Utilization Indicators Calendar Year 2019

District of Columbia Hospital Association Utilization Indicators Calendar Year 2019

About This Report The charts and tables in this publication are intended to provide aggregate and comparative data on health care facility utilization in the District of Columbia. The source of the data is the District of Columbia Hospital Association’s Monthly Utilization Survey (self-reported by individual facilities).

ISSUED | May | 2020 | www.dcha.org

District of Columbia Hospital Association 1152 15th Street NW | Suite 900 Washington, D.C. | 20005 dcha.org AMBULATORY SURGERIES 2018 2019 % Change

ACUTE TOTAL

Children’s National Health System 12,614 13,151 4.3%

The George Washington University Hospital 16,280 17,030 4.6%

Howard University Hospital 7,386 9,324 26.2%

MedStar Georgetown University Hospital 8,071 8,273 2.5%

MedStar Washington Hospital Center 10,583 10,631 0.5%

Providence Hospital – Ascension 5,586 - -100.0%

Sibley Memorial Hospital – Johns Hopkins Medicine 8,657 9,010 4.1%

United Medical Center 1,231 1,311 6.5%

GRAND TOTAL 70,408 68,730 -2.4%

AMBULATORY SURGERIES

72,000 71,353 70,408 70,000 69,941 69,126 69,792 68,823 68,380 68,730 68,000 67,034 66,000 65,103

64,000

62,000

60,000

58,000

56,000

► YEAR 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Note: Calculations are based on reported utilization figures for the District of Columbia acute non-federal hospitals.

UTILIZATION INDICATORS / PAGE 2 EMERGENCY DEPARTMENT VISITS 2018 2019 % Change

There was a statistically ACUTE TOTAL significant decrease in ED visits in 2019. The principal Children’s National Health System @ UMC 35,016 32,199 -8.0% cause appears to be the closure of the Providence Children’s National Health System 91,016 89,233 -2.0% Hospital Emergency Department in April 2019. The George Washington University Hospital 73,278 70,775 -3.4% Other hospitals throughout the city experienced Howard University Hospital 48,294 52,977 9.7% disproportionate changes. When compared with 2018, MedStar Georgetown University Hospital 30,513 32,589 6.8% four hospitals had decreased ED visits and four had MedStar Washington Hospital Center* 89,961 95,669 6.3% increased ED visits. In 2019 there were 470,719 visits - a Providence Hospital – Ascension 42,092 4,805 -88.6% decrease of 7.2% compared to 2018. Sibley Memorial Hospital – Johns Hopkins 40,522 41,611 2.7% *Does not include MedStar Medicine Washington Hospital Center trauma (MedStar unit) visits. Note: Hospital averages are rounded; United Medical Center 56,689 50,861 10.3% therefore, their sums may not match totals. Hospital figures are self- reported. GRAND TOTAL 507,381 470,719 -7.2%

EMERGENCY DEPARTMENT VISITS 540,000 524,568 520,000 508,944 508,729 507,869 498,627 507,689 500,000 493,036 499,581

480,000 470,719

460,000

452,436 440,000

420,000

400,000

► YEAR 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Note: Calculations are based on reported utilization figures for the District of Columbia acute non-federal hospitals.

UTILIZATION INDICATORS / PAGE 3 The number of inpatient admissions declined by approximately 1.2% between 2018 and 2019. This is the eighth year in a row that inpatient admissions have fallen. This trend is likely to continue as services shift to the outpatient setting rather than an INPATIENT inpatient one and due to the impact of COVID-19 in 2020. ADMISSIONS TOTAL Yearly Admissions & PATIENT ADMISSIONS 2018 2019 % Change DAYS In this report about 2019 ACUTE admissions and patient days, we changed the methodology we Children’s National Health System 15,911 16,160 1.6% had used in recent years. In the The George Washington University 20,420 21,170 3.7% past, the terms “total admissions” Hospital and “total patient days” included admissions and patient days for Howard University Hospital 8,110 8,846 4.6% all patients excluding newborns. In the 2019 report these measures MedStar Georgetown University Hospital -0.6% 15,390 15,291 for acute care facilities exclude MedStar Washington Hospital Center 32,548 33,728 3.6% newborns and skilled nursing facility (SNF) patients. SNF 4,355 88 -98.0% Providence Hospital – Ascension admissions and patient days are Sibley Memorial Hospital – Johns 11,545 12,099 4.8% shown separately from acute Hopkins Medicine care data. In this way, it is easier to compare the experiences of United Medical Center -7.8% 5,256 4,844 facilities that have SNF units and ACUTE TOTAL 113,535 111,866 -1.5% those that do not.

