CHA News Article

Data Available on Supply, Use of Services, Finances and Quality at California Hospitals
General acute care hospitals discharged more than 3.3 million patients, had nearly 44 million outpatient visits in 2013

The California HealthCare Foundation (CHCF) has released a report that examines California’s general acute care (GAC) hospitals from 2004 to 2013. Titled California Hospitals: An Evolving Environment, the report includes data on bed supply and capacity, use of services, financial health, selected quality measures, and hospital seismic safety by region.

Key report findings include:

  • The number of general acute care hospitals declined by 4 percent between 2004 and 2013, while the number of beds remained largely unchanged.
  • Skilled-nursing and acute psychiatric beds declined significantly during that decade, while both adult and newborn intensive care beds increased.
  • The eight largest hospital systems accounted for 40 percent of hospitals and beds in California.
  • More hospitals were profitable in 2013 than in 2004 as reflected by both total and operating margins.
  • The costs of uncompensated care, as measured by charity care and bad debt, rose by 45 percent between 2004 and 2013 to $2.8 billion.
  • Preventable adverse events reported at California hospitals increased each year from 2009 to 2013.
  • California performed slightly below the U.S. average on eight patient satisfaction measures.

Bed data includes licensed beds per 1,000 population by region; licensed beds by type; licensed acute care beds by type; full-time employees per adjusted occupied bed; GAC hospitals and licensed beds by region; GAC hospitals and licensed beds by ownership; largest hospital systems by licensed beds; and admissions per 1,000 population (California vs. U.S.). Use of services includes discharges per 1,000 population, by age group and by region; inpatient acuity; hospital discharges by source of admission and by destination; hospital occupancy rates for licensed beds by region; hospital total outpatient visits per 1,000 population by region; inpatient and outpatient surgeries; emergency department (ED) beds and visits; and non-admitted ED visits.

For financial health, the report includes hospital margin trends, total and operating, by ownership type and range; net patient revenue, discharges and outpatient visits; operating revenue and expenses per adjusted patient day; hospital operating expenses by type; uncompensated care costs; and critical access hospitals by owner type. Selected quality measure data include preventable adverse events at hospitals; hospital 30-day readmission rates; number of hospitals penalized for hospital-acquired conditions by region; Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey summary; and emergency care quality.

The full report is available on the CHCF website.