June 2020
Volume
Volume by Region *
For the third consecutive month, hospitals across all regions saw volumes fall year-over-year and compared to budget for five of six metrics: Discharges, Adjusted Discharges, Adjusted Patient Days, ED Visits, and Operating Room Minutes.
The Northeast/Mid-Atlantic saw the greatest decreases across Discharges, Adjusted Discharges, ED Visits, and Operating Room Minutes. The region saw Adjusted Discharges decrease 38% year-over-year and fall 37% below budget, ED Visits fall about 39% both year-over-year and compared to budget, and Operating Room Minutes drop 60% year-over-year and 58% below budget.
The West saw the smallest decreases for adjusted volume metrics, falling 21% both year-over-year and compared to budget for Adjusted Discharges, and down 17% year-over-year and 18% below budget for Adjusted Patient Days.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
The Great Plains, however, had the smallest decreases for both ED Visits and Operating Room Minutes. The region saw ED Visits decline 20% year-over-year and fall 18% below budget, while Operating Room Minutes were down just 12% year-over-year and 9% below budget.
For Average LOS, hospitals in the Great Plains were down year-over-year but above budget, while the Midwest was up year-over-year but below budget. All other regions saw increases both year-over-year and compared to budget. The Northeast/Mid-Atlantic saw the greatest increases, jumping 21% year-over-year and 18% above budget.
National Volume Observations
Volumes saw a similar pattern, with decreases year-over-year and to budget across most measures, but increases month-over-month as hospitals slowly began to see volumes recover. Discharges rose 18% month-over-month, but fell 19% year-over-year and 20% below budget.
Adjusted Discharges were up 30% month-over-month, but down 27% year-over-year and 26% below budget, while Adjusted Patient Days rose 28% month-over-month, and were down 23% both year-over-year and to budget.
Operating Room Minutes saw the biggest increase of any volume metric, jumping 92% compared to prior month due to some recovery from the devastatingly low April volumes. However, Operating Room Minutes were down 29% compared to the same period last year and 32% below budget. Emergency Department (ED) Visits increased 22% compared to April, but fell 33% both year-over-year and compared to budget.
Average Length of Stay (LOS) remained relatively steady. This metric was essentially flat month-over-month, and up just 3% year-over-year and compared to budget.
Unless noted, figures are Actuals and Medians
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
Discharges
(20.4%)
17.6%
(19.2%)
discharges.svg
Adjusted Discharges
(26.1%)
30.0%
(27.4%)
adjusted_discharges.svg
Adjusted Patient Days
(22.9%)
27.6%
(23.2%)
adjusted_patient_days.svg
Average Length of Stay
3.1%
(0.1%)
3.3%
average_length_of_stay.svg
ED Visits
(33.4%)
22.3%
(33.3%)
ed_visits.svg
Operating Room Minutes
(31.8%)
91.6%
(29.3%)
operating_room_minutes.svg
Volume by Bed Size
Also for the third consecutive month, hospitals across all bed-size cohorts experienced declines both year-over-year and to budget for Discharges, Adjusted Discharges, Adjusted Patient Days, ED Visits, and Operating Room Minutes.
The nation’s smallest hospitals with 0-25 beds saw the greatest decreases for Discharges and Adjusted Patient Days. The cohort was down 25% year-over-year and 32% below budget for Discharges, and fell about 29% both year-over-year and to budget for Adjusted Patient Days.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Hospitals with 0-25 beds also had the greatest decrease to budget for Adjusted Discharges at 31% below budget, but hospitals with 200-299 beds saw the greatest year-over-year decrease for this metric, down 32%. Hospitals with 200-299 beds also saw the greatest declines both year-over-year and compared to budget for ED Visits (down 35% for both measures) and Operating Room Minutes (down 41% year-over-year and 39% below budget). Five of six bed-size cohorts saw increases both year-over-year and to budget for Average LOS. Larger 300-499 bed hospitals saw the biggest year-over-year increase of 6%, while smaller hospitals with 26-99 beds saw the biggest increase to budget of 10%. Hospitals with 0-25 beds were an outlier for this metric, with Average LOS falling 4% year-over-year, but 7% above budget for the month.
©2020 Kaufman, Hall & Associates, LLC
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