mayview regional service area
DESCRIPTION
Mayview Regional Service Area. Community Inpatient Utilization July 2006 – Oct 2011. Findings Tracking since July 2006. For the region, inpatient admissions, as well as readmissions, per month have slowly decreased over the period. - PowerPoint PPT PresentationTRANSCRIPT
Mayview Regional Service Area
Community InpatientUtilization
July 2006 – Oct 2011
1
FindingsTracking since July 2006
• For the region, inpatient admissions, as well as readmissions, per month have slowly decreased over the period.
• For the region, Average Length of Stay has trended upward. The Median Length of Stay, however, usually falls within five to six days.
• Total Inpatient Days per month has trended nearly flat over time.
2* Upon request, Lawrence and Greene Counties, are no longer included in the analysis.
Inpatient Admissions
• For the region, there continues to be a downward trend.
3
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110
100
200
300
400
500
600
700
800
R² = 0.638063059522645
MRSAP RegionCommunity Acute Psychiatric
Inpatient Admissions
Admissions Linear (Admissions)* Adult, Healthchoices Only* Adult, Healthchoices Only
Inpatient Admissions
• Admissions per month continue to trend downward.
4
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110
100
200
300
400
500
600
557
480
551550510
489
543571
530541501
460
516
449
548529
479492524
477506523
446473
515
437
509498498
444465483
449466
416421
476
408
470427443440
503494454459
416388
415
353
437401384
406421401
368379406
371380355
409431
464428
458451
370384
R² = 0.637226249621444
Allegheny CountyCommunity Acute Psychiatric
Inpatient Admissions
Admissions Linear (Admissions)* Adult, Healthchoices Only* Adult, Healthchoices Only
Inpatient Admissions
• Monthly admissions vary widely.
5
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110
10
20
30
40
50
60
70
65
34
58
51
4245
47
55
3941
4847
52
29
41
5251
38
51
4442
48
36
43
59
34
41
60
46
30
5349
44
3639
21
50
3236
42
5155
50
63
42
53
35
28
50
30
46
36
4545
5249
4443
37
3129
34
44
38
50
42
32
40
4743
R² = 0.082285477855081
Beaver CountyCommunity IP-MH Admissions
Admissions Polynomial (Admissions)* Adult, Healthchoices Only
Inpatient Admissions
• Admissions vary, however, overall trend is slightly downward.
6
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110
10
20
30
40
50
60
70
65
44
56
4848
65
55
4850
57
48
4038
59
53
31
47
39
5152
4647
3741
60
48
55
50495352
4541
51
3839
51
40
4543
48
42
3738
33
28
393943
40
51
44
60
475051
4042
37
484947
54
47
40
56
37
32
5049
R² = 0.188710116034616
Washington CountyCommunity IP-MH Admissions
Admissions Polynomial (Admissions)* Adult, Healthchoices Only
Inpatient Admission Rate
• Allegheny shows the highest admission rate, with an average of 6.88 admissions per 1000 enrollees vs. 4.07 in the two other counties.
7
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
MRSAP RegionCommunity IP-MH Admission Rate Per 1,000 Enrollees
Allegheny vs. Other Counties
AGH Linear (AGH) Other CTYs Linear (Other CTYs)
Inpatient – Bed Days
• Total Bed Days per month appears relatively stable over time.
8
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110.00
1,000.00
2,000.00
3,000.00
4,000.00
5,000.00
6,000.00
7,000.00
R² = 0.0036281226320577
R² = 0.126214471122925
MRSAP RegionCommunity Acute Psychiatric Inpatient Days
Allegheny vs. Remaining Counties
DIM-AGH Linear (DIM-AGH) DIM-Oth Linear (DIM-Oth)
* Adult, Healthchoices Only
Inpatient Length of Stay
• For the region, ALOS is trending slightly upward. MLOS usually exists between five and six days.
