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

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

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. Hospital figures are self-reported.

Psych Admissions - Acute Care Hospitals - 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 70 82 93 120 97 99 93 79 78 75 95 48 77 68 79 GWUH 68 56 73 84 70 46 53 66 69 69 78 58 50 57 66 HUH 64 58 64 65 59 53 59 60 65 60 59 52 51 57 65 MGUH 29 38 35 45 35 36 38 30 37 32 37 20 45 39 36 MWHC 179 173 173 185 171 158 167 137 169 183 180 163 137 159 140 SMH 40 58 42 45 43 45 52 41 56 49 59 48 58 48 56 UMC 99 125 116 110 96 100 92 90 100 119 139 128 132 130 137 TOTAL 549 590 596 654 571 537 554 503 574 587 647 517 550 558 579 lowest month/hospital highest month/hospital

Rehabilitation 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 REHAB ADMISSIONS Acute George Washington University Hospital 33 -10.81 29 -19.63 33 -3.42

Specialty MedStar National Rehabilitation Hospital 154 -0.65 151 -7.00 160 -5.76

GRAND TOTAL 154 -19.79 168 -14.84 190 -6.72

REHAB DISCHARGES

Acute George Washington University Hospital* 28 0.00 29 0.00 33 0.00

Specialty MedStar National Rehabilitation Hospital 146 -3.31 150 -7.39 159 -5.21

GRAND TOTAL 174 -7.45 180 -9.11 193 -4.70

REHAB PATIENT DAYS

Acute George Washington University Hospital 408 -2.39 370 -12.18 410 2.33

Specialty MedStar National Rehabilitation Hospital 2,928 0.93 2,810 -3.69 2,824 -0.95

GRAND TOTAL 3,336 0.51 3,180 -4.76 3,234 -0.55

Skilled Nursing Facility 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 SNF ADMISSIONS

Providence Hospital 0 -100.00 0 -100.00 30 -38.73 Sibley Memorial Hospital 48 -7.69 49 -5.81 52 -1.41 United Medical Center 2 100.00 6 111.11 5 -18.92

ACUTE TOTAL 50 -46.24 55 -46.25 80 -26.08

Specialty BridgePoint Hospital Capitol Hill 13 -13.33 12 -30.19 13 -25.12 BridgePoint National Harbor 11 57.14 10 6.90 8 -24.37

GRAND TOTAL 74 -35.65 78 -40.10 101 -25.83

SNF DISCHARGES

Acute Providence Hospital 0 -100.00 0 -100.00 32 -35.48 Sibley Memorial Hospital 42 -22.22 45 -12.90 52 -1.26 United Medical Center 0 -100.00 4 -25.00

ACUTE TOTAL 42 -58.00 45 -56.73 79 -26.64

Specialty BridgePoint Hospital Capitol Hill 13 8.33 12 -30.00 13 -25.35 BridgePoint Hospital National Harbor 9 200.00 10 14.81 7 -22.61

GRAND TOTAL 64 -44.35 67 -48.33 99 -26.18

SNF PATIENT DAYS

Acute Providence Hospital 0 -100.00 0 -100.00 6,831 -5.86 Sibley Memorial Hospital 897 -16.64 943 -5.95 969 -5.39 United Medical Center 2,663 -2.28 2,677 -5.69 2,754 -14.03

ACUTE TOTAL 3,560 -67.30 3,620 -67.48 8,847 -22.97

Specialty BridgePoint Hospital - Capitol Hill 3,433 0.67 3,534 1.65 3,489 1.05 BridgePoint Hospital - National Harbor 1,798 0.67 1,830 0.92 1,821 0.18

GRAND TOTAL 8,791 -45.34 8,984 -45.29 14,157 -15.51 Note: Hospital averages are rounded; therefore, their sums may not match totals. Hospital figures are self-reported.

