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Section 8: Health Care Providers and Service Availability Hospital system and capacity Utilization of hospital services Hospital financial trends Hospital.

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Presentation on theme: "Section 8: Health Care Providers and Service Availability Hospital system and capacity Utilization of hospital services Hospital financial trends Hospital."— Presentation transcript:

1 Section 8: Health Care Providers and Service Availability Hospital system and capacity Utilization of hospital services Hospital financial trends Hospital capital expenditures Hospital community benefit Availability of specific health care services at hospitals (e.g., imaging, surgery) Physician services 1

2 HOSPITAL SYSTEM AND CAPACITY

3 Hospital Capacity in Minnesota, 2011 3 *Available beds is defined as the number of acute care beds that are immediately available for use or could be brought online within a short period of time. **Licensed beds is defined as the number of beds licensed by the Department of Health, under Minnesota Statutes, sections 144.50 to 144.58. Source: MDH Health Economics Program analysis of hospital annual reports, U.S. Census Bureau Number of Hospitals Available Beds* Occupancy Rate Based on Available Beds Licensed Beds** Occupancy Rate Based on Licensed Beds Available Beds Per 1,000 Population 13311,72456.5%16,41540.4%2.2

4 Minnesota Geographic Regions: Definition 4

5 Regional Hospital Capacity in Minnesota, 2011 Number of Hospitals Available Beds* Occupancy Rate Based on Available Beds Licensed Beds** Occupancy Rate Based on Licensed Beds Available Beds Per 1,000 Population Central191,14549.5%1,37741.2%1.6 Metro265,93967.0%8,48446.9%2.1 Northeast171,17046.3%1,41038.4%3.6 Northwest1339035.9%57824.2%1.9 South Central1555739.5%77928.2%1.9 Southeast121,60459.4%2,64036.1%3.2 Southwest2359120.1%72516.4%2.7 West Central832832.7%42225.4%1.7 Total13311,72456.5%16,41540.4%2.2 *Available beds is defined as the number of acute care beds that are immediately available for use or could be brought online within a short period of time. **Licensed beds is defined as the number of beds licensed by the Department of Health, under Minnesota Statutes, sections 144.50 to 144.58. Source: MDH Health Economics Program analysis of hospital annual reports 5

6 Distribution of Minnesotas Hospitals by Size and Region, 2011 Source: MDH Health Economics Program analysis of hospital annual reports Under 25 Beds 25-49 Beds 50-99 Beds 100-199 Beds 200 or More Beds Total Central10.5%68.4%10.5%5.3% 100.0% Metro3.8%11.5%26.9%11.5%46.2%100.0% Northeast47.1%17.6% 5.9%11.8%100.0% Northwest46.2% 0.0%7.7%0.0%100.0% South Central53.3%26.7%13.3%6.7%0.0%100.0% Southeast25.0% 33.3%0.0%16.7%100.0% Southwest39.1%56.5%4.3%0.0% 100.0% West Central37.5% 12.5% 0.0%100.0% Statewide30.1%36.1%15.0%6.0%12.8%100.0% By Number of Available Beds 6

7 Ownership of Minnesota Hospitals, 2011 *District hospitals are nonfederal government sponsored hospitals organized at a level other than city or county Source: MDH Health Economics Program analysis of hospital annual reports Government: 28.6% City: 9.8% County: 6.8% City and County: 1.5% District*: 10.5% 7

8 Composition of Minnesotas Hospital Workforce, 2011 *Includes nurse anesthetists, nurse practitioners, and physician assistants Source: MDH Health Economics Program analysis of hospital annual reports 8

9 UTILIZATION OF HOSPITAL SERVICES

10 Minnesota Hospital Outpatient Visits and Inpatient Admissions, 2001 to 2011 Source: MDH Health Economics Program analysis of hospital annual reports Admissions Outpatient visits Inpatient admissions 10

11 Average Length of Stay in Minnesota Hospitals, 2001 to 2011 Source: MDH Health Economics Program analysis of hospital annual reports Average length of stay (days) 11

12 Average Length of Stay: Rural and Urban Minnesota Hospitals, 2001 to 2011 A hospital is defined as rural if it is located in a county that is not part of a metropolitan statistical area. Source: MDH Health Economics Program analysis of hospital annual reports Average length of stay (days) 12

13 Minnesota Hospital Utilization by Region, 2011 Source: MDH Health Economics Program analysis of hospital annual reports Inpatient Admissions Inpatient Days Average Length of Stay (days) Outpatient Visits Central57,459206,8343.61,513,330 Metro327,5891,452,0074.43,990,619 Northeast45,950197,7024.3939,738 Northwest14,71551,1313.5489,704 South Central22,21380,2793.6718,540 Southeast75,664347,7614.61,697,574 Southwest13,44043,4133.2537,549 West Central11,02939,1853.6444,913 Statewide568,0592,418,3124.310,331,967 13

