mayview regional service area
DESCRIPTION
Mayview Regional Service Area. Community Inpatient, EAC, and RTF Utilization July 2006 – March 2009. Findings Tracking since July 2006. For the region, inpatient admissions have slowly decreased over the period. - PowerPoint PPT PresentationTRANSCRIPT
1
Mayview Regional Service Area
Community Inpatient, EAC, and RTFUtilization
July 2006 – March 2009
2
FindingsTracking since July 2006
• For the region, inpatient admissions have slowly decreased over the period.
• For the region, Average Length of Stay has remained relatively flat. However, there have been recent increases.
• EAC admissions are trending slightly upward.• EAC ALOS is trending upward.• RTF ALOS is trending upward.
3
Inpatient Admissions
• For the region, admission are trending slightly downward. The higher correlation coefficient indicates more stability in the system.
Jan-06
Feb-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0
100
200
300
400
500
600
700
800
725
598
700 692651 654
699723
648678
634590
652
576
696668
621 612655
626657 662
568594
687
554
646 651623
559611 610
567592
523 516
620
511
581
R² = 0.451907670674792
MRSAP RegionCommunity Acute Psychiatric
Inpatient Admissions
Admissions Linear (Admissions)* Adult, Healthchoices Only* Adult, Healthchoices Only
4
Inpatient Admissions
• Admissions continue to trend downward.
Jan-06
Feb-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0
100
200
300
400
500
600
557
480
551 550510
489
543571
530 541501
460
516
449
548529
479 492524
477506 523
446473
515
424
509 498 498
443465 482
447465
414 419
474
406
454
R² = 0.480927693118028
Allegheny CountyCommunity Acute Psychiatric
Inpatient Admissions
Admissions Linear (Admissions)* Adult, Healthchoices Only
5
Inpatient Admissions
• Admissions continue to vary widely.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0
10
20
30
40
50
60
70
65
34
58
51
4244
47
55
3941
48 47
52
29
41
52 51
38
51
4442
48
36
43
59
34
41
60
46
30
5349
44
3639
21
49
3236
R² = 0.181987770245833
Beaver CountyCommunity IP-MH Admissions
Admissions Polynomial (Admissions)* Adult, Healthchoices Only
6
Inpatient Admissions
• Admissions have increased over the last three months. However, this trend has occurred in previous time periods.
Jan-06
Feb-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0
5
10
15
20
25
12
14
3
10
17 17
12
16
11
13
9
1615 15
1617
13 13
7
22
16
18
9
12
17
12
9
19
7
13
2019
13 13
11 11
16
20
23
R² = 0.0705307746352972
Greene CountyCommunity IP-MH Admissions
Admissions Linear (Admissions)* Adult, Healthchoices Only
7
Inpatient Admissions
• Admissions are trending downward.
Jan-06
Feb-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0
5
10
15
20
25
30
35
40
45
50
25 26
32 33 34
3942
33
18
2628 27
31
24
38 39
31 30
22
31
47
26
40
25
35 36
31
24 2321 21
15
22
28
21
26
30
14
24
R² = 0.151809481324626
Lawrence CountyCommunity IP-MH Admissions
Admissions Linear (Admissions)* Adult, Healthchoices Only
8
Inpatient Admissions
• Admissions are trending slightly downward.
