Hospitals are constantly striving to improve their finances, operations and quality, but they need the proper metrics to turn those good intentions into measurable action. Becker's Hospital Review has collected 200 benchmarks from various healthcare organizations for hospitals to measure their performance. Where does your hospital stand? Note: Unless otherwise noted, benchmarks represent national averages.
1. Heart attack mortality rate
(Sample size: 4,311 hospitals)
• 25th percentile — 14.8 percent
• Median — 15.7 percent
• Average — 15.79 percent
• 75th percentile — 16.8 percent
2. Heart attack readmission rate
(Sample size: 4,248 hospitals)
• 25th percentile — 19 percent
• Median — 19.8 percent
• Average — 19.88 percent
• 75th percentile — 20.7 percent
3. Heart failure mortality rate
(Sample size: 4,427 hospitals)
• 25th percentile — 10.4 percent
• Median — 11.3 percent
• Average — 11.39 percent
• 75th percentile — 12.3 percent
4. Heart failure readmission rate
(Sample size: 4,433 hospitals)
• 25th percentile — 23.5 percent
• Median — 24.7 percent
• Average — 24.86 percent
• 75th percentile — 26.1 percent
5. Pneumonia 30-day mortality rate
(Sample size: 4,445 hospitals)
• 25th percentile — 10.7 percent
• Median — 11.8 percent
• Average — 11.96 percent
• 75th percentile — 13 percent
6. Pneumonia readmission rate
(Sample size: 4,446 hospitals)
• 25th percentile — 17.4 percent
• Median — 18.3 percent
• Average — 18.45 percent
• 75th percentile — 19.4 percent
7. Outpatients having surgery who received an antibiotic at the right time (within one hour before surgery) — 93 percent
8. Outpatients having surgery who received the right kind of antibiotic — 94 percent
9. Surgery patients who were taking beta blockers before coming to the hospital who were kept on beta blockers during the periods prior and following their surgery — 93 percent
10. Surgery patients who were given an antibiotic at the right time (within one hour before surgery) — 97 percent
11. Surgery patients who were given the right kind of antibiotic to prevent infection — 97 percent
12. Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery) — 95 percent
13. Heart surgery patients whose blood sugar was kept under control in the days immediately following surgery — 94 percent
14. Surgery patients needing their hair removed from the surgical area before surgery who underwent hair removal using a safe method (such as electric clippers or hair removal cream opposed to razors) — 100 percent
15. Surgery patients whose urinary catheters were removed on the first or second day after surgery — 91 percent
16. Surgery patients whose physicians ordered treatments to prevent blood clots after certain types of procedures — 94 percent
17. Patients who received treatment at the right time (within 24 hours before or after surgery) to help prevent blood clots after certain types of surgery — 93 percent
18. Average number of minutes before outpatients with chest pain or possible heart attack patients were transferred to another hospital — 61 minutes
19. Average number of minutes before outpatients with chest pain or possible heart attack received an ECG — 8 minutes
20. Outpatients with chest pain or possible part attack patients who received drugs to break up blood clots within 30 minutes of arrival — 55 percent
21. Outpatients with chest pain or possible heart attack who received aspirin within 24 hours of arrival — 95 percent
22. Heart attack patients given aspirin at arrival — 99 percent
23. Heart attack patients given aspirin at discharge — 99 percent
24. Heart attack patients given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction — 96 percent
25. Heart attack patients given smoking cessation advice/counseling — 100 percent
26. Heart attack patients given beta blocker at discharge — 98 percent
27. Heart attack patients given fibrinolytic medication within 30 minutes of arrival — 57 percent
28. Heart attack patients given PCI within 90 minutes of arrival — 90 percent
29. Pneumonia patients assessed and given pneumococcal vaccination — 93 percent
30. Pneumonia patients whose initial emergency room blood culture was performed prior to the administration of the first hospital dose of antibiotics — 96 percent
31. Pneumonia patients given smoking cessation advice/counseling — 97 percent
32. Pneumonia patients given initial antibiotics within six hours after arrival — 95 percent
33. Pneumonia patients given the most appropriate initial antibiotics — 92 percent
34. Pneumonia patients assessed and given influenza vaccination — 91 percent
35. Heart failure patients given discharge instructions — 89 percent
36. Heart failure patients given an evaluation of left ventricular systolic function — 98 percent
37. Heart failure patients given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction — 95 percent
38. Heart failure patients given smoking cessation advice/counseling — 99 percent
39. Children who received reliever medication while hospitalized for asthma — 100 percent
40. Children who received systemic corticosteroid medication (oral and IV medication that reduces inflammation and controls symptoms) while hospitalized for asthma — 100 percent
41. Children and their caregivers who received a home management health plan of care document while hospitalized for asthma — 74 percent
42. Heart attack care composite — 98.3 percent
43. Pneumonia care composite — 94.6 percent
44. Surgical care composite — 92.3 percent
45. Children's asthma care composite — 92.3 percent
How do patients rate hospital overall?
Answers reflect a 1-10 scale, with 10 being the best. Sample size: 3,811 hospitals.
