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Monthly Utilization Report February 2019

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Monthly Utilization Report February 2019 District of Columbia Hospital Association Monthly Utilization Report February 2019 Overview & Observations Emergency Department (ED) visits in January increased along with the CDC noted influenza outbreak. However, ED visits decreased in February despite CDC reported increased incidence in Region 3 (Delaware, DC, Maryland, Pennsylvania, Virginia, and West Virginia ). Underlying reasons for this pattern are unclear based upon the utilization data available. Hospitals may wish to further analyze reasons for admission or diagnostic data to identify additional details. Although overall ED visits decreased slightly in February, the impact of the Providence closure remained evident, particularly for MWHC and HUH. [A similar impact is also evident when comparing changes in Providence admissions to overall admissions for other District hospitals.] Note: Most of the utilization data are significantly skewed when the 28-day February counts data is contrasted with other months. We have modified the graph formats to reflect a “per-day” basis to facilitate comparisons over time. Table of Contents Total Admissions ............................................................2 Emergency Department Visits........................................13 Total Discharges.............................................................4 Ambulatory Surgeries.....................................................15 Total Patient Days...........................................................5 Observation Patients and Observation Patient Days......16 Psychiatric Admissions, Average Daily Census By Hospital By Service...............18 Discharges, and Patient Days.......................................7 Rehabilitation Admissions, Discharges, and Patient Days...........................................................9 Skilled Nursing Facility Admissions, Discharges, and Patient Days.........................................................10 Neonatal ICU and Newborn Admissions and Patient Days................................................................11 Total Admissions 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 Medical Center 1,261 2.77 1,401 7.06 1,335 3.81 George Washington University Hospital 1,617 2.93 1,731 4.70 1,714 3.51 Howard University Hospital 589 -17.62 620 -10.14 658 -2.01 MedStar Georgetown University Hospital 1,215 2.02 1,271 -0.05 1,279 -0.97 MedStar Washington Hospital Center 2,686 7.48 2,751 2.38 2,727 -0.69 Providence Hospital 58 -88.95 54 -89.75 324 -56.12 Sibley Memorial Hospital 926 3.12 989 1.30 1,021 1.93 United Medical Center 390 -8.45 426 7.85 436 3.07 ACUTE TOTAL 8,742 -3.42 9,244 -2.83 9,494 -3.26 Specialty BridgePoint Hospital Capitol Hill 80 1.27 67 -10.71 70 4.77 BridgePoint National Harbor 65 8.33 52 -16.67 58 -5.78 MedStar National Rehabilitation Hospital 173 8.81 164 -6.83 166 -2.45 Psychiatric Institute of Washington 417 18.47 409 11.14 404 18.32 Saint Elizabeths Hospital 33 10.00 34 3.03 35 -5.36 GRAND TOTAL 9,510 -2.28 9,969 -2.52 10,226 -2.52 Acute Care Hospital Admissions - previous 15 months Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 CNMC 1354 1344 1227 1396 1272 1331 1275 1087 1187 1332 1502 1438 1520 1421 1261 GWUH 1657 1731 1571 1698 1658 1722 1705 1728 1768 1561 1814 1719 1745 1830 1617 HUH 650 706 715 722 697 716 673 694 656 620 659 598 657 615 589 MGUH 1254 1370 1191 1246 1226 1340 1216 1343 1343 1267 1361 1196 1291 1307 1215 MWHC 2758 2805 2499 2673 2670 2791 2701 2712 2775 2615 2846 2690 2771 2797 2686 P rov H 496 570 525 498 481 476 424 409 440 369 363 269 54 51 58 SMH 1006 1026 898 1009 991 1059 1016 985 1069 1003 1128 1019 979 1063 926 UMC 324 435 426 399 401 460 433 424 467 442 476 450 443 445 390 TOTAL 9499 9987 9052 9641 9396 9895 9443 9382 9705 9209 10149 9379 9460 9529 8742 lowest month/hospital highest month/hospital Specialty Hosp Admissions Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 MNRH 178 190 159 187 153 188 169 154 177 155 152 162 147 171 173 PIW 358 394 352 348 388 388 376 424 391 433 447 421 367 443 417 St E 37 32 30 37 36 31 42 26 38 39 43 30 33 36 33 BPCH 66 79 79 86 65 61 82 66 76 63 67 68 51 69 80 BPNH 60 66 60 75 61 65 57 59 62 73 53 41 50 40 65 TOTAL 699 761 680 733 703 733 726 729 744 763 762 722 648 759 768 lowest