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HEALTH RESOURCE UTILIZATION -
ALOS & Occupancy
Hospital length of stay has become one of the most important performance indicators for purposes of cost control. Hospitals nationwide seek to reduce length of stay within the boundaries of sound medical practice as the hospitals generally paid by discharge and not per day.
  • Overall Length of Stay: The average length of stay (ALOS) for Hawai'i as a whole was 5.2 days in 2008--8 percent lower than in 1995. Hawai'i's overall ALOS is above the U.S. average of 4.6 days. Six of the top 10 conditions with the longest hospital stays were related to infants.1 Each condition has a mean length of stay exceeding 29 days.
  • Average Length of Stay by County: Between 1995 and 2008, decreases in ALOS were experienced at O'ahu's hospitals (10 percent decrease) and Maui County hospitals (2 percent decrease). In contrast, ALOS increased on Hawai'i County and Kaua'i County facilities (15 percent and 8 percent, respectively). In 2008, patients hospitalized on O'ahu had the highest ALOS at 5.6 days; Hawai'i had the lowest at 4.3 days. The higher ALOS on O'ahu is attributed to the concentration of tertiary care services in Honolulu. These services are necessary for treating sicker and often high-risk patients.
  • Occupancy Rate: The occupancy rate for Hawai'i's acute care facilities, averaging 70 percent in 2008,2 was higher than for the nation as a whole, at 65 percent. This reflects lower bed capacity in Hawai'i, with a rate of 2.0 beds per 1,000 population compared with the overall U.S. rate of 2.5 beds per 1,000 (See Health Resources).
  • Occupancy Rate by County: In 1995, the occupancy rate on O'ahu was 69 percent--the highest in the state. In 2008, Kaua'i County hospitals had the highest occupancy rate in the state (81 percent), followed by Maui (78 percent).  Honolulu and Hawai'i's hospitals had the lowest occupancy rate at 68 and 72 percent, respectively. Between 1995 and 2008, the occupancy rate increased in all Hawai'i counties, except Honolulu who experienced a slight decrease (1 percent).

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Compare Health Data
> Acute Care Average Length of Stay, Hawai`i vs. U.S. and by County
> Acute Care Occupancy Rate, Hawai`i vs. U.S. and by County
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Source: Hawaii Health Information Corporation, Inpatient Database.; Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample.
Note: Based on county of discharging facility. Includes newborns defined as MDC 15.
Source: Hawaii Health Information Corporation, Inpatient Database.; Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample.; American Hospital Association, Hospital Statistics.
Note: Based on county of discharging facility. Includes newborns defined as MDC 15.