46. Patients who gave rating of 6 or lower
• 25th percentile — 6 percent
• Median — 8 percent
• Average — 8.91 percent
• 75th percentile — 11 percent
47. Patients who gave rating of 7 or 8
• 25th percentile — 20 percent
• Median — 24 percent
• Average — 23.65 percent
• 75th percentile — 27 percent
48. Patients who gave rating of 9 or 10
• 25th percentile — 62 percent
• Median — 68 percent
• Average — 67.44 percent
• 75th percentile — 73 percent
How often did physicians communicate well with patients?
Sample size: 3,812 hospitals
49. Physicians 'always' communicated well
• 25th percentile — 77 percent
• Median — 80 percent
• Average — 80.25 percent
• 75th percentile — 84 percent
50. Physicians 'sometimes' or 'never' communicated well
• 25th percentile — 3 percent
• Median — 4 percent
• Average — 4.58 percent
• 75th percentile — 6 percent
51. Physicians 'usually' communicated well
• 25th percentile — 13 percent
• Median — 15 percent
• Average — 15.17 percent
• 75th percentile — 18 percent
How often did nurses communicate well with patients?
Sample size: 3,812 hospitals
52. Nurses 'always' communicated well
• 25th percentile — 73 percent
• Median — 76 percent
• Average — 76.01 percent
• 75th percentile — 80 percent
53. Nurses 'sometimes' or 'never' communicated well
• 25th percentile — 3 percent
• Median — 5 percent
• Average — 5.28 percent
• 75th percentile — 7 percent
54. Nurses 'usually' communicated well
• 25th percentile — 16 percent
• Median — 19 percent
• Average — 18.71 percent
• 75th percentile — 21 percent
How often did patients receive help quickly from hospital staff?
Sample size: 3,812 hospitals
55. Patients 'always' received help as soon as they wanted
• 25th percentile — 58 percent
• Median — 63 percent
• Average — 64.08 percent
• 75th percentile — 70 percent
56. Patients 'sometimes' or 'never' received help as soon as they wanted
• 25th percentile — 7 percent
• Median — 10 percent
• Average — 10.66 percent
• 75th percentile — 14 percent
57. Patients 'usually' received help as soon as they wanted
• 25th percentile — 23 percent
• Median — 26 percent
• Average — 25.26 percent
• 75th percentile — 29 percent
How often did staff explain about medicines before giving them to patients?
Sample size: 3,808 hospitals
58. Staff 'always' explained
• 25th percentile — 57 percent
• Median — 60 percent
• Average — 60.57 percent
• 75th percentile — 64 percent
59. Staff 'sometimes' or 'never' explained
• 25th percentile — 18 percent
• Median — 21 percent
• Average — 21.1 percent
• 75th percentile — 24 percent
60. Staff 'usually' explained
• 25th percentile — 17 percent
• Median — 18 percent
• Average — 18.34 percent
• 75th percentile — 20 percent
How often was patients' pain well controlled?
Sample size: 3,811 hospitals
61. Pain was 'always' well controlled
• 25th percentile — 66 percent
• Median — 69 percent
• Average — 69.35 percent
• 75th percentile — 72 percent
62. Pain was 'sometimes' or 'never' well controlled
• 25th percentile — 5 percent
• Median — 7 percent
• Average — 7.21 percent
• 75th percentile — 8 percent
63. Pain was 'usually' well controlled
• 25th percentile — 21 percent
• Median — 24 percent
• Average — 23.44 percent
• 75th percentile — 26 percent
How often was the area around the patient rooms kept quiet at night?
Sample size: 3,812 hospitals
64. 'Always' quiet at night
• 25th percentile — 51 percent
• Median — 58 percent
• Average — 58.11 percent
• 75th percentile — 65 percent
65. Pain was 'sometimes' or 'never' quiet at night
• 25th percentile — 7 percent
• Median — 11 percent
• Average — 11.46 percent
• 75th percentile — 15 percent
66. Room was 'usually' quiet at night
• 25th percentile — 27 percent
• Median — 31 percent
• Average — 30.43 percent
• 75th percentile — 35 percent
How often were patient rooms and bathrooms kept clean?
Sample size: 3,812 hospitals
67. Room was 'always' clean
• 25th percentile — 66 percent
• Median — 71 percent
• Average — 71.35 percent
• 75th percentile — 76 percent
68. Room was 'sometimes' or 'never' clean
• 25th percentile — 6 percent
• Median — 9 percent
• Average — 9.20 percent
• 75th percentile — 12 percent
69. Room was 'usually' clean
• 25th percentile — 17 percent
• Median — 20 percent
• Average — 19.45 percent
• 75th percentile — 23 percent
Were patients given information about what to do during their recovery at home?
Sample size: 3,809 hospitals
70. No, staff 'did not' give patients this information
• 25th percentile — 15 percent
• Median — 17 percent
• Average — 17.94 percent
• 75th percentile — 21 percent
71. Yes, staff 'did' give patients this information
• 25th percentile — 79 percent
• Median — 83 percent
• Average — 82.06 percent
• 75th percentile — 85 percent
Would patients recommend the hospital to friends and family?