Jan-06
Feb-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0
10
20
30
40
50
60
70
66
44
56
48 48
65
55
4850
57
48
4038
59
53
31
47
39
51 52
46 47
3741
61
48
56
50 4952 52
4541
50
38 39
51
39
44
R² = 0.11153042908906
Washington CountyCommunity IP-MH Admissions
Admissions Linear (Admissions)* Adult, Healthchoices Only
9
Inpatient Admission Rate
• Allegheny shows the highest admission rate, with an average of 7.39 admissions per 1000 enrollees vs. 4.19 in the other counties.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
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)
10
Inpatient Length of Stay
• For the region, ALOS is trending slightly upward. MLOS usually exists between five and six days.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
6.476.60
8.79
6.697.27
5.89
7.066.71
7.837.467.27
6.48
7.517.297.70
7.117.737.57
7.197.027.35
6.93
8.23
7.547.08
6.796.817.007.51
6.396.647.27
7.938.35
7.137.167.71
7.277.59R² = 0.0354175527273044
R² = 0.0998081192319145
MRSAP RegionCommunity Acute Psychiatric
Average/Median Length of Stay
ALOS Linear (ALOS) MLOS Linear (MLOS)* Adult, Healthchoices Only* Adult, Healthchoices Only
11
Inpatient Length of Stay
• ALOS is trending slightly upward• MLOS fluctuates between six and seven days.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
9.75 9.37
11.1310.8110.7311.29
12.39
10.6111.0611.39
10.0510.3210.5110.3810.5810.3210.67
12.4512.0411.10
9.4510.47
8.929.36
10.559.70
10.1311.0811.30
9.46
10.8110.41
11.60
13.69
11.81
10.31
13.30
11.9811.16R² = 0.0616756317123923
Allegheny CountyCommunity Acute Psychiatric
Inpatient Avg/Median Length of Stay
ALOS Linear (ALOS) Median LOS* Adult, Healthchoices Only
12
Inpatient Length of Stay
• ALOS per month has increased approximately one day over the entire period.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
4.794.804.60
5.71
7.22
4.635.17
6.046.176.245.96
6.266.226.576.40
5.22
6.63
5.275.415.17
6.436.33
7.10
8.33
5.225.446.06
6.80
5.966.56
5.005.54
6.84
5.055.23
7.30
5.87
7.03
7.80
R² = 0.119166493522913
Beaver CountyCommunity IP-MH Avg/Median Length of Stay
ALOS Linear (ALOS) MLOS* Adult, Healthchoices Only
13
Inpatient Length of Stay
• ALOS continues to fluctuate.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
5.30
7.17
15.00
3.55
6.60
3.00
8.00
4.71
7.306.866.56
5.83
7.608.43
5.335.14
9.53
5.936.576.17
9.06
6.84
12.27
6.095.36
8.077.40
5.85
8.50
5.45
6.836.83
9.5710.20
8.507.827.69
6.75
5.52
R² = 0.0178064506160085
Greene CountyCommunity IP-MH Avg/Median Length of Stay
ALOS Linear (ALOS) MLOS
14
Inpatient Length of Stay
• ALOS is trending downward over the entire period.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
6.27
5.43
6.316.416.11
4.68
3.78
6.32
8.20
5.14
6.45
3.85
6.61
5.48
7.536.91
6.40
8.59
6.316.38
5.175.20
6.51
9.17
6.33
5.094.895.00
5.74
4.234.05
4.73
4.044.63
3.894.12
6.10
4.00
6.74R² = 0.0950821135512946
Lawrence CountyCommunity IP-MH Avg/Median Length of Stay
ALOS Linear (ALOS) MLOS
15
Inpatient Length of Stay
• ALOS is trending very slightly upward.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
6.256.25
6.926.98
5.695.875.965.856.44
7.687.34
6.136.58
5.57
8.66
7.98
5.435.605.62
6.296.66
5.836.32
4.75
7.92
5.665.57
6.296.076.256.53
8.84
7.608.19
6.216.24
5.57
6.606.75R² = 0.00812649276293964
Washington CountyCommunity IP-MH Avg/Median Length of Stay
ALOS Linear (ALOS) MLOS
16
Inpatient Readmissions
• Readmission rates for all categories are trending downward.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00
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
17
Inpatient Readmissions
• Both readmission categories are trending downward.
