table of contents chapter 3.0: utilization and volume chart 3.1: inpatient admissions in community...
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TABLE OF CONTENTS
CHAPTER 3.0: Utilization and Volume
Chart 3.1: Inpatient Admissions in Community Hospitals, 1990 – 2010
Chart 3.2: Total Inpatient Days in Community Hospitals, 1990 – 2010
Chart 3.3: Inpatient Admissions per 1,000 Persons, 1990 – 2010
Chart 3.4: Inpatient Days per 1,000 Persons, 1990 – 2010
Chart 3.5: Average Length of Stay in Community Hospitals, 1990 – 2010
Chart 3.6: Average Length of Stay in Community Hospitals by State, 2010
Chart 3.7: Emergency Department Visits and Emergency Departments in Community Hospitals, 1991 – 2010
Chart 3.8: Hospital Emergency Department Visits per 1,000 Persons, 1991 – 2010
Chart 3.9: Percent of Hospitals Reporting Emergency Department Capacity Issues by Type of Hospital, March 2010
Chart 3.10: Percent of Hospitals Reporting Time on Ambulance Diversion in Last 12 Months, March 2010
Chart 3.11: Conditions Hospitals Reported as Number One Factor Contributing toAmbulance Diversions, March 2010
Chart 3.12: Total Hospital Outpatient Visits in Community Hospitals, 1990 – 2010
Chart 3.13: Hospital Outpatient Visits per 1,000 Persons, 1990 – 2010
Chart 3.14: Percentage Share of Inpatient vs. Outpatient Surgeries, 1990 – 2010
Chart 3.1: Inpatient Admissions in Community Hospitals, 1990 – 2010
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 1027
28
29
30
31
32
33
34
35
36
37
Chart Title
Mill
ions
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals.
Chart 3.2: Total Inpatient Days in Community Hospitals, 1990 – 2010
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10100
140
180
220
260
Chart Title
Mill
ions
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals.
Chart 3.3: Inpatient Admissions per 1,000 Persons, 1990 – 2010
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 100
20
40
60
80
100
120
140
160
180
Inpa
tient
Adm
issi
ons
per
Tho
usan
d
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2010. Link: http://www.census.gov/popest/data/intercensal/state/state2010.html.
Chart 3.4: Inpatient Days per 1,000 Persons, 1990 – 2010
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 100
200
400
600
800
1,000
1,200
1,400
Inpa
tient
Day
s pe
r T
hous
and
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2010. Link: http://www.census.gov/popest/data/intercensal/state/state2010.html.
Chart 3.5: Average Length of Stay in Community Hospitals, 1990 – 2010
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 100
1
2
3
4
5
6
7
8
9
7.2
7.2
7.1
7.0
6.7
6.5
6.2
6.1
6.0
5.9
5.8
5.7
5.7
5.7
5.6
5.6
5.6
5.5
5.5
5.4
5.4
Day
s
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals.
Chart 3.6: Average Length of Stay in Community Hospitals by State,2010
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals.
5.0 to 5.9 Days
4.0 to 4.9 Days
6.0 to 7.9 Days
> 8 Days
RI 5.0 DaysDE 5.7 DaysDC 7.0 Days
Chart 3.7: Emergency Department Visits and Emergency Departments(1) in Community Hospitals, 1991 – 2010
91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 1080
85
90
95
100
105
110
115
120
125
130
3,500
3,700
3,900
4,100
4,300
4,500
4,700
4,900
5,100
5,300ED Visits Emergency Departments
Num
ber
of E
D V
isits
(M
illio
ns)
Em
erge
ncy
Dep
artm
ents
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals. (1) Defined as hospitals reporting ED visits in the AHA Annual Survey.
Chart 3.8: Hospital Emergency Department Visits per 1,000 Persons,1991 – 2010
91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10250
270
290
310
330
350
370
390
410
430
Vis
its p
er T
hous
and
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2010. Link: http://www.census.gov/popest/data/intercensal/state/state2010.html.
Chart 3.9: Percent of Hospitals Reporting Emergency Department Capacity Issues by Type of Hospital, March 2010
All Hospitals
Non-teaching Hospitals
Teaching Hospitals
Rural Hospitals
Urban Hospitals
0% 10% 20% 30% 40% 50% 60%
21%
22%
19%
20%
23%
17%
14%
32%
11%
27%
38%
36%
51%
31%
50%
ED is "At" Capacity ED is "Over" Capacity Series3
Source: American Hospital Association 2010 Rapid Response Survey: Telling the Hospital Story.
Chart 3.10: Percent of Hospitals Reporting Time on Ambulance Diversion in Last 12 Months, March 2010
All Hospitals
Non-teaching Hospitals
Teaching Hospi-tals
Rural Hospitals
Urban Hospitals
0% 10% 20% 30% 40% 50% 60%
22%
19%
38%
9%
45%
Percentage of Hospitals
Source: American Hospital Association 2010 Rapid Response Survey: Telling the Hospital Story.
Chart 3.11: Conditions Hospitals Reported as Number One Factor Contributing to Ambulance Diversions, March 2010
Lack of Psychiatric Beds
Lack of Specialty Physician Coverage
Lack of General Acute Care Beds
Staff Shortages
ED Overcrowded
Lack of Staffed Critical Care Beds
0% 10% 20% 30% 40% 50%
1%
8%
8%
9%
27%
42%
Percentage of Hospitals
Source: American Hospital Association 2010 Rapid Response Survey: Telling the Hospital Story.
Chart 3.12: Total Hospital Outpatient Visits in Community Hospitals,1990 – 2010
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 100
100
200
300
400
500
600
700Chart Title
Mill
ions
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals.
Chart 3.13: Hospital Outpatient Visits per 1,000 Persons, 1990 – 2010
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 100
500
1,000
1,500
2,000
2,500
Vis
its p
er T
hous
and
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2010. Link: http://www.census.gov/popest/data/intercensal/state/state2010.html.
Chart 3.14: Percentage Share of Inpatient vs. Outpatient Surgeries,1990 – 2010
90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 100%
20%
40%
60%
80%
100%
Per
cent
age
of S
urge
ries
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2010, for community hospitals.
Inpatient Surgeries
Outpatient Surgeries