September 2018
Volume
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Volume by Region ?
Midwest hospitals under-performed relative to budget in all volume categories, while hospitals in the Great Plains performed favorably to budget. Additionally, August reversed the trend of decreased length of stay relative to the prior year, with most regions having higher patient days than last year and a decrease in discharges.
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
Adjusted Patient Days
Adjusted Discharges
ED Visits
OR Minutes
National Volume Observations
Volumes continued to illustrate a shift from inpatient to outpatient, with a 3 percent year-over-year decline in inpatient discharges and a 1 percent increase in adjusted discharges. However, both inpatient and adjusted discharges increased relative to the month prior at 6 percent and 2 percent growth, respectively. On average, hospitals met or lagged behind budgeted volumes. While it did not adversely affect profitability in August, hospitals will need to continue to manage expenses if these trends continue. Emergency department visits reversed July’s growth, with hospitals overall experiencing a 2 percent decrease relative to prior month and a 3 percent decrease relative to 2017. Operating room minutes were flat relative to prior year, but increased 8 percent over the previous month.
Unless noted, figures are Actuals and Medians
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
Discharges
(2.8%)
2.5%
(2.9%)
Adjusted Discharges
(0.3%)
5.7%
1.3%
Adjusted Patient Days
0.1%
2.8%
1.3%
Average Length of Stay
(1.8%)
(1.9%)
1.1%
ED Visits
(5.0%)
(2.2%)
(3.2%)
Operating Room Minutes
(1.7%)
8.1%
0.3%
By Region
By Bed Size
National Observations
Volume by Bed Size
Hospitals of all sizes experienced decreases in inpatient discharges and ED visits relative to both prior year and budget. On average, larger hospitals experienced the largest negative budget variance in adjusted discharges, while only hospitals with less than 100 beds exceeded equivalent discharge budgets. Most bed sizes also experienced an increase in average length of stay, with increased volumes and decreased discharges.
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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