New Mexico Health Policy Commission. Health Information System ANNUAL REPORT HOSPITAL INPATIENT DISCHARGE DATA (HIDD) Published March 2000

Similar documents
Health Information System ANNUAL REPORT HOSPITAL INPATIENT DISCHARGE DATA (HIDD) December 2002

2015 Hospital Inpatient Discharge Data Annual Report

2016 Hospital Inpatient Discharge Data Annual Report

NMDOT Seeks Public Comment on New Mexico Transportation Plan

New Mexico State University QUICK FACTS

Proposed Plan for the Homelessness Prevention and Rapid Re-Housing Program (HPRP)

New Mexico Long-Term Care Ombudsman Program

Network Services Contacts

Admissions and Readmissions Related to Adverse Events, NMCPHC-EDC-TR

BOARD MEETING JULY 26, :30 A.M. STATE CAPITOL BUILDING Room 322 Santa Fe, New Mexico AGENDA CONSENT AGENDA

Manage Your Chronic Disease (MyCD) Program Stanford University School of Medicine Patient Education Research Center s Chronic Disease Self-Management

Home and Community Based Services (HCBS)/Long Term Services and Supports (LTSS) Provider Credentialing/Re-Credentialing Application

HC 1930 HC 1930 ICD-9-CM III/CPT Coding II

Access to Psychiatric Inpatient Care: Prolonged Waiting Periods in Medical Emergency Departments. Data Report for

HIDD 101 HOSPITAL INPATIENT AND DISCHARGE DATA IN NEW MEXICO

2016 Behavioral Health Performance Report Legislative Finance Committee Eastern New Mexico University Ruidoso, NM

Institute on Medicare and Medicaid Payment Issues March 28 30, 2012 Robert A. Pelaia, JD, CPC

North Carolina Inpatient Hospital Discharge Data - Data Dictionary FY2011 Standard Research File Alphabetic List of Variables and Attributes

Total Cost of Care Technical Appendix April 2015

Case Study HEUTOWN DISTRICT: PLANNING AND RESOURCE ALLOCATION

STATISTICAL BRIEF #9. Hospitalizations among Males, Highlights. Introduction. Findings. June 2006

Presbyterian Healthcare Services 2013 REPORT TO THE COMMUNITY

ORIGINAL ARTICLE. Prevalence of nonmusculoskeletal versus musculoskeletal cases in a chiropractic student clinic

New Mexico Department of Homeland Security and Emergency Management DRAFT 2013 Training Calendar

University of Alaska Fairbanks

Member Handbook. Salud

from March 2003 to December 2011,

Accountable Care and Shared Savings Program Where Do Urologists Fit In?

Multi Year TRAINING AND EXERCISE PLAN

Hospital Discharge Data, 2005 From The University of Memphis Methodist Le Bonheur Center for Healthcare Economics

PRUPARENT/PRUHOSPITAL INCOME ROOM & BOARD/SURGICAL BENEFIT MEDICAL REPORT FORM (To be completed by Medical Attendant)

Medicare Inpatient Psychiatric Facility Prospective Payment System

Health Economics Program

2017 Member Handbook NTENNIALCARE

CHILDREN S MENTAL HEALTH BENCHMARKING PROJECT SECOND YEAR REPORT

Good health is part of the plan.

DELAWARE FACTBOOK EXECUTIVE SUMMARY

MEDICARE INPATIENT PSYCHIATRIC FACILITY PROSPECTIVE PAYMENT SYSTEM

2017 Member Handbook NTENNIALCARE

How the Term Provider Is Used in This Manual

OFFICE OF THE STATE AUDITOR. Procurement Compendium October 2017

Benefits by Service: Inpatient Hospital Services, other than in an Institution for Mental Diseases (October 2006) Definition/Notes

An Overview of Home Health and Hospice Care Patients: 1996 National Home and Hospice Care Survey

Operation HARDTACK II

Summary Of Benefits. NEW MEXICO Bernalillo, Chaves, Dona Ana, Luna, McKinley, Otero, San Juan, Sandoval, Santa Fe, Sierra, Torrance, and Valencia


Community Health Needs Assessment July 2015

Jeanelle Romero. PE Program Manager

Analysis of VA Health Care Utilization among Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans

Dashboard. Campaign for Action. Welcome to the Future of Nursing:

USE OF APR-DRG IN 15 ITALIAN HOSPITALS Luca Lorenzoni APR-DRG Project Co-ordinator

Partnerships, Progress & Promise

Payment Rule Summary. Medicare Inpatient Psychiatric Facility Prospective Payment System: Update Notice for Federal Fiscal Year 2013

Appendix: Data Sources and Methodology

Provider Education Conference

Reducing Readmissions: Potential Measurements

Provider Manual Effective 9/1/2012

SAVE $100 SAVE $50. CDI Education classes forming now! Register up to 90 days before course start date and

June 25, Shamis Mohamoud, David Idala, Parker James, Laura Humber. AcademyHealth Annual Research Meeting


