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Monthly Utilization Report October 2019

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Monthly Utilization Report October 2019 District of Columbia Hospital Association Monthly Utilization Report October 2019 Overview & Observations DCHA routinely reports occupancy rates for several specialized patient care unit types (pages 15–23 of this report). Occupancy rates are expressed as the monthly average census as a percentage of designated beds. These rates only show occupancy volume as “within hospital.” In the graphs below, we illustrate the “within-hospital” and the “between hospital” occupancy volume. For example, MedStar Georgetown University Hospital has the highest Med-Surg Occupancy rate, yet averages 270 (54%) fewer Med-Surg patients than MedStar Washington Hospital Center (Fig 1). Similarly, Howard University Hospital has a slightly lower ICU occupancy rate than does The George Washington University Hospital (GWUH); yet averages 24 (53%) fewer ICU patients than GWUH (Fig 2). Differences in volume by unit are important to understand as you look at the overall occupancy of a hospital to explore questions such as, why some patients may experience longer wait times before being moved to an inpatient unit. Comparison of Bed Capacity and Occupancy Rate for Acute Care Hospitals, January - September 2019 Figure 1: Med-Surg Beds by Hospital Figure 2: ICU Beds by Hospital Table of Contents Total Admissions ............................................................2 Emergency Department Visits........................................13 Total Discharges.............................................................4 Ambulatory Surgeries.....................................................14 Total Patient Days...........................................................5 Observation Patients and Observation Patient Days......14 Psychiatric Admissions, Average Daily Census By Hospital By Service...............16 Discharges, and Patient Days.......................................7 Rehabilitation Admissions, Discharges, and Patient Days...........................................................9 Skilled Nursing Facility Admissions, Discharges, and Patient Days.........................................................10 Newborn and Neonatal ICU Data: Admissions and Patient Days................................................................11 Total Admissions1 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 ADMISSIONS Acute Children's National Hospital 1,351 -10.05 1,306 -2.56 1,333 1.98 George Washington University Hospital 1,766 -2.65 1,775 3.56 1,767 4.60 Howard University Hospital 739 12.31 753 16.98 701 3.18 MedStar Georgetown University Hospital 1,337 -1.76 1,275 -3.70 1,268 -1.35 MedStar Washington Hospital Center 2,868 0.77 2,801 2.03 2,825 4.26 Providence Hospital 72 -84.38 Sibley Memorial Hospital 1,113 -1.33 1,082 1.41 1,048 3.12 United Medical Center 397 -16.60 384 -16.75 411 -2.16 ACUTE TOTAL 9,571 -5.69 9,376 -3.20 9,401 -1.76 Specialty BridgePoint Hospital Capitol Hill 76 13.43 69 0.49 63 -10.71 BridgePoint National Harbor 63 18.87 57 -9.04 53 -13.38 MedStar National Rehabilitation Hospital 188 23.68 166 3.10 163 -3.47 Psychiatric Institute of Washington 453 1.34 424 0.16 417 8.26 Saint Elizabeths Hospital 42 -2.33 38 -5.83 35 -2.10 GRAND TOTAL 10,393 -4.74 10,131 -2.99 10,132 -1.55 Acute Care Hospital Admissions - previous 15 months 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 Oct-19 CNH 1187 1332 1502 1438 1520 1421 1261 1420 1337 1462 1022 1194 1216 1351 1351 GWUH 1768 1561 1814 1719 1745 1830 1617 1814 1733 1922 1750 1745 1773 1787 1766 HUH 656 620 659 598 657 615 589 745 790 738 698 722 744 777 739 MGUH 1343 1267 1361 1196 1291 1307 1215 1260 1362 1333 1167 1266 1262 1225 1337 MWHC 2775 2615 2846 2690 2771 2797 2686 2967 2884 3023 2853 2831 2878 2657 2868 SMH 1069 1003 1128 1019 979 1063 926 1014 1028 1145 1076 1075 1062 1070 1113 UMC 467 442 476 450 443 445 390 402 430 431 423 356 360 396 397 P rov H 440 369 363 269 54 51 58 46 43 35 22 TOTAL 9265 8840 9786 9110 9406 9478 8684 9622 9564 10054 8989 9189 9295 9263 9571 lowest month/hospital highest month/hospital Specialty Hosp Admissions 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 Oct-19 MNRH 177 155 152 162 147 171 173 160 158 179 160 141 157 154 188 PIW 391 433 447 421 367 443 417 421 405 416 400 443 426 394 453 St E 38 39 43 30 33 36 33 38 25 38 36 37 29 42 42 BPCH 76 63 67 68 51 69 80 58 62 62 43 59 64 67 76 BPNH 62 73 53 41 50 