TABLE OF CONTENTS

HIGHLIGHTS

INTRODUCTION

HCUP PARTNERS

1. OVERVIEW

2. DIAGNOSES

3. PROCEDURES

4. COSTS

5. PAYERS

SOURCES/METHODS

DEFINITIONS

FOR MORE INFO

ACKNOWLEDGMENTS

CITATION

FACTS & FIGURES 2007 PDF
EXHIBIT 1.4 Discharge Status PDF

Distribution of inpatient hospital stays by discharge status, 2007. Pie chart. Routine: 74%; long-term care and other facilities: 12%; home healthcare: 9%; in-hospital deaths: 2%; another short-term hospital: 2%; against medical advice: 1%. 39.5 million total discharges.
Note: Total number of discharges excludes less than 9,000 discharges (0.01%) with missing discharge status.


Discharge status indicates the circumstance surrounding the discharge or where the patient went after discharge from the hospital. Most discharges were routine in nature, but discharges to follow-on care were also frequent.

  • The most common patient discharge status was routine (74 percent, or 29 million discharges), with the patient being sent home without closely supervised healthcare.
  • Discharge to a long-term care facility (4.9 million discharges) was the second most common type of discharge, accounting for 12 percent of discharges.
  • Discharge to the home with home healthcare supervision accounted for 9 percent (3.6 million discharges).
  • Remaining discharge circumstances each accounted for 2 percent or less of discharges. These included in-hospital death or discharge to another short-term hospital, each with 0.8 million discharges, or discharge against medical advice (0.4 million discharges).

 

Growth in number of hospital stays by discharge status, 1997 through 2007. Bar chart. Cumulative percent growth. In-hospital deaths: -10%; another short-term hospital: -1%; routine: 9%; all discharges: 14%; long-term care and other facilities: 32%; against medical advice: 39%; home healthcare: 55%.


The number of discharges increased by 14 percent (up 4.9 million discharges) from 1997 to 2007, but growth varied by discharge status.

  • The number of discharges to follow-on care in nursing homes and other rehabilitation facilities and to home care has increased as the average length of stay has fallen.
    • The number of discharges to home healthcare grew by 55 percent (up 1.3 million discharges).
    • Discharges to nursing homes and long term care increased by 32 percent (1.2 million discharges).
  • The number of in-hospital deaths decreased by 10 percent (down 86,000 discharges).
  • The number of patients who left the hospital against medical advice, although small, rose by 39 percent (up 103,700 discharges)—the second fastest increase of any discharge type.


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Internet Citation: Facts and Figures 2006. Healthcare Cost and Utilization Project (HCUP). September 2009. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit1_4.jsp.
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