Essentials for Clinical Documentation Integrity 2017

Proposed Rule Summary. Medicare Inpatient Psychiatric Facility Prospective Payment System: Federal Fiscal Year 2015

INCREASE ACCESS TO PRIMARY CARE SERVICES BY ALLOWING ADVANCED PRACTICE REGISTERED NURSES TO PRESCRIBE

Linking the Clinical & Business Successes of Patient Blood Management

Summary of Benefits. New Mexico Bernalillo, Chaves, Dona Ana, Luna, McKinley, Otero, Sandoval, San Juan, Santa Fe, Sierra, Torrance and Valencia

Analysis of VA Health Care Utilization Among US Global War on Terrorism (GWOT) Veterans

New Mexico Health Information Collaborative The Statewide Health Information Exchange (HIE) Network

30-day Hospital Readmissions in Washington State

OUT-OF-DISTRICT TRAVEL REGULATIONS Las Cruces Public Schools

OUT-OF-DISTRICT TRAVEL REGULATIONS Las Cruces Public Schools

Outcomes for Iowa Medicaid Chronic Condition Health Home Program Enrollees. Policy Report. SFYs February 2017

Suicide Among Veterans and Other Americans Office of Suicide Prevention

February 26, Dear State Health Official:

The Impact of Healthcare-associated Infections in Pennsylvania 2010

Practical Nurse One Year/ Associate Degree Two Years: Career Ladder Programs

California Community Clinics

UK public spending on research in 2011

2012 Client-Level Data Analysis Webinar

The Affordable Care Act and Its Potential to Reduce Health Disparities Cara V. James, Ph.D.

Care Provider Demographic Information Update

FIELD BY FIELD INSTRUCTIONS

Comparison of Care in Hospital Outpatient Departments and Physician Offices

An analysis of Medicare Provider Utilization and Payment Data: A focus on the top 5 DRGs and mental healthcare

Nielsen ICD-9. Healthcare Data

MEDICARE ENROLLMENT, HEALTH STATUS, SERVICE USE AND PAYMENT DATA FOR AMERICAN INDIANS & ALASKA NATIVES

Appendix. We used matched-pair cluster-randomization to assign the. twenty-eight towns to intervention and control. Each cluster,

WEEK DAY LECTURE SUBJECTS CLASS HOURS ORIENTATION. Course Logistics: breaks; schedule etc.

Note: Accredited is the highest rating an exchange product can have for 2015.

Analysis of 340B Disproportionate Share Hospital Services to Low- Income Patients

Benefits by Service: Outpatient Hospital Services (October 2006)

An Overview of Ohio s In-Home Service Program For Older People (PASSPORT)

CPT Coding. Course Outcome Summary. Western Technical College. Course Information. Core Abilities. Course Competencies

A National Role Delineation Study of the Pediatric Emergency Nurse. Executive Summary

Radiation Therapy Id Project. Data Access Manual. May 2016

Executive Summary: Utilization Management for Adult Members

Medicare Spending and Rehospitalization for Chronically Ill Medicare Beneficiaries: Home Health Use Compared to Other Post-Acute Care Settings

Determining Like Hospitals for Benchmarking Paper #2778

Basic Concepts of Data Analysis for Community Health Assessment Module 5: Data Available to Public Health Professionals

Presented by: Gary Lucas, CPC, CPC-I, AHIMA Approved ICD-10-CM & PCS Trainer and Ambassador

South Carolina Rural Health Research Center. Findings Brief April, 2018

Transcription:

New Mexico Health Policy Commission Health Information ANNUAL REPORT OF 1998 HOSPITAL INPATIENT DISCHARGE DATA (HIDD) Published March

STATE OF NEW MEXICO HEALTH POLICY COMMISSION Edwin P. Vigil, Chair A. Scott Garrett Satyra Brown Maria E. Rodriguez Marilou Duderstadt Marjorie T. Slaten Donald G. Silva For more information, please contact: New Mexico Health Policy Commission Health Information South Pacheco Street, Suite Santa Fe, NM 87 () 44-3 or visit our website at hpc.state.nm.us or the Healthlink New Mexico website at www.healthlinknm.org

