July 2022 Utilization Report

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Highlights: Looking at utilization metrics, all four measures tracked in Fig. 1, except acute care admissions, show a decrease in volumes for the month. Emergency department visits went from -19% last month to -27% below pre-COVID baselines in July. Ambulatory surgeries and psychiatric admissions follow the same pattern going from -6% to -21% and -28% to -32% below baselines respectively (see Fig. 1). Moreover, all five birthing hospitals saw an increase in newborn admissions for July with the highest cumulative number of admissions since December 2021 as reported in Table 11 of the report.

Hospitals Experiencing Worst Margins Since Beginning of Pandemic

Kaufman Hall experts said that 2022 is shaping up to be the worst year financially for U.S. hospitals and health systems since the beginning of the COVID-19 pandemic. Hospitals and health systems saw decreases in outpatient revenue and operating room time and increases in inpatient lengths of stay from June to July, according to Kaufman Hall’s most recent National Hospital Flash Report released yesterday. Hospitals hired more aggressively in July, but labor was still in high demand and prices rose accordingly. Sicker patients also stayed in the hospital longer, driving up costs. The report also stated that an increasing number of patients continue to choose ambulatory centers over hospital settings for surgical procedures, which is a “sign of a larger shift to ambulatory care and new ways of accessing care outside of the hospital.”

June 2022 Utilization Report

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Hospitals submitting June data showed a slight increase in emergency department visits this month going from -28% last month to -27% in June compared to pre-COVID baselines*. Acute care admissions, psychiatric admissions and ambulatory care surgeries on the other hand showed minor decreases in volumes. These are reflected in the percent change graphs displayed in Figure 1 below. Two of the hospitals reporting psychiatric admissions saw their lowest volumes over the 15-month period ending June 2022. See Table 7 of the report for details.

Want to Respond to the Opioid Crisis? Fight Stigma, Peer Coach Says

As communities across the country cope with the opioid crisis and the dangers of fentanyl, anyone who wants to help must work to fight stigma and misconceptions. The peer coaches are part of a peer recovery support program launched in early 2020 and funded by DCHA and the DC Department of Behavioral Health. The program supports an initiative of the Medicaid provider AmeriHealth Caritas that aims to connect people to treatment and support services. The coaches are trained in part through a city program to certify peer specialists who are “successful in the recovery process and who help others who are living with mental and/or substance use disorders.”

May 2022 Utilization Report

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Highlights

Comparing utilization metrics to pre-COVID baselines, most metrics show a noted change in May throughout the report. There was a slight increase of acute care admissions as it went from 14% below baseline last month to -13% in May, and psychiatric admissions increased from -22% to -21%. Emergency department visits also show a slight increase going from -25% below baseline last month to -20%. Although ambulatory surgeries show great fluctuation over the past months and there was a slight decrease in volumes in May, utilization remained near pre-COVID levels over the last 15 months displayed.

DC Hospitals Win Health Hospital Initiative Cooking Competition

The DCHA Program Services Company, Inc, the District of Columbia Hospital Association’s non-profit arm, awarded its second Healthy Hospital Initiative Cooking Competition winners, recognizing exceptional teams and individuals for their best healthy dishes.

“We are so pleased to recognize and celebrate individuals and teams for working to make hospital food healthy and delicious for patients, staff and the community,” said DCHA President & CEO Jacqueline D. Bowens, “These hospitals and chefs made mouth-watering dishes proving that healthfulness is possible whether you’re cooking for one or 100.”

The 2022 Healthy Hospital Initiative Cooking Competition Awards were given to the following hospitals and individuals:                                                                                                                             

Psychiatric Institute of Washington: Overall Winner

  • Chef Kevin Brown

Psychiatric Institute of Washington: Best Side Dish

The George Washington University Hospital: Best Entrée

MedStar National Rehabilitation Hospital: Best Dessert

All of the dishes used blueberries, the secret ingredient, to make their dishes unique, creative and delicious. Winners were presented with trophies and most importantly, have bragging rights on what hospital has the most delicious food.

 

The Healthy Hospital Initiative is a partnership between the DCHA Program Services Company, Inc. and DC Health to reduce the availability and consumption of sugar sweetened beverages and sodium intake, and to promote healthier choices in district hospitals.

April 2022 Utilization Report

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Highlights

Comparing utilization metrics to pre-COVID baselines, most metrics show a noted decrease during April throughout the report. Acute care admissions went from -10% below baseline last month to -14% in April, while psychiatric admissions decreased from -14% to -22%. Emergency department visits also show a slight decrease going from -24% below baseline last month to -25%. Though observation visits were also down slightly for the month of April, utilization of these services remains at or near pre-COVID levels over the last 15 months displayed.

DCHA Announces 2022 Patient Safety & Quality Award Winners

On June 8 DCHA awarded its 2022 Patient Safety & Quality Awards recognizing two exceptional individuals and seven teams participating in the DCHA’s third poster competition. The individuals and teams were recognized at DCHA’s Fifth Annual Patient Safety and Quality Summit.

“We are so pleased to recognize and celebrate individuals and teams for working tirelessly every day on behalf of patients and families,” said DCHA President & CEO Jacqueline D. Bowens, “We owe a wealth of gratitude for the sacrifices from hospital personnel and salute their resiliency as we still cope with the pandemic. Their efforts help us prepare for a better health care system for the residents of DC.”

The 2022 Patient Safety & Quality Awards were given to the following individuals and teams:

Individual Award Winners                                                                                             

  • Elizbeth Gardner, Oncology Nurse at MedStar Washington Hospital Center, in recognition of her tireless efforts to help the hospital to accomplish a 79% decrease in serious safety events through collaboration with clinical teams and her dedicated work to decreasing risk and increasing safe behaviors.
  • Richard Verstraete, Nurse Coordinator, MedStar Georgetown University Hospital, in recognition of his instrumental work in building a culture of blood conservation and rising to the challenge of caring for patients without blood transfusions during the national blood shortage and by reducing the risks of anemia to maternal health patients.

Team Winners-Poster Competition

  • Gold: The George Washington University Hospital, Impact of Six Sigma on Verbal Orders Process and Patient Safety Performance Improvement
  • Silver: Children’s National Hospital, A Customized Triggers Program: A Tertiary Care Children’s Hospital Experience
  • Silver: The George Washington University Hospital, Rising to the Challenge: Reduction in Opioid Use in Weight Loss Surgery Patients
  • Bronze: MedStar Georgetown University Hospital, Steering the Ship on Opioid Safety: Reducing Opioid Induced Oversedation Events in Hospitalized Patients
  • Bronze: MedStar National Rehabilitation Hospital, Addressing Associate Wellbeing, Supporting Resiliency
  • Bronze: MedStar Washington Hospital Center, Reducing Alarm Fatigue

Individual winners were presented with a $2,500 prize, the Gold team winner was awarded a $5,000 prize and the Silver winners received $2,500, thanks to support from Ascension. The award winners were chosen by a panel of independent judges from the health care industry.

2022 Quality Showcase highlighting the winning team members with posters and video presentations.

 

© 2022. District of Columbia Hospital Association.