SPECIALTY

BridgePoint Hospital Capitol Hill 622 618 -0.6%

BridgePoint Hospital National Harbor 628 575 -8.4%

MedStar National Rehabilitation Hospital 1,993 1,957 -1.8%

Psychiatric Institute of Washington 4,729 5,027 6.3%

Saint Elizabeths Hospital 417 428 2.6%

SPECIALTY TOTAL 8,389 8,605 -1.9%

GRAND TOTAL 121,924 120,471 -1.2%

Note: SNF patients and newborns excluded

UTILIZATION INDICATORS / PAGE 4 TOTAL Yearly Patient Days PATIENT DAYS 2018 2019 % Change

ACUTE

Children’s National Health System 77,011 77,286 1.1%

The George Washington University Hospital 113,754 113,906 0.1%

Howard University Hospital 38,320 49,007 28.2%

MedStar Georgetown University Hospital 113,411 113,237 -0.2%

MedStar Washington Hospital Center 224,364 235,008 4.7%

Providence Hospital – Ascension 110,610 40,708 -63.2%

Sibley Memorial Hospital – Johns Hopkins Medicine 46,068 49,062 6.5%

United Medical Center 31,473 27,513 12.6%

ACUTE TOTAL 754,921 706,267 6.4%

SPECIALTY

BridgePoint Hospital Capitol Hill 16,063 15,396 -4.2%

BridgePoint Hospital National Harbor 16,385 14,913 -9.0%

MedStar National Rehabilitation Hospital 34,320 34,330 0.0%

Psychiatric Institute of Washington 36,579 41,761 14.2%

Saint Elizabeths Hospital 95,181 97,741 2.7%

SPECIALTY TOTAL 198,528 204,141 2.8%

GRAND TOTAL 953,449 910,408 -4.5%

Note: United Medical Center’s degree of change may reflect changes in United Medical Center’s methodology and/or calculation methods. Hospital averages are rounded; therefore, their sums may not match totals. Hospital figures are self-reported.

UTILIZATION INDICATORS / PAGE 5 PSYCHIATRIC Yearly Admissions ADMISSIONS 2018 2019 % Change

ACUTE

Children’s National Health System 1,137 947 -16.7%

The George Washington University Hospital 762 722 -5.2%

Howard University Hospital 742 675 -9.0%

MedStar Georgetown University Hospital 402 441 9.7%

MedStar Washington Hospital Center 2,179 1,866 -14.4%

Sibley Memorial Hospital – Johns Hopkins Medicine 563 621 10.3%

United Medical Center 1,135 1,443 27.1%

ACUTE TOTAL 6,920 6,715 -3.0%

SPECIALTY

Psychiatric Institute of Washington 4,729 5,027 6.3%

Saint Elizabeths Hospital 417 428 2.6%

SPECIALTY TOTAL 5,146 5,455 6.0%

GRAND TOTAL 12,066 12,170 0.9%

REHABILITATION Yearly Admissions ADMISSIONS 2018 2019 % Change

ACUTE

The George Washington University Hospital 422 385 -8.8%

MedStar National Rehabilitation Hospital 1,993 1,957 -1.85%

GRAND TOTAL 2,415 2,3425 -3.0%

Notes: Hospital averages are rounded; therefore, their sums may not match totals. Hospital figures are self-reported. *Providence Hospital - Ascension discontinued inpatient psychiatric and substance use services effective October 2017.

