Chartbook Section 8

Health Care Providers and Service Availability

Section 8: Health Care Providers and Service Availability

• Hospital capacity, services offered, and system affiliation

• Utilization of hospital services

• Hospital financial trends, capital expenditures, and community benefit

• Availability of physician clinic services

• Availability of diagnostic imaging services

• Availability of freestanding outpatient surgical services

This slide deck is part Minnesota’s Health Care Markets Chartbook, an annual review of key metrics in health care access, coverage, market competition and health care costs (MN Statutes, Section 144.70)

A summary of the charts and graphs contained within is provided at Chartbook Summaries - Section 8. Direct links are listed on each page. Please contact the Health Economics Program at 651-201-3550 or health.hep@state.mn.us if additional assistance is needed for accessing this information.

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Hospital Capacity, Services, and System Affiliation

Hospital Capacity in Minnesota, 2019

Number of Hospitals1

Available Beds2

Occupancy Rate Based on Available Beds

LicensedBeds3

Occupancy Rate Based on Licensed Beds

Available Beds Per 1,000

Population

128 11,387 60.3% 16,134 42.5% 2.0

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1Phillips Eye Institute merged with Abbott Northwestern Hospital under one license in 2019.2Available beds is defined as the number of acute care beds that are immediately available for use or could be brought online within a short period of time.3Licensed beds is defined as the number of beds licensed by the Department of Health, under Minnesota Statutes, sections 144.50 to 144.58.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Regional Hospital Capacity in Minnesota, 2019

Number of Hospitals1

Available Beds2

Available Beds Per 1,000

Population

Occupancy Rate Based on Available Beds

Licensed Beds3

Occupancy Rate Based on Licensed Beds

Central 18 1,066 1.4 50.3% 1,351 39.7%

Metro 24 5,870 1.9 73.3% 8,544 50.4%

Northeast 17 1,120 3.4 51.1% 1,377 41.5%

Northwest 12 334 2.0 30.1% 410 24.5%

South Central 15 479 1.6 40.5% 769 25.2%

Southeast 10 1,652 3.3 59.4% 2,528 38.8%

Southwest 23 541 2.5 16.3% 679 13.0%

West Central 9 325 1.4 26.5% 476 18.1%

Total 128 11,387 2.0 60.3% 16,134 42.5%

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1Phillips Eye Institute merged with Abbott Northwestern Hospital under one license in 2019.2Available beds is defined as the number of acute care beds that are immediately available for use or could be brought online within a short period of time.3Licensed beds is defined as the number of beds licensed by the Department of Health, under Minnesota Statutes, sections 144.50 to 144.58.Regions are defined from the State Community Health Services Advisory Committee found here: http://www.health.state.mn.us/schsac/. Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Available Minnesota Hospital Beds per 1,000 Population by SCHSAC Region, 2019

6Regions are defined from the State Community Health Services Advisory Committee found here: http://www.health.state.mn.us/schsac/. Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of image

Distribution of Minnesota’s Hospitals by Size and Region

Available Beds in 2019

Under 25 Beds

25-49Beds

50-99Beds

100-199 Beds

200 or More Beds Total

Central 22.2% 55.6% 11.1% 5.6% 5.6% 100%

Metro 4.2% 8.3% 25.0% 16.7% 45.8% 100%

Northeast 47.1% 17.6% 17.6% 5.9% 11.8% 100%

Northwest 50.0% 41.7% 0% 8.3% 0% 100%

South Central 46.7% 46.7% 0% 6.7% 0.0% 100%

Southeast 40.0% 40.0% 10.0% 0% 10.0% 100%

Southwest 52.2% 43.5% 4.3% 0% 0% 100%

West Central 33.3% 44.4% 22.2% 0% 0% 100%

Statewide 35.2% 35.2% 11.7% 6.3% 11.7% 100%

7Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Available Minnesota Hospital Bed Occupancy Rate by Region, 2019

8Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of image

Services Available in Minnesota Hospitals, 2019

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Number of Hospitals with Services Available1