Jan-06
Feb-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0
10
20
30
40
50
60
70
80
90
R² = 0.114564952921893
R² = 0.279255021212779
Allegheny CountyCommunity Inpatient Readmissions
Readmits 1 To 7 Linear (Readmits 1 To 7) Readmits 8 To 30 Linear (Readmits 8 To 30)
18
Inpatient Readmissions
• Both categories are trending slightly downward.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
0.50
0.680.72
0.52
0.65
0.48
0.650.740.720.69
0.810.74
0.580.64
0.74
0.420.450.54
0.68
0.84
0.51
0.78
0.570.600.62
0.27
0.67
0.80
0.660.57
0.480.480.530.56
0.410.47
0.360.41
0.53
R² = 0.166257154207527
R² = 0.360467835438103
Allegheny CountyCommunity Inpatient Readmissions Rates
Readmit 1 To 7 Rate Linear (Readmit 1 To 7 Rate) Readmit 8 To 30 Rate Linear (Readmit 8 To 30 Rate)
* Adult, Healthchoices Only Rates per 1000 eligibles
19
Extended Acute AdmissionsAllegheny County Only
• Admissions by month are very small.
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0
1
2
3
4
5
6
7
8
9
3
6
2
3
0
2 2
3
1
0
5
4
3
1
3
2
1
8
2
4
5
6
3
2
3 3
7
3
5
6
3
5
R² = 0.14036871962423
Allegheny CountyCommunity Extended Acute Admissions
Series1 Linear (Series1)
20
Extended Acute - Length of Stay Allegheny County Only
• The ALOS for those discharged is 127.55 days with a MLOS of 97.00 days. The break in the line is reflective of zero discharges in July 2008. The average days on the waiting list are 73 days and the ALOS including those in-house, is 156 days.
Jan-06Feb
-06
Mar-06
Apr-06
May-06
Jun-06Jul-0
6
Aug-06Sep
-06Oct-
06
Nov-06Dec-
06Jan
-07Feb
-07
Mar-07
Apr-07
May-07
Jun-07Jul-0
7
Aug-07Sep
-07Oct-
07
Nov-07Dec-
07Jan
-08Feb
-08
Mar-08
Apr-08
May-08
Jun-08Jul-0
8
Aug-08Sep
-08Oct-
08
Nov-08Dec-
08Jan
-09Feb
-09
Mar-09
0
50
100
150
200
250
300
2746
7692.25
178
143.5
90
196
103.5
47.5
243
58.5
117.333333333333
70
171.5
88
212.333333333333
61
145
104
58.5
109
218.5
190
140.714285714286
67.75
186.714285714286
120.857142857143
215.4
R² = 0.122594644224227
Allegheny CountyCommunity Extended Acute Avg/Median Length of Stay
ALOS Linear (ALOS) MLOS
Total ALOS: 127.55 days MLOS: 97.00 days
For consumers discharged
21
RTF AdmissionsAllegheny County Only
• Admissions by month are trending slightly upward.
Jan-06
Feb-06
Mar-06
Apr-06
May-06
Jun-06
Jul-0
6
Aug-06
Sep-06
Oct-06
Nov-06
Dec-06Jan
-07
Feb-07
Mar-07
Apr-07
May-07
Jun-07
Jul-0
7
Aug-07
Sep-07
Oct-07
Nov-07
Dec-07
Jan-08
Feb-08
Mar-08
Apr-08
May-08
Jun-08
Jul-0
8
Aug-08
Sep-08
Oct-08
Nov-08
Dec-08Jan
-09
Feb-09
Mar-09
0
1
2
3
4
5
6
7
8
9
5
1
8
4
5 5
4
8
5
3
2
7
4
5 5
3
5 5
4
7
4
3
6 6
3
4
3
2
7
4
8
3
7 7
4 4
8
7
6
R² = 0.0376687098329466
Allegheny CountyRTF Admissions
Admissions Linear (Admissions)
22
RTF- Length of Stay Allegheny County Only
• The ALOS for those discharged is 63.93 days for the entire period.
0.00
20.00
40.00
60.00
80.00
100.00
120.00
140.00
160.00
180.00
R² = 0.203648500040702
Allegheny CountyRTF
Avg/Median Length of Stay
ALOS Linear (ALOS) MLOS