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This comprehensive analysis examines the trends in inpatient admissions, inpatient days, and outpatient visits in community hospitals from 1980 to 2002. Utilizing data from The Lewin Group and the American Hospital Association, the report presents key insights into average lengths of stay, emergency department visits, and the share of inpatient versus outpatient surgeries. The findings highlight the shifting landscape of healthcare services in community settings and address the increasing challenge of emergency department capacity over the years.
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Chapter 3: Utilization and Volume
Chart 3.1:Inpatient Admissions in Community Hospitals1980 - 2002 Millions Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals. Chart 3.2:Total Inpatient Days in Community Hospitals1980 - 2002 Millions Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals 33
Chart 3.3:Inpatient Admissions per 1,000 Persons1980 - 2002 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals and US Census Bureau data Chart 3.4:Inpatient Days per 1,000 Persons1980 - 2002 Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals and US Census Bureau data 34
Chart 3.5:Average Length of Stay in Community Hospitals1980 - 2002 Days Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals Chart 3.6:Average Length of Stay in Community Hospitalsby State2002 RI 5.3 Days DE 5.9 Days DC 6.8 Days 4.0 to 4.9 Days 5.0 to 6.9 Days 7.0 to 8.9 Days ³ 9 Days Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 2002, for community hospitals 35
Chart 3.7:Emergency Department Visitsand Emergency Departments(1) in Community Hospitals1990 - 2002 Number of ED Visits(Millions) Emergency Departments ED Visits Emergency Departments Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1990 – 2002, for community hospitals (1) Defined as hospitals reporting ED visits Chart 3.8:Hospital Emergency Department Visits per 1,000 Persons1990 - 2002 ED Visits Per Thousand Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1990 – 2002, for community hospitals and US Census Bureau data 36
ED is “Over” Capacity ED is “At” Capacity Chart 3.9: Percent of Hospitals Reporting Emergency Department Capacity Issues by Type of Hospital 2004 64% 30% 77% 44% 48% Source: American Hospital Association 2004 Survey of Hospital Leaders Chart 3.10: Percent of Hospitals Reporting Time on Ambulance Diversion in Last 12 Months January 2004 Percentage of Hospitals Source: American Hospital Association 2004 Survey of Hospital Leaders 37
Chart 3.11: Conditions Hospitals Reported as Number One Factor Contributing to Ambulance Diversions 2003 – 2004 Percentage of Hospitals Source: American Hospital Association 2004 Survey of Hospital Leaders 38
Chart 3.12:Total Hospital Outpatient Visitsin Community Hospitals1980 - 2002 Millions Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals Chart 3.13:Hospital Outpatient Visits per 1,000 Persons1980 - 2002 Per Thousand Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals and US Census Bureau data 39
Chart 3.14:Percentage Share of Inpatient vs. Outpatient Surgeries1980 - 2002 InpatientSurgeries OutpatientSurgeries Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1980 – 2002, for community hospitals 40
