Three out of five of our focus utilization metrics saw a decline in volumes going from August to September 2024 compared to 2020 pre-COVID baselines. Ambulatory surgery volumes presented the biggest decrease going from 1% over the baseline in August to -6% below baseline in September. Acute care admissions also went down from -14% to -17% below baseline from August to September, and psychiatric admissions follow the same pattern with a slight decrease in volumes going from -23% to -25% below baseline. Emergency Department visits and observation admissions are the two metrics with an increase in volumes going from -27% to -21% below baseline and -11% below to 2% above baseline respectively (see Fig. 1 below).

Psychiatric admissions continue to remain below the median in September, with a decline in volumes this month compared to the increase of the the previous two months as shown in Fig. 2 below. This is depicted in Table 7 of the report with all but one hospital showing a decrease in volumes in September 2024.

This success story is about one patient’s journey to independence.

A patient was admitted to BridgePoint’s Capitol Hill Continuing Care Hospital Long Term Acute Care facility after a prolonged hospitalization at MedStar Washington Hospital Center where her course of treatment entailed thoracoabdominal aortic aneurysm repair and lumbar drain placement. Secondary to her treatment, she suffered from acute respiratory failure and sustained general body deconditioning due to continuous inactivity. Upon admission to BridgePoint Capitol Hill she was in need of ventilator weaning and trach care, antibiotic therapy, hemodialysis, nutritional therapy, wound care, rehabilitation, and assistance with ADLs.

The Journey

The patient was cared for by BridgePoint’s specialized Interdisciplinary Team that consisted of a Critical Care Physician, a Pulmonologist, Respiratory Therapist, and the Wound Care team. In addition, the patient received treatment from Physical, Occupational, and Speech Therapists who focused on her overall well-being and rehabilitation. The patient tolerated continuous weaning for five days and was eventually decannulated. During the course of her therapy, she gradually went from supine state to being able to sit with assistance.

The District of Columbia Hospital Association (DCHA) announced its 2024 Vincent C. Gray Health Equity Awards on November 8 at a special tribute event honoring Vincent C. Gray for his years of service and numerous contributions to the District and its residents.

DCHA believes that to achieve health equity we must understand the challenges, aspirations, barriers, and realities of the community. It’s vital to share examples of innovative approaches to equity and shine a light on leaders across the District of Columbia. DCHA recognizes the importance of health equity and is working with its member hospitals to ensure that disparities in health care quality and access are eliminated.

Last year, DCHA announced the Health Equity Award to honor and recognize those who are making health equity a reality in their community and leveraging engagement to improve health outcomes for those most impacted by health disparities.

The inaugural award was given to Vincent C. Gray for his demonstrated success in changing systems that impact health outcomes in access and equity, diversity, and inclusion. The award was given to recognize his decades of service to the District, history of dedication to eradicating health disparities, perseverance in ensuring that all residents have access to quality health care, and for being an instrumental force in making the Cedar Hill Regional Medical Center a reality.

The award is now called the Vincent C. Gray Health Equity Award to forever honor Vincent Gray’s legacy of being a voice for the voiceless and ensuring that health care is a right and not a privilege.

DCHA is proud and excited to name this year’s recipients of the 2024 Vincent C. Gray Health Equity Award for their commitment, dedication and inspiring actions to advance health equity and eliminate health disparities.

Safe Babies, Safe Moms Program, MedStar Washington Hospital Center
Safe Babies Safe Moms is a partnership between MedStar Health, Community of Hope, and Mamatoto Village that addresses disparities in maternal and infant care in Washington, DC. The program puts each family at the center of their care before, during, and after pregnancy and until the child reaches age three. Safe Babies, Safe Moms combines the expertise of MedStar Health, evidence-based health care, and proven community-centric support services. The program brings together partners and the community to provide interdisciplinary, multigenerational health and support services for birthing people and their families.

Joy A. Lewis, MSW, MPH, American Hospital Association
The American Hospital Association’s Joy Lewis, Senior VP of Health Equity Strategies and Executive Director of the Institute for Diversity and Health Equity, has led efforts to address systemic racial and health disparities, including those in maternal health, structural racism, and disability inclusion. The Health Equity Roadmap is a cornerstone project that assists hospitals in embedding equity into their clinical and business operations. Key disparities addressed include inadequate maternal health care for vulnerable groups, specifically Black and Indigenous women, as well as improving access for minorities, people with disabilities, and LGBTQ+ populations.

Dr. Kimberly Nettles, PharmD, RPh, Johnson & Johnson Innovative Health
Dr. Nettles led a transformative health equity project aimed at reducing disparities in cancer screening, treatment access, and outcomes for racial and ethnic minorities, individuals with disabilities, and LGBTQ+ communities. The project addressed disparities in oncology care, where these vulnerable groups experience higher rates of late-stage cancer diagnoses and lower access to cutting-edge therapies. By including community-based education, partnerships with health care providers, targeted outreach, culturally competent care models and increasing diversity in clinical trials, the project resulted in an increase in cancer screening rates and a reduction in late-stage cancer diagnoses.

“On behalf of DCHA and the Board of Directors, we are proud to honor such deserving individuals who have dedicated their professional careers – and personal time – to addressing health equity and positively impacting the health outcomes of the DC community and beyond,” said Jacqueline D. Bowens, President & CEO of DCHA.

Thank you to our Vincent C. Gray Health Equity Award sponsors: CareFirst BlueCross BlueShield, Sibley Memorial Hospital, ReedSmith, Vital Corporation, Cedar Hill Regional Medical Center, Cherrie Wanner Doggett, Howard University, Howard University Hospital, MedStar Health, Psychiatric Institute of Washington and Jason Wright.

Jacqueline D. Bowens, President and CEO of the DCHA has been recognized as one of Washington Business Journal’s 2024 Women Who Mean Business, an annual honor awarded to influential women executives who drive success within their industries and communities. The award celebrates leaders who demonstrate a commitment to excellence, innovation, and dedication in their work. As a visionary leader in health care, Bowens has spearheaded pivotal initiatives at DCHA, notably in advancing health equity and improving access to maternal health services. Her work is characterized by a passion for systemic change, evidenced by her ongoing efforts to foster collaboration among hospitals, policymakers, and community organizations to address health disparities and to elevate the quality of care in the district. Bowens’ commitment to her field and her profound impact on health care access in Washington, D.C. are also reflected in her role as a mentor, empowering future leaders and encouraging the next generation of women in health care.