatively stable over time.

8

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110.00

1,000.00

2,000.00

3,000.00

4,000.00

5,000.00

6,000.00

7,000.00

R² = 0.0036281226320577

R² = 0.126214471122925

MRSAP RegionCommunity Acute Psychiatric Inpatient Days

Allegheny vs. Remaining Counties

DIM-AGH Linear (DIM-AGH) DIM-Oth Linear (DIM-Oth)

* Adult, Healthchoices Only

Page 9: Mayview Regional Service Area

Inpatient Length of Stay

• For the region, ALOS is trending slightly upward. MLOS usually exists between five and six days.

9

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

R² = 0.399115550893945

MRSAP RegionCommunity Acute Psychiatric

Average/Median Length of Stay

ALOS Linear (ALOS) MLOS Linear (MLOS)* Adult, Healthchoices Only* Adult, Healthchoices Only

Page 10: Mayview Regional Service Area

Inpatient Length of Stay

• ALOS is trending upward but has fluctuated in recent months.• MLOS fluctuates between six and seven days.

10

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110.00

5.00

10.00

15.00

20.00

25.00

R² = 0.382239788851748

Allegheny CountyCommunity Acute Psychiatric

Inpatient Avg/Median Length of Stay

ALOS Linear (ALOS) Median LOS* Adult, Healthchoices Only

Page 11: Mayview Regional Service Area

Inpatient Length of Stay

• ALOS per month has increased approximately one day over the entire period.

11

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

16.00

R² = 0.074423078175309

Beaver CountyCommunity IP-MH Avg/Median Length of Stay

ALOS Linear (ALOS) MLOS* Adult, Healthchoices Only

Page 12: Mayview Regional Service Area

Inpatient Length of Stay

• ALOS is trending very slightly upward, but the trend is still within one day for the entire period.

12

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

6.306.256.926.98

5.695.875.965.856.44

7.687.34

6.136.58

5.57

8.667.98

5.435.605.626.296.66

5.836.32

4.75

8.06

5.725.576.406.076.256.46

8.84

7.608.19

6.146.245.57

6.606.686.496.51

7.476.70

12.00

7.37

9.42

5.86

8.217.80

6.287.04

5.25

6.96

5.725.635.96

8.36

7.08

6.086.07

8.79

7.11

5.30

6.876.03

6.506.30

9.37

4.87

6.21R² = 0.0149346227419328

Washington CountyCommunity IP-MH Avg/Median Length of Stay

ALOS Linear (ALOS) MLOS

Page 13: Mayview Regional Service Area

Inpatient Readmissions

• Readmission rates for all categories are trending downward.

13

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

R² = 0.0889464626548963

R² = 0.307484933360202

R² = 0.329753825745921

Mayview RegionCommunity Inpatient Readmissions Rates

Readmit 1 To 7 Rate Linear (Readmit 1 To 7 Rate) Readmit 8 To 30 RateLinear (Readmit 8 To 30 Rate) Readmit 31 To 90 Rate Linear (Readmit 31 To 90 Rate)

* Adult, HC Only Rates per 1000 eligibles

Page 14: Mayview Regional Service Area

Inpatient Readmissions

• All readmission categories are trending downward.

14

Jan-06

Mar-06

May-06

Jul-06Sep

-06

Nov-06Jan

-07

Mar-07

May-07

Jul-07Sep

-07

Nov-07Jan

-08

Mar-08

May-08

Jul-08Sep

-08

Nov-08Jan

-09

Mar-09

May-09

Jul-09Sep

-09

Nov-09Jan

-10

Mar-10

May-10

Jul-10Sep

-10

Nov-10Jan

-11

Mar-11

May-11

Jul-11Sep

-110.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80

R² = 0.426883684159081

R² = 0.663558048879358

R² = 0.661777122015841

Allegheny CountyCommunity Inpatient Readmission Rates

Readmit 1 To 7 Rate Linear (Readmit 1 To 7 Rate) Readmit 8 To 30 RateLinear (Readmit 8 To 30 Rate) Readmit 31 To 90 Rate Linear (Readmit 31 To 90 Rate)

* Adult, Healthchoices Only Rates per 1000 eligibles

Page 15: Mayview Regional Service Area

IP Census – Percent Occupied by Month

15

Jan-10

Feb-10

Mar-10

Apr-10

May-10

Jun-10Jul-1

0

Aug-10

Sep-10

Oct-10

Nov-10

Dec-10

Jan-11

Feb-11

Mar-11

Apr-11

May-11

Jun-11Jul-1

1

Aug-11

Sep-11

Oct-11

Nov-11

Dec-11

Jan-12

0.00%

20.00%

40.00%

60.00%

80.00%

100.00%

120.00%

98.42%97.11%90.45%89.40%89.56%90.02%88.64%90.17%88.44%89.11%90.13%

82.65%87.93%89.04%88.05%88.83%90.10%87.77%

83.34%90.39%89.03%90.57%

86.94%81.61%84.10%

R² = 0.386583698779536

Community Inpatient CensusPercent Occupied by Month

Pct-Occup Linear (Pct-Occup)