14 Distribution of Hospital Admissions and Inpatient Days by Type of Service, 2011 Percent of Admissions Percent of Inpatient Days Medical & surgical care33.6%34.9% Cardiac care12.1%10.5% Obstetric care12.6%7.6% Orthopedic care12.4%9.8% Psychiatric care6.2%11.1% Neurology care5.7%5.9% Neonatal care (excluding births)3.8%4.8% Chemical dependency care1.6%2.0% Rehabilitation1.1%3.0% Other acute care10.9%10.4% Total acute care100% Source: MDH Health Economics Program analysis of hospital annual reports 14

15 Trend in Outpatient Surgeries at Minnesota Hospitals, 2001 to 2011 Source: MDH Health Economics Program analysis of hospital annual reports 15

16 Trend in Emergency Room Visits at Minnesota Hospitals, 2001 to 2011 Source: MDH Health Economics Program analysis of hospital annual reports Emergency Room Visits in Thousands 16

17 HOSPITAL FINANCIAL TRENDS

18 Net Income of Minnesota Hospitals, 2001 to 2011 Source: MDH Health Economics Program analysis of hospital annual reports Millions of dollars 18

19 Minnesota Hospitals' Net Income as a Percent of Revenue, 2001 to 2011 Source: MDH Health Economics Program analysis of hospital annual reports 19

20 Hospital Financial Indicators by Region, 2011 Net Income (Million Dollars) Net Income as a % of Revenue Central$195.712.3% Metro$406.25.1% Northeast$134.49.2% Northwest$35.49.1% South Central$47.87.5% Southeast$284.112.8% Southwest$29.36.8% West Central$17.15.5% Statewide$1,150.17.6% Source: MDH Health Economics Program analysis of hospital annual reports 20

21 Hospital Financial Indicators by Hospital Size, 2011 Number of available beds. PPS stands for Prospective Payment System, a method of reimbursing hospitals based on a predetermined, fixed amount. Most acute care, non-Critical Access facilities are so called PPS hospitals. Source: MDH Health Economics Program analysis of hospital annual reports Net Income (in mill $) Net Income as a % of Revenue Under 25 Beds $28.35.2% 25 to 49 Beds $173.29.4% 50 to 99 Beds $105.15.4% 100 to 199 Beds $92.06.4% 200 Beds or More $751.58.1% Critical Access $137.67.8% PPS $1,008.57.6% Other $4.03.9% All Hospitals $1,150.17.6% 21

22 Sources of Patient Revenue for Minnesota Hospitals, 2011 *Includes Medical Assistance and MinnesotaCare A hospital is defined as rural if it is located in a county that is not part of a metropolitan statistical area. Source: MDH Health Economics Program analysis of hospital annual reports Percent of Hospital Patient Revenue Rural Facilities Urban Facilities Facilities Statewide Medicare 38.5%28.5%30.5% State Public Programs* 11.3%12.8%12.5% Private Insurance 44.1%53.4%51.5% Self-Pay 4.2%3.5%3.6% Other Payers 1.9%1.8% All Payers 100.0% 22

23 HOSPITAL CAPITAL EXPENDITURES

24 Capital Expenditure Commitments by Minnesota Hospitals, Calendar Year 2011 20102011 Percent of Minnesota hospitals reporting major capital expenditure commitment 29.6% 26.3% Total number of capital expenditure commitments reported103 81 Value of major capital expenditure commitments reported (Millions) $668.3 $380.3 Major spending commitments that are reportable under 62J.17 include expenditures in excess of $ 1 million. A small portion of capital expenditure data may belong to earlier reporting periods. Source: MDH Health Economics Program analysis of hospital annual reports 24

25 Minnesota Hospital Capital Expenditure Commitments by Type, 2011 Capital Expenditure Commitments (Millions) Percent of Total Capital Expenditure Commitments Medical equipment $80.721.2% Building and space $270.171.0% Other $29.57.7% All Major Capital Expenditure Commitments $380.3100% 25 Source: MDH Health Economics Program analysis of hospital annual reports