Number of Hospitals with Services

Not AvailableSurgery

Inpatient Surgery 120 8Outpatient Surgery 126 2Open-Heart Surgery Services 18 110Organ Transplant Services 5 123

Mental Health/Chemical Dependency Services

Outpatient Psychiatric Services 70 58Detoxification Services 24 104

Diagnostic Radiology

Computer Tomography (CT) Scanning Services 128 0

Magnetic Resonance Imaging (MRI) Services 126 2

Positron Emission Tomography (PET) Services 8 120Single Photon Emission Computerized Tomography (SPECT) Services 59 69

Other ServicesRenal Dialysis Services 38 90Cardiac Catheterization Services 24 104

1Services are considered “available” when they are provided on site by hospital staff, on site through contracted services, or off site through shared services agreement.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Trends in Minnesota Hospital Ambulance Diversions

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Diversion Status 2016 2017 2018 2019 2020Increase 2016

to 2020

Emergency Department (any) 812 930 978 1,014 875 63

Mental Health (any) 567 555 597 695 630 63

Trauma (any) 188 226 209 268 238 50

Non-mental health closures (any) 2,202 2,361 2,398 2,187 2,661 459

All Closures 2,769 2,916 2,995 2,842 3,243 474

Source: MDH Health Economics Program analysis of MN Trac Data, February 2021. Ambulances may be diverted for multiple reasons. See the MDH MN Trac website for additional information on this data source here: http://www.health.state.mn.us/oep/responsesystems/mntrac.html

Ownership of Minnesota Hospitals, 2019

11Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

Minnesota Hospitals Affiliated with a Health Care System

12Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

Minnesota Hospital System, 2019

Owned Managed Leased Total Available Beds

Sanford Health 7 5 3 15 415

M Health Fairview 11 0 0 11 2,073

Mayo Clinic 11 0 0 11 1,709

Essentia Health 10 0 1 11 766

Allina Health System 10 0 0 10 1,824

CentraCare Health System 5 1 3 9 696

Catholic Health Initiatives 4 0 0 4 90

HealthPartners, Inc. 3 0 0 3 591

Park Nicollet Health Services 2 1 0 3 416

Ridgeview Medical Center 3 0 0 3 121

Avera Health 2 1 0 3 80

North Memorial Health Care 2 0 0 2 458

St. Luke's Hospital, Duluth 1 1 0 2 283

Other1 4 0 0 4 398

Total 75 9 7 902 9,920

Unaffiliated Hospitals 38 1,468

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1Systems with only one hospital each, including: Lake Region Healthcare - Fergus Falls, Children's Hospitals and Clinics, Ascension Health, and Select Medical Corporation.2Hospitals with multiple affiliations are counted under each affiliation and available beds are divided across systems equally. Health care systems are ordered by total number of hospitals in descending order.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Available Minnesota Hospital Beds by Health System Affiliation, Select Years

Only includes systems with five or more hospitals in 2019.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph 14

Box

Minnesota Hospital Offsite Clinics, Select Years

2014 2019 Increase2014 to 2019

All Clinics 791 793 0.3%

Clinics that Billed as a Hospital1 575 544 -5.4%

All Other Clinics (Not Billed as a Hospital) 216 249 15.3%

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1 Locations identified as "Billed as a Hospital" are considered hospital outpatient clinics, as they are billed under the hospital's Medicare and Medicaid provider number; revenue from these clinics is included in hospital revenue.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Composition of Minnesota’s Hospital Workforce, 2019

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1 Includes nurse anesthetists, nurse practitioners, and physician assistants.2Other is reported as grouped category of positions and includes both patient care and non-patient care employees.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

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2

Utilization of Hospital Services

Minnesota Hospital Outpatient Visits and Inpatient Admissions

18Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

Average Length of Stay in Minnesota Hospitals

19Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

Average Length of Stay: Rural and Urban Minnesota Hospitals

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Hospital rural/urban classification is based on hospital location in relation to Rural-Urban Commuting Areas. Isolated rural, small rural town, and large rural city are combined under the “Rural” category. Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

