November 2018
Volume
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Volume by Region ?
Hospitals in the Great Plains and Midwest regions showed some consistency across metrics, with those of the Great Plains generally outperforming their peers and those of the Midwest underperforming their peers. These trends may be driven by the underlying economic differences between the markets—as the Great Plains has experienced greater growth, while growth in the Midwest has been more moderate to negative. Whether these trends strengthen will be worth watching in the coming months.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
National Volume Observations
Hospital volumes rebounded significantly across categories in October, contributing to the month’s positive financial performance. This is in sharp contrast to September, but it remains to be seen whether it indicates a true reversal of the longer-term trend of underperformance. Operating Room Minutes, in particular, showed significant month-over-month growth, and exceeded budget by nearly 1 percent compared to underperformance of -6.6 percent the prior month. Hospitals continued to lag in both Discharges and ED Visits relative to expectations. Indications are that these declines are being offset by growth in the outpatient business. It is imperative that organizations actively manage this transition, as the inpatient business remains a major component of operating margins.
Unless noted, figures are Actuals and Medians
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
Discharges
(3.6%)
5.2%
(0.3%)
discharges.svg
Adjusted Discharges
0.4%
7.8%
2.8%
adj_discharges.svg
Adjusted Patient Days
2.4%
7.2%
2.2%
adj_patient_days.svg
Average Length of Stay
(0.9%)
(1.3%)
(1.5%)
av_length_of_stay.svg
ED Visits
(2.5%)
3.6%
(1.6%)
ed_visits.svg
Operating Room Minutes
0.7%
15.8%
0.8%
or_minutes.svg
By Region
By Bed Size
National Observations
Volume by Bed Size
Small hospitals continued to experience volume challenges in October, while the largest hospitals outperformed smaller peers across most metrics. Recent trends indicate that scale is increasingly important relative to an organization’s ability to perform. Of particular note, the largest hospitals significantly outperformed their smaller peers relative to outpatient services, as demonstrated in the Adjusted Patient Day and Discharge charts. However, the largest hospitals were not able to translate this positive volume performance into similar financial performance.
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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