40 Hospital Benchmarks

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Here are 40 hospital benchmarks to help evaluate how your hospital performs on various measures of quality, patient experience, finance and operations.

Quality

The following information is from CMS' Outcome of Care Measures report, unless otherwise marked. Percentages reflect the national average and are calculated from Medicare data on patients discharged between July 1, 2006 and June 30, 2009.

1. Readmission rate for heart failure patients — 24.7 percent.
2. Readmission rate for heart attack patients — 19.9 percent.
3. Readmission rate for pneumonia patients — 18.3 percent.
4. National mortality rate for heart failure patients — 11.2 percent.
5. National mortality rate for heart attack patients — 16.2 percent.
6. National mortality rate for pneumonia patients — 11.6 percent.
7. Patients dying in ED — 0.1 percent. (Source: National Hospital Ambulatory Medical Care Survey: 2007 ED Summary from National Health Statistics Reports, 2007.)
8. ED visits in which patients left without being seen — 2.0 percent. (Source: 2008 National Healthcare Quality Report from the Agency for Healthcare Research and Quality, based on 2006 data.)
9. Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy. (Source: U.S. Department of Health and Human Services’ “Use of Medical Imaging” data, as based on Medicare claims. )— 32.7 percent.
10. Average time between patient entering ED and seeing a physician — 56 minutes. (Source: Centers for Disease Control and Prevention, 2010.)
11. Average length of stay in ED — 4 hours, 7 minutes. (Source: Press Ganey, Emergency Department Pulse Report, 2010.)

Patient Experience

The following data is from the Hospital Consumer Assessment of Healthcare Providers and Systems'  “Survey of Patients’ Hospital Experiences” data, which was collected in 2009. Percents reflect the national average.


12. Patients who reported they would "definitely" recommend a hospital — 69 percent.
13. Patients who reported staff "always" explained medicines before delivering it to them — 60 percent.
14. Patients who reported their physicians "always" communicated well — 80 percent.
15. Patients who reported their nurses "always" communicated well — 75 percent.
16. Patients who reported that the area around their room was "always" quiet at night — 57 percent.
17. Patients who reported they “always” received help as soon as they wanted — 63 percent.
18. Patients who reported that staff “always” explained medicines before administering it to them — 60 percent.
19. Patients who reported that their pain was “always” well controlled — 69 percent.
20. Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) — 66 percent.

Finance

The following data is from Healthcare Management Partners’ HMP Metrics Quarterly Report, 2010. Quartile rankings were assigned based on the mean values calculated for the hospitals within peer groups. The first quartile contains the top 25 percent of the best performing hospitals in an applicable peer group. The fourth represents those falling below 76 percent. The following reflects the mean average.

21. Total profit margin, all hospitals
• 1st Quartile — 13.40 percent.
• 2nd Quartile — 4.85 percent.
• 3rd Quartile — 0.57 percent.
• 4th Quartile — -6.80 percent.

22. Total profit margin, non-profit hospitals
• 1st Quartile — 11.42 percent.
• 2nd Quartile — 4.04 percent.
• 3rd Quartile — 0.15 percent.
• 4th Quartile — -7.04 percent.

23. Total profit margin, investor-owned hospitals
• 1st Quartile — 19.16 percent.
• 2nd Quartile — 10.43 percent.
• 3rd Quartile — 4.30 percent.
• 4th Quartile — -4.48 percent.

24. Total operating profit margin, all hospitals
• 1st Quartile — 12.32 percent.
• 2nd Quartile — 2.24 percent.
• 3rd Quartile — -2.91 percent.
• 4th Quartile — -11.94 percent.

25. Total operating profit margin, investor-owned hospitals
• 1st Quartile — 20.03 percent.
• 2nd Quartile — 10.48 percent.
• 3rd Quartile — 2.85 percent.
• 4th Quartile — -7.79 percent.