Minnesota Hospital Utilization by Region, 2019

Inpatient Admissions

Inpatient Days

Average Length of Stay (days)

Outpatient Visits

Central 51,303 195,596 3.8 1,657,983

Metro 320,190 1,570,634 4.9 4,575,654

Northeast 41,988 208,718 5.0 2,037,008

Northwest 10,353 36,697 3.5 625,254

South Central 18,309 70,796 3.9 952,765

Southeast 46,977 358,428 7.6 1,717,388

Southwest 10,627 32,147 3.0 469,716

West Central 10,148 31,424 3.1 869,349

Statewide 509,895 2,504,440 4.9 12,905,117

21Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Total Inpatient Days and Outpatient Visits in SCHSAC Regions, 2019

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Note: Total Inpatient Hospital Days and Total Outpatient Hospital Visits are based on the location of the hospital, rather than the location of the patient.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of image

Total Outpatient Hospital Visits in SCHSAC Regions per 1,000 Population, 2019

Total Inpatient Hospital Days in SCHSAC Regions per 1,000 Population, 2019

Distribution of Hospital Admissions and Inpatient Days by Type of Service, 2019

Percent of Admissions1

Percent of Inpatient Days1

Medical & surgical care 38.0% 36.5%

Orthopedic care 13.4% 9.1%

Cardiac care 13.3% 12.0%

Obstetric care 13.3% 6.8%

Other acute care 9.2% 9.2%

Neurology care 7.2% 7.7%

Psychiatric care 6.2% 11.8%

Neonatal care (excluding births) 6.1% 6.6%

Chemical dependency care 2.2% 2.4%

Rehabilitation 0.1% 0.3%

Total acute care 100% 100%

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1Total Acute Care Admissions and Inpatient Days do not include inpatient transfers to different services during a hospital stay.Services are ordered by percent of admissions in descending order.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Distribution of Rural & Urban Hospital Admissions and Inpatient Days by Type of Service, 2019

Rural Urban

Percent of Admissions1

Percent of Inpatient Days1

Percent of Admissions1

Percent of Inpatient Days1

Medical & surgical care 42.2% 42.4% 37.3% 35.8%

Obstetric care 16.6% 10.8% 12.7% 6.3%

Orthopedic care 13.6% 11.4% 13.4% 8.8%

Cardiac care 9.5% 8.7% 13.9% 12.3%

Other acute care 7.4% 6.9% 9.5% 9.4%

Psychiatric care 6.4% 14.9% 6.2% 11.4%

Neonatal care (excluding births) 5.1% 3.8% 6.3% 6.9%

Neurology care 3.1% 3.7% 8.0% 8.1%

Chemical dependency care 1.4% 2.4% 2.3% 2.4%

Rehabilitation 0.0% 0.1% 0.1% 0.3%

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1Column will total to more than 100% due to some inpatient stays in more than one service line.Services are ordered by rural percent of admissions in descending order.Hospital rural/urban classification is based on hospital location in relation to Rural-Urban Commuting Areas. Isolated rural, small rural town, and large rural city are combined under the “Rural” category. Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Trend in Outpatient Service Utilization at Minnesota Hospitals

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YearOutpatient Surgeries

(Thousands)

Outpatient Surgeries per 1,000 in Population ED visits (Thousands)

ED visits per 1,000 in Population

2009 403 77 1,703 325

2010 419 79 1,693 319

2011 415 78 1,748 327

2012 422 78 1,816 338

2013 429 79 1,833 338

2014 430 79 1,823 334

2015 448 82 1,919 350

2016 438 79 1,918 347

2017 453 81 1,918 344

2018 437 79 1,952 353

2019 433 78 1,967 354

Source: U.S. Census, MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

Hospital Financial Trends

Net Assets of Minnesota Hospitals

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Net assets is an accounting term defining the total assets minus the total liabilities, and describes the hospital’s financial position.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

