Oregon's Acute Care Hospitals
Total Page:16
File Type:pdf, Size:1020Kb
OREGON’S ACUTE CARE HOSPITALS Capacity, Utilization, and Financial Trends 2009 - 2011 June 2013 Oregon Health Authority Office of Health Analytics Oregon’s Acute Care Hospitals, 2009 - 2011 Oregon’s Acute Care Hospitals Capacity, Utilization and Financial Trends 2009-2011 June 2013 Prepared by: The Oregon Health Authority, Office of Health Analytics http://www.oregon.gov/OHA/OHPR/RSCH Tina Edlund Chief of Policy Gretchen Morley Director of Health Analytics Russell Voth Health System Research and Data Manager Mark Whitaker Senior Financial Policy Analyst Paulos Sanna Research Analyst Steven Ranzoni Research Analyst Shawna Kennedy Research Assistant Oregon Health Authority, Office of Health Analytics Oregon’s Acute Care Hospitals, 2009 - 2011 TABLE OF CONTENTS Contents Executive Summary ______________________________________________________________________________________ 1 Chapter 1: Background __________________________________________________________________________________ 3 Hospital Reimbursement Classifications ________________________________________________________________________3 Overall Trends _____________________________________________________________________________________________________8 Hospital Ownership _____________________________________________________________________________________________ 12 Chapter 2: Hospital Capacity ___________________________________________________________________________ 13 Bed Capacity _____________________________________________________________________________________________________ 13 Occupancy _______________________________________________________________________________________________________ 18 Chapter 3: Workforce ___________________________________________________________________________________ 22 Registered Nurses _______________________________________________________________________________________________ 22 Physicians ________________________________________________________________________________________________________ 26 Chapter 4: Utilization of Hospital Services ____________________________________________________________ 30 Most Common Conditions and Procedures____________________________________________________________________ 30 Average Length of Stay __________________________________________________________________________________________ 34 Chapter 5: Hospital Finances __________________________________________________________________________ 38 The Role of Health Districts ____________________________________________________________________________________ 38 Financial Indices ________________________________________________________________________________________________ 39 Operating Margin and Total Margin ___________________________________________________________________________ 39 Payer Mix ________________________________________________________________________________________________________ 45 Chapter 6: Community Benefit _________________________________________________________________________ 49 Community Benefit Reporting _________________________________________________________________________________ 49 Uncompensated Care ___________________________________________________________________________________________ 56 Appendix I: Data Sources _______________________________________________________________________________ 63 Appendix II: Individual Hospital Overviews __________________________________________________________ 64 Oregon Health Authority, Office of Health Analytics Oregon’s Acute Care Hospitals, 2009 - 2011 LIST OF FIGURES Figures Figure 1.1 DRG Hospitals in Oregon ........................................................................................................................................... 4 Figure 1.2 Type A Rural Hospitals in Oregon .......................................................................................................................... 5 Figure 1.3 Type B Rural Hospitals in Oregon .......................................................................................................................... 6 Figure 1.4 Critical Access Hospitals in Oregon ...................................................................................................................... 7 Figure 1.5 Statewide Summary, 2009 - 2011 .......................................................................................................................... 8 Figure 1.6 DRG Hospital Summary, 2009 - 2011 ................................................................................................................... 9 Figure 1.7 Type A Hospital Summary, 2009 - 2011 ........................................................................................................... 10 Figure 1.8 Type B Hospital Summary, 2009 - 2011 ........................................................................................................... 11 Figure 1.9 Hospital Systems in Oregon .................................................................................................................................... 12 Figure 2.1 Licensed and Staffed Beds, 2009 - 2011 ........................................................................................................... 13 Figure 2.2 Staffed Beds by Hospital Type, 2009 - 2011 ................................................................................................... 14 Figure 2.3 Staffed Beds by DRG Hospital, 2009 - 2011 .................................................................................................... 15 Figure 2.4 Staffed Beds by Type A Hospital, 2009 - 2011 ............................................................................................... 16 Figure 2.5 Staffed Beds by Type B Hospital, 2009 - 2011 ............................................................................................... 17 Figure 2.6 Occupancy Rate by Hospital Type, 2009 - 2011 ............................................................................................ 18 Figure 2.7 Occupancy Rate by DRG Hospital, 2009 - 2011 ............................................................................................. 19 Figure 2.8 Occupancy Rate by Type A Hospital, 2009 - 2011 ........................................................................................ 20 Figure 2.9 Occupancy Rate by Type B Hospital, 2009 - 2011 ........................................................................................ 21 Figure 3.1 Registered Nurse FTE Per Staffed Bed by Hospital Type, 2009 - 2011 ............................................... 22 Figure 3.2 Registered Nurse FTE Per Staffed Bed by DRG Hospital, 2009 - 2011 ................................................ 23 Figure 3.3 Registered Nurse FTE Per Staffed Bed by Type A Hospital, 2009 - 2011........................................... 24 Figure 3.4 Registered Nurse FTE Per Staffed Bed by Type B Hospital, 2009 - 2011 ........................................... 25 Figure 3.5 Physician FTE Employed Directly By Oregon Hospitals, 2009 - 2011 ................................................. 26 Figure 3.6 Physician FTE by DRG Hospital, 2009 - 2011 ................................................................................................. 27 Figure 3.7 Physician FTE by Type A Hospital, 2009 - 2011............................................................................................ 28 Figure 3.8 Physician FTE by Type B Hospital, 2009 - 2011 ............................................................................................ 29 Figure 4.1 Top MS-DRG Codes by Volume in All Hospitals, 2011 ................................................................................ 30 Figure 4.2 Top MS-DRG Codes by Volume in DRG Hospitals, 2011 ............................................................................. 31 Figure 4.3 Top MS-DRG Codes by Volume in Type A Hospitals, 2011 ........................................................................ 32 Figure 4.4 Top MS-DRG Codes by Volume in Type B Hospitals, 2011 ........................................................................ 33 Figure 4.5 Average Length of Stay by Hospital Type, 2009 - 2011 .............................................................................. 34 Figure 4.6 Average Length of Stay by DRG Hospital, 2009 - 2011 ............................................................................... 35 Figure 4.7 Average Length of Stay by Type A Hospital, 2009 - 2011 ......................................................................... 36 Figure 4.8 Average Length of Stay by Type B Hospital, 2009 - 2011 ......................................................................... 37 Figure 5.1 Hospitals Supported by Health Districts .......................................................................................................... 38 Figure 5.2 Median Operating and Total Margin at All Oregon Hospitals, 1999 - 2011 ...................................... 40 Figure 5.3 Median Operating and Total Margin at DRG Hospitals, 1999 - 2011 ................................................... 40 Figure 5.4 Operating Margin and Total Margin by DRG Hospital, 2011 .................................................................... 41 Oregon Health Authority, Office of Health Analytics Oregon’s Acute Care Hospitals, 2009 - 2011 Figure 5.5 Median Operating and Total Margin at Type A Hospitals, 1999 - 2011 .............................................. 42 Figure 5.6 Operating Margin and total margin by Type A Hospital, 2011 ..............................................................