UTILIZATION INDICATORS / PAGE 6 SKILLED NURSING FACILITY Yearly Admissions (SNF) ADMISSIONS 2018 2019 % Change

ACUTE

Providence Hospital – Ascension 523 167 -68.1%

Sibley Memorial Hospital – Johns Hopkins Medicine 637 628 -1.4%

United Medical Center 59 62 5.18%

ACUTE TOTAL 1,219 857 -29.7%

SPECIALTY

BridgePoint Hospital Capitol Hill 221 170 -23.1%

BridgePoint Hospital National Harbor 94 95 1.1%

SPECIALTY TOTAL 315 265 -15.9%

GRAND TOTAL 1,534 1,122 -26.9%

NEONATAL Yearly Admissions ADMISSIONS 2018 2019 % Change

ACUTE

Children’s National Health System 973 1,206 23.9%

The George Washington University Hospital 399 395 -1.0%

Howard University Hospital 97 76 -21.6%

MedStar Georgetown University Hospital 297 326 9.8%

MedStar Washington Hospital Center 1,126 1,114 -1.1%

GRAND TOTAL 2,892 3,117 7.8%

Notes: Hospital averages are rounded; therefore, their sums may not match totals. Hospital figures are self-reported. Definition of neonatal: Infants admitted to the Neonatal Intensive Care Unit (NICU), Neonatal Intermediate Care Unit or Special Care Unit.

UTILIZATION INDICATORS / PAGE 7 NEWBORN Yearly Admissions ADMISSIONS 2018 2019 % Change

ACUTE

The George Washington University Hospital 3,416 3,133 -8.3%

Howard University Hospital 1,120 1,146 2.3%

MedStar Georgetown University Hospital 784 818 4.3%

MedStar Washington Hospital Center 3,636 3,641 0.1%

Sibley Memorial Hospital – Johns Hopkins Medicine 4,210 4,225 0.4%

GRAND TOTAL 13,166 12,963 5.8%

OBSERVATION Observation Patients UTILIZATION DATA 2018 2019 % Change

ACUTE

Children’s National Medical Center 8,307 12,323 48.3%

The George Washington University Hospital 2,821 2,242 -20.5%

Howard University Hospital 1,650 1,556 -5.7%

MedStar Georgetown University Hospital 2,827 3,557 25.8%

MedStar Washington Hospital Center 10,302 9,218 10.5%

Providence Hospital – Ascension 1,902 57 -97.0%

Sibley Memorial Hospital – Johns Hopkins Medicine 3,262 3,681 12.8%

United Medical Center 2,069 2,749 32.9%

GRAND TOTAL 31,140 35,383 6.8%

Notes: Hospital averages are rounded; therefore, their sums may not match totals. Hospital figures are self-reported. Definition of newborn: Infants delivered at the facility.

UTILIZATION INDICATORS / PAGE 8 OCCUPANCY RATE

Notes: Hospital averages are rounded; therefore, their sums may not match totals. Hospital figures are self-reported.

UTILIZATION INDICATORS / PAGE 9 OPERATING BEDS PER HOSPITAL 2019

ACUTE Total Med/ OB/ Peds ICU NICU Psych Other Nursing Operating Surg GYN Home Beds Beds

Children’s National 323 168 73 56 26 Medical Center George Washington 395 228 57 56 18 20 16 University Hospital Howard University 204 136 13 28 9 18 Hospital MedStar Georgetown 412 236 27 43 57 36 13 University Hospital MedStar Washington 777 560 28 107 24 46 12 Hospital Center Sibley Memorial 207 124 50 14 19 45 Hospital United Medical Center 210 145 16 34 120

ACUTE TOTAL 2,528 1,429 175 211 351 143 176 28 165

PSYCHIATRIC AND Total Med/ OB/ Peds ICU NICU Psych Other Nursing OTHER SPECIALTY Operating Surg GYN Home Beds Beds MedStar National 137 137 Rehabilitation Hospital Psychiatric Institute of 130 130 Washington Saint Elizabeths 291 291 Hospital BridgePoint Hospital 62 47 15 117 Capitol Hill BridgePoint Hospital 82 72 10 62 National Harbor SPECIALTY TOTAL 702 119 0 0 25 0 421 137 179 GRAND TOTAL 3,230 1,548 175 211 376 143 597 165 344

UTILIZATION INDICATORS / PAGE 10