TABLE OF CONTENTS INTRODUCTION...1 NEW MEXICO HOSPITALS REPORTING IN 1997 Map: Non-Federal General and Specialty Hospitals in New Mexico... List of Hospitals with City of Location & Number of Licensed Beds...3 UTILIZATION SUMMARY: 1991 1998 Charts: Eight Year Comparison of Utilization Frequencies in General Hospitals... 4 Table: Utilization Frequencies for General Hospitals... Charts: Eight Year Comparison of Utilization Frequencies in Specialty Hospitals... 7 Table: Utilization Frequencies for Specialty Hospitals... 8 PATIENT DAYS BY DIAGNOSTIC CATEGORY 1997 vs. 1998 Total Patient Days by Modified Major Diagnostic Category (MMDC)... 1 New Mexico Population... 11 Overall Days per 1 State Residents... 11 Days per 1 State Residents for Treatment of Mental Diseases... 1 Days per 1 State Residents for Treatment of Alcohol & Drug Dependency... 1 Map: Rate by County for Treatment of Mental Disease... 13 Map: Rate by County for Treatment of Alcohol & Drug Dependency... 14 Days per 1 State Residents for Treatment of Injuries... 1 Days per 1 State Residents for Treatment of Circulatory Diseases... 1 Map: Rate by County for Treatment of Injuries... 16 Map: Rate by County for Treatment of Circulatory Diseases... 17 Days per 1 State Residents for Treatment of Respiratory Diseases... 18 Days per 1 State Residents for Treatment of Digestive Diseases... 18 Map: Rate by County for Treatment of Respiratory Diseases... 19 Map: Rate by County for Treatment of Digestive Diseases... Days per 1 State Residents for Treatment of Neoplasms... 1 Map: Rate by County for Treatment of Neoplasms... NATIONAL COMPARISONS FOR 1997 HOSPITAL DISCHARGES Number, Rate & Average Length of Stay: NM, Western Region, US... 3 Discharge Rate and Average Length of Stay by Gender and Age: NM & US... 4 Discharge Rate by Principal Diagnosis Code & Gender: NM & US... 6 Discharge Rate by Principal Diagnosis Code & Age: NM & US... 9 Average Length of Stay by Principal Diagnosis Code & Gender: NM & US... 33 Average Length of Stay by Principal Diagnosis Code & Age: NM & US... 36 Discharge Rate by All Listed Procedure Codes & Gender: NM & US... 4 Discharge Rate by All Listed Procedure Codes & Age: NM & US... 43 TOP REASONS FOR HOSPITALIZATION 1997 vs. 1998 Ages 18 and Under... 47 Ages 19 through 44... 48 Ages 4 through 64... 49 Ages 6 and Over... TOP SURGICAL PROCEDURES 1997 vs. 1998 All Ages... 1 Ages 18 and Under... Ages 19 through 44... 3 Ages 4 through 64... 4 Ages 6 and Over...

HOSPITAL UTILIZATION AND ETHNICITY (Patient Days per 1 State Residents in ethnic group) All Modified Major Diagnostic Categories... 6 Pregnancy and Childbirth... 6 Injuries, Poisonings and Burns... 7 Endocrine and Metabolic Diseases... 7 Respiratory Diseases... 7 Circulatory Diseases... 8 Digestive Diseases... 8 Mental Diseases and Disorders... 8 DISCHARGES & PATIENT DAYS BY PRIMARY PAYER 1997 vs. 1998 Total Number of Discharges and Patient Days by Primary Payer... 9 All Males... 6 Males by Age Group... 61 All Females... 64 Females by Age Group... 6 Map: % Discharges with Medicaid as Primary Payer by County... 68 Map: % Discharges with Medicare as Primary Payer by County... 68 Map: % Discharges with Private Insurance as Primary Payer by County... 69 Map: % Discharges Uninsured by County... 69 Percent Discharges By County & Primary Payer, 1997...7 Percent Discharges By County & Primary Payer, 1998...71 TOTAL CHARGES: 1998 Top Ten DRGs by Percent of Charges... 7 Top Ten DRGs with Mean Charges & Average Length of Stay... 7 Distribution of Total Charges per Discharge... 73 Average Charges by Payer Group & Type... 73 Payer Groups by Percent of Discharges, Patient Days, & Charges... 74 AMBULATORY CARE SENSITIVE CONDITIONS: 199-1998 Acute vs. Chronic by Age Group... 7 Map: Rate per 1, Population for Ages 18 & Under... 76 Map: Rate per 1, Population for Ages 19 64... 77 Map: Rate per 1, Population for Ages 6 & Over... 78 Hospitalization Rates, Acute vs. Chronic, by County and Age Group... 79 INDIVIDUAL HOSPITAL UTILIZATION: 1998... 11 HOSPITALIZATION RATE BY COUNTY FOR MMDC s: 1996 1998... 113 INJURY IN NEW MEXICO: 1998 Leading Injury Causes of E-coded Deaths & Non-fatal Discharges... 146 Distribution of E-coding for Injury Discharges... 146 E-coded Injury Discharges & Deaths by Age... 147 Rank Order Causes fo E-coded Injury Discharges & Deaths... 147 HOSPITAL QUALITY Mortality Following Common Elective Procedures: by Payer and NM vs US... 148 Complications and Adverse Effects: by Payer, Location and Size, NM vs US... 149 Ambulatory Care Access Indicators: Complications Associated with Diabetes... 1 Ambulatory Care Access Indicators: Rural and Urban Differences... 11 APPENDICES Appendix A: Data Uses... 1 Appendix B: Variable Reporting Frequencies... 14 Appendix C: Reporting Status for 1998... 1