Sample size: 3,811 hospitals
72. No, patients probably would not or definitely would not recommend the hospital
• 25th percentile — 3 percent
• Median — 5 percent
• Average — 5.32 percent
• 75th percentile — 7 percent
73. Yes, patients would definitely recommend the hospital
• 25th percentile — 63 percent
• Median — 70 percent
• Average — 69.46 percent
• 75th percentile — 76 percent
74. Yes, patients would probably recommend the hospital
• 25th percentile — 20 percent
• Median — 25 percent
• Average — 25.23 percent
• 75th percentile — 30 percent
75. Overall patient satisfaction score for hospital with 1-50 beds — 88.3
76. Overall patient satisfaction score for hospital with 51-149 beds — 86.1
77. Overall patient satisfaction score for hospital with 150-299 beds — 84.9
78. Overall patient satisfaction score for hospital with 300-449 beds — 84.5
79. Overall patient satisfaction score for hospital with 450-600 beds — 84.5
80. Overall patient satisfaction score for hospital with 600+ beds — 84.4
81. Overall patient satisfaction score for admission through hospital ED — 83.2
82. Overall patient satisfaction score for admission not through ED — 86.1
83. Overall physician satisfaction score — 73.4
84. Overall physician satisfaction score with patient care — 78.9
85. Overall physician satisfaction score with ease of practice — 77.3
86. Overall physician satisfaction score with relationship with leaders — 66.2
87. Overall physician satisfaction score with overall assessment — 77.6
88. Average net patient revenue — $244,218
89. Average operating margin —1.26
90. Average profit margin — 3.43
91. Average days cash on hand —144.8
92. Average days in accounts receivable — 46.5
93. Average number of admissions per year —11,332
94. Average number of beds in service — 216
95. Average number of patient days — 53,529
96. Average number of outpatient visits — 196,807
97. Average number of inpatient surgical operations — 3,198
98. Average number of outpatient surgical operations — 5,767
99. Average FTE employees — 1,346
100. Average hourly wage — $12
101. Net accounts receivable — $29,787
102. Long-term debt — $78,524
103. Average depreciation and amortization expense — $12,793
104. 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
105. 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
106. 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
107. 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
108. 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
109. 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
110. 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
111. 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
112. 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
113. 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
114. 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
115. 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
116. Average price per bed in 2010 — $427,000
117. Average price per bed in 2009 — $398,000
118. Average price to revenue in 2010 — 0.7 times
119. Average price to revenue in 2009 — 0.78 times
120. Average length of stay in days — 4.6
121. Hospital stays accounted for by Medicaid — 14 percent
122. Hospital stays accounted for by Medicare — 46 percent
123. Hospital stays accounted for by private insurance — 32 percent
124. Hospital stays accounted for by uninsured — 4 percent
125. Hospital stays accounted for by patients 65-84 years old — 35 percent
126. Average cost per discharge — $9,100
127. Average cost per discharge for patients <1— $3,600
128. Average cost per discharge for patients 1-17 — $7,300–$7,800 (range due to maternal and neonatal discharges)
129. Average cost per discharge for patients 18-44 — $6,700–$9,100 (range due to maternal and neonatal discharges)
130. Average cost per discharge for patients 45-64 — $11,600
131. Average cost per discharge for patients 65-84 — $11,900
132. Average cost per discharge for patients 85+ — $9,400
133. 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
134. 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
135. 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
136. Average age of plant, all hospitals
• 1st Quartile — 3.63
• 2nd Quartile — 7.70
• 3rd Quartile — 10.59
• 4th Quartile — 15.39
137. Average age of plant, investor-owned hospitals
• 1st Quartile — 2.12
• 2nd Quartile — 4.83
• 3rd Quartile — 8.23
• 4th Quartile — 12.96
138. Average age of plant, non-profit hospitals
• 1st Quartile — 4.90
• 2nd Quartile — 8.65
• 3rd Quartile — 11.28
• 4th Quartile — 15.75
139. Total — 25 percent
140. Cardiovascular — 21.95 percent
141. Critical care — 27.66 percent
142. Emergency department — 44.71 percent
143. Intensive care — 26.67 percent
144. Medical — 19.69 percent
145. Medical/surgical — 25.95 percent
146. Neonatal intensive care —10.15 percent
147. Neurology — 27.24 percent
148. Oncology — 20.91 percent
