SWOT analysis
Guest398976390
AGHDataSpreadsheets.xlsxAGH 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% |
