Chapter 3: Utilization and Volume

1. Chapter 3: Utilization and Volume

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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