Net Income of Minnesota Hospitals

28Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

Minnesota Hospitals' Net Income as a Percent of Revenue

29Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of graph

Minnesota Hospital Financial Indicators by Region, 2019

Net Income ($ Millions)

Net Income as a percent of Revenue

Central $179.7 8.4%

Metro $512.9 4.6%

Northeast $151.8 7.3%

Northwest $41.3 7.3%

South Central $55.0 6.4%

Southeast $954.5 25.3%

Southwest $32.9 5.8%

West Central $36.4 6.1%

Statewide $1,964.4 9.1%

30Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Minnesota Hospital Net Income as a Percent of Revenue by Region, 2019

31Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.Summary of image

Minnesota Hospital Financial Indicators by Hospital Size and Type, 2019

Number of Available BedsNet Income($ Millions)

Net Income as a percent of Revenue

Under 25 Beds $19.5 2.0%

25 to 49 Beds $172.1 6.7%

50 to 99 Beds $99.1 4.5%

100 to 199 Beds $144.3 6.9%

200 Beds or More $1,529.5 11.1%

Type of Hospital1

Critical Access Hospital (CAH) $150.9 6.4%

PPS $1,813.8 9.5%

Other -$0.3 -0.2%

All Hospitals $1,964.4 9.1%

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1A critical access hospital is a federal designation for a rural hospital that meets certain criteria and PPS hospitals are Medicare Prospective Payment System hospitals.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Sources of Patient Revenue for Minnesota Hospitals, 2018-2019

Rural Facilities

Urban Facilities

Facilities Statewide

2018 2019 2018 2019 2018 2019

Medicare 40.6% 40.3% 30.6% 30.6% 32.6% 32.6%

State Public Programs1 12.1% 11.3% 13.5% 13.4% 13.2% 13.0%

Private Insurance 42.4% 42.5% 51.9% 51.4% 50.0% 49.6%

Self-Pay 2.8% 3.3% 2.6% 2.8% 2.6% 2.9%

Other Payers 2.1% 2.5% 1.4% 1.9% 1.6% 2.0%

Hospital Patient Revenue, All Payers 100% 100% 100% 100% 100% 100%

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1Includes Medical Assistance and MinnesotaCare.Percent shown is a percent of Hospital Patient revenue.Hospital rural/urban classification is based on hospital location in relation to Rural-Urban Commuting Areas. Isolated rural, small rural town, and large rural city are combined under the “Rural” category. Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Capital Expenditure Commitments by Minnesota Hospitals, 2018-2019

2018 2019

Total number of capital expenditure commitments reported 92 102

Percent of Minnesota hospitals reporting major capital expenditure commitment 28.7% 28.9%

Value of major capital expenditure commitments reported (Millions) $1,326.5 $535.6

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Major spending commitments that are reportable under 62J.17 include expenditures in excess of $ 1 million.A small portion of capital expenditure data may belong to earlier reporting periods.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Minnesota Hospital Capital Expenditure Commitments by Type, 2019

Capital Expenditure Commitments

($ Millions)

Percent of Total Capital Expenditure

Commitments

Medical equipment $108.9 20.3%

Building and space $387.3 72.3%

Other $39.5 7.4%

All Major Capital Expenditure Commitments $535.6 100%

35Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Minnesota Hospital Capital Expenditure Commitment by Category, 2019

Capital Expenditure Commitments ($ Millions)

Percent of Total Capital Expenditure Commitments

General Infrastructure $178.4 33.3%

Other Patient Care Services $142.6 26.6%

Obstetrics $62.5 11.7%

Emergency Care $50.9 9.5%

Diagnostic Imaging $39.5 7.4%

Surgery $12.9 2.4%

Cardiac Care $11.6 2.2%

Radiation Therapy $10.3 1.9%

Mental Health $4.0 0.8%

Intensive Care (ICU or NICU) $1.6 0.3%

All Major Capital Projects $535.6 100%

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Major spending commitments that are reportable under 62J.17 include expenditures in excess of $ 1 million. Categories are ordered by commitment amount ($) in descending order.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Community Benefit Provided by Minnesota Hospitals, 2019