month/hospital highest month/hospital 4 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 Medical Center 1,279 4.49 1,398 5.59 1,319 2.41 George Washington University Hospital 1,828 2.75 1,904 1.22 1,942 1.82 Howard University Hospital 583 -16.24 619 -8.43 657 -1.61 MedStar Georgetown University Hospital 1,218 -0.90 1,262 -2.04 1,276 -1.57 MedStar Washington Hospital Center 2,604 7.47 2,668 1.42 2,687 -0.43 Providence Hospital 50 -90.04 61 -88.26 333 -55.10 Sibley Memorial Hospital 936 4.23 987 2.07 1,021 2.37 United Medical Center 390 -8.24 426 9.14 431 5.66 ACUTE TOTAL 8,888 -3.14 9,326 -3.66 9,665 -3.39 Specialty BridgePoint Hospital Capitol Hill 60 -11.76 66 -7.44 69 6.54 BridgePoint National Harbor 56 -1.75 55 -10.38 59 -5.60 MedStar National Rehabilitation Hospital 169 9.61 159 -8.62 165 -2.80 Psychiatric Institute of Washington 425 18.06 407 11.01 403 18.12 Saint Elizabeths Hospital 27 0.00 29 -18.10 34 -6.15 GRAND TOTAL 9,625 -2.21 10,041 -3.34 10,396 -2.65 5 Total Patient Days 6 7 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 Medical Center 79 -1.25 90 6.69 94 16.94 George Washington University Hospital 66 34.69 55 7.84 65 1.82 Howard University Hospital 60 9.09 57 5.52 62 16.36 MedStar Georgetown University Hospital 30 -9.09 35 11.83 34 1.00 MedStar Washington Hospital Center 137 -24.73 154 -12.83 176 6.71 Providence Hospital* Sibley Memorial Hospital 41 -8.89 46 -1.43 47 -6.48 United Medical Center 90 13.92 94 32.39 97 46.55 ACUTE TOTAL 503 -3.82 531 3.10 576 -5.45 Specialty Psychiatric Institute of Washington 417 18.47 409 11.14 404 18.32 Saint Elizabeths Hospital 33 10.00 34 3.03 35 -5.36 GRAND TOTAL 953 5.30 974 6.33 1,015 2.77 PSYCH DISCHARGES Acute Children's National Medical Center 76 -13.64 90 1.12 96 8.35 George Washington University Hospital* 65 16.07 51 0.00 64 0.52 Howard University Hospital 52 -16.13 57 1.18 64 15.94 MedStar Georgetown University Hospital 30 -9.09 35 11.83 34 1.00 MedStar Washington Hospital Center 134 -14.10 151 -6.40 173 9.51 Providence Hospital* Sibley Memorial Hospital 43 -2.27 45 0.00 47 -5.03 United Medical Center 0 -100.00 63 -12.09 90 27.22 ACUTE TOTAL 400 -22.63 450 -11.00 553 -10.88 Specialty Psychiatric Institute of Washington 425 18.06 407 11.01 403 18.12 Saint Elizabeths Hospital 27 0.00 29 -18.10 34 -6.15 GRAND TOTAL 852 -5.75 886 -2.39 990 -0.79 PSYCH PATIENT DAYS Acute Children's National Medical Center 742 15.40 770 25.54 703 30.30 George Washington University Hospital 429 -12.45 406 -15.88 395 -8.01 Howard University Hospital 276 27.19 247 21.08 238 21.73 MedStar Georgetown University Hospital 264 22.79 283 14.71 272 12.32 MedStar Washington Hospital Center 1,079 15.77 1,163 11.79 1,172 17.77 Providence Hospital* Sibley Memorial Hospital 345 -31.95 372 -20.55 390 -18.35 United Medical Center 605 24.74 589 7.81 599 25.23 ACUTE TOTAL 3,740 7.19 3,830 6.34 3,770 -0.22 Specialty Psychiatric Institute of Washington 3,325 36.38 3,458 38.91 3,210 27.04 Saint Elizabeths Hospital 7,660 1.78 8,110 0.82 7,959 -1.76 GRAND TOTAL 14,725 9.46 15,398 8.93 14,938 3.69 *Providence Hospital discontinued Psych Service Line in December 2017 Note: Hospital averages are rounded; therefore, their sums may not match totals. Hospital figures are self-reported. 8 Psych Admissions - Acute Care Hospitals - previous 15 months Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 CNMC 77 97 80 103 100 107 89 70 82 93 120 97 99 93 79 GWUH 55 49 49 67 70 54 76 68 56 73 84 70 46 53 66 HUH 49 59 55 63 63 62 77 64 58 64 65 59 53 59 60 MGUH 27 33 33 23 37 33 25 29 38 35 45 35 36 38 30 MWHC 161 187 182 175 195 205 196 179 173 173 185 171 158 167 137 SMH 47 48 45 48 46 56 47 40 58 42 45 43 45 52 41 UMC 64 70 79 81 71 108 80 99 125 116 110 96 100 92 90 TOTAL 480 543 523 560 582 625 590 549 590 596 654 571 537 554 503 lowest month/hospital highest month/hospital 9 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 10.00 38 13.86 36 5.45 Specialty MedStar National Rehabilitation Hospital 173 8.81 164 -6.83 166 -2.45 GRAND TOTAL 173 -8.47 191 -8.76 198 -2.50 REHAB DISCHARGES Acute George Washington University Hospital* 33 0.00 38 0.00 36 0.00 Specialty MedStar National Rehabilitation Hospital 169 9.03 159 -8.62 165 -2.80 GRAND TOTAL 202 8.60 197 -5.14 201 -1.60 REHAB PATIENT DAYS Acute George Washington University Hospital 412 7.29 433 2.93 405 -3.91 Specialty MedStar National Rehabilitation Hospital
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