INTRODUCTION 1 The New Mexico Health Information (HIS) administered by the New Mexico Health Policy Commission (HPC) was established in 1989 pursuant to the Health Information Act (4-14A-1-1). The purpose of the HIS is to collect, analyze, and disseminate health data and information for use by public and private entities in health planning and policy development. By statute, the highest priority is given to the collection of data for the Commission to monitor and evaluate progress towards the state health policy. Additionally the information is to assist consumers in making informed decisions regarding health care purchases. Pursuant to the HIS Act, the HPC maintains the Hospital Inpatient Discharge Database (HIDD) and has recently implemented the Geographic Access Data (GADS) and the Health Facility Charity Care and Capital Assets Databases. The HIDD, in existence since 199, has been revised and refined several times to include additional data to more fully meet the above mentioned statutory purposes. This report is based on data from the HIDD. All non-federal, licensed general and specialty hospitals report a defined set of inpatient discharge data on each patient. (See Appendix B) In 1998, there were 34 general hospitals and 19 specialty hospitals that were required to submit data. (See Map on Page ) Two hospitals failed to submit required data in 1998 (Portales, now closed, and Clovis). Since the state can not require submission of data by federal facilities, efforts have been ongoing to solicit the voluntary submission of data by Indian Health Service facilities, military hospitals and the Veterans Administration Hospital. This data would provide more complete data for planning and policy making. An inpatient discharge occurs when a patient who was admitted to a hospital leaves that hospital. Thus an individual who is transferred from hospital A to hospital B would be included in the discharges from hospital A with a second discharge from hospital B. In 1998, the 3 non-federal hospitals reported a total of 18,639 discharges, of which 176,16 were New Mexico residents. Discharges of out-of-state residents and discharges with unknown ZIP codes are not included in this report. Information is presented regarding utilization, reasons for hospitalization, diagnoses, procedures, ambulatory care sensitive conditions, payer source, and age, gender and ethnicity. Comparisons with previous years among New Mexico counties and national averages are presented. The ability to link the separate discharges into a single episode of care and to aggregate hospitalization of a single individual over time provides a more powerful analysis tool. Page 11 presents data on the frequency of hospitalizations for individual New Mexicans. Pages 148-11 include aggregate information on the outcomes and quality of care in New Mexico hospitals. Comparison is made with national and regional benchmarks. Hospital outcomes and quality are dependent on multiple factors including the hospital capacity, and staff and physicians providing the care in that hospital. This information is provided to promote the quality of care in New Mexico and is the first step in hospital specific outcomes reporting. This report is intended as a reference document for researchers and planners and does not include interpretation or hypothesis by the Health Policy Commission regarding the meaning of the data. Although data is verified with the submitting hospital, all data and information presented in this report are as submitted. All data should be interpreted based on these limits and those discussed above. For customized analysis, non-confidential HIDD may also be accessed on the Internet at www.healthlinknm.org/hds/hidd.shtml. HPC/HIS: 1/

New Mexico Health Policy Commission Health Information New Mexico Non-Federal Hospitals Reporting During 1998 HPC/HIS: 1/

General Hospitals Reporting to HIDD in 1998 3 Hospital City Licensed Beds 1. Artesia General Hospital Artesia 34. Cibola General Hospital Grants 43 3. Carlsbad Medical Center (formerly Guadalupe Medical Center) Carlsbad 1 4. DeBaca General Hospital Ft. Sumner 1. Dr. Dan Trigg Memorial Hospital Tucumcari 6. Eastern New Mexico Medical Center Roswell 149 7. Española Hospital Española 7 8. Gerald Champion Memorial Hospital Alamagordo 79 9. Gila Regional Medical Center Silver City 68 1. Guadalupe County Hospital Santa Rosa 1 11. Holy Cross Hospital Taos 4 1. Lea Regional Hospital Hobbs 34 13. Lincoln County Medical Center Ruidoso 47 14. Los Alamos Medical Center Los Alamos 47 1. Lovelace Health s, Inc. Albuquerque 18 16. Memorial Medical Center Las Cruces 86 17. Mimbres Memorial Hospital Deming 49 18. Miners Colfax Medical Center Raton 38 19. Nor-Lea Hospital District Lovington 8. Northeastern Regional Hospital Las Vegas 4 1. Plains Regional Medical Center Clovis Clovis 16. Plains Regional Medical Center Portales Portales 46 3. Presbyterian Hospital Albuquerque 43 4. Presbyterian Kaseman Hospital Albuquerque 17. Rehoboth McKinley Christian Hospital Gallup 64 6. San Juan Regional Medical Center Farmington 14 7. Sierra Vista Hospital Truth or Consequences 3 8. Socorro General Hospital Socorro 46 9. St. Joseph Medical Center Albuquerque 31 3. St. Joseph NE Heights Hospital Albuquerque 114 31. St. Joseph West Mesa Hospital Albuquerque 77 3. St. Vincent Hospital Santa Fe 48 33. Union County General Hospital Clayton 3 34. University of New Mexico Hospital Albuquerque 438 Specialty Hospitals Reporting to HIDD in 1998 Hospital City 1. Alliance of Santa Teresa Santa Teresa 7. Carrie Tingley Hospital Albuquerque 3 3. Charter-Heights BHS NE Albuquerque 9 4. Desert Hills Center for Youth and Families Albuquerque 6. Healthsouth Rehabilitation Hospital Albuquerque 4 6. Integrated Specialty Hospital (formerly Horizon Specialty) Albuquerque 7. Las Vegas Medical Center Las Vegas 146 8. Lifecourse Rehab (formerly Interface Rehab) Farmington 18 9. Lovelace Health s, Park Center Albuquerque 3 1. Memorial Hospital Albuquerque 8 11. Mesilla Valley Hospital (youth) Las Cruces 8 1. Mesilla Valley Hospital (adult) Las Cruces 3 13. New Mexico Rehabilitation Center Roswell 3 14. Northern New Mexico Midwifery Center Taos 1. Piñon Hills Hospital Santa Fe 4 16. Rehoboth McKinley Christian Health/BHS Gallup 49 17. St. Joseph Rehab Hospital Albuquerque 39 18. Turquoise Lodge Albuquerque 3 19. Vencor (formerly THC-Albuquerque) Albuquerque 61

