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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.
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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.
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Analysis of utilization metrics relative to pre-COVID baseline shows a slight but consistent decline of acute care admissions from July 2021 to December 2021. This month there was also a noted decline in numbers for other metrics, notably psychiatric admissions, observation admissions and specialty care admissions this month – with three out of five hospitals seeing their lowest numbers for the last 15 months (Table 4). This is all reflected in Fig. 1 below with emergency visits, psychiatric admissions and acute care admissions decreased below pre-COVID baseline to 19%, 37% and 14% respectively. Although observation admissions have been going down, they are hovering around 6% of baseline recovery.
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Analysis of utilization metrics relative to pre-COVID baseline shows a decline from October 2021 to November 2021 across acute care admissions, emergency visits, observation patients, and psychiatric admissions. Emergency visits, psychiatric admissions and acute care admissions decreased below pre-COVID baseline to 25%, 27% and 13% respectively. Although observation patients declined to 2% below pre-COVID baseline, the overall trend since May 2021 remains at or near then pre-COVID levels (Fig.1). Moreover, two hospitals (Children’s National Hospital and The George Washington University Hospital) experienced the fewest psychiatric admissions in a 15-month period as depicted in Table 7 of the report.
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Comparisons of utilization metrics to the pre-COVID-19 baseline continue to show acute care admissions recovery at 9% pre-COVID-19 trends (Fig. 1). Observation utilization returned to pre-COVID baseline levels with mean and median difference from pre-COVID baseline of 0% over the past six months (Fig.1). In addition to the upward trend in ED utilization in Fig. 1 below, for the 15-month period examined for ED visits in Table 15 of the report, three hospitals saw their highest ED volumes this month. Ambulatory surgery volumes are also up with a 12.5% average increase over September 2020 and a 12-month average utilization of 15.6% higher than the prior 12-month period (Table 16).
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Comparisons of utilization metrics to the pre-COVID-19 baseline continue to show acute care admissions recovery between 6-8% below pre-COVID-19 trends (Fig. 1). Observation utilization returned to pre-COVID baseline levels with mean and median difference from pre-COVID baseline of 0% over the past six months (Fig. 1). In addition to the upward trend in ED utilization in Fig. 1, for the 15-month period examined for ED visits (Table 15), all but three hospitals saw their highest ED volumes this month while two of the three saw their highest ED volumes in the prior month. There was a noticeable increase of neonatal admissions at MedStar Washington Hospital Center and Children’s National Hospital (Table 13) which anecdotal evidence suggests may be due to an increased number of deliveries and a higher number of multiple deliveries.
