Executive Summary

AGH Description

Site Description Midsized Level 2 Care; Community Hospital Non-Trauma Center

Square feet 10,750

There are 8 patient units.

Outpatient services include In-patient services include

1.       The non-trauma, 16-bay emergency room is equipped with one triage space, 3 pediatric bays, 3 closed isolation rooms, and 10 exam/treatment spaces. laboratory Specialty MD consults

2.       Intensive Care Unit This 12-bed unit cares for all critical patients pharmacy physical therapy

3.       Maternity, Labor & Delivery. This 15-bed unit includes mother-child care throughout labor, delivery, and postpartum. radiology occupational therapy

4.       Step Down Unit This 25-bed unit receives patients transferred from the ICU. They may take overflow of patients from the M/S units who require multiple or complex treatment. therapies (PT, OT, Speech, Behavior) speech therapy

5.       Medical/Surgical Unit (West) This 40-bed unit receives medical admissions and admissions from surgeries related to orthopedics and a variety of surgical procedures. primary care for pediatrics and adults cardiology, neurology, orthopedics, psychiatry, EENT, and general surgery. behavior therapy

6.       Medical/Surgical Unit (East) This 40-bed unit receives medical admissions and surgical admissions mostly related to pulmonary and cardiac procedures that do not require ICU. Extended stays for patients waiting for Rehab placement often occurs. part-time play therapist for the pediatric unit.

7.       Pediatrics This 20-bed unit cares for patients aged 1 month – 21 years for a variety of non-critical medical/surgical conditions.

8.       Neuro/Mental Health Unit This 12-bed unit cares for patients having neurological and/or psychiatric issues requiring hospitalization.

Units & Beds

Bed Occupancy

2020 Aggregate Data: July 2019 – March 2020

Units Available Beds Daily Census/Occupancy Length of Stay (LOS) National Average LOS Patients waiting for Rehab Trends January – March 2020

ER 16 (Occupancy Rate) 60% 3.5 hours 3.7 hours Unit Approximate LOS Extension Trend per q 10 patients

ICU 12 7 4.2 days 3.3 days ICU 1 day 2 out of 10

Maternity L&D 11 & 4 4 1.5 days 3 days Step Down 4 days 4 out of 10

step down unit 25 18 7 days 3.5 days M/S West 4 days 8 out of 10

M/S West 40 28 9 days 5.2 days MS/East 8 days 9 out of 10

M/S East 40 16 12.8 days 5.2 days Neuro 3 days 2 out of 10

Pediatrics 20 9 3 days 3.5 days

Neuro/Psych 12 7 14 days 4-8 days

total 180 92

The budget requires an average daily census of 128 to cover costs.

Census Trends 2018, 2019, 2020

January 2021 Update

(COVID-19 impact*)

Jul-20 114

Sep-20 150

Nov-20 178

Jan-21 173

*June 2020: Elective Surgeries canceled. PACU (10) and 6 of 8 OR bays converted to COVID overflow. Still in effect. Anticipated reinstatement of Elective Surgery for March 2021

Readmission rates

Readmission Rates (re-admitted 1-30 days after discharge)