26. Total operating profit margin, non-profit hospitals
• 1st Quartile — 9.60 percent.
• 2nd Quartile — 1.71 percent.
• 3rd Quartile — -2.54 percent.
• 4th Quartile — -10.89 percent.

27. Days net patient revenue in accounts receivable, all hospitals
• 1st Quartile — 33.71 days.
•  2nd Quartile — 44.91 days.
•  3rd Quartile — 53.16 days.
•  4th Quartile — 70.26 days.

28. Days net patient revenue in accounts receivable, investor-owned hospitals
• 1st Quartile — 35.31 days.
• 2nd Quartile — 45.42 days.
• 3rd Quartile — 53.21 days.
• 4th Quartile — 70.09 days.

29. Days net patient revenue in accounts receivable, non-profit hospitals
• 1st Quartile — 32.36 days.
• 2nd Quartile — 43.26 days.
• 3rd Quartile — 50.64 days.
• 4th Quartile — 65.65 days.

30. Total labor costs as percentage of net operating revenues, all hospitals
• 1st Quartile — 37.97 percent.
• 2nd Quartile — 45.71 percent.
• 3rd Quartile — 51.58 percent.
• 4th Quartile — 59.40 percent.

31. Total labor costs as percentage of net operating revenues, investor-owned hospitals
• 1st Quartile — 34.05 percent.
• 2nd Quartile — 39.04 percent.
• 3rd Quartile — 44.26 percent.
• 4th Quartile — 53.87 percent.

32. Total labor costs as percentage of net operating revenues, non-profit hospitals
• 1st Quartile — 41.26 percent.
• 2nd Quartile — 46.22 percent.
• 3rd Quartile — 50.29 percent.
• 4th Quartile — 56.77 percent.

Operations

The following data is from Healthcare Management Partners’ HMP Metrics Quarterly Report, 2010. Quartile rankings were assigned based on the mean values calculated for the hospitals within peer groups. The first quartile contains the top 25 percent of the best performing hospitals in an applicable peer group. The fourth represents those falling below 76 percent. FTE reflects full-time equivalents.

33. Full-time equivalent staff per adjusted occupied bed, all hospitals
• 1st Quartile — 3.45 FTE.
• 2nd Quartile — 4.37 FTE.
• 3rd Quartile — 5.12 FTE.
• 4th Quartile — 6.48 FTE.

34. Full-time equivalent staff per adjusted occupied bed, investor-owned hospitals
• 1st Quartile — 3.21 FTE.
• 2nd Quartile — 3.93 FTE.
• 3rd Quartile — 4.51 FTE.
• 4th Quartile — 5.76 FTE.

35. Full-time equivalent staff per adjusted occupied bed, non-profit hospitals
• 1st Quartile — 3.61 FTE.
• 2nd Quartile — 4.55 FTE.
• 3rd Quartile — 5.27 FTE.
• 4th Quartile — 6.55 FTE.

36. Average age of plant, all hospitals*
• 1st Quartile — 3.63.
• 2nd Quartile — 7.70.
• 3rd Quartile — 10.59.
• 4th Quartile — 15.39.

37. Average age of plant, investor-owned hospitals*
• 1st Quartile — 2.12.
• 2nd Quartile — 4.83.
• 3rd Quartile — 8.23.
• 4th Quartile — 12.96.

38. Average age of plant, non-profit hospitals*
• 1st Quartile — 4.90.
• 2nd Quartile — 8.65.
• 3rd Quartile — 11.28.
• 4th Quartile — 15.75.

39. Hospital’s median days-cash-on-hand — 110 days. (Source: 2010 American Hospital Association Environmental Scan, based on 2008 data.)

40. Average fiscal year return on investable assets for non-profit healthcare organizations — 18.8 percent. (Source: 2010 Commonfund Benchmarks Study, based on 2009 data.)

* Average age of plant measures the average age of the hospital including capital improvements and major equipment purchases. A higher age compared to its peers indicates that the hospital has deferred the replacement of its capital when compared to its peers, which can lead to further distress


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