149. Orthopedics — 23.38 percent
150. Pediatric intensive care — 29.48 percent
151. Pediatrics — 29.79 percent
152. Psychiatric — 13.38 percent
153. Rehabilitation — 12.25 percent
154. Respiratory — 12.25 percent
155. Surgical — 23.16 percent
156. Telemetry — 25.91 percent
157. Women's and children's — 39.51 percent
158. Total — 26.11 percent
159. Cardiovascular — 27.56 percent
160. Critical care — 28.46 percent
161. Emergency department — 66.94 percent
162. Intensive care — 26.21 percent
163. Medical —16.42 percent
164. Medical/surgical — 24.7 percent
165. Neonatal intensive care — 9.7 percent
166. Neurology — 28.06 percent
167. Oncology — 20.97 percent
168. Operating room — 71.45 percent
169. Orthopedics — 21.75 percent
170. Pediatric intensive care — 28.46 percent
171. Pediatrics — 28.02 percent
172. Psychiatric — 9.9 percent
173. Rehabilitation — 12.46 percent
174. Respiratory — 3.78 percent
175. Surgical — 26.71 percent
176. Telemetry — 51.64 percent
177. Women's and children's — 43.98 percent
178. Hospital-wide
• Day shift — 39.02 percent
• Evening shift — 22.41 percent
• Night shift — 17.8 percent
179. Cardiovascular
• Day shift — 49.93 percent
• Evening shift — n/a
• Night shift — 14.69 percent
180. Critical care
• Day shift — 42.04 percent
• Evening shift — n/a
• Night shift — 17.9 percent
181. Emergency department
• Day shift — 68.69 percent
• Evening shift — n/a
• Night shift — 18.44 percent
182. Intensive care
• Day shift — 37.47 percent
• Evening shift — 24.94 percent
• Night shift — 18.44 percent
183. Medical
• Day shift — 25.76 percent
• Evening shift — 18.55 percent
• Night shift — 9.34 percent
184. Medical/surgical
• Day shift — 35.83 percent
• Evening shift — 30.75 percent
• Night shift — 15.57 percent
185. Neonatal intensive care
• Day shift — 14.38 percent
• Evening shift — 8.33 percent
• Night shift — 6.11 percent
186. Neurology
• Day shift — 41.76 percent
• Evening shift — n/a
• Night shift — 18.95 percent
187. Oncology
• Day shift — 33.78 percent
• Evening shift — n/a
• Night shift — 12.86 percent
188. Operating room
• Day shift — 82.7 percent
• Evening shift — n/a
• Night shift — 49.29 percent
189. Orthopedics
• Day shift — 38.51 percent
• Evening shift — 18.84 percent
• Night shift — 9.89 percent
190. Pediatric intensive care
• Day shift — 41.89 percent
• Evening shift — n/a
• Night shift — 16.49 percent
191. Pediatrics
• Day shift — 43.09 percent
• Evening shift — 31.98 percent
• Night shift — 14.06 percent
192. Psychiatric
• Day shift — 18.72 percent
• Evening shift — 10.86 percent
• Night shift — 5.55 percent
193. Rehabilitation
• Day shift — 21.47 percent
• Evening shift — 13.37 percent
• Night shift — 6.16 percent
194. Respiratory
• Day shift — 5.91 percent
• Evening shift — n/a
• Night shift — 2.53 percent
195. Surgical
• Day shift — 39.98 percent
• Evening shift — 19.32 percent
• Night shift — 19.23 percent
196. Telemetry
• Day shift — 39.17 percent
• Evening shift — 25.43 percent
• Night shift — 16.08 percent
197. Women's and children's
• Day shift — 55.71 percent
• Evening shift — 37.8 percent
• Night shift — 35.61 percent
198. Average time between patient entering ED and seeing physician — 56 minutes [15]
199. Average length of stay in ED — 4 hours, 7 minutes [16]
200. Average number of ED visits — 51,265 [17]
__________________________________________________
[1] Source: iVantage Health Analytics, Sept. 2011.
[2] Source: Hospital Compare, U.S. Department of Health & Human Services. Last updated Aug. 5, 2011.
[3] Source: The Joint Commission's Annual Report on Quality and Safety, 2011.
[4] Source: iVantage Health Analytics, Sept. 2011.
[5] Source: Press Ganey's 2010 Hospital Pulse Report.
[6] Source: Press Ganey's 2010 Hospital Pulse Report.
[7] Source: Merritt Research Services' 2010 Hospital Benchmarks.
[8] The following data is from Healthcare Management Partners' HMP Metrics Quarterly Report, 2010, the latest data available. Quartile rankings were assigned based on 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.
[9] Source: Irving Levin Associates, Inc.
[10] Source: Agency for Healthcare Research and Quality and its Healthcare Cost & Utilization Project, 2008. Discharge refers to the hospital stay.
[11] The following data is from Healthcare Management Partners' HMP Metrics Quarterly Report, 2010, the latest data available. Quartile rankings were assigned based on 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.
[12] Source: OptiLink and Nursing Executive Center, The Advisory Board Company.
[13] Source: OptiLink and Nursing Executive Center, The Advisory Board Company.
[14] Source: OptiLink and Nursing Executive Center, The Advisory Board Company.
[15] Source: Centers for Disease Control and Prevention, 2010.
[16] Source: Press Ganey, Emergency Department Pulse Report, 2010.
[17] Source: Merritt Research Services' 2010 Hospital Benchmarks.