26 Minnesota Hospital Capital Expenditure Commitment by Category, 2011 Capital Expenditure Commitments (Millions) Percent of Total Capital Expenditure Commitment Other Patient Care Services$104.527.5% General Infrastructure$80.221.1% Surgery$69.318.2% Diagnostic Imaging$39.510.4% Mental Health$36.79.6% Emergency Care$35.39.3% Cardiac Care$13.23.5% Obstetrics$1.70.4% All Major Capital Projects$380.3100.0% Major spending commitments that are reportable under 62J.17 include expenditures in excess of $ 1 million. Source: MDH Health Economics Program analysis of hospital annual reports 26

27 COMMUNITY BENEFIT

28 Community Benefit Provided by Minnesota Hospitals, 2011 Community Benefit (Millions) Percent of Total Operating Expenses Community Care$152.01.1% State Health Care Programs Underpayment$427.23.1% Operating Subsidized Services$98.20.7% Education$188.01.4% Research$14.30.1% Community Health Services$38.70.3% Financial and In-Kind Contributions$13.00.1% Community Building Activities$7.50.1% Community Benefit Operation$12.30.1% Total$951.16.9% Source: MDH Health Economics Program analysis of hospital annual reports 28

29 Distribution of Minnesota Hospitals Community Benefit by Category, 2011 Source: MDH Health Economics Program analysis of hospital annual reports For definitions see: MDH/Health Economics Program, Community Benefit Provided by Minnesota Hospitals in 2011, forthcoming (www.health.state.mn.us/healtheconomics)www.health.state.mn.us/healtheconomics 29

30 AVAILABILITY OF SPECIFIC HOSPITAL SERVICES

31 Services Available in Minnesota Hospitals, 2011 *Services are considered available when they are provided on site by hospital staff, on site through contracted services, or off site through shared services agreement. Source: MDH Health Economics Program analysis of hospital annual reports Number of Hospitals Services Available* Services Not Available Surgery Inpatient Surgery 1285 Outpatient Surgery 1312 Open-Heart Surgery Services 18115 Organ Transplant Services 6127 Mental Health/Chemical Dependency Services Outpatient Psychiatric Services 6172 Detoxification Services 26108 Diagnostic Radiology Computer Tomography (CT) Scanning Services 1321 Magnetic Resonance Imaging (MRI) Services 1303 Positron Emission Tomography (PET) Services 8125 Single Photon Emission Computerized Tomography (SPECT) Services 4093 Other Services Renal Dialysis Services 4291 Cardiac Catheterization Services 25108 31

32 PHYSICIAN SERVICES

33 Number of Physicians Practicing in Minnesota, 2011 Primary Care includes: General Family Medicine, General Internal Medicine, General Pediatrics. No Certification means there were no board certifications on the record received from the Minnesota Board of Medical Practice. Source: Minnesota Board of Medical Practices, analysis of MDH, Office of Rural Health & Primary Care Number of Physicians:15,523 Primary Care Physicians4,937 Specialty Care Physicians7,532 No Certification3,054 Physicians per 100,000 Population:290 Primary Care Physicians92 Specialty Care Physicians141 33

34 Number of Physicians Practicing in Minnesota by MSA and Non-MSA Counties, 2011 MSA Defintions, OMB 2008 Note: Due to methodology changes, past Chartbook data should not be used for comparison. Source: Minnesota Board of Medical Practices, analysis by MDH, Office of Rural Health & Primary Care RuralMicropolitanUrbanStatewide Number of Physicians: 5721,13613,81515,523 Primary Care Physicians 3415284,0684,937 Specialty Care Physicians 1004187,0147,532 Physicians per 100,000 Population:88168364290 Primary Care Physicians527810192 Specialty Care Physicians1562175141 34

35 Distribution of Number of Physicians Practicing in Minnesota by Location and Specialty, 2011 RuralMicropolitanUrbanStatewide Primary Care Physicians59.6%46.5%29.4%31.8% Internal Medicine Subspecialty Physicians 0.9%2.7%10.4%9.5% Surgeons9.8%19.0%13.7%13.9% Other Specialty Physicians 6.8%15.1%26.7%25.1% No Certification22.9%16.7%19.8%19.7% All Specialties 100% MSA Defintions, OMB 2008 Note: Due to methodology changes, past Chartbook data should not be used for comparison. Source: Minnesota Board of Medical Practices, analysis by MDH, Office of Rural Health & Primary Care 35

36 Additional Information from the Health Economics Program Available Online Health Economics Program Home Page www.health.state.mn.us/divs/hpsc/hep/index.html Publications www.health.state.mn.us/divs/hpsc/hep/publications/yearly/2010.html Health Care Market Statistics (Chartbook Updates) www.health.state.mn.us/divs/hpsc/hep/chartbook/index.html Interactive Health Insurance Statistics https://pqc.health.state.mn.us/mnha/Welcome.action 36


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