UTILIZATION SUMMARY, 1991-1998 The hospital discharge rate per 1 population in general, acute care hospitals has remained constant for ages 18 and under. The rate for those New Mexicans ages 6 and over had increased slightly from 199 to 1997, but declined in 1998. In specialty hospitals the discharge rate dropped for ages 18 and under (other fluctuations may be due to small numbers since discharges from specialty hospitals account for % or less of the total discharges in each age group). Those ages 6 and over have a higher rate of discharge that the younger population overall. In the general acute care hospitals the patient days per 1 population have shown a gradual decrease for all ages. In specialty hospitals, the patient days per 1 population have dropped since 199 for all ages, most notably in the ages 18 and under group. Again, those New Mexicans ages 6 and over have a higher rate overall than other ages. The average length of stay in the acute care facilities has been decreasing slightly from 1991 to 1998. In the specialty hospitals the average length of stay has also decreased, except for ages 6 and over until 1998, with a more significant drop between 1996 and 1997, especially for those ages 18 and under. Although the youngest age group accounts for lower numbers of patient days and discharges per 1 population, their average length of stay in specialty hospitals is higher than other age groups. METHODOLOGY NOTES: 1993 data are light in all analyses as there was incomplete reporting that calendar year. In 1998 two general acute care facilities have not reported data to date (together they represent approximately 6, additional discharges). Specialty hospitals include psychiatric, substance abuse, children s, long term care, midwifery, and rehabilitation facilities. HPC/HIS: 1/

DISCHARGES PER 1 POPULATION (General Hospitals) 4 Discharges per 1 Population 3 1 1 1991 199 1993 1994 199 1996 1997 1998 <=18 >=6 All Ages Calendar Year PATIENT DAYS PER 1 POPULATION (General Hospitals) Patient Days per 1 Population 17 1 1 1 7 1991 199 1993 1994 199 1996 1997 1998 <=18 >=6 All Ages Calendar Year AVERAGE LENGTH OF STAY (General Hospitals) Average Length of Stay in Days 7 6 4 3 1 1991 199 1993 1994 199 1996 1997 1998 <=18 >=6 All Ages Calendar Year HPC/HIS: 1/

New Mexico Health Policy Commission Health Information Analysis is based on Hospital Inpatient Discharge Data (HIDD) and BBER/Census Bureau figures General Hospitals Total Discharges Discharges Per 1 Population Total Patient Days Patient Days Per 1 Population Average Length of Stay 1991 Age: <=18 4,89 88 11,98 313 3.6 >=6 43,91 61 81,644 1,67 6.4 Total* 168,417 19 767,9 496 4.6 199 Age: <=18 4,314 86 146,898 98 3. >=6 44,38 7 74,46 1,87 6. Total* 168,83 17 739,43 468 4.4 1993** Age: <=18 38,166 7 134,464 6 3. >=6 41,391 33 46,8 1,384.9 Total* 14,34 96 69,89 48 4.3 1994 Age: <=18 4,8 81 143,78 7 3.4 >=6 4,71 63,96 1,48.8 HPC/HIS: 1/ Total* 171, 14 71,18 431 4. *Throughout this report, TOTAL represents the counts/rates for ALL ages. **1993 figures are light throughout as we do not have a complete HIDD database for that calendar year and in 1998 two general hospitals have not submitted data to date (together these represent approximately 6, additional discharges).

