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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 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.
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.
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.
Highlights: Comparing utilization metrics to pre-COVID baselines, most metrics show a noted increase in volumes this month throughout the report. Acute care admissions went up from -23% to -10% below baseline, with all hospitals presenting higher volumes. Emergency Department visits increased going from -39% to -24% below baseline. Notably, ambulatory surgeries returned to levels greater than the pre-COVID baseline for the first time since the beginning of the pandemic at 8% greater than pre- COVID baseline for the month of March (Fig. 1).
The charts and tables in this publication are intended to provide aggregate and comparative data on health care facility utilization in the District of Columbia. The source of the data is the District of Columbia Hospital Association’s Monthly Utilization Survey (self-reported by individual facilities).
Highlights: Analysis of utilization metrics relative to pre-COVID baseline shows a continued decrease of acute care admissions this month as they now stand at 23% below pre-COVID baseline, and emergency department visits still on the downward trend at 39% below baseline. Conversely, there is an uptick in ambulatory surgeries and psychiatric admissions this month, with a 17% and 8% increase respectively. The psychiatric admissions increase is reflected in the bottom graph on page 15 of the report, which depicts all but one hospital observing a higher volume.
Analysis of utilization metrics relative to pre-COVID baseline shows a decrease of acute care admissions, with the lowest volume over the last 13 months and currently at 19% below pre-COVID baseline. While emergency department (ED) visits also took a dip this month, along with ambulatory surgeries at respectively 32% and 25% below baseline (See Fig. 1 on front page of report), psychiatric admissions are the only metric to show a slight increase and standing at 36% below baseline. Observation admissions appear to be following the same trend as acute care admissions and ED visits with a lower volume as depicted in Chart 7 of the report.