February 2019
Volume
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Volume by Region ?
Regionally, there appears to be more variation among the metrics than at the national level. The West demonstrated the most favorable year-over-year growth with respect to Discharges, Adjusted Discharges, and Adjusted Patient Days. Similar to the national results, all regions appeared to underperform last year relative to Emergency Department visits. Average Lengths of Stay declined for all regions, with the West demonstrating the largest reduction—which likely contributed to favorable expense indicators for that region.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
National Volume Observations
Nationally, volume indicators demonstrated relatively poor performance in January, continuing 2018 trends. Almost all indicators demonstrated unfavorable performance as compared with both January 2018 and budget. Two exceptions were Length of Stay, which decreased from January 2018 but was above budget, and Operating Room Minutes, which increased compared to January 2018, but remained under budget. The distributions of the year-over-year changes for all key performance indicators (KPIs) were quite similar, with corresponding compositions of favorable and unfavorable performance. ED visits were an exception, as the entire interquartile range fell below zero.
Unless noted, figures are Actuals and Medians
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
Discharges
(6.0%)
2.7%
(6.7%)
discharges.svg
Adjusted Discharges
(2.4%)
0.7%
(1.8%)
adj_discharges.svg
Adjusted Patient Days
(0.3%)
4.4%
(2.3%)
adj_patient_days.svg
Average Length of Stay
0.4%
4.1%
(2.2%)
av_length_of_stay.svg
ED Visits
(2.9%)
3.7%
(7.5%)
ed_visits.svg
Operating Room Minutes
(1.9%)
5.1%
1.7%
or_minutes.svg
By Region
By Bed Size
National Observations
Volume by Bed Size
Volume indicators for hospitals of all bed sizes were generally consistent with national trends. Year-over-year changes in Adjusted Discharges were the worst for 0-99 bed and 200-299 bed hospitals. The 26-99 bed and 200-299 bed cohorts were above budget, indicating conservative budgeting for volumes among those cohorts. As observed in many other months, the 0-25 bed hospitals again had the worst year-over-year and budget variance results for Adjusted Patient Days, indicating significant volume pressure on those entities.
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
©2018 Kaufman, Hall & Associates, LLC
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