Utilization and Volume Chapter 3: Utilization and Volume

Chart 3.1: Inpatient Admissions in Community Hospitals 1981 - 2004 Millions Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981 – 2004, for community hospitals. 3-2

Chart 3.2: Total Inpatient Days in Community Hospitals 1981 - 2004 Millions Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981 – 2004, for community hospitals. 3-3

Chart 3.3: Inpatient Admissions per 1,000 Persons 1981 - 2004 Per Thousand Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981 – 2004, for community hospitals and US Census Bureau: State and County QuickFacts, 2004 population estimate data derived from Population Estimates, 2000 Census of Population and Housing 3-4

Chart 3.4: Inpatient Days per 1,000 Persons 1981 - 2004 Per Thousand Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981 – 2004, for community hospitals and US Census Bureau: State and County QuickFacts, 2004 population estimate data derived from Population Estimates, 2000 Census of Population and Housing 3-5

Chart 3.5: Average Length of Stay in Community Hospitals 1981 - 2004 Days Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981 – 2004, for community hospitals 3-6

Chart 3.6: Average Length of Stay in Community Hospitals by State 2004 RI 5.3 Days DE 6.2 Days DC 7.0 Days 4.0 to 4.9 Days 5.0 to 6.9 Days 7.0 to 8.9 Days > 9 Days Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 2004, for community hospitals 3-7

Chart 3.7: Emergency Department Visits and Emergency Departments(1) in Community Hospitals 1991 - 2004 Number of ED Visits (Millions) Emergency Departments ED Visits Emergency Departments Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1991 – 2004, for community hospitals (1) Defined as hospitals reporting ED visits 3-8

Chart 3.8: Hospital Emergency Department Visits per 1,000 Persons 1991 - 2004 Per Thousand Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1991 – 2004, for community hospitals and US Census Bureau: State and County QuickFacts, 2004 population estimate data derived from Population Estimates, 2000 Census of Population and Housing 3-9

Chart 3.9: Percent of Hospitals Reporting Emergency Department Capacity Issues by Type of Hospital 2005 69% 33% 79% 43% 48% ED is “At” Capacity ED is “Over” Capacity Source: American Hospital Association 2005 Survey of Hospital Leaders 3-10

Chart 3.10: Percent of Hospitals Reporting Time on Ambulance Diversion in Last 12 Months January 2005 Percentage of Hospitals Source: American Hospital Association 2005 Survey of Hospital Leaders 3-11

Chart 3.11: Conditions Hospitals Reported as Number One Factor Contributing to Ambulance Diversions January 2005 Percentage of Hospitals Source: American Hospital Association 2005 Survey of Hospital Leaders 3-12

Chart 3.12: Total Hospital Outpatient Visits in Community Hospitals 1981 - 2004 Millions Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981 – 2004, for community hospitals 3-13

Chart 3.13: Hospital Outpatient Visits per 1,000 Persons 1981 - 2004 Per Thousand Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981-2004, for community hospitals and US Census Bureau: State and County QuickFacts, 2004 population estimate data derived from Population Estimates, 2000 Census of Population and Housing 3-14

Chart 3. 14: Percentage Share of Inpatient vs Chart 3.14: Percentage Share of Inpatient vs. Outpatient Surgeries 1981 - 2004 Inpatient Surgeries Outpatient Surgeries Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981 – 2004, for community hospitals 3-15