January 2020
Volume
Volume by Region *
Volume performance varied widely across regions in December. The Midwest and South were the only regions to see year-over-year increases in Discharges, both at about 1.0 percent. Discharges decreased year over year in the West, Northeast/Mid-Atlantic, and Great Plains, with the Great Plains seeing the greatest decline at -7.6 percent. However, the Great Plains saw the largest increase in Adjusted Discharges, up 13.8 percent year over year. The Midwest was the only region to see a decline in Adjusted Discharges at -1.0 percent year over year.

No regions experienced year-over-year declines for Adjusted Patient Days. The West, Midwest, and Northeast/Mid-Atlantic all were close to December 2018 performance at about 0.7 percent. The Great Plains saw the greatest increase in Adjusted Patient Days at 27.6 percent year over year.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
The West, Northeast/Mid-Atlantic, and Great Plains all saw Average LOS decrease year over year, with the Great Plains having the greatest decrease at -10.0 percent. Average LOS in the Midwest was essentially flat at 0.3 percent year over year, while the South saw the greatest increase at 3.1 percent.
All regions saw year-over-year increases in ED Visits in December, ranging from a low of 0.4 percent in the Great Plains and Northeast/Mid-Atlantic, to a high of 8.1 percent in the South. OR Minutes were up year over year and above budget in the South, Midwest, and West, with the West seeing the largest increase at 11.6 percent. The Great Plains was the only region to see a year-over-year decline in OR Minutes at -3.3 percent.
National Volume Observations
Hospitals nationwide saw volume increases to close the year in December, after experiencing declines in November.
Operating Room (OR) Minutes saw the most significant year-over-year increases at 5.7 percent, while Emergency Department (ED Visits) saw the most significant month-over-month increases at 11.3 percent. OR Minutes rose 4.1 percent month over month and performed 2.0 percent to budget, and ED Visits were up 5.3 percent year over year and performed 4.4 percent to budget.
Discharges increased 0.4 percent year over year and 4.1 percent month over month, but was the only volume metric to perform below budget expectations at -2.7 percent. Adjusted Discharges rose 2.3 percent year over year and 3.8 percent month over month, performing 0.6 percent to budget, while Adjusted Patient Days increased 3.8 percent year over year and 3.7 percent month over month, performing 3.6 percent to budget.
Average Length of Stay (LOS) saw modest increases of 0.5 percent year over year and 0.8 percent month over month, and performed 2.4 percent compared to budget.
Unless noted, figures are Actuals and Medians
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
Discharges
(2.7%)
4.1%
0.4%
discharges.svg
Adjusted Discharges
0.6%
3.8%
2.3%
adjusted_discharges.svg
Adjusted Patient Days
3.6%
3.7%
3.8%
adjusted_patient_days.svg
Average Length of Stay
2.4%
0.8%
0.5%
average_length_of_stay.svg
ED Visits
4.4%
11.3%
5.3%
ed_visits.svg
Operating Room Minutes
2.0%
4.1%
5.7%
operating_room_minutes.svg
Volume by Bed Size
Volume performance saw some consistencies across different bed-size cohorts. Most bed-size cohorts saw Discharges increase 0.5 percent to 2.0 percent year over year. The nation’s smallest hospitals with 0-25 beds were the outlier, with Discharges falling -6.4 percent year over year.
All bed-size cohorts were up compared to December 2018 performance for Adjusted Discharges. Hospitals with 26-99 beds saw the greatest increase, up 4.9 percent year over year, while hospitals with 200-299 beds saw the smallest increase at 0.6 percent. Most bed-size cohorts were up year over year and above budget for Adjusted Patient Days. The largest hospitals with 500 beds or more were the exception, falling -1.8 percent year over year and performing slightly below budget at -0.4 percent.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Average LOS performance varied widely across different bed-size cohorts. Hospitals with 0-25 beds saw the greatest year-over-year increase at 3.8 percent, while hospitals with 26-99 beds saw the greatest increase to budget at 7.5 percent. Hospitals with 300-499 beds saw the greatest year-over-year decrease at -1.2 percent, performing 0.9 percent to budget.
ED Visits were up year over year and compared to budget for all but one bed-size cohort, with increases ranging from 3.8 percent for hospitals with 200-299 beds to 6.6 percent for hospitals with 300-499 beds. Hospitals with 100-199 beds saw ED Visits increase 2.5 percent year over year, but was the only cohort to fall below budget expectations at -1.4 percent.
Year-over-year increases in OR Minutes ranged from 2.3 percent for hospitals with 100-199 beds to 8.8 percent for those with 200-299 beds. The smallest hospitals with 0-25 beds was the only cohort to see a decline in OR Minutes, which fell -5.2 percent year over year.
©2020 Kaufman, Hall & Associates, LLC
You have ${pages_left} free articles remaining.
Subscribe now to continue getting the industry’s most current and thoughtful review of hospital performance.
scroll_up.svg
kha_logo.svg
National Hospital Flash Report
menu_icon.svg
mail.svg
Share article
Sign up now for access to the latest news and reports
SUBMIT