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Community Benefit1

($ Millions)Percent of Total Operating

Expenses

Direct Patient Care or Unreimbursed Services $1,058.0 5.4%

State Health Care Programs Underpayment $699.1 3.6%

Operating Subsidized Services $174.2 0.9%

Community Care $142.0 0.7%

Community Health Services $42.8 0.2%

Research & Education $220.3 1.1%

Education $209.5 1.1%

Research $10.8 0.1%

Financial and In-Kind Contributions $11.9 0.1%

Community Activities $20.9 0.1%

Community Benefit Operation $16.8 0.1%

Community Building Activities $4.1 0.0%

Total $1,311.1 6.7%

1Community benefit refers to the contributions hospitals make outside of reimbursed patient care to the communities, for the definitions of categories see: MDH/Health Economics Program, “Hospital Community Benefit Spending in Minnesota, 2013 to 2015” August, 2018, available at https://www.health.state.mn.us/data/economics/docs/legislative/commben2013to2015.pdf.Types of community benefit are grouped and ordered by benefit amount ($) in descending order.Source: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Distribution of Minnesota Hospitals’ Community Benefit, 2019

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Community benefit refers to the contributions hospitals make outside of reimbursed patient care to the communities, for the definitions of categories see: MDH/Health Economics Program, “Hospital Community Benefit Spending in Minnesota, 2013 to 2015” August, 2018, available at https://www.health.state.mn.us/data/economics/docs/legislative/commben2013to2015.pdf.Summary of graphSource: MDH Health Economics Program analysis of hospital annual reports, May 2021.

Availability of Physician Clinic Services

Number of Physicians Practicing in Minnesota, 2020

Number of Physicians: 18,736

Primary Care Physicians 5,675

Specialty Care Physicians 10,818

No Certification 2,243

Physicians for Every 100,000 Residents: 336.8

Primary Care Physicians 102.0

Specialty Care Physicians 194.5

No Certification 40.3

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Includes all physicians who have an active Minnesota license and a primary business address in Minnesota. “Primary Care” includes: General Family Medicine, General Internal Medicine, General Pediatrics. “No Certification” means there were no board certifications on the record received from the Minnesota Board of Medical Practice.Note: Due to methodology changes, past Chartbook data should not be used for comparison.Source: Minnesota Board of Medical Practices, March 2021. Analysis by MDH, Office of Rural Health & Primary Care and Health Economics Program.

Number of Physicians Practicing in Minnesota by RUCA, 2020

RUCA Classification1

Isolated Rural

Small Rural Town

Large Rural City Urban Statewide

Number of Physicians2 238 678 1,294 16,526 18,736

Primary Care Physicians 181 422 578 4,494 5,675

Specialty Care Physicians 35 205 624 9,954 10,818

Physicians for Every 100,000 Residents: 55.5 174.4 211.4 399.8 336.8

Primary Care Physicians 42.2 108.5 94.4 108.7 102.0

Specialty Care Physicians 8.2 52.7 102.0 240.8 194.5

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1RUCA refers to Rural-Urban Commuting Area, see Minnesota Health Workforce Analysis Survey Methodology (https://www.health.state.mn.us/data/workforce/method.html#ruca) for more information.2Includes all physicians who have an active Minnesota license and a primary business address in Minnesota. “Primary Care” includes: General Family Medicine, General Internal Medicine, General Pediatrics. “No Certification” means there were no board certifications on the record received from the Minnesota Board of Medical Practice.Note: Due to methodology changes, past Chartbook data should not be used for comparison. Previous data used physicians’ mailing address and methodology was changed to use physicians’ business practice address.Source: Minnesota Board of Medical Practices, March 2021. Analysis by MDH, Office of Rural Health & Primary Care and Health Economics Program.

