Premier: Providers Projecting Significant Inpatient to Outpatient Admission Shift in 2013 | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Premier: Providers Projecting Significant Inpatient to Outpatient Admission Shift in 2013

April 29, 2013
by Rajiv Leventhal
| Reprints

Hospitals and health systems nationwide are projecting a significant shift in 2013 admissions from inpatient to outpatient settings as they transition toward new care delivery models, according to Charlotte, N.C.-based Premier healthcare alliance’s spring 2013 Economic Outlook.

Only 35 percent of 530 survey respondents—primarily hospital C-suite, and materials and practice area managers—are projecting an increase in inpatient volume in 2013 compared to 2012, a 30 percent decrease from predictions a year ago. Respondents projecting a decrease in inpatient volume in 2013 compared to 2012 rose 28 percent over the same period.

Accordingly, 69 percent of respondents are projecting an increase in 2013 outpatient volume compared to 2012.

This trend is likely being driven by healthcare legislation and mandates, cited by a third of respondents as the biggest driver of healthcare costs.

“With reimbursement cuts and changes in care delivery threatening today’s status quo, healthcare providers face a significant change imperative as they transition toward more accountable, value-based care models,”  Premier Chief Operating Officer Mike Alkire said in a statement. “Ensuring patients are cared for in the most efficient manner—without compromising quality—is key to success. This means more care is being shifted to less intensive and expensive outpatient care sites, with lower reimbursement rates.”

Additionally in the report, when asked where the largest capital investment is expected to be made over the next year, almost 43 percent of respondents cited healthcare information technology/telecommunications, up 21 percent from two years ago.

Still, 32 percent reported being unable to share data across the continuum of care, which is essential for effective care coordination.

“We need to know everything we can about a patient’s care – what has gone on before and what’s coming up,” said Eric Bieber, M.D., chief medical officer, University Hospitals (Cleveland), said in a statement released by Premier. “Otherwise, we have variation and redundancies that may degrade care quality and efficiency. The closer we can get to real-time information and get it in the hands of providers, the more likely the right things will be done and opportunities won’t be missed.”

Premier’s Outlook also reported that almost 22 percent of respondents are in an accountable care organization (ACO), with 55 percent planning to be by the end of 2014. Nearly 27 percent currently do not have plans to pursue the ACO model, and may choose other forms of clinical integration such as bundled payment, care management fees or pay-for-performance.

Topics

News

Dignity Health, CHI Merging to Form New Catholic Health System

Catholic Health Initiatives (CHI), based in Englewood, Colorado, and San Francisco-based Dignity Health officially announced they are merging and have signed a definitive agreement to combine ministries and create a new, nonprofit Catholic health system.

HHS Announces Winning Solutions in Opioid Code-a-Thon

The U.S. Department of Health and Human Services (HHS) hosted this week a first-of-its-kind two-day Code-a-Thon to use data and technology to develop new solutions to address the opioid epidemic.

In GAO Report, More Concern over VA VistA Modernization Project

A recent Government Accountability Office (GAO) report is calling into question the more than $1 billion that has been spent to modernize the Department of Veterans Affairs' (VA) health IT system.

Lawmakers Introduce Legislation Aimed at Improving Medicare ACO Program

U.S. Representatives Peter Welch (D-VT) and Rep. Diane Black (R-TN) have introduced H.R. 4580, the ACO Improvement Act of 2017 that makes changes to the Medicare accountable care organization (ACO) program.

Humana Develops Medication Management Tool

A new tool developed by Humana enables the company’s members to keep a list of their medications in one place.

Four Hospitals Piloting OurNotes Initiative in 2018

Beginning in January, four academic hospitals—Beth Israel Deaconess Medical Center in Boston, University of Washington in Seattle, Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire and University of Colorado in Boulder—will begin piloting a new digital tool called OurNotes that enables patients to contribute to their clinical notes.