Quality Benchmarks
Outcomes of Care Benchmarks
Mortality rates represent the percentage of patients who die within 30 days of their admission to a hospital. Readmission rates represent the percentage of patients who have had a recent hospital stay and need to go back into a hospital again within 30 days of their discharge. [1]1. Heart attack mortality rate
(Sample size: 4,311 hospitals)
• 25th percentile — 14.8 percent
• Median — 15.7 percent
• Average — 15.79 percent
• 75th percentile — 16.8 percent
2. Heart attack readmission rate
(Sample size: 4,248 hospitals)
• 25th percentile — 19 percent
• Median — 19.8 percent
• Average — 19.88 percent
• 75th percentile — 20.7 percent
3. Heart failure mortality rate
(Sample size: 4,427 hospitals)
• 25th percentile — 10.4 percent
• Median — 11.3 percent
• Average — 11.39 percent
• 75th percentile — 12.3 percent
4. Heart failure readmission rate
(Sample size: 4,433 hospitals)
• 25th percentile — 23.5 percent
• Median — 24.7 percent
• Average — 24.86 percent
• 75th percentile — 26.1 percent
5. Pneumonia 30-day mortality rate
(Sample size: 4,445 hospitals)
• 25th percentile — 10.7 percent
• Median — 11.8 percent
• Average — 11.96 percent
• 75th percentile — 13 percent
6. Pneumonia readmission rate
(Sample size: 4,446 hospitals)
• 25th percentile — 17.4 percent
• Median — 18.3 percent
• Average — 18.45 percent
• 75th percentile — 19.4 percent
Process of Care Measures
Measures how often hospitals provide some of the care that is recommended for patients with a heart attack, heart failure, pneumonia, surgery and children's asthma. [2]7. Outpatients having surgery who received an antibiotic at the right time (within one hour before surgery) — 93 percent
8. Outpatients having surgery who received the right kind of antibiotic — 94 percent
9. Surgery patients who were taking beta blockers before coming to the hospital who were kept on beta blockers during the periods prior and following their surgery — 93 percent
10. Surgery patients who were given an antibiotic at the right time (within one hour before surgery) — 97 percent
11. Surgery patients who were given the right kind of antibiotic to prevent infection — 97 percent
12. Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery) — 95 percent
13. Heart surgery patients whose blood sugar was kept under control in the days immediately following surgery — 94 percent
14. Surgery patients needing their hair removed from the surgical area before surgery who underwent hair removal using a safe method (such as electric clippers or hair removal cream opposed to razors) — 100 percent
15. Surgery patients whose urinary catheters were removed on the first or second day after surgery — 91 percent
16. Surgery patients whose physicians ordered treatments to prevent blood clots after certain types of procedures — 94 percent
17. Patients who received treatment at the right time (within 24 hours before or after surgery) to help prevent blood clots after certain types of surgery — 93 percent
18. Average number of minutes before outpatients with chest pain or possible heart attack patients were transferred to another hospital — 61 minutes
19. Average number of minutes before outpatients with chest pain or possible heart attack received an ECG — 8 minutes
20. Outpatients with chest pain or possible part attack patients who received drugs to break up blood clots within 30 minutes of arrival — 55 percent
21. Outpatients with chest pain or possible heart attack who received aspirin within 24 hours of arrival — 95 percent
22. Heart attack patients given aspirin at arrival — 99 percent
23. Heart attack patients given aspirin at discharge — 99 percent
24. Heart attack patients given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction — 96 percent
25. Heart attack patients given smoking cessation advice/counseling — 100 percent
26. Heart attack patients given beta blocker at discharge — 98 percent
27. Heart attack patients given fibrinolytic medication within 30 minutes of arrival — 57 percent
28. Heart attack patients given PCI within 90 minutes of arrival — 90 percent
29. Pneumonia patients assessed and given pneumococcal vaccination — 93 percent
30. Pneumonia patients whose initial emergency room blood culture was performed prior to the administration of the first hospital dose of antibiotics — 96 percent
31. Pneumonia patients given smoking cessation advice/counseling — 97 percent
32. Pneumonia patients given initial antibiotics within six hours after arrival — 95 percent
33. Pneumonia patients given the most appropriate initial antibiotics — 92 percent
34. Pneumonia patients assessed and given influenza vaccination — 91 percent
35. Heart failure patients given discharge instructions — 89 percent
36. Heart failure patients given an evaluation of left ventricular systolic function — 98 percent
37. Heart failure patients given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction — 95 percent
38. Heart failure patients given smoking cessation advice/counseling — 99 percent
39. Children who received reliever medication while hospitalized for asthma — 100 percent
40. Children who received systemic corticosteroid medication (oral and IV medication that reduces inflammation and controls symptoms) while hospitalized for asthma — 100 percent
41. Children and their caregivers who received a home management health plan of care document while hospitalized for asthma — 74 percent
Accountability Measures
Accountability composite measures are calculated by adding the number of times recommended care was provided over all the process measures in the given measure set, then dividing this sum by the total number of opportunities for providing this recommended care. The composite measure shows the percentage of the time the recommended care for each condition was provided. [3]42. Heart attack care composite — 98.3 percent
43. Pneumonia care composite — 94.6 percent
44. Surgical care composite — 92.3 percent
45. Children's asthma care composite — 92.3 percent
Patient Experience Benchmarks
Figures reflect measures from the Hospital Consumer Assessment of Healthcare Providers and Systems. [4]How do patients rate hospital overall?
Answers reflect a 1-10 scale, with 10 being the best. Sample size: 3,811 hospitals.
46. Patients who gave rating of 6 or lower
• 25th percentile — 6 percent
• Median — 8 percent
• Average — 8.91 percent
• 75th percentile — 11 percent
47. Patients who gave rating of 7 or 8
• 25th percentile — 20 percent
• Median — 24 percent
• Average — 23.65 percent
• 75th percentile — 27 percent
48. Patients who gave rating of 9 or 10
• 25th percentile — 62 percent
• Median — 68 percent
• Average — 67.44 percent
• 75th percentile — 73 percent
How often did physicians communicate well with patients?
