Connecticut is one of the smallest states in northeastern US. Among its notable features is that it has the highest human development index and income per capita in the country. Its total population as per 2017 census was 3.588 million people adding up to 738 persons per square smile (United States Census Bureau, 2017). It borders Rhode Island, Massachusetts, Long Island and New York. California has the highest gross patient revenues in the US while the least is Guam that has average gross patient revenue of $318623 compared to California’s $374,767,026. Connecticut has average gross patient revenue of 34,740,102 (Americas Hospital Directory, n, d).
Question 1 Calculation of Length of Stay in Hospitals.
|Date Admitted||Date Discharged||LOS|
Connecticut has about 23 major hospitals. The city of Hartford has the highest number of staffed standing at 1,423 beds together with 67,243 discharges, 330629 patient days and gross revenue of $5,039,905. The second city with the highest is Bridgeport with 725 staffed beds, 34401 discharges, 166,802 patient days and a revenue base of 3313907. Sharon hospital has the least number of staffed beds. It has 78 beds however its total number of discharges is relatively higher compared with Hebrew health care in West Hartford has a total of 302 staffed beds but it has less than 164 discharges compared to Sharon city that has 1809 discharges. West Hartford city has the lowest gross patient revenues in Connecticut averaging $53,625 with an average 1006 patient days (Americas Hospital Directory, n, d).
|Hospital Name||City||Staffed Beds||Total Discharges||Patient days||Gross Patient Revenue (‘000)||Av GPR/Patient days|
|Hebrew Health Care||West Hartford||302||164||1006||53,625||53|
|Masonicare Health Center||Wallingford||425||631||3458||95,511||28|
|Johnson Memorial Hospital||Stafford Springs||101||2423||9816||166,106||17|
|New Milford Hospital||New Milford||85||1636||6716||172,137||26|
|Day Kimball Hospital||Putnam||104||3422||14447||248,973||17|
|Charlotte Hungerford Hospital||Torrington||108||4916||19451||296,841||15|
|Midstate Medical Center||Meriden||127||7667||34214||553,546||16|
|Manchester Memorial Hospital||Manchester||171||6903||29476||641,475||22|
|Saint Mary’s Hospital||Waterbury||155||10983||39506||817,116||21|
|Lawrence & Memorial Hospital||New London||235||12507||50721||850,212||17|
|Norwalk Hospital||New Milford||302||11997||49061||1,014,407||21|
|Saint Vincent’s Medical Center||Bridgeport||358||14098||68291||1,548,392||23|
|St. Francis Hospital & Med center||Hartford||567||30429||126350||2,252,204||18|
The three hospitals to be analyzed are Hartford Hospital, Hebrew Health Care and Bristol Hospitals. These three hospitals have been chosen based on their sizes and depending on the number of total discharges and patient days. Hebrew health care is has the least number of staffed beds and also the lease number of discharges while its average gross revenue per patient is actually the highest. Its average GPR per patient days is almost four times that of Hartford Hospital which has Gross Patient Revenue days per patient days of 14. Hebrew health care has the least number of patient days but its average revenues are much higher than the rest.
With the least number of patient days but with better gross patient revenues it is most likely that the hospital charges much higher than the rest of the hospitals in the state of Connecticut.
Hartford hospital has the highest gross revenue per patient. It also has the highest number of stuffed beds but its gross patient revenue per patient days is very low compared to other hospitals in the state. It can be concluded that Hartford policy borders on non-profit making given its very low revenues compared to the high number of patients. Bristol hospital compared with the two hospitals discussed above seems to be average on most of its performance. The three positions are illustrated by the graph below. The performance of Bristol hospital is average compared with the two that are on the extreme ends on both sides.
To conclude, the three hospitals have different performance levels. Hebrew health clinic is not very busy judging by the number of total discharges but its revenues generated from its few clients are reasonably high. Bristol hospital is an average hospital with average gross patient revenue per patient days while Hartford hospital is the busiest among the three hospitals. This information is useful for a HIM when determining the average expenses that patients use in hospitals in order to categorize the various policies that may suit the patients or employees. Clinical officers may be interested in finding out the busiest hospitals that can allow them to have a wider experience on the treatment options and diagnostic skills. Financially it would be possible for the hospital to determine if there charges are above the below the market rates and which hospital is charging less per patient by using the gross patient revenue and the patient days.
Americas Hospital Directory (n, d) Connecticut, retrieved February 9, 2018 from https://www.ahd.com/state_statistics.html
United States Census Bureau (2017) Quick Facts-Connecticut retrieved February 8, 2017 from https://www.census.gov/quickfacts/fact/table/CT/PST045216