General Hospitals Total Discharges Discharges Per 1 Population Total Patient Days Patient Days Per 1 Population Average Length of Stay 199 Age: <=18 4,9 8 14,493 77 3.4 >=6 47,71 49 79,66 1,464.9 Total* 17,63 1 716,46 4 4. 1996 Age: <=18 4,38 8 14,74 76 3.4 >=6, 6 8,4 1,4.6 Total* 176,93 13 74,84 43 4.1 1997 Age: <=18 4,31 8 141,171 67 3.3 >=6 1,313 6 8,46 1,4. Total* 177,449 1 719,73 414 4.1 1998** Age: <=18 39,636 73 17,76 36 3. >=6 49,89 4 64,3 1,311.4 HPC/HIS: 1/ Total* 167,417 9 666,1 377 4. 6

7 DISCHARGES PER 1 POPULATION (Specialty Hospitals) 1 Discharges per 1 Population 1 8 6 4 1991 199 1993 1994 199 1996 1997 1998 <=18 >=6 All Ages Calendar Year PATIENT DAYS PER 1 POPULATION (Specialty Hospitals) Patient Days per 1 Population 1 1 1991 199 1993 1994 199 1996 1997 1998 <=18 >=6 All Ages Calendar Year AVERAGE LENGTH OF STAY (Specialty Hospitals) Average Length of Stay in Days 3 3 1 1 1991 199 1993 1994 199 1996 1997 1998 <=18 >=6 All Ages Calendar Year HPC/HIS: 1/

New Mexico Health Policy Commission Health Information Analysis is based on Hospital Inpatient Discharge Data (HIDD) and BBER/Census Bureau figures Specialty Hospitals* Total Discharges Discharges Per 1 Population Total Patient Days Patient Days Per 1 Population Average Length of Stay 1991 Age: HPC/HIS: 1/ 199 Age: 1993*** Age: 1994 Age: <=18 1,8 4 49,379 1 7.4 >=6 1,49 9 3,63 19.1 Total** 7,81 186,67 11 3.9 <=18,46 7,78 14 31. >=6 1,64 9 34,43 199 1. Total** 9,934 6 6,976 144.8 <=18 1,794 4 4,633 18 3. >=6 1, 9 3,88 173.3 Total** 7,61 191,16 118.1 <=18,388 7,868 14 3. >=6 1,33 8 3,36 168 19.8 Total** 8,6 1,1 13 4.9 *Specialty hospitals include psych/drug/alcohol and rehab as well as children s, long term care, and midwifery hospitals. **Throughout this report, TOTAL represents the counts/rates for ALL ages. ***1993 figures are light throughout as we do not have a complete HIDD database for that calendar year. 8

9 Specialty Hospitals* Total Discharges Discharges Per 1 Population Total Patient Days Patient Days Per 1 Population Average Length of Stay 199 Age: <=18,619 7,97 147 9. >=6 1,8 1 4,84 14. Total** 9,66 6 11,7 16. 1996 Age: <=18,38 69,81 13 9.3 >=6 1,8 9 39,44 1.6 Total** 9,97 199,769 117. 1997 Age: <=18,48 4 4,96 77. >=6 1,78 9 33,316 17 18.7 Total** 8,4 13,481 88 18. 1998 Age: <=18 1,88 3 3,18 66 19.1 HPC/HIS: 1/ >=6 1,7 9 3,34 17.1 Total** 8,3 149,4 84 17.

PATIENT DAYS BY DIAGNOSTIC CATEGORY, 1997 vs. 1998 While the New Mexico population increased (and having allowed for missing data from two general hospitals), both the total number of discharges and the total number of patient days decreased between 1997 and 1998. The largest decrease (14.%) in overall patient days between 1997 and 1998 was for the treatment of mental diseases and disorders. Although there was an increase in patient days for males ages 6+, all other age groups showed a decrease in hospital usage. In 1998 the rate of hospital usage (in patient days) for both males and females increased for ages 1-74 for the treatment of substance abuse. For treatment of injuries, overall, males showed a.7% decline in usage rate while females showed a 4.7% decrease between 1997 and 1998. However, females ages and under showed an increase. The hospital usage rate for circulatory disease increased from 1997 to 1998 for males ages 4 and under and females ages 1-4 and 7-84, but decreased for all others. Total patient days for respiratory diseases decreased by 9% for males and 11% for females. Some of the decrease may be due to missing data from Curry and Roosevelt counties which historically have higher incidence rates than the statewide average for these diseases. From 1997 to 1998, males ages 8+ had a 1% increase in the rate of hospital usage (in patient days) for digestive diseases while females in the same age group showed a 6% decrease. While total patient days for the treatment of neoplasms increased approximately 1% from 1997 to 1998, there was a decrease in hospital usage rates for ages 8+ of both genders and in females ages -4. METHODOLOGY NOTE: The Injury category includes injuries, poisonings, and burns. HPC/HIS: 1/