Sample size: 3,812 hospitals
49. Physicians 'always' communicated well
• 25th percentile — 77 percent
• Median — 80 percent
• Average — 80.25 percent
• 75th percentile — 84 percent
50. Physicians 'sometimes' or 'never' communicated well
• 25th percentile — 3 percent
• Median — 4 percent
• Average — 4.58 percent
• 75th percentile — 6 percent
51. Physicians 'usually' communicated well
• 25th percentile — 13 percent
• Median — 15 percent
• Average — 15.17 percent
• 75th percentile — 18 percent
How often did nurses communicate well with patients?
Sample size: 3,812 hospitals
52. Nurses 'always' communicated well
• 25th percentile — 73 percent
• Median — 76 percent
• Average — 76.01 percent
• 75th percentile — 80 percent
53. Nurses 'sometimes' or 'never' communicated well
• 25th percentile — 3 percent
• Median — 5 percent
• Average — 5.28 percent
• 75th percentile — 7 percent
54. Nurses 'usually' communicated well
• 25th percentile — 16 percent
• Median — 19 percent
• Average — 18.71 percent
• 75th percentile — 21 percent
How often did patients receive help quickly from hospital staff?
Sample size: 3,812 hospitals
55. Patients 'always' received help as soon as they wanted
• 25th percentile — 58 percent
• Median — 63 percent
• Average — 64.08 percent
• 75th percentile — 70 percent
56. Patients 'sometimes' or 'never' received help as soon as they wanted
• 25th percentile — 7 percent
• Median — 10 percent
• Average — 10.66 percent
• 75th percentile — 14 percent
57. Patients 'usually' received help as soon as they wanted
• 25th percentile — 23 percent
• Median — 26 percent
• Average — 25.26 percent
• 75th percentile — 29 percent
How often did staff explain about medicines before giving them to patients?
Sample size: 3,808 hospitals
58. Staff 'always' explained
• 25th percentile — 57 percent
• Median — 60 percent
• Average — 60.57 percent
• 75th percentile — 64 percent
59. Staff 'sometimes' or 'never' explained
• 25th percentile — 18 percent
• Median — 21 percent
• Average — 21.1 percent
• 75th percentile — 24 percent
60. Staff 'usually' explained
• 25th percentile — 17 percent
• Median — 18 percent
• Average — 18.34 percent
• 75th percentile — 20 percent
How often was patients' pain well controlled?
Sample size: 3,811 hospitals
61. Pain was 'always' well controlled
• 25th percentile — 66 percent
• Median — 69 percent
• Average — 69.35 percent
• 75th percentile — 72 percent
62. Pain was 'sometimes' or 'never' well controlled
• 25th percentile — 5 percent
• Median — 7 percent
• Average — 7.21 percent
• 75th percentile — 8 percent
63. Pain was 'usually' well controlled
• 25th percentile — 21 percent
• Median — 24 percent
• Average — 23.44 percent
• 75th percentile — 26 percent
How often was the area around the patient rooms kept quiet at night?
Sample size: 3,812 hospitals
64. 'Always' quiet at night
• 25th percentile — 51 percent
• Median — 58 percent
• Average — 58.11 percent
• 75th percentile — 65 percent
65. Pain was 'sometimes' or 'never' quiet at night
• 25th percentile — 7 percent
• Median — 11 percent
• Average — 11.46 percent
• 75th percentile — 15 percent
66. Room was 'usually' quiet at night
• 25th percentile — 27 percent
• Median — 31 percent
• Average — 30.43 percent
• 75th percentile — 35 percent
How often were patient rooms and bathrooms kept clean?
Sample size: 3,812 hospitals
67. Room was 'always' clean
• 25th percentile — 66 percent
• Median — 71 percent
• Average — 71.35 percent
• 75th percentile — 76 percent
68. Room was 'sometimes' or 'never' clean
• 25th percentile — 6 percent
• Median — 9 percent
• Average — 9.20 percent
• 75th percentile — 12 percent
69. Room was 'usually' clean
• 25th percentile — 17 percent
• Median — 20 percent
• Average — 19.45 percent
• 75th percentile — 23 percent
Were patients given information about what to do during their recovery at home?
Sample size: 3,809 hospitals
70. No, staff 'did not' give patients this information
• 25th percentile — 15 percent
• Median — 17 percent
• Average — 17.94 percent
• 75th percentile — 21 percent
71. Yes, staff 'did' give patients this information
• 25th percentile — 79 percent
• Median — 83 percent
• Average — 82.06 percent
• 75th percentile — 85 percent
Would patients recommend the hospital to friends and family?
