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Monthly Utilization Report September 2019

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Monthly Utilization Report September 2019 District of Columbia Hospital Association Monthly Utilization Report September 2019 Overview & Observations The total annual number of inpatient psychiatric admissions in acute care hospitals has been decreasing (Fig 1). Further analysis demonstrates that most of that decline is likely due to the closure of a Psychiatric Unit at Providence Hospital in October 2017. The admission rate for St Elizabeth’s Hospital was relatively constant with occupancy rates consistently near or over 90%. However, as Providence discontinued the Psychiatric inpatient service, the number of admissions for Psychiatric Institute of Washington and acute care hospitals other than Providence as a group including MedStar Washington Hospital Center, United Medical Center, and Howard University Hospital (Fig 2) increased. Fig 1: Inpatient Psychiatric Admissions Fig 2: Admissions to Psychiatric Facilities and Acute Care Facilities by Year Acute Care Hospital Units by Calendar Year 10,000 8,000 All Acute Care Except Providence Hospital 7,000 8,000 6,000 5,000 6,000 Psychiatric Institute 4,000 4,000 3,000 Providence Hospital 2,000 2,000 1,000 Inpatient Psychiatric Admissions St. Elizabeths Hospital 0 0 2014 2015 2016 2017 2018 2014 2015 2016 2017 2018 Table of Contents Total Admissions ............................................................2 Emergency Department Visits........................................12 Total Discharges.............................................................4 Ambulatory Surgeries.....................................................12 Total Patient Days...........................................................5 Observation Patients and Observation Patient Days......13 Psychiatric Admissions, Average Daily Census By Hospital By Service...............15 Discharges, and Patient Days.......................................6 Rehabilitation Admissions, Discharges, and Patient Days...........................................................8 Skilled Nursing Facility Admissions, Discharges, and Patient Days...........................................................9 Newborn and Neonatal ICU Data: Admissions and Patient Days.................................................................10 Total Admissions1 Acute Care Hospital Admissions - previous 15 months Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19 CNH 1087 1187 1332 1502 1438 1520 1421 1261 1420 1337 1462 1022 1194 1216 1351 GWUH 1728 1768 1561 1814 1719 1745 1830 1617 1814 1733 1922 1750 1745 1773 1787 HUH 694 656 620 659 598 657 615 589 745 790 738 698 722 744 777 MGUH 1343 1343 1267 1361 1196 1291 1307 1215 1260 1362 1333 1167 1266 1262 1225 MWHC 2712 2775 2615 2846 2690 2771 2797 2686 2967 2884 3023 2853 2831 2878 2657 SMH 985 1069 1003 1128 1019 979 1063 926 1014 1028 1145 1076 1075 1062 1070 UMC 424 467 442 476 450 443 445 390 402 430 431 423 356 360 396 P rov H 409 440 369 363 269 54 51 58 46 43 35 22 TOTAL 8973 9265 8840 9786 9110 9406 9478 8684 9622 9564 10054 8989 9189 9295 9263 lowest month/hospital highest month/hospital 2 Specialty Hosp Admissions Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Sep-19 MNRH 154 177 155 152 162 147 171 173 160 158 179 160 141 157 154 PIW 424 391 433 447 421 367 443 417 421 405 416 400 443 426 394 St E 26 38 39 43 30 33 36 33 38 25 38 36 37 29 42 BPCH 66 76 63 67 68 51 69 80 58 62 62 43 59 64 67 BPNH 59 62 73 53 41 50 40 65 56 64 59 53 42 57 51 TOTAL 729 744 763 762 722 648 759 768 733 714 754 692 722 733 708 lowest month/hospital highest month/hospital 1Total Admissions include: Inpatient, Skilled Nursing Facility and Psychiatric; excludes newborns 3 Total Discharges2 CURRENT MONTH LAST 3 MONTHS LAST 12 MONTHS % CHANGE % CHANGE % CHANGE ACTUAL FROM AVERAGE FROM AVERAGE FROM THIS YEAR LAST YEAR THIS YEAR LAST YEAR THIS YEAR LAST YEAR TOTAL DISCHARGES Acute Children's National Hospital 1,309 -0.15 1,238 5.09 1,354 5.86 George Washington University Hospital 1,990 5.12 2,038 3.30 2,010 4.80 Howard University Hospital 767 24.51 743 14.31 693 1.59 MedStar Georgetown University Hospital 1,202 -5.28 1,233 -5.35 1,270 -1.29 MedStar Washington Hospital Center 2,665 3.02 2,781 3.70 2,764 3.57 Providence Hospital 0 -100.00 0 -100.00 114 -76.35 Sibley Memorial Hospital 1,047 2.25 1,059 3.93 1,044 3.20 United Medical Center 403 -5.18 372 -14.36 415 1.88 ACUTE TOTAL 9,383 -1.28 9,463 -1.85 9,635 -1.02 Specialty BridgePoint Hospital Capitol Hill 64 6.67 61 -8.04 62 -11.26 BridgePoint National Harbor 53 3.92 54 -3.55 55 -12.80 MedStar National Rehabilitation Hospital 146 0.93 150 -7.39 159 -5.21 Psychiatric Institute of Washington 380 -2.56 414 3.59 418 11.68 Saint Elizabeths Hospital 37 60.87 35 16.85 34 -6.59 GRAND TOTAL 10,063 -1.15 10,177 -1.73 10,363 -0.79 4 Total Patient Days3 CURRENT MONTH LAST 3 MONTHS LAST 12 MONTHS % CHANGE % CHANGE % CHANGE ACTUAL FROM AVERAGE FROM AVERAGE FROM THIS YEAR LAST YEAR THIS YEAR LAST YEAR THIS YEAR LAST YEAR TOTAL PATIENT DAYS Acute Children's National Hospital 6,276 -0.55 5,857 0.33 6,489 1.78 George Washington University Hospital 9,476 -0.89 9,441 -0.31 9,544 2.07 Howard University Hospital 4,081 24.61 4,084 28.89 3,988 35.69 MedStar Georgetown University Hospital 9,111 -4.55 9,219 -3.86 9,369 -0.19 MedStar Washington Hospital Center 19,338 7.69 19,522 6.51 19,647 6.08 Providence Hospital 0 -100.00 0 -100.00 7,271 -23.87 Sibley Memorial Hospital 5,184 6.23 5,203 7.20 4,996 3.11 United Medical Center 4,815 -15.54 4,783 -14.49 5,152 ACUTE TOTAL 58,281 -12.28 58,109 -12.42 64,637 -1.73 Specialty MedStar National Rehabilitation Hospital 2,928 0.93 2,810 -3.69 2,824 -0.95 Psychiatric Institute of Washington 3,386 0.50 3,444 10.96 3,461 24.87 Saint Elizabeths Hospital 8,130 6.85 8,266 8.02 8,122 1.98 BridgePoint Hospital - Capitol Hill 4,774 -0.40 4,771 0.01 4,815 0.67 BridgePoint Hospital - National Harbor 2,829 -13.72 3,008 -3.56 3,081 -4.79 GRAND TOTAL 80,328 -9.12 80,408 -8.53 86,940 -0.51 2,3Note:Total Hospital Discharges averages and are Patient rounded; Days therefore, include: their Inpatient, sums may Skillednot match Nursing totals. Hospital Facility figures and Psychiatric; are self-reported. excludes newborns The comparison between current patient days and last year is not shown for United Medical Center because of changed methodology. 5 3 Total Patient Days include: Inpatient, Skilled Nursing Facility and Psychiatric; excludes newborns Psychiatric Admissions, Discharges, and Patient Days CURRENT MONTH LAST 3 MONTHS LAST 12 MONTHS % CHANGE % CHANGE % CHANGE ACTUAL FROM AVERAGE FROM AVERAGE FROM THIS YEAR LAST YEAR THIS YEAR LAST YEAR THIS YEAR LAST YEAR PSYCH ADMISSIONS Acute Children's National Hospital 79 -15.05 75 -8.57 84 -4.82 George Washington University Hospital 66 -9.59 58 -12.18 64 0.92 Howard University Hospital 65 1.56 58 -6.99 59 -1.95 MedStar Georgetown University Hospital 36 2.86 40 17.65 36 15.59 MedStar Washington Hospital Center 140 -19.08 145 -16.95 162 -8.71 Sibley Memorial Hospital 56 33.33 54 15.71 49 0.34 United Medical Center 137 18.10 133 17.35 114 37.03 ACUTE TOTAL 579 -2.85 562 -2.77 569 2.52 Specialty Psychiatric Institute of Washington 394 -9.01 421 1.20 417 10.38 Saint Elizabeths Hospital 42 7.69 36 4.85 35 -2.10 GRAND TOTAL 1,015 -4.96 1,019 -0.91 1,020 5.42 PSYCH DISCHARGES Acute Children's National Hospital 86 -5.49 78 -2.49 88 -5.56 George Washington University Hospital 62 -10.14 58 -8.95 63 1.47 Howard University Hospital 70 2.94 59 -8.72 61 -3.84 MedStar Georgetown University Hospital 36 2.86 40 17.65 36 15.59 MedStar Washington Hospital Center 174 10.83 182 7.92 171 -0.34 Sibley Memorial Hospital 55 34.15 54 11.72 49 -0.51 United Medical Center 148 33.33 138 27.08 116 32.44 ACUTE TOTAL 631 10.31 609 7.22 583 4.11 Specialty Psychiatric Institute of Washington 380 -2.56 414 3.59 418 11.68 Saint Elizabeths Hospital 37 60.87 35 16.85 34 -6.59 GRAND TOTAL 1,048 6.40 1,057 6.05 1,035 6.62 PSYCH PATIENT DAYS Acute Children's National Hospital 611 -15.84 576 2.98 697 10.63 George Washington University Hospital 324 -21.17 324 -14.75 391 -7.89 Howard University Hospital 267 -3.96 235 4.90 247 14.65 MedStar Georgetown University Hospital 270 -23.51 296 -3.17 285 12.46 MedStar Washington Hospital Center 1,054 -11.50 1,056 -10.71 1,117 -0.81 Sibley Memorial Hospital 400 1.78 422 16.24 392 -8.69 United Medical Center 595 -15.60 588 -7.11 604 9.23 ACUTE TOTAL 3,521 -13.21 3,497 -4.13 3,732 2.47 Specialty Psychiatric Institute of Washington 3,386 0.50 3,444 10.96 3,461 24.87 Saint Elizabeths Hospital 8,130 6.85 8,266 8.02 8,122 1.98 GRAND TOTAL 15,037 0.01 15,208 5.58 15,315 6.52 Note: Hospital averages are rounded; therefore, their sums may not match totals.
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