Newborn and Neonatal ICU Data: Admissions and Patient Days Newborn Admissions 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 NEWBORN ADMISSIONS

George Washington University Hospital 292 21.16 285 -1.16 268 -7.54 Howard University Hospital 114 34.12 103 14.07 94 0.53 MedStar Georgetown University Hospital 77 32.76 70 20.81 67 1.51 MedStar Washington Hospital Center 306 3.38 324 2.42 303 -2.20 Sibley Memorial Hospital 362 1.40 371 -1.68 354 3.76

GRAND TOTAL 1,151 10.99 1,153 2.01 1,086 -1.78

NEWBORN PATIENT DAYS

George Washington University Hospital 550 -5.17 571 -3.39 559 -4.67 Howard University Hospital 433 40.58 429 62.30 412 26.81 MedStar Georgetown University Hospital 172 25.55 163 12.39 162 0.46 MedStar Washington Hospital Center 1,483 9.20 1,508 9.89 1,357 0.48 Sibley Memorial Hospital 1,092 11.77 1,087 5.81 991 3.00

GRAND TOTAL 3,730 11.01 3,758 10.53 3,482 2.48

Note: Hospital averages are rounded; therefore, their sums September not match totals. Hospital figures are self-reported Newborn 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 GWUH 306 318 241 292 278 231 301 218 251 254 285 246 326 237 292 HUH 93 92 83 111 92 92 89 69 100 89 92 86 86 108 114 MGUH 48 67 58 83 66 58 65 66 59 61 71 69 59 73 77 MWHC 315 339 296 312 304 295 293 274 298 267 308 316 326 341 306 SMH 380 395 357 402 353 345 342 300 331 322 380 359 387 364 362 TOTAL 1142 1211 1035 1200 1093 1021 1090 927 1039 993 1136 1076 1184 1123 1151 lowest month/hospital highest month/hospital

Neonatal ICU Admissions 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 NEONATAL ADMISSIONS

Children's National Hospital 108 36.71 125 55.83 99 28.02 George Washington University Hospital 34 41.67 35 11.83 32 -5.38 Howard University Hospital 9 12.50 8 -19.35 7 -22.43 MedStar Georgetown University Hospital 33 26.92 29 13.16 27 8.33 MedStar Washington Hospital Center 99 10.00 102 9.64 96 0.09

GRAND TOTAL 283 24.67 299 24.44 261 8.15

NEONATAL PATIENT DAYS

Children's National Hospital 1,866 14.06 1,879 15.92 1,689 3.22 George Washington University Hospital 535 -2.37 540 2.47 505 8.58 Howard University Hospital 210 -26.83 147 -46.87 137 -28.48 MedStar Georgetown University Hospital 670 -5.50 696 36.18 677 25.36 MedStar Washington Hospital Center 948 8.97 948 9.51 848 1.30

GRAND TOTAL 4,229 4.42 4,210 10.75 3,855 5.04

Neonatal 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 CNH 70 91 79 99 93 119 123 81 83 75 88 53 135 131 108 GWUH 32 37 24 29 30 32 32 31 37 28 26 38 40 30 34 HUH 11 12 8 4 7 9 8 4 3 6 12 5 6 10 9 MGUH 29 21 26 25 28 26 31 18 29 23 31 28 24 29 33 MWHC 87 103 90 98 96 91 101 92 84 78 118 84 97 111 99 TOTAL 229 264 227 255 254 277 295 226 236 210 275 208 302 311 283 lowest month/hospital highest month/hospital

Emergency Department Visits

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 EMERGENCY DEPARTMENT VISITS Acute Children's National Hospital at United Medical Center 2,446 -0.77 2,102 -13.57 2,695 -4.25 Children's National Hospital 7,088 4.43 6,339 -4.76 7,425 -1.88 George Washington University Hospital 5,614 -8.79 5,798 -7.37 5,945 -2.84 Howard University Hospital 4,578 12.84 4,533 10.10 4,338 8.92 MedStar Georgetown University Hospital 2,664 2.42 2,685 5.25 2,699 8.12 MedStar Washington Hospital Center 7,845 4.38 8,001 4.22 7,900 6.45 Providence Hospital 0 -100.00 0 -100.00 1,403 -64.11 Sibley Memorial Hospital 3,409 3.81 3,324 0.09 3,435 2.30 United Medical Center 4,136 -12.41 4,242 -12.67 4,328 -9.57 ACUTE TOTAL 37,780 -7.61 37,023 -10.90 39,818 -6.21 Emergency Department 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 @ UMC 2397 2433 2465 3095 2992 3046 2635 2590 3240 3204 3046 2191 1975 1884 2446 CNH 6698 6484 6787 7636 7709 8609 7934 6361 8555 8215 8151 6907 6172 5758 7088 GWUH 6274 6347 6155 6165 5902 6096 6095 5640 6251 6158 5939 5705 5864 5915 5614 HUH 4128 4166 4057 4110 4021 4187 4304 3901 4520 4576 4578 4264 4541 4479 4578 MGUH 2633 2420 2601 2680 2537 2656 2618 2593 2912 2807 2920 2604 2754 2638 2664 MWHC 7728 7787 7516 7595 7012 7893 8004 7210 8222 7848 8672 8339 8147 8010 7845 SMH 3204 3475 3284 3582 3172 3547 3749 3249 3502 3699 3495 3253 3204 3359 3409 UMC 4899 4950 4722 5693 5291 5417 4389 3982 4369 4256 4590 4155 4401 4188 4136 P rov H 4066 3677 3307 3499 2817 1508 1250 1072 1200 1283 TOTAL 37961 38062 37587 40556 38636 41451 39728 35526 41571 40763 41391 37418 37058 36231 37780 lowest month/hospital highest month/hospital

