August 2018
Volume
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Volume by Region ?
Geographically, performance varied across all metrics. Hospitals in the Southern region experienced volume growth across the board while lowering length of stay, outperforming all other regions year over year.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
National Volume Observations
Hospital volumes rebounded from the negative trends seen last month and continue to outperform budget expectations. Patient days, discharges, adjusted patient days, and OR minutes were all up year over year and/or month over month. In addition to volume increases, length of stay was down. These trends typically would drive strong financial performance over the near term, and will continue to be monitored in the coming months. One concerning trend is OR minutes, which declined month over month for the second straight month, underperforming budget in both. The outperformance of adjusted patient days and adjusted discharges shows that the growth of hospital outpatient business continues its upward trend, building further stability into the long-term financial picture.
Unless noted, figures are Actuals and Medians
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
Discharges
2%
2%
6%
Adjusted Discharges
4%
0%
5%
Adjusted Patient Days
4%
2%
3%
Average Length of Stay
-1%
2%
-3%
ED Visits
0%
2%
3%
Operating Room Minutes
-2%
-5%
4%
By Region
By Bed Size
National Observations
Volume by Bed Size
The outlier relative to bed size was the small hospital grouping (<25 beds), which varied significantly from budget expectations—to both the positive and negative. This performance underscores the challenges facing small, typically rural critical access hospitals, as they manage their business in a challenging market environment.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
By Region
By Bed Size
National Observations
©2018 Kaufman, Hall & Associates, LLC
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