1 PATIENT DAYS BY DIAGNOSTIC CATEGORY In 1998 the 34 general and 19 specialty hospitals reported a total of 18,639 discharges, of which 176,16 were NM residents. In 1997 there were 186,63 reported discharges of New Mexico residents. Indian Health Service (IHS), military, and the Veteran s Administration Hospital do not submit data to the Health Policy Commission. Therefore all information in this report is for New Mexicans hospitalized in New Mexico non-federal hospitals. All location data are based on patient zip code of residence and not the location of hospitalization. TOTAL PATIENT DAYS BY DIAGNOSTIC CATEGORY, 1997 vs. 1998 There were a total of 863,169 patient days in 1997 and 814,998 patient days in 1998. The breakdown of these patient days is displayed below and shows there is no significant difference between the two years in percent distribution. 1997 1998 Pregnancy & Newborns 1 1,4 6 14 % Alcohol/Drug 31,43 4% M ent al 1,91 14 % Pregnancy & Newborns 116,8 3 14 % Alcohol/Drug 34,73 4% M ental 1,8 3 9 13 % Injury 79,64 9% Injury 79,14 1 % Circulatory 9,636 11% Other 19,6 1 % Circulat ory 87,3 11% Other 181,33 % Respiratory 88,43 1 % Digestive,79 6% Neoplasms 43,6 % Musculoskeletal 36,7 4% Respiratory 79,79 1 % Digestive 3,169 7% Neoplasms 44,34 % Musculoskeletal 3,67 4% The categories which are represented in the charts above (and the accompanying figures) are based on a modification of the Major Diagnostic Categories (MDCs) which separates injuries and neoplasms into their own unique groupings. Conventional MDCs distribute these diagnoses across other categories by body site, which obscures their impact. Under the conventional MDCs, only 1,8 patient days in 1998 were attributable to injuries, while under the modified MDCs the number increases to 79,14. The category other includes rehabilitation; signs and symptoms; aftercare; tobacco abuse; vaccinations; screenings; skin, blood, and reproductive organ disorders; HIV; eye, ear, nose and throat disorders; and diseases of the nervous system, endocrine system and genitourinary system. HPC/HIS: 1/

11 NEW MEXICO POPULATION, 1997 vs. 1998 These figures are a comparative summary of the state population by age and gender. The population estimates were used to compute the various rates which appear in the figures that follow. The total population of the state increased from 1,737,7 in 1997 to 1,767,6 in 1998. This represents a 1.7% increase over the one year period. 1997 1998 Female Male Female Male 13,41 8 + 6,479 14,87 8 + 7,11 36,363 7-84 7,331 37,918 7-84 8,796 9,73 6-74,93 6,4 6-74,798 74,14-64 68,318 76,91-64 7,979 111,31 141,84 113,81 18,379 137,11 3,79 1,83 4-4 3-44 - 34 1-4 - 14 1-4 Under 1 16,131 14,667 11,6 133,99 14,617,641 1,9 11,3 14,6 11,894 131,79 141,9 3,16 13, 4-4 3-44 - 34 1-4 - 14 1-4 Under 1 19,93 14,936 18,84 13,67 146,9,471 13,48 88,838 Total 86,737 1, 7, 7, 1, 897,79 Total 869,797 1, 7, 7, 1, OVERALL PATIENT DAYS PER 1, STATE RESIDENTS, 1997 vs. 1998 The figures below show the rates for hospital usage (in patient days) for all causes. In general, between 1997 & 1998 there has been a decrease in patient days per New Mexican on average (.497 per capita in 1997 &.461 per capita in 1998). The highest rates of usage per 1, state residents were consistent for both time periods for those 6 & over. For those between 1 and 7, schizophrenic disorders and affective psychoses accounted for the largest number of patient days for both males and females. Females between the ages of 1 and 34 had the second highest hospital usage rate, primarily for normal deliveries. All age groups show a decline in hospital useage rates, in part because two general hospitals, together accounting for approximately 6, discharges, have not submitted data for 1998. Even if those discharges were included, the total number of discharges has declined from 1997 to 1998, despite an increase in statewide population. 1997 1998 Female Male Female Male,86 8 + 3,4,364 8 + 3,78 1,979 7-84 1,988 1,749 7-84 1,766 1,14 6-74 1,1 1,11 6-74 1, 71-64 66 6-64 9 34 4-4 31 99 4-4 38 9 3-44 87 76 3-44 61 399-34 9 383-34 7 34 1-4 33 1-4 138-14 93-14 178 99 1-4 1 86 1-4 1 446 Under 1 99 413 Under 1 8,,,,,,,, HPC/HIS: 1/

