By: Jeffrey Maser  Nov. 22, 2017
In another Dexur article, we addressed the connection between physician discharge volume and quality metrics. We found that although volume alone does not necessarily imply quality, these two factors have a strong positive correlation. Therefore, it is still valuable to understand which physicians in an area account for a large portion of the community's healthcare. Similarly, it is valuable to understand which hospitals account for high percentages of a community's discharges.
Dexur data analysts studied hospital discharge volume on national, statewide, and countywide levels for every therapeutic area and specific DRG and the top 10 hospitals for orthopedic discharge volume nationwide for the time period of October 2015 - September 2016 are given below.
Rank | Hospital Name | City | State / U.S. Territory | Total Medicare Inpatient Orthopedic Discharges | % Of National Discharges |
---|---|---|---|---|---|
All U.S. Hospitals | 1,364,880 | 100.00 | |||
1 | Hospital for Special Surgery | New York | New York | 5,524 | 0.40 |
2 | Florida Hospital, Orlando | Orlando | Florida | 3,902 | 0.29 |
3 | Beaumont Hospital, Royal Oak | Royal Oak | Michigan | 3,657 | 0.27 |
4 | Mayo Clinic Hospital, Saint Mary's Campus | Rochester | Minnesota | 3,643 | 0.27 |
5 | Christiana Hospital | Wilmington | Delaware | 3,237 | 0.24 |
6 | New England Baptist Hospital | Roxbury Crossing | Massachusetts | 2,713 | 0.20 |
7 | Cedars-Sinai Medical Center | Los Angeles | California | 2,557 | 0.19 |
8 | Morristown Medical Center | Morristown | New Jersey | 2,542 | 0.19 |
9 | New Hanover Regional Medical Center | Wilmington | North Carolina | 2,512 | 0.18 |
10 | Virtua Voorhees Hospital | Voorhees | New Jersey | 2,412 | 0.18 |
As indicated by the above table, between October 2015 - September 2016, Hospital for Special Surgery (HSS) in New York, New York saw over 1,500 more orthopedic discharges more than the next leading hospital in orthopedic discharge volume. The 5,524 discharges from HSS was 41.6% higher than the 3,902 discharges from Florida Hospital, Orlando, which is the next highest volume hospital for orthopedics discharges. Out of the 1,364,880 orthopedics discharges from U.S. Medicare enrollees during the aforementioned timeframe, the discharges from Hospital for Special Surgery accounted for 0.40% of these discharges. With over 5,000 inpatient facilities in the U.S., 0.40% of discharges makes up a significant portion of the market share.
When we look more specifically at the rankings for orthopedic discharge volume for the state of New York alone, these market share values are inherently going to be substantially higher. Between October 2015 - September 2016, Hospital for Special Surgery accounted for nearly 6% of all orthopedic discharges from New York residents enrolled in Medicare. With over 200 hospitals in New York alone, this is a very impressive statistic. For reference, the next highest volume hospital in New York state for orthopedic discharges is North Shore University Hospital, where the discharges there accounted for nearly 3% of New York Medicare enrollees' orthopedic discharges.
Orthopedic Inpatient Discharge Volume Rank | Hospital Name | City | State | Total Medicare Orthopedic Inpatient Discharges | % Of New York's Orthopedic Discharges |
---|---|---|---|---|---|
All New York Hospitals | 66,270 | 100.00 | |||
1 | Hospital for Special Surgery | New York | New York | 3,760 | 5.67 |
2 | North Shore University Hospital | Manhasset | New York | 1,958 | 2.95 |
3 | Tisch Hospital (NYU Langone Health) | New York | New York | 1,911 | 2.88 |
4 | St. Joseph's Hospital Health Center | Syracuse | New York | 1,214 | 1.83 |
5 | Montefiore Medical Center | Bronx | New York | 1,191 | 1.80 |
6 | St. Peter's Hospital | Albany | New York | 1,126 | 1.70 |
7 | Long Island Jewish Medical Center | New Hyde Park | New York | 1,094 | 1.65 |
8 | NewYork-Presbyterian / Columbia University Medical Center | New York | New York | 1,073 | 1.62 |
9 | Albany Medical Center | Albany | New York | 1,069 | 1.61 |
10 | Staten Island University Hospital | Staten Island | New York | 1,058 | 1.60 |
When we take the number of national orthopedics discharges (5,524) for Hospital for Special Surgery and subtract the number of discharges from New York residents (3,760), we are left with 1,764, which represents the number of discharges at Hospital for Specialty Surgery that came from Medicare enrollees living outside of New York. This means that if only the orthopedic discharges at HSS from out-of-state residents accounted for the hospital's discharge volume, the hospital would still rank 39th in orthopedic discharge volume.
Hospital for Special Surgery is known as one of the top orthopedic hospitals in the nation and, according to commentary from HSS Surgeon-in-Chief Emeritus, Dr. Thomas Peter Sculco, is the oldest orthopedic hospital in the United States. With that in mind, it is not surprising that a hospital with such an esteemed reputation ranks highest in the U.S. for orthopedic discharge volume among Medicare enrollees.