9
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
R² = 0.399115550893945
MRSAP RegionCommunity Acute Psychiatric
Average/Median Length of Stay
ALOS Linear (ALOS) MLOS Linear (MLOS)* Adult, Healthchoices Only* Adult, Healthchoices Only
Inpatient Length of Stay
• ALOS is trending upward but has fluctuated in recent months.• MLOS fluctuates between six and seven days.
10
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110.00
5.00
10.00
15.00
20.00
25.00
R² = 0.382239788851748
Allegheny CountyCommunity Acute Psychiatric
Inpatient Avg/Median Length of Stay
ALOS Linear (ALOS) Median LOS* Adult, Healthchoices Only
Inpatient Length of Stay
• ALOS per month has increased approximately one day over the entire period.
11
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
R² = 0.074423078175309
Beaver CountyCommunity IP-MH Avg/Median Length of Stay
ALOS Linear (ALOS) MLOS* Adult, Healthchoices Only
Inpatient Length of Stay
• ALOS is trending very slightly upward, but the trend is still within one day for the entire period.
12
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
6.306.256.926.98
5.695.875.965.856.44
7.687.34
6.136.58
5.57
8.667.98
5.435.605.626.296.66
5.836.32
4.75
8.06
5.725.576.406.076.256.46
8.84
7.608.19
6.146.245.57
6.606.686.496.51
7.476.70
12.00
7.37
9.42
5.86
8.217.80
6.287.04
5.25
6.96
5.725.635.96
8.36
7.08
6.086.07
8.79
7.11
5.30
6.876.03
6.506.30
9.37
4.87
6.21R² = 0.0149346227419328
Washington CountyCommunity IP-MH Avg/Median Length of Stay
ALOS Linear (ALOS) MLOS
Inpatient Readmissions
• Readmission rates for all categories are trending downward.
13
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
R² = 0.0889464626548963
R² = 0.307484933360202
R² = 0.329753825745921
Mayview RegionCommunity Inpatient Readmissions Rates
Readmit 1 To 7 Rate Linear (Readmit 1 To 7 Rate) Readmit 8 To 30 RateLinear (Readmit 8 To 30 Rate) Readmit 31 To 90 Rate Linear (Readmit 31 To 90 Rate)
* Adult, HC Only Rates per 1000 eligibles
Inpatient Readmissions
• All readmission categories are trending downward.
14
Jan-06
Mar-06
May-06
Jul-06Sep
-06
Nov-06Jan
-07
Mar-07
May-07
Jul-07Sep
-07
Nov-07Jan
-08
Mar-08
May-08
Jul-08Sep
-08
Nov-08Jan
-09
Mar-09
May-09
Jul-09Sep
-09
Nov-09Jan
-10
Mar-10
May-10
Jul-10Sep
-10
Nov-10Jan
-11
Mar-11
May-11
Jul-11Sep
-110.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80
R² = 0.426883684159081
R² = 0.663558048879358
R² = 0.661777122015841
Allegheny CountyCommunity Inpatient Readmission Rates
Readmit 1 To 7 Rate Linear (Readmit 1 To 7 Rate) Readmit 8 To 30 RateLinear (Readmit 8 To 30 Rate) Readmit 31 To 90 Rate Linear (Readmit 31 To 90 Rate)
* Adult, Healthchoices Only Rates per 1000 eligibles
IP Census – Percent Occupied by Month
15
Jan-10
Feb-10
Mar-10
Apr-10
May-10
Jun-10Jul-1
0
Aug-10
Sep-10
Oct-10
Nov-10
Dec-10
Jan-11
Feb-11
Mar-11
Apr-11
May-11
Jun-11Jul-1
1
Aug-11
Sep-11
Oct-11
Nov-11
Dec-11
Jan-12
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
120.00%
98.42%97.11%90.45%89.40%89.56%90.02%88.64%90.17%88.44%89.11%90.13%
82.65%87.93%89.04%88.05%88.83%90.10%87.77%
83.34%90.39%89.03%90.57%
86.94%81.61%84.10%
R² = 0.386583698779536
Community Inpatient CensusPercent Occupied by Month
Pct-Occup Linear (Pct-Occup)