1 PATIENT DAYS PER 1, STATE RESIDENTS FOR THE TREATMENT OF MENTAL DISEASES, 1997 vs. 1998 These figures display the rates for hospital usage (in patient days) for the treatment of all varieties of mental diseases/disorders. Discharges for people between the ages of and 4 are higher than the proportion of their population, as they make up approximately 31 percent of the population in 1998 and 3 percent of all discharges for mental diseases in 1998 and 33 percent in 1997. As stays for mental diseases tend to be lengthy for this age group, they accounted for 46 percent of all patient days for mental diseases in 1998 and 47 percent in 1997. The average rate of hospital usage declined from 1997 to 1998 in all age groups except males ages 6 and over. 1997 1998 Female Male Female Male 48 8+ 37 4 8+ 1 4 7-84 9 4 7-84 3 46 6-74 16 4 6-74 4 33-64 1 6-64 1 39 4-4 33 4-4 41 3-44 4 4 3-44 3 38-34 37 36-34 3 7 1-4 17 64 1-4 94 91-14 147-14 131 1-4 1-4 4 7 Under 1 1 4 Under 1 1 3 1 1 3 3 1 1 3 PATIENT DAYS PER 1, STATE RESIDENTS FOR THE TREATMENT OF ALCOHOL AND DRUG DEPENDENCY, 1997 vs. 1998 The comparative rates for hospital usage (in patient days) for the treatment of alcohol and other drug dependency problems are illustrated in the figure below. There are several noteworthy trends: 1) the rate of hospital usage (in patient days) for both males and females increased for most age categories between 1 and 74; ) males aged to 34 years accrued the greatest number of days spent in a treatment facility in 1998, as they did in 1997; and 3) those discharges ages 14 and under and 7 and over of both genders demonstrated slight declines in the duration of hospital stays for alcohol and drug dependency problems from 1997 to 1998. 1997 1998 Female Male Female Male 8+ 1 1 8+ 1 7-84 7 7-84 6 4 6-74 6 6-74 1 4-64 17 4-64 3 9 4-4 6 9 4-4 8 3-44 49 3-44 1 1 3-34 1-4 - 14 1-4 Under 1 3 9 9 13-34 1-4 - 14 1-4 Under 1 33 1 1 1 1 1 HPC/HIS: 1/

13 Patient Days per 1, Residents for the Treatment of Mental Diseases by County Hidalgo San Juan Rio Arriba Taos Colfax Union Catron Grant McKinley Cibola Luna Sierra Sandoval Los Alamos Bernalillo Valencia Socorro Dona Ana Santa Fe Torrance Otero Lincoln Mora San Miguel Guadalupe De Baca Chaves Eddy Harding Quay Curry Roosevelt Lea 1997 County Ment_rate Sierra 98 Hidalgo 86 Torrance 81 Bernalillo 7 Dona Ana 71 Cibola 66 Grant 6 Valencia 63 Eddy 9 Quay 8 Chaves 46 Sandoval 4 Lincoln 43 Luna 4 San Miguel 4 San Juan 4 Rio Arriba 4 Taos 38 Santa Fe 36 Lea 3 Guadalupe 3 Otero 33 Socorro 3 Roosevelt 9 Colfax 8 Los Alamos 7 McKinley 6 Curry De Baca 1 Harding 9 Mora 8 Union 7 Catron 6 Statewide Rate: 7 Hidalgo San Juan Rio Arriba Taos Colfax Union McKinley Catron Grant Cibola Luna Sierra Los Alamos Sandoval Bernalillo Valencia Socorro Dona Ana Santa Fe Torrance Otero Lincoln Mora San Miguel Guadalupe De Baca Chaves Eddy Patient Days per 1, Residents - 31 3-9 6-18 Harding Quay Curry Roosevelt Lea 1998 County Ment_rate San Miguel 18 Mora 14 Sierra 88 Dona Ana 84 Torrance 8 Grant 77 Socorro 67 Valencia 66 Bernalillo 6 Taos 63 Quay 6 Hidalgo 61 Eddy 6 Rio Arriba 8 Chaves Luna Colfax 3 Lincoln Santa Fe 47 San Juan 44 Union 43 Sandoval 4 Lea 41 Otero 37 Guadalupe 3 McKinley 3 Catron 34 Curry 33 Cibola 3 Roosevelt 7 Los Alamos 17 De Baca 1 Harding Statewide Rate: 6 NOTE: Although analysis is by patient zip code of residence and not treatment site, the presence of Las Vegas Medical Center in San Miguel County may cause artificially high rates for that county. HPC/HIS: 1/

Patient Days per 1, Residents for the Treatment of Drug & Alcohol Dependency by County 14 Hidalgo San Juan Catron Grant McKinley Cibola Luna Sierra Rio Arriba Los Alamos Sandoval Bernalillo Valencia Socorro Dona Ana Santa Fe Torrance Taos Colfax Union Otero Lincoln Mora San Miguel Guadalupe De Baca Chaves Eddy Harding Quay Curry Roosevelt Lea 1997 County Alc_rate McKinley 7 San Juan 38 Rio Arriba 33 Chaves 7 Valencia 6 Guadalupe 4 Cibola Torrance 17 Bernalillo 16 Taos 16 Grant 1 Lincoln 13 Quay 13 Santa Fe 13 San Miguel 1 Dona Ana 11 Sandoval 11 Eddy 11 De Baca 1 Colfax 9 Sierra 8 Otero 8 Lea 8 Hidalgo 7 Roosevelt 7 Luna 6 Curry Socorro 4 Los Alamos 4 Union 3 Harding Mora Catron Statewide Rate: 18 Hidalgo San Juan McKinley Catron Grant Cