August 2019
Volume
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Volume by Region *
ED Visits, OR Minutes, Adjusted Patient Days, and Adjusted Discharges improved year over year across all regions. Year-over-year Average Length of Stay results were mixed, with the Midwest and West regions down compared to budget expectations and year over year.
ED Visits and OR Minutes performance compared to budget was generally favorable. The exceptions were the Midwest, which was essentially flat compared to budgeted levels for ED Visits and OR Minutes, and the Northeast/Mid-Atlantic, which performed slightly below budgeted levels for ED Visits.
Average Length of Stay budget comparisons were mixed by region. The South and Northeast/Mid-Atlantic saw unfavorable Length of Stay performances compared to budget, while Average Length of Stay in the Midwest was nearly 9 percent under budget. Most regions performed favorably compared to budgeted OR Minutes and ED Visits in July.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
National Volume Observations
Hospital volumes rebounded across the board in July, following declines in June. Discharges, ED Visits, and adjusted volume metrics improved approximately 3 to 4 percent from the prior month. Average Length of Stay fell -1.6 percent and OR Minutes rose 8.1 percent—both more favorable than May’s volume metrics. Volumes also rose year over year, with Discharges up 3.1 percent, Adjusted Discharges up 3.0 percent, and Adjusted Patient Days up 4.5 percent. Most volume metric improvements outpaced budget expectations. Average Length of Stay was the only volume metric to perform unfavorably to budget in July, up 1.5 percent compared to budget. Hospital profitability gains were tapered by increasing outpatient volumes over the short and long terms. Year-over-year volume changes were substantial compared to those seen the prior month.
Unless noted, figures are Actuals and Medians
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
Discharges
3.2%
4.5%
3.1%
Discharges.svg
Adjusted Discharges
3.3%
3.5%
3.0%
Adjusted_Discharges.svg
Adjusted Patient Days
2.7%
3.1%
4.5%
Adjusted_Patient_Days.svg
Average Length of Stay
1.5%
(1.6%)
1.6%
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ED Visits
2.1%
3.5%
3.0%
ED_Visits.svg
Operating Room Minutes
5.7%
8.1%
7.4%
Operating_Room_Minutes.svg
By Region
By Bed Size
National Observations
Volume by Bed Size
Hospitals of all bed-size cohorts performed favorably compared to budget for OR Minutes, Adjusted Discharges, and Adjusted Patient Days. Most bed-size cohorts noted favorable ED Visit performance compared to budget, with the exception of the nation’s largest hospitals, which were more than 6 percent below budget. Looking at Average Length of Stay, all bed-size cohorts—except hospitals with 100-199 beds—exhibited unfavorable performance to budget. Year-over-year increases in Adjusted Discharges, Adjusted Patient Days, and ED Visits were seen across the board in July. Hospitals with 26-99 beds observed a marginal decline from prior year OR Minutes. Similarly, hospital cohorts of 26-99 beds and 200-299 beds both exhibited marginal improvements in Average Length of Stay.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
By Region
By Bed Size
National Observations
©2019 Kaufman, Hall & Associates, LLC
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