October 2019 — September 2020

National Benchmark 19.80%

AGH In-Patient Stays N=62,877

AGH Readmits n= 6,916 11%

AGH Associated Conditions for Readmissions

Pneumonia 8%

Other respiratory conditions 5%

Cardiac / circulatory conditions 14%

Psychiatric/Neurology conditions 15%

Orthopedic /Musculoskeletal conditions 6%

Injury post OPD procedure 9%

Infectious conditions (includes COVID-19 complications) 15%

EENT conditions 6%

Cancer 7%

Other 14%

Patients Discharged with DME scripts**: October 2019 – September 2020

Age Percent total

0-5 years 1.00%

6-14 years 2%

15-25 years 6%

26-40 9%

41 – 60 14%

51-80 60%

80+ 8%

** Numbers filled unknown

Staffing Ratios

Unit RN::Patient Cert Nur Ass:: Pt PT OT SPL Play

ER 1::5 1::8

ICU 1::2 1::8

Maternity L&D 1::3 1::8

step down unit 1::4 1::10

M/S West 1::5 1::10

M/S East 1::5 1::10

Pediatrics 1::4 1::8 0.5

Neuro/Psych 1::5 1::5

totals 5 2 1 0.5

Salaries

Salaries

RN basic $35.10

Therapist (PT OT SLT) $44.32

Differentials / per hour

Weekends & Holidays $1.25

Evening $1.25

Nights $1.85

BSN $4.00

MSN $7.00

Certification $3.00

Cert Nursing Assistant $21.00

Differentials / per hour

Weekends & Holidays

Evening

Nights

Play Therapist $28.00

Medical Staff on Salary (no hourly rate)

Attending $199,500

Medical Resident $65,200

Specialty Surgeons $290,000 —400,000

Director (services and programs) $109,700 —325,000

Lab Technician $20.20

X-ray Technician $30.40

Support Staff

Unit Secretary $18 — $28

Housekeeping $15 – 18

Dietary $13 — $17

Patient Satisfaction

Patient Satisfaction Survey Data: Aggregate 2019 with National Averages 2019*

Indicator AGH National

Overall Satisfaction 82.30% 68%

Treatment for my condition 81.30% 69.20%

Discharge Teaching 89% 74.90%

Discharge Access to Equipment 68.80% 58%

I would recommend AGH to others 93% 90%

*2020 data not yet available

Market Analysis

Community availability active rehab beds Totals

Rehab beds in 10 mile radius of AGH 12

Additional Rehab beds in 25 mile radius 35

Additional rehab beds in 50 mile radius 225

AGH Transfers to Rehab 2020

January 25

February 32

March 21

April 2

May 3

June 1

July 0

August 0

September 0

November 0

December 0

Nurse satisfaction

Nurse Satisfaction Data: N=395 January 2020

Item Strongly Agree Agree Somewhat Agree Somewhat Disagree Disagree Strongly Disagree

I am happy working at AGH 203 106 63 20 3 0

I would recommend other nurses to work at AGH 297 74 13 6 0 5

If my family needed healthcare, I would want them to come to AGH 299 82 9 5 0 0

I would take a certification exam if AGH paid for it 380 11 0 0 4 0

The HR benefits at AGH are good 250 95 48 2 0 0

Leadership is supportive of nursing 289 54 49 1 2 0

There is a lot of teamwork between nurses and doctors 250 75 59 7 4 0

I have freedom to make important patient care and work decisions 12 249 106 24 2 2

On my unit, there are enough nurses on staff to provide quality patient care 10 278 76 26 3 2

On my unit, I am asked to do things against my professional judgement 0 15 77 98 148 57

Information about patient care is relayed without major delays 0 289 58 27 21 0

On my unit, all points of view are considered 116 193 76 6 3 1

There is bullying and lateral violence on my unit 2 3 3 83 304

Community Demographics

Select Community Demographics for AGH on No-Name Street 2019 (Remember, these are invented numbers and do not represent actual data.)

Item

Median household income $59, 100

Persons in poverty (percent) 13.40%

HS Graduate over 25 years of age 88.20%

Persons with a bachelor’s degree or higher (over 25 years of age) 28.50%

Veterans 7.10%

Foreign-born persons 7.80%

Persons without health insurance 12.60%

Persons with a disability under age 65 10.20%

Households with broadband Internet 83.50%

Households with computer 90.10%

Ages of population

Under 5 years of age 5.20%

5 – 18 years 20.10%

65 years and older 14.50%

Race

Caucasian 79.60%

Black 5.20%

Asian 5.30%

Hispanic/Latino 6.80%

Two or more races 2.90%

Other 0.20%

Language other than English spoken at home 7.20%

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