June 2019
Volume
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Volume by Region ?
The Great Plains exhibited relatively large budget variances—both positive and negative—relative to the rest of the country across most volume measures, except for Operating Room Minutes. Year-over-year Discharges increased across most regions. The Midwest region was the exception, where Discharges fell about -5 percent year over year.
The Great Plains had the largest year-over-year increase in Adjusted Patient Days, where they were up more than 7 percent. Adjusted Discharges for the median hospital in the Great Plains was about 43 percent above budget, due to the relatively small median hospital size in the region (25 beds or less) and conservative budgeting. Average Length of Stay increased most significantly year over year in the Great Plains, West, and Midwest regions. ED Visits fell below budget expectations in most regions, except the West. The Great Plains and Midwest saw the largest decrease in ED Visits relative to budget expectations.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
National Volume Observations
Volume performance was strong in May, with Adjusted Discharges and Adjusted Patient Days both performing above budget and above May 2018. Adjusted Discharges were 3.6 percent above budget, and up 1.2 percent year over year. Adjusted Patient Days were 3.7 percent above budget, and up 3.6 percent year over year.
Discharges for the month remained in line with budget expectations, but increased 4.0 percent compared to the previous month. This suggests that inpatient volumes rebounded from below-expected performance, while overall outpatient volumes continue to increase.
ED Visits were -1.7 percent below budget expectations, and up 4.4 percent compared to April, but relatively flat at 0.1 percent year over year. Average Lengths of Stay increased at a national level year over year. Operating Room Minutes were up 1.6 percent compared to April and slightly under budget, but remained closely aligned with prior year performance.
Unless noted, figures are Actuals and Medians
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
Discharges
0.6%
4.0%
3.0%
discharges.svg
Adjusted Discharges
3.6%
3.2%
1.2%
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Adjusted Patient Days
3.7%
2.8%
3.6%
adj_patient_days.svg
Average Length of Stay
0.3%
(0.5%)
2.3%
av_length_stay.svg
ED Visits
(1.7%)
4.4%
0.1%
ed_visits.svg
Operating Room Minutes
(0.8%)
1.6%
(0.3%)
or_minutes.svg
By Region
By Bed Size
National Observations
Volume by Bed Size
The nation’s smallest hospitals (1 to 25 beds) saw the only year-over-year decrease in overall Discharges, at about -8 percent. The cohort also experienced a slight decrease in ED Visits compared to prior year. Hospitals with 26 to 99 beds saw Operating Room Minutes decrease more than 3 percent compared to budget. Hospitals with 26 to 99 beds also saw the largest increase in Adjusted Patient Days, up roughly 6 percent relative to both prior year and to budget.
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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