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UMASS MEMORIAL MEDICAL CENTER Academic Medical Center 2017 Hospital Profile Central Massachusetts

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UMASS MEMORIAL MEDICAL CENTER Academic Medical Center 2017 Hospital Profile Central Massachusetts Worcester, MA UMASS MEMORIAL MEDICAL CENTER Academic Medical Center 2017 Hospital Profile Central Massachusetts UMass Memorial Medical Center is a large, non-profit academic medical center (AMC) located in the Central Massachusetts region. UMass Memorial Medical Center is a member of UMass Memorial Health Care, and one of nine organ transplant centers in Massachusetts. It also qualifies as a High Public Payer (HPP) hospital. Inpatient discharges decreased by 1.1% between FY13 and FY17, which is consistent with its peer cohort. UMass Memorial Medical Center earned a profit each year from FY13 to FY17, with a total margin of 1.3% in FY17, just under the peer cohort hospital median total margin of 2.0%. Overview / Size Payer Mix Hospital System Affiliation: UMass Memorial Health Care Public Payer Mix: 65.6% (HPP* Hospital) Change in Ownership (FY13-17): Not Applicable CY16 Commercial Statewide Relative Price: 1.06 Total Staffed Beds: 723, 4th largest acute hospital Top 3 Commercial Payers: Blue Cross Blue Shield of Massachusetts % Occupancy: 81.9%, < cohort avg. (86%) Fallon Community Health Plan Special Public Funding: HCIIη, ICB° Harvard Pilgrim Health Care Trauma Center Designation: Adult: Level 1, Pedi: Level 2 Utilization Case Mix Index: 1.37, < cohort avg. (1.50); > statewide (1.12) Inpatient Discharges in FY17: 41,505 Glance Change FY16-FY17: -1.2% At a Financial Emergency Department Visits in FY17: 134,564 Inpatient NPSR per CMAD: $12,473 Change FY16-FY17: -1.1% Change FY16-FY17: -6.9% Outpatient Visits in FY17: 982,540 Inpatient:Outpatient Revenue in FY17: 44%:56% Change FY16-FY17: -1.4% Outpatient Revenue in FY17: $732,483,479 Quality Change FY16-FY17: 9.5% Readmission Rate in FY16: 18.6% Total Revenue in FY17: $1,702,688,000 Change FY12-FY16 (percentage points): 1.9 Total Surplus (Loss) in FY17: $21,871,000 Early Elective Deliveries Rate: Not Available What were the most common inpatient cases (DRGs) treated at the Where did most of the hospital's inpatients reside? What proportion of hospital in FY17? What proportion of the region’s cases did this each community's total discharges was attributed to this hospital? hospital treat for each service? Discharges by DRG Discharges by Community Normal Neonate Birth (3462) 54% of regional Worcester MA (13,839) 62% of community Vaginal Delivery (2677) 55% discharges Shrewsbury MA (1,860) 58% discharges were Septicemia Infections (1607) 47% were treated Fitchburg MA (1,003) 19% treated at this Cesarean Delivery (1207) 55% at this Marlborough MA (974) 22% hospital in FY17 hospital in Heart Failure (834) 33% Webster MA (920) 38% Services FY17 Other Pneumonia (626) 37% Leominster MA (849) 18% Per Cardio procs w/ AMI (609) 75% Auburn MA (846) 46% COPD (573) 25% Westborough MA (770) 45% Renal Failure (488) 42% Millbury MA (688) 48% Maj Sml & Lrg Bowel Procs (483) 61% Holden MA (653) 48% 0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100% - - - Hospital (41,505) = 52% of total regional discharges What proportion of adult patient discharges from this hospital resulted How many central line-associated blood stream infections (CLABSI), in a readmission at any hospital within 30 days, and how does this catheter-associated urinary tract infections (CAUTI), and surgical site compare to the state average? infections (SSI) after colon surgery did patients get at this hospital 25% compared to what was expected based on the hospital's characteristics and case mix? 20% CLABSI CAUTI SSI: Colon Surgery 18.6% 5 16.7% 15.4% 15% 15.4% 4 State Average Quality 3 10% 2 Lower is Better 5% 1 Lower is Better 0% 0 2012 2016 For descriptions of the metrics, please see the technical appendix. A6 2017 HOSPITAL PROFILE: UMASS MEMORIAL MEDICAL CENTER Key: Hospital Cohort: Academic Medical Center Peer Cohort How has the volume of the hospital's inpatient discharges changed How has the volume of the hospital's outpatient visits changed compared to FY13, and how does this compare to the hospital's peer compared to FY13, and how does this compare to the hospital's peer cohort median? (FY13=100) cohort median? (FY13=100) FY17 Inpatient Discharges = 41,505 150 FY17 Outpatient Visits = 982,540 150 +4.7% Utilization 100 100 -0.8% -1.1% -1.1% 50 50 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 What was the hospital's net inpatient service revenue per case mix How has the hospital's total outpatient revenue changed compared to adjusted discharge between FY13 and FY17, and how does this FY13, and how does this compare to the hospital's peer cohort compare to the hospital's peer cohort median? median? (FY13=100) $24,000 150 FY17 Outpatient Revenue = $732 M $20,000 +28.3% $16,000 +25.9% Cohort Median 100 $12,000 Hospital Patient RevenueTrends Patient $8,000 $4,000 50 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 How have the hospital's total revenue and costs changed between What were the hospital's total margin and operating margins between FY13 and FY17? FY13 and FY17, and how do these compare to the hospital's peer cohort medians? Revenue, Cost, & Profit/Loss (in millions) 12% FY 2013 2014 2015 2016 2017 1.8% 2.2% 0.3% 0% Operating Revenue $ 1,408 $ 1,521 $ 1,516 $ 1,622 $ 1,686 -2.3% Operating Non-Operating $ 104 $ 3 $ 17 $ 11 $ 16 Revenue -12% 12% Total Revenue $ 1,512 $ 1,523 $ 1,533 $ 1,632 $ 1,703 4.6% 2.0% 4.6% 1.3% FinancialPerformance 0% Total Costs $ 1,443 $ 1,503 $ 1,473 $ 1,585 $ 1,681 Total -12% Total Profit (Loss) $ 68.9 $ 19.8 $ 60.1 $ 47.6 $ 21.9 2013 2014 2015 2016 2017 For descriptions of the metrics, please see the technical appendix. * High Public Payer Hospitals (HPP) receive a minimum of 63% of gross patient service revenue from public payers. η For more information on Health Care Innovation Investment Program (HCII) special funding, please contact the Health Policy Commission (HPC). ° For more information on Infrastructure and Capacity Building (ICB) special funding, please contact the Massachusetts Executive Office of Health and Human Services (EOHHS)..
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