Ambulatory Surgeries

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 AMBULATORY SURGERIES Acute Children's National Hospital 1,004 1.83 1,107 3.49 1,090 5.25 George Washington University Hospital 1,393 30.92 1,453 16.76 1,420 7.14 Howard University Hospital 780 28.50 809 29.32 767 34.09 MedStar Georgetown University Hospital 629 1.13 665 2.05 686 1.47 MedStar Washington Hospital Center 829 0.61 902 3.44 889 0.37 Providence Hospital 0 -100.00 0 -100.00 110 -78.67 Sibley Memorial Hospital 705 12.62 723 5.70 748 5.03 United Medical Center 121 9.01 126 21.22 109 8.80

ACUTE TOTAL 5,461 2.90 5,785 0.90 5,793 -0.55 12

Observation Patients and Observation 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

OBSERVATION PATIENTS Acute Children's National Hospital 1,131 71.10 1,074 76.88 998 54.48 George Washington University Hospital 167 -17.33 195 -7.89 184 -29.79 Howard University Hospital 157 6.80 139 0.72 120 -13.50 MedStar Georgetown University Hospital 295 43.20 323 42.02 288 23.17 MedStar Washington Hospital Center 872 6.86 774 -10.25 792 -8.60 Providence Hospital 0 -100.00 0 -100.00 31 -83.14 Sibley Memorial Hospital 267 11.25 291 15.34 300 13.77 United Medical Center 235 28.42 260 51.95 214 30.11 ACUTE TOTAL 3,124 20.20 3,055 15.75 2,920 5.80

OBSERVATION DAYS Acute Children's National Hospital 860 9.55 871 12.00 1,004 12.00 George Washington University Hospital 175 7.36 186 6.30 160 -31.47 Howard University Hospital 207 -13.39 207 1.47 182 -6.16 MedStar Georgetown University Hospital 277 54.75 301 64.96 267 44.92 MedStar Washington Hospital Center 1,274 -18.85 1,222 -27.74 1,315 -13.64 Providence Hospital 0 -100.00 0 -100.00 42 -84.90 Sibley Memorial Hospital 327 29.27 318 16.00 335 12.75 United Medical Center 0 -100.00 437 20.94 ACUTE TOTAL 3,120 -19.40 3,105 -21.97 3,585 -9.58

Note: Hospital averages are rounded; therefore, sums September not match totals. Hospital data are self-reported.

Observation Patients - 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 529 631 661 792 807 935 1096 1028 1204 991 1048 1003 976 1114 1131 GWUH 218 214 202 241 189 169 176 151 197 211 142 151 210 207 167 HUH 123 144 147 118 146 107 176 73 110 93 131 129 100 160 157 MGUH 230 247 206 255 288 163 303 238 285 292 339 322 334 341 295 MWHC 851 919 816 904 784 787 755 714 868 885 746 740 762 687 872 SMH 260 256 240 270 286 288 308 292 355 337 328 267 292 313 267 UMC 164 167 183 177 194 210 154 189 186 216 233 227 282 264 235 P rov H 187 180 144 111 92 19 20 16 11 10 0 0 0 0 0 TOTAL 2375 2578 2455 2757 2694 2659 2968 2685 3205 3025 2967 2839 2956 3086 3124 lowest month/hospital highest month/hospital

Average Daily Census By Hospital By Service

Occupancy Rates By Unit Type Acute Care Hospitals - 2018

Occupancy Rates Specialty Hospitals - 2019