Sample size: 3,811 hospitals
72. No, patients probably would not or definitely would not recommend the hospital
• 25th percentile — 3 percent
• Median — 5 percent
• Average — 5.32 percent
• 75th percentile — 7 percent
73. Yes, patients would definitely recommend the hospital
• 25th percentile — 63 percent
• Median — 70 percent
• Average — 69.46 percent
• 75th percentile — 76 percent
74. Yes, patients would probably recommend the hospital
• 25th percentile — 20 percent
• Median — 25 percent
• Average — 25.23 percent
• 75th percentile — 30 percent
Patient Satisfaction Benchmarks
Reponses are based on 100-point scales, with 100 reflecting "very good," 50 reflecting "fair" and 0 reflecting "very poor." [5]75. Overall patient satisfaction score for hospital with 1-50 beds — 88.3
76. Overall patient satisfaction score for hospital with 51-149 beds — 86.1
77. Overall patient satisfaction score for hospital with 150-299 beds — 84.9
78. Overall patient satisfaction score for hospital with 300-449 beds — 84.5
79. Overall patient satisfaction score for hospital with 450-600 beds — 84.5
80. Overall patient satisfaction score for hospital with 600+ beds — 84.4
81. Overall patient satisfaction score for admission through hospital ED — 83.2
82. Overall patient satisfaction score for admission not through ED — 86.1
Physician Satisfaction Benchmarks
Reponses are based on 100-point scales, with 100 reflecting "very good," 50 reflecting "fair" and 0 reflecting "very poor." [6]83. Overall physician satisfaction score — 73.4
84. Overall physician satisfaction score with patient care — 78.9
85. Overall physician satisfaction score with ease of practice — 77.3
86. Overall physician satisfaction score with relationship with leaders — 66.2
87. Overall physician satisfaction score with overall assessment — 77.6
Financial Benchmarks
Figures 88-103 are derived from a sample of 1,144 hospitals. [7]88. Average net patient revenue — $244,218
89. Average operating margin —1.26
90. Average profit margin — 3.43
91. Average days cash on hand —144.8
92. Average days in accounts receivable — 46.5
93. Average number of admissions per year —11,332
94. Average number of beds in service — 216
95. Average number of patient days — 53,529
96. Average number of outpatient visits — 196,807
97. Average number of inpatient surgical operations — 3,198
98. Average number of outpatient surgical operations — 5,767
99. Average FTE employees — 1,346
100. Average hourly wage — $12
101. Net accounts receivable — $29,787
102. Long-term debt — $78,524
103. Average depreciation and amortization expense — $12,793
Quartiled Financial Benchmarks [8]
104. 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
105. 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
106. 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
107. 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
108. 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
109. 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
110. 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
111. 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
112. 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
113. 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
114. 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
115. 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
Hospital Merger & Acquisition Benchmarks
Applies to acquisitions announced, not closed. [9]116. Average price per bed in 2010 — $427,000
117. Average price per bed in 2009 — $398,000
118. Average price to revenue in 2010 — 0.7 times
119. Average price to revenue in 2009 — 0.78 times
Operational Benchmarks
Inpatient Benchmarks [10]
120. Average length of stay in days — 4.6
121. Hospital stays accounted for by Medicaid — 14 percent
122. Hospital stays accounted for by Medicare — 46 percent
123. Hospital stays accounted for by private insurance — 32 percent
124. Hospital stays accounted for by uninsured — 4 percent
125. Hospital stays accounted for by patients 65-84 years old — 35 percent
126. Average cost per discharge — $9,100
127. Average cost per discharge for patients <1— $3,600
128. Average cost per discharge for patients 1-17 — $7,300–$7,800 (range due to maternal and neonatal discharges)
129. Average cost per discharge for patients 18-44 — $6,700–$9,100 (range due to maternal and neonatal discharges)
130. Average cost per discharge for patients 45-64 — $11,600
131. Average cost per discharge for patients 65-84 — $11,900
132. Average cost per discharge for patients 85+ — $9,400
Full-Time Equivalent and Facility Benchmarks [11]
133. 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
134. 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
135. 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
136. Average age of plant, all hospitals
• 1st Quartile — 3.63
• 2nd Quartile — 7.70
• 3rd Quartile — 10.59
• 4th Quartile — 15.39
137. Average age of plant, investor-owned hospitals
• 1st Quartile — 2.12
• 2nd Quartile — 4.83
• 3rd Quartile — 8.23
• 4th Quartile — 12.96
138. Average age of plant, non-profit hospitals
• 1st Quartile — 4.90
• 2nd Quartile — 8.65
• 3rd Quartile — 11.28
• 4th Quartile — 15.75
Census Disparity Index Benchmarks
Data highlights the gap between 24-hour census and midnight census, with lower percentages indicating less disparity. The index may be used to inform hospital leadership decisions about patient load measurement, budgeting and projection of staffing needs. [12]139. Total — 25 percent
140. Cardiovascular — 21.95 percent
141. Critical care — 27.66 percent
142. Emergency department — 44.71 percent
