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Inpatient Providers’ Meeting February 11, 2009

Inpatient Providers’ Meeting February 11, 2009. Community Inpatient, Extended Acute, and Residential Treatment Facility – Adult Utilization Report January 2006 – December 2008. Findings Tracking since Jan 2006.

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Inpatient Providers’ Meeting February 11, 2009

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  1. Inpatient Providers’ MeetingFebruary 11, 2009 Community Inpatient, Extended Acute, and Residential Treatment Facility – Adult Utilization Report January 2006 – December 2008

  2. FindingsTracking since Jan 2006 • For the region, inpatient admissions, as well as inpatient rates, have slowly decreased over the period. • For the region, Average Length of Stay is rising slightly. Median Length of stay fluctuates between five and six days. • UPMC and its affiliates hold the largest share of inpatient admissions. • Inpatient readmission rates have dropped slightly.

  3. FindingsTracking since Jan 2006 Length of Stay in Extended Acute is approximately 115 days. Length of Stay on the Extended Acute Waiting List is about 73 days RTF-A Average Length of Stay and Median Length of stay are trending upward. RTF-A Average Days on Waiting List has dropped recently due to several discharges. 3

  4. Mayview Timeline

  5. Inpatient Admissions For the region, admissions are trending slightly downward. Adult, HealthChoices Only

  6. Inpatient Admissions Admissions are trending downward. Adult, HealthChoices Only

  7. Inpatient Admissions UPMC is the dominant provider in the region. Adult, HealthChoices Only

  8. Inpatient Admissions UPMC and its affiliates dominate the Allegheny market Adult, HealthChoices Only

  9. Inpatient Admissions Allegheny shows the highest admission rate, with an average of 7.45 admissions per 1000 enrollees; however, the rate is declining. The rate is 4.19 admissions in the surrounding counties. Adult, HealthChoices Only

  10. Inpatient Length of Stay For the region, ALOS is trending slightly upward. Median Length of Stay fluctuates between five and six days. Adult, HealthChoices Only

  11. Inpatient Length of Stay Allegheny has the highest ALOS with an average of 10.79 days. Of note, is Allegheny’s increase in ALOS over the last couple months. The surrounding counties have an average of 6.33 days. Adult, HealthChoices Only

  12. Inpatient Readmissions Readmission categories are trending downward but have high fluctuation rates. Adult, HealthChoices Only Drop off due to Claims lag

  13. Inpatient Readmissions Allegheny’s rate is slightly higher. Adult, HealthChoices Only

  14. Inpatient Readmissions Allegheny’s rate is slightly higher. Adult, HealthChoices Only

  15. Inpatient Readmissions Allegheny’s rate is slightly higher. Adult, HealthChoices Only

  16. Extended Acute AdmissionsAllegheny County Only Admissions by month are very small.

  17. Extended Acute - Length of Stay Allegheny County Only The ALOS for those discharged is 115.69 days with a MLOS of 95.50 days. In addition, the average days on the waiting list are 73 days and the ALOS including those in-house, is 156 days.

  18. Extended Acute - Length of Stay Allegheny County Only Average days on the waiting list are rising.

  19. Extended Acute - StaysReferring Facility 73% of the stays are referred from WPIC.

  20. Extended Acute – ALOSReferring Facility Since all but the UPMC facilities have very low referral rates, their ALOS are not reflective of any trend.

  21. Residential Treatment Facility - Adult AdmissionsAllegheny County Only RTF Admissions tend to fluctuate around an average of five admissions.

  22. The ALOS for those discharged is 65.51 days for the entire period. Residential Treatment Facility – Adult Length of Stay -Allegheny County Only

  23. The ALOS was increasing at a steady rate until mid-December. Residential Treatment Facility – Adult Avg. Days on Waiting List -Allegheny County Only

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