40 65 56 64 59 53 42 57 51 63 TOTAL 744 763 762 722 648 759 768 733 714 754 692 722 733 708 822 lowest month/hospital highest month/hospital 1Total Admissions include: Inpatient, Skilled Nursing Facility and Psychiatric; excludes newborns 2 3 Total Discharges 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 1,475 -0.67 1,332 2.07 1,353 4.69 George Washington University Hospital 2,078 0.24 2,040 2.32 2,011 4.38 Howard University Hospital 735 14.13 756 18.87 700 3.61 MedStar Georgetown University Hospital 1,315 -0.53 1,270 -2.98 1,269 -1.31 MedStar Washington Hospital Center 2,809 2.44 2,781 2.77 2,770 3.63 Providence Hospital 83 -82.08 Sibley Memorial Hospital 1,119 1.08 1,078 0.94 1,045 2.99 United Medical Center 0 -100.00 374 -17.91 407 -1.72 ACUTE TOTAL 9,531 -6.91 9,506 -3.65 9,576 -1.71 Specialty BridgePoint Hospital Capitol Hill 86 16.22 70 5.50 63 -10.68 BridgePoint National Harbor 52 -22.39 54 -9.04 53 -15.14 MedStar National Rehabilitation Hospital 183 5.22 163 0.83 162 -2.94 Psychiatric Institute of Washington 461 0.00 420 0.96 418 8.96 Saint Elizabeths Hospital 47 51.61 38 25.00 36 -0.23 GRAND TOTAL 10,360 -5.99 10,250 -3.29 10,308 -1.48 Total Patient Days2 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 6,797 1.60 6,230 -0.96 6,498 1.87 George Washington University Hospital 9,513 -3.73 9,370 -3.28 9,513 1.05 Howard University Hospital 4,339 13.65 4,175 22.39 4,032 33.15 MedStar Georgetown University Hospital 9,811 -4.66 9,400 -3.86 9,329 -1.18 MedStar Washington Hospital Center 19,438 -2.57 19,504 3.20 19,604 5.18 Providence Hospital 7,000 -26.36 Sibley Memorial Hospital 5,512 8.48 5,277 5.36 5,032 3.96 United Medical Center 4,770 -16.21 4,835 -14.59 5,075 ACUTE TOTAL 60,180 -15.05 58,790 -13.94 63,749 -3.91 Specialty MedStar National Rehabilitation Hospital 3,083 5.22 2,966 1.71 2,837 -1.56 Psychiatric Institute of Washington 3,780 0.77 3,561 6.36 3,464 20.63 Saint Elizabeths Hospital 8,440 1.98 8,328 6.72 8,135 2.30 BridgePoint Hospital - Capitol Hill 4,766 -3.76 4,776 -1.12 4,799 0.45 BridgePoint Hospital - National Harbor 3,128 -7.81 3,011 -7.93 3,059 -4.82 GRAND TOTAL 83,377 -11.44 81,431 -10.00 86,043 -2.27 Note: Hospital averages are rounded; therefore, their sums may not match totals. Hospital figures are self-reported. The comparison between current patient days and last year is not shown for United Medical Center because of changed methodology. 4 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 100 -16.67 82 -16.27 82 -9.85 George Washington University Hospital 63 -25.00 62 -12.68 62 -2.36 Howard University Hospital 56 -13.85 59 -4.81 58 -4.79 MedStar Georgetown University Hospital 49 8.89 41 5.08 36 11.57 MedStar Washington Hospital Center 164 -11.35 154 -12.81 161 -10.91 Sibley Memorial Hospital 54 20.00 53 8.97 50 4.52 United Medical Center 121 10.00 129 10.54 115 30.81 ACUTE TOTAL 607 -7.19 581 -5.22 565 0.00 Specialty Psychiatric Institute of Washington 453 1.34 424 0.16 417 8.26 Saint Elizabeths Hospital 42 -2.33 38 -5.83 35 -2.10 GRAND TOTAL 1,102 -3.67 1,043 -3.13 1,017 3.15 PSYCH DISCHARGES Acute Children's National Hospital 107 -13.01 87 -6.81 86 -8.96 George Washington University Hospital 66 -17.50 64 -6.83 62 -0.93 Howard University Hospital 56 -8.20 61 -4.71 60 -4.38 MedStar Georgetown University Hospital 49 8.89 41 5.08 36 11.57 MedStar Washington Hospital Center 178 -6.32 181 3.24 170 -2.16 Sibley Memorial Hospital 54 28.57 54 11.81 50 4.16 United Medical Center 0 -100.00 135 18.42 116 26.00 ACUTE TOTAL 510 -22.14 577 -4.10 571 0.78 Specialty Psychiatric Institute of Washington 461 0.00 420 0.96 418 8.96 Saint Elizabeths Hospital 47 51.61 38 25.00 36 -0.23 GRAND TOTAL 1,018 -11.25 1,035 -1.24 1,024 3.92 PSYCH PATIENT DAYS Acute Children's National Hospital 779 0.13 639 -4.82 698 7.94 George Washington University Hospital 307 -33.41 305 -26.27 378 -10.97 Howard University Hospital 236 -6.35 247 -0.13 245 10.76 MedStar Georgetown University Hospital 233 -31.67 273 -18.08 276 5.91 MedStar Washington Hospital Center 1,078 -15.91 1,055 -13.57 1,100 -3.48 Sibley Memorial Hospital 480 31.87 443 18.36 401 -4.20 United Medical Center 482 -24.45 556 -19.51 591 3.32 ACUTE TOTAL 3,595 -12.66 3,518 -10.97 3,688 0.16 Specialty Psychiatric Institute of Washington 3,780 0.77 3,561 6.36 3,464 20.63 Saint Elizabeths Hospital 8,440 1.98 8,328 6.72 8,135 2.30 GRAND TOTAL 15,815 -2.03 15,407 2.02 15,288 5.38 Note: Hospital averages are rounded; therefore, their sums may not match totals.
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