Pennsylvania Hospital Trends,

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Presentation transcript:

Pennsylvania Hospital Trends, 2005-2015 Ten Year Trend in Capacity, Inpatient and Outpatient Utilization, Emergency Department Use in Pennsylvania Licensed Hospitals The Hospital & Healthsystem Association of Pennsylvania© Updated March 2016

Pennsylvania Hospital Transformation 2005-2015 Pennsylvania hospitals and health systems have worked to insure appropriate utilization of the health care delivery system through advances in medicine, technology and market pressures for more efficient use of resources. During the past 10 years, in Pennsylvania acute care hospitals: The number of general acute care hospitals has declined 10%; and the number of licensed (acute care) beds has seen a decrease of 6.5%. Measures of inpatient utilization have declined: inpatient admissions decreased 13%; inpatient days decreased over 13%; and average lengths of stay decreased by 1%. Outpatient surgeries performed in the hospital setting have decreased by more than 4%, while surgeries performed in freestanding ASCs increased by more than 63%. Source: Pennsylvania Department of Health

Pennsylvania Hospital Transformation 2005-2015 Use of the emergency department has increased significantly as the number of emergency departments available has decreased. 2015 reflected the second highest visits per 1,000 over the ten year span. During the past 10 years, in Pennsylvania acute care hospitals: The number of emergency department visits overall (per 1,000 persons) has increased by 12%. The number of hospital emergency departments has decreased by 10%. Source: Pennsylvania Department of Health

Number of Licensed Pennsylvania Hospitals +9.3% since 2005 -10.3% since 2005 Source: Pennsylvania Department of Health

Reductions in Bed Capacity Pennsylvania Acute Care Hospitals -6.5% since 2005 -6.3% since 2005 Source: Pennsylvania Department of Health

Hospital Beds per 1,000 Population Pennsylvania Acute Care Hospitals -9.0% since 2005 -8.9% since 2005 Source: Pennsylvania Department of Health

PA General Acute Care Hospital Beds per 1000 Population in 2014 by Region Source: HAP analysis of Pennsylvania Department of Health & U.S. Census 7

Inpatient Admissions Pennsylvania Acute Care Hospitals -13.5% since 2005 Source: Pennsylvania Department of Health

Inpatient Days Pennsylvania Acute Care Hospitals -13.7% since 2005 Source: Pennsylvania Department of Health

Inpatient Days per 1,000 Population Pennsylvania Acute Care Hospitals -16.1% since 2005 Source: Pennsylvania Department of Health

Average Length of Stay Pennsylvania Acute Care Hospitals -1.0% since 2005 Source: Pennsylvania Department of Health

Occupancy Rate Pennsylvania Acute Care Hospitals -7.6% since 2005 Source: Pennsylvania Department of Health

Live Births Pennsylvania Acute Care Hospitals -5.0% since 2005 Source: Pennsylvania Department of Health

Live Births per 1,000 Population Pennsylvania Acute Care Hospitals -7.6% since 2005 Source: Pennsylvania Department of Health

Outpatient Surgeries Pennsylvania Acute Care Hospitals -4.6% since 2005 Source: Pennsylvania Department of Health

Growth in Outpatient Surgeries Pennsylvania Hospitals vs Growth in Outpatient Surgeries Pennsylvania Hospitals vs. Freestanding Ambulatory Surgery Centers -4.6% since 2005 +63.9% since 2005 Source: Pennsylvania Department of Health

Percent of Revenue from Inpatient Care Pennsylvania Acute Care Hospitals -16.4% since 2004 *Percentage reflects the percentage change in the proportion of revenue that is inpatient. Source: AHA Hospital Statistics, 2014

In Pennsylvania, Emergency Visits Increase; Number of Emergency Departments Available Stable Source: Pennsylvania Department of Health

Emergency Visits and Admissions from the ER Source: Pennsylvania Department of Health