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Chart 3.1 Inpatient Admissions in Community Hospitals 1981 - 2005 by vhh11441

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									TABLE OF CONTENTS
CHAPTER 3.0:   Utilization and Volume


               Chart 3.1:    Inpatient Admissions in Community Hospitals, 1981 – 2006
               Chart 3.2:    Total Inpatient Days in Community Hospitals, 1981 – 2006
               Chart 3.3:    Inpatient Admissions per 1,000 Persons, 1981 – 2006
               Chart 3.4:    Inpatient Days per 1,000 Persons, 1981 – 2006
               Chart 3.5:    Average Length of Stay in Community Hospitals, 1981 – 2006
               Chart 3.6:    Average Length of Stay in Community Hospitals by State, 2006
               Chart 3.7:    Emergency Department Visits and Emergency Departments in
                             Community Hospitals, 1991 – 2006
               Chart 3.8:    Hospital Emergency Department Visits per 1,000 Persons, 1991 – 2006
               Chart 3.9:    Percent of Hospitals Reporting Emergency Department Capacity Issues
                             by Type of Hospital, 2007
               Chart 3.10:   Percent of Hospitals Reporting Time on Ambulance Diversion in
                             Last 12 Months
               Chart 3.11:   Conditions Hospitals Reported as Number One Factor Contributing to
                             Ambulance Diversions, January 2007
               Chart 3.12:   Total Hospital Outpatient Visits in Community Hospitals, 1981 – 2006
               Chart 3.13:   Hospital Outpatient Visits per 1,000 Persons, 1981 – 2006
               Chart 3.14:   Percentage Share of Inpatient vs. Outpatient Surgeries, 1981 – 2006
Chart 3.1: Inpatient Admissions in Community Hospitals, 1981 – 2006


            37
            36
            35
            34
            33
 Millions




            32
            31
            30
            29
            28
            27
                 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for
community hospitals.
Chart 3.2: Total Inpatient Days in Community Hospitals, 1981 – 2006


            300


            260


            220
 Millions




            180


            140


            100
                  81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
Chart 3.3: Inpatient Admissions per 1,000 Persons, 1981 – 2006


                                     180
 Inpatient Admissions per Thousand




                                     160
                                     140
                                     120
                                     100
                                     80
                                     60
                                     40
                                     20
                                      0
                                           81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
US Census Bureau: National and State Population Estimates, July 1, 2006.
Link: http://www.census.gov/popest/states/tables/NST-EST2006-01.xls.
Chart 3.4: Inpatient Days per 1,000 Persons, 1981 – 2006


                               1,400

                               1,200
 Inpatient Days per Thousand




                               1,000

                                800

                                600

                                400

                                200

                                  0
                                       81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
US Census Bureau: National and State Population Estimates, July 1, 2006.
Link: http://www.census.gov/popest/states/tables/NST-EST2006-01.xls.
Chart 3.5: Average Length of Stay in Community Hospitals, 1981 – 2006


        9
            7.6
                  7.6
                        7.6
        8
                              7.3




                                                7.2
                                                      7.2

                                                            7.2
                                                                  7.2
                                                                        7.2
                                    7.1
                                          7.1




                                                                              7.1
                                                                                    7.0
                                                                                          6.7
                                                                                                6.5
        7




                                                                                                      6.2
                                                                                                            6.1
                                                                                                                  6.0
                                                                                                                        5.9
                                                                                                                              5.8
                                                                                                                                    5.7
                                                                                                                                          5.7
                                                                                                                                                5.7
                                                                                                                                                      5.6
                                                                                                                                                            5.6
                                                                                                                                                                  5.6
        6

        5
 Days




        4

        3
        2

        1

        0
            81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
Chart 3.6: Average Length of Stay in Community Hospitals by State,
2006




                                                                                                            RI 5.4 Days
                                                                                                            DE 6.4 Days
                                                                                                            DC 7.0 Days




                                                                                                          4.0 to 4.9 Days
                                                                                                          5.0 to 5.9 Days
                                                                                                          6.0 to 7.9 Days
                                                                                                         > 8 Days




Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
Chart 3.7: Emergency Department Visits and Emergency Departments(1)
in Community Hospitals, 1991 – 2006

                                                            ED Visits                       Emergency Departments
                                  120                                                                                      5,300

                                  115                                                                                      5,100
 Number of ED Visits (Millions)




