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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).
