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HEALTH RESOURCE UTILIZATION -
Long Term Care Facilites
Admission Rates: Between 1990 and 2006, Hawai'i's overall admission rate into long-term care facilities increased 54 percent.1 The admission rate was highest for Hawai'i County.

Inpatient Days: The number of long-term care inpatient days per 1,000 population aged 65 and older decreased 17 percent between 1990 and 2006. Long-term care utilization was highest on the Neighbor Island counties and lowest on O'ahu.

Average Length of Stay: Statewide ALOS has decreased significantly since 1994, when ALOS peaked at 396 days. In 2006, long-term care patients in Kaua'i County had the highest ALOS at 387 days; Honolulu County had the lowest ALOS at 175 days.

High Occupancy Rates: Long-term care facilities in Hawai'i have operated at full capacity for many years. In 1994, the average occupancy rate peaked at 97.8 percent. During this peak year, facilities in Hawai'i and Kaua'i counties operated at levels in excess of their licensed capacity. With the development of new facilities and the expansion in the number of beds available, occupancy rates dropped. But since 2002, average occupancy statewide has hovered around 94 percent. The State Health Planning and Development Agency's (SHPDA) target annual occupancy rate is 90 percent or lower.2



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> Long-Term Care Admissions, by County
> Long-Term Care Days, by County
> Long-Term Care Average Length of Stay, by County
> Long-Term Care Occupancy Rate, by County
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Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category. For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.
Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category. For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.
Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category. For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.
Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category. For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.