                                                                                                                                   Emergency Departments
                                                                                                                           4,900
                                  110
                                                                                                                           4,700
                                  105
                                                                                                                           4,500
                                  100
                                                                                                                           4,300
                                  95
                                                                                                                           4,100
                                  90                                                                                       3,900
                                  85                                                                                       3,700
                                  80                                                                                       3,500
                                        91   92   93   94   95   96     97   98   99   00    01   02   03   04   05   06
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
(1) Defined as hospitals reporting ED visits in 2005 AHA Annual Survey.
Chart 3.8: Hospital Emergency Department Visits per 1,000 Persons,
1991 – 2006

                       410

                       390

                       370
 Visits per Thousand




                       350

                       330

                       310

                       290

                       270

                       250
                             91   92   93   94   95   96   97   98      99     00      01     02      03     04       05   06
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
US Census Bureau: National and State Population Estimates, July 1, 2006.
Link: http://www.census.gov/popest/states/tables/NST-EST2006-01.xls.
Chart 3.9: Percent of Hospitals Reporting Emergency Department
Capacity Issues by Type of Hospital, 2007

                                  ED is "At" Capacity               ED is "Over" Capacity

         Urban Hospitals                     30%                               35%           65%


          Rural Hospitals               20%             11%       31%


     Teaching Hospitals                     27%                                 46%                73%


Non-teaching Hospitals                    24%                   18%            42%


              All Hospitals               25%                      22%           47%


                               0%       10%       20%        30%         40%     50%   60%   70%    80%   90%
Source: American Hospital Association 2007 Survey of Hospital Leaders.
Chart 3.10: Percent of Hospitals Reporting Time on Ambulance Diversion
in Last 12 Months


         Urban                                                                 56%

          Rural                         17%

     Teaching                                                                        64%

Non-teaching                                            30%

 All Hospitals                                                36%

                  0%        10%         20%        30%         40%       50%   60%    70%   80%   90%
                                                         Percentage of Hospitals
Source: American Hospital Association 2007 Survey of Hospital Leaders.
Chart 3.11: Conditions Hospitals Reported as Number One Factor
Contributing to Ambulance Diversions, January 2007

     Lack of Staffed Critical Care Beds                                                       30%

                            ED Overcrowded                                                   29%

     Lack of General Acute Care Beds                                           17%

                             Staff Shortages                             12%

Lack of Specialty Physician Coverage                              7%

                Lack of Psychiatric Beds                    4%

                                                  0%               10%         20%           30%    40%
                                                                      Percentage of Hospitals
Source: American Hospital Association 2007 Survey of Hospital Leaders.
Chart 3.12: Total Hospital Outpatient Visits in Community Hospitals,
1981 – 2006

            600


            500


            400
 Millions




            300


            200


            100


             0
                      (1)
                  81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
(1) Due to a restructuring of this survey question in 1982, some respondents reported occasions of service rather
    than visits, resulting in an artificially large number of outpatient visits. In 1983, the survey reverted back to the
    original question, which remains the same today. To smooth the trend line to better reflect what was the actual
    number of visits, the 1982 data point in the chart is an average of the 1981 and 1983 figures. The number
    collected from the survey is reported in the appendix table but should be used with caution.
Chart 3.13: Hospital Outpatient Visits per 1,000 Persons, 1981 – 2006


                       2,500


                       2,000
 Visits per Thousand




                       1,500


                       1,000


                        500


                          0
                                   (1)
                               81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
US Census Bureau: National and State Population Estimates, July 1, 2006.
Link: http://www.census.gov/popest/states/tables/NST-EST2006-01.xls.
(1)  Due to a restructuring of this survey question in 1982, some respondents reported occasions of service rather than
     visits, resulting in an artificially large number of outpatient visits. In 1983, the survey reverted back to the original
     question, which remains the same today. To smooth the trend line to better reflect what was the actual number of
     visits, the 1982 data point in the chart is an average of the 1981 and 1983 figures. The number collected from the
     survey is reported in the appendix table but should be used with caution.
Chart 3.14: Percentage Share of Inpatient vs. Outpatient Surgeries,
1981 – 2006

                          100%

                                                                                                                      Inpatient
                          80%                                                                                         Surgeries
Percentage of Surgeries




                          60%


                          40%
                                                                                                                      Outpatient
                                                                                                                      Surgeries
                          20%


                           0%
                                 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.

								
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