September 2018
Volume
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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.
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