Distribution of Number of Physicians Practicing in Minnesota by Location and Specialty, 2020

RUCA Classification1

Isolated Rural

Small Rural Town

Large Rural City Urban Statewide

Primary Care Physicians 76% 62% 45% 27% 30%

General Facility Based 1% 6% 10% 11% 11%

Surgeons 3% 11% 12% 8% 8%

Other Specialty Physicians 10% 13% 26% 41% 39%

No Certification 9% 8% 7% 13% 12%

All Specialties2 100% 100% 100% 100% 100%

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1RUCA refers to Rural-Urban Commuting Area, see Minnesota Health Workforce Analysis Survey Methodology (https://www.health.state.mn.us/data/workforce/method.html#ruca) for more information.2All specialties Includes all physicians who have an active Minnesota license and a primary business address in Minnesota. “Primary Care” includes: General Family Medicine, General Internal Medicine, General Pediatrics. “No Certification” means there were no board certifications on the record received from the Minnesota Board of Medical Practice.Note: Due to methodology changes, past Chartbook data should not be used for comparison. Previous data used physicians’ mailing address and methodology was changed to use physicians’ business practice address.Source: Minnesota Board of Medical Practices, March 2021. Analysis by MDH, Office of Rural Health & Primary Care and Health Economics Program.

Number of Primary Care and Specialty Care Clinics by Region in Minnesota, 2020

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1 Primary Care includes general family medicine, general internal medicine, and general pediatrics.2 This represents the number of clinics and does not account for patient population or number of practicing physicians.3 Specialty Care includes one or more non-primary care specialty.Source: MDH Health Economics Program analysis of the Physician Clinic Registry collected under Minnesota Statutes, Section 62U.02.

Primary Care1

Clinics2

Primary Care Clinics per

100,000

SpecialtyCare3

Clinics

Specialty Care Clinics per

100,000

Central 73 9.6 123 16.2

Metro 320 10.4 744 24.3

Northeast 40 12.3 39 12.0

Northwest 45 26.3 27 15.8

South Central 51 17.5 40 13.7

Southeast 47 9.3 31 6.1

Southwest 50 23.1 38 17.5

West Central 35 15.2 28 12.2

Statewide 661 11.9 1,070 19.2

Location of Minnesota Primary Care and Specialty Care Clinics, 2020

Primary Care Clinics, 2020

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Specialty Care Clinics, 2020

Notes: Dots represent the number of clinics and does not account for patient population or number of practicing physicians. Primary Care includes general family medicine, general internal medicine, and general pediatrics; Specialty Care includes one or more non-primary care specialty.Source: MDH Health Economics Program analysis of the Physician Clinic Registry collected under Minnesota Statutes, Section 62U.02. Summary of image

Number of Minnesota Primary Care Clinics for Medical Groups with 10 or More Clinics, 2020

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Medical Group Number of Clinics

Allina Health 56

Fairview Health Services 52

Essentia Health 44

Sanford Health 41

Mayo Clinic Health System 35

HealthPartners Clinics 32

CentraCare Health 28

Park Nicollet Health Services 28

Hennepin Healthcare 22

North Memorial 15

Children's Minnesota 14

Olmsted Medical Center 14

University of Minnesota Physicians 13

Avera Medical Group 12

Entira Family Clinics (formerly Family Health Services MN) 10

No Medical Group/All Other 245

Total Number of Primary Care Clinics 661

Primary Care includes general family medicine, general internal medicine, and general pediatrics.Medical groups are ordered by number of clinics in descending order.Source: MDH Health Economics Program analysis of the Physician Clinic Registry collected under Minnesota Statutes, Section 62U.02.

Availability of Diagnostic Imaging Services

Number of Magnetic Resonance Imaging (MRI) Scanners by Minnesota Region, 2019

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Diagnostic Imaging Center

MRIsHospital MRIs Total MRIs

Total MRIs per 100,000

Residents

Central 17 6 23 3.0

Metro 82 57 139 4.5

Northeast 13 7 19 5.8

Northwest 2 4 6 3.5

South Central 5 5 10 3.4

Southeast 29 13 42 8.3

Southwest 5 8 13 6.0

West Central 6 3 9 3.9

Statewide 158 103 261 4.7

Note: Due to methodology changes, past Chartbook data should not be used for comparison. Totals do not include mobile units registered out of state.Source: MDH Health Economics Program analysis of data from the Diagnostic Imaging Facility Utilization Report and Hospital Annual Report.

Location of Diagnostic Imaging Center & HospitalMagnetic Resonance Imaging Scanners (MRIs), 2019

48Source: MDH Health Economics Program analysis of data from the Diagnostic Imaging Facility Utilization Report and Hospital Annual Report.Summary of image

Diagnostic Imaging Center MRIs Hospital MRIs

Number of Computed Tomography (CT) and Other Advanced Imaging Scanners by Minnesota Region, 2019

49

Diagnostic Imaging Center CT & Other Advanced Imaging

Scanners

Hospital CT & Other Advanced Imaging

Scanners

Total CT & Other Advanced Imaging

Scanners

Total CT & Other Advanced Imaging

Scannersper 100,000 Residents

Central 25 23 48 6.3

Metro 68 129 197 6.4

Northeast 11 16 27 8.3

Northwest 13 13 26 15.2

South Central 11 13 24 8.3

Southeast 15 32 47 9.3

Southwest 11 22 33 15.2

West Central 10 6 16 7.0

Statewide 164 254 418 7.5

Note: The term ‘other advanced imaging’ includes positron emission tomography, single-photon emission computed tomography, and combination scanners. Due to methodology changes, past Chartbook data should not be used for comparison. Totals do not include mobile units registered out of state.Source: MDH Health Economics Program analysis of data from the Diagnostic Imaging Facility Utilization Report and Hospital Annual Report.

Location of Diagnostic Imaging Center Computed Tomography (CT), Other Advanced Imaging

Scanners, 2019

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Diagnostic Imaging Center CT and Other Advanced Imaging

Note: The term ‘other advanced imaging’ includes positron emission tomography, single-photon emission computed tomography, and combination scanners. Source: MDH Health Economics Program analysis of data from the Diagnostic Imaging Facility Utilization Report and Hospital Annual Report.Summary of image

Hospital CT and Other Advanced Imaging

Availability of Freestanding Outpatient Surgical Services

Location of Freestanding Outpatient Surgical Centers in Minnesota, 2019

52

Source: MDH Health Economics Program analysis of data from the Freestanding Outpatient Surgical Center Financial, Utilization, and Services Report.Summary of image

RegionNumber of

Freestanding Surgical Centers

Central 6

Metro 51

Northeast 4

Northwest 0

South Central 4

Southeast 1

Southwest 5

West Central 3

Statewide 74

Number of Freestanding Outpatient Surgical Registrations in Minnesota

53

Source: MDH Health Economics Program analysis of data from the Freestanding Outpatient Surgical Center Financial, Utilization, and Services Report.Summary of graph

Rural-Urban Commuting Areas (RUCA) & State Community Health Services Advisory Committee Regions (SCHSAC)

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SCHSAC Regions

Rural and urban areas are identified using the Rural-Urban Commuting Areas (RUCA). For more information on RUCA, visit: www.health.state.mn.us/data/workforce/method.html#ruca. Summary of image

Minnesota counties are grouped into State Community Health Services Advisory Committee (SCHSAC) Regions for state and local public health cooperation. For more information on SCHSAC, visit: www.health.state.mn.us/schsac/

Additional Information from the Health Economics Program Available Online

• Health Economics Program Home Page (www.health.state.mn.us/healtheconomics)

• Publications(https://publications.web.health.state.mn.us/?publishType=HEP)

• Health Care Market Statistics (Chartbook Updates) (https://www.health.state.mn.us/data/economics/chartbook/index.html)

A summary of the charts and graphs contained within is provided at Chartbook Summaries - Section 8. Direct links are listed on each page. Please contact the Health Economics Program at 651-201-3550 or health.hep@state.mn.us if additional assistance is needed for accessing this information.

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