Which Hospitals Are Cutting Costs? And Where Are They Doing It?

WHICH HOSPITALS ARE CUTTING COSTS? AND WHERE ARE THEY DOING IT? ABOUT 10% OF US HOSPITALS HAVE BEEN "AGGRESSIVE COST CUTTERS" FROM 2009 TO 20111... PERCENT OF US HOSPITALS (N=252 SHORT TERM ACUTE CARE HOSPITALS) ALMOST HALF OF THEIR COST DECREASES CAME FROM "AGGRESSIVE COST CUTTERS" FOUR SERVICE LINES 10.3% PERCENT OF AVERAGE DECREASE IN COST PER CASE OF US HOSPITALS GENERAL SURGERY OTHER 21% NEONATAL <-5 -4 to 0 1 to 5 6 to 10 > 11 VASCULAR SURGERY 14% % CAGR IN CMI-ADJUSTED AVERAGE COST PER CASE ONCOLOGY MEDICINE OPEN HEART $1,200 OBSTETRICS- PSYCHIATRY 7% DELIVERED AVERAGE DECREASE NEUROLOGICAL IN COST PER CASE .AND THEY ARE MORE LIKELY TO BE A LARGER HOSPITAL PERCENT OF HOSPITALS WHO ARE LARGE (>500 BEDS) MEDICINE ELECTRO- INFECTIOUS 6% PHYSIOLOGY DISEASES CARDIOVASCULAR 27% MEDICINE GASTROINTESTINAL REHABILITATION MEDICINE OF AGGRESSIVE COST CUTTING HOSPITALS PULMONARY MEDICINE 17% OF NON-AGGRESSIVE COST CUTTING HOSPITALS FOOTNOTES: 1. Compound annual growth rate (CAGR) of case mix index (CMI)-adjusted nominal average total cost per case (fixed and variable) SOURCES: ОВЈЕСТIVEНEALTH" Objective Health de-identified client data Premier discharge database Objective Health analysis A MCKINSEY SOLUTION FOR HEALTHCARE PROVIDERS Copyright 2012, Objective Health, a Mckinsey Solution for Healthcare Providers. IШ