143. Intensive care — 26.67 percent
144. Medical — 19.69 percent
145. Medical/surgical — 25.95 percent
146. Neonatal intensive care —10.15 percent
147. Neurology — 27.24 percent
148. Oncology — 20.91 percent
149. Orthopedics — 23.38 percent
150. Pediatric intensive care — 29.48 percent
151. Pediatrics — 29.79 percent
152. Psychiatric — 13.38 percent
153. Rehabilitation — 12.25 percent
154. Respiratory — 12.25 percent
155. Surgical — 23.16 percent
156. Telemetry — 25.91 percent
157. Women's and children's — 39.51 percent
Admissions, Discharges and Transfers Index Benchmarks
Data indicates the proportion of the unit's population that is turning over during a shift. Lower percentages indicate less flow. The ADT Index can be used to determine if there is a need to reallocate resources to better manage patient flow. [13]158. Total — 26.11 percent
159. Cardiovascular — 27.56 percent
160. Critical care — 28.46 percent
161. Emergency department — 66.94 percent
162. Intensive care — 26.21 percent
163. Medical —16.42 percent
164. Medical/surgical — 24.7 percent
165. Neonatal intensive care — 9.7 percent
166. Neurology — 28.06 percent
167. Oncology — 20.97 percent
168. Operating room — 71.45 percent
169. Orthopedics — 21.75 percent
170. Pediatric intensive care — 28.46 percent
171. Pediatrics — 28.02 percent
172. Psychiatric — 9.9 percent
173. Rehabilitation — 12.46 percent
174. Respiratory — 3.78 percent
175. Surgical — 26.71 percent
176. Telemetry — 51.64 percent
177. Women's and children's — 43.98 percent
Workload Contribution Factor Benchmarks
Data indicates the proportion of the unit's admission, discharge and transfer activity that is attributed to each component — admissions, discharges and transfers. [14]178. Hospital-wide
• Day shift — 39.02 percent
• Evening shift — 22.41 percent
• Night shift — 17.8 percent
179. Cardiovascular
• Day shift — 49.93 percent
• Evening shift — n/a
• Night shift — 14.69 percent
180. Critical care
• Day shift — 42.04 percent
• Evening shift — n/a
• Night shift — 17.9 percent
181. Emergency department
• Day shift — 68.69 percent
• Evening shift — n/a
• Night shift — 18.44 percent
182. Intensive care
• Day shift — 37.47 percent
• Evening shift — 24.94 percent
• Night shift — 18.44 percent
183. Medical
• Day shift — 25.76 percent
• Evening shift — 18.55 percent
• Night shift — 9.34 percent
184. Medical/surgical
• Day shift — 35.83 percent
• Evening shift — 30.75 percent
• Night shift — 15.57 percent
185. Neonatal intensive care
• Day shift — 14.38 percent
• Evening shift — 8.33 percent
• Night shift — 6.11 percent
186. Neurology
• Day shift — 41.76 percent
• Evening shift — n/a
• Night shift — 18.95 percent
187. Oncology
• Day shift — 33.78 percent
• Evening shift — n/a
• Night shift — 12.86 percent
188. Operating room
• Day shift — 82.7 percent
• Evening shift — n/a
• Night shift — 49.29 percent
189. Orthopedics
• Day shift — 38.51 percent
• Evening shift — 18.84 percent
• Night shift — 9.89 percent
190. Pediatric intensive care
• Day shift — 41.89 percent
• Evening shift — n/a
• Night shift — 16.49 percent
191. Pediatrics
• Day shift — 43.09 percent
• Evening shift — 31.98 percent
• Night shift — 14.06 percent
192. Psychiatric
• Day shift — 18.72 percent
• Evening shift — 10.86 percent
• Night shift — 5.55 percent
193. Rehabilitation
• Day shift — 21.47 percent
• Evening shift — 13.37 percent
• Night shift — 6.16 percent
194. Respiratory
• Day shift — 5.91 percent
• Evening shift — n/a
• Night shift — 2.53 percent
195. Surgical
• Day shift — 39.98 percent
• Evening shift — 19.32 percent
• Night shift — 19.23 percent
196. Telemetry
• Day shift — 39.17 percent
• Evening shift — 25.43 percent
• Night shift — 16.08 percent
197. Women's and children's
• Day shift — 55.71 percent
• Evening shift — 37.8 percent
• Night shift — 35.61 percent
Emergency Department Benchmarks
198. Average time between patient entering ED and seeing physician — 56 minutes [15]
199. Average length of stay in ED — 4 hours, 7 minutes [16]
200. Average number of ED visits — 51,265 [17]
__________________________________________________
[1] Source: iVantage Health Analytics, Sept. 2011.
[2] Source: Hospital Compare, U.S. Department of Health & Human Services. Last updated Aug. 5, 2011.
[3] Source: The Joint Commission's Annual Report on Quality and Safety, 2011.
[4] Source: iVantage Health Analytics, Sept. 2011.
[5] Source: Press Ganey's 2010 Hospital Pulse Report.
[6] Source: Press Ganey's 2010 Hospital Pulse Report.
[7] Source: Merritt Research Services' 2010 Hospital Benchmarks.
[8] The following data is from Healthcare Management Partners' HMP Metrics Quarterly Report, 2010, the latest data available. Quartile rankings were assigned based on 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.
[9] Source: Irving Levin Associates, Inc.
[10] Source: Agency for Healthcare Research and Quality and its Healthcare Cost & Utilization Project, 2008. Discharge refers to the hospital stay.
[11] The following data is from Healthcare Management Partners' HMP Metrics Quarterly Report, 2010, the latest data available. Quartile rankings were assigned based on 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.
[12] Source: OptiLink and Nursing Executive Center, The Advisory Board Company.
[13] Source: OptiLink and Nursing Executive Center, The Advisory Board Company.
[14] Source: OptiLink and Nursing Executive Center, The Advisory Board Company.
[15] Source: Centers for Disease Control and Prevention, 2010.
[16] Source: Press Ganey, Emergency Department Pulse Report, 2010.
[17] Source: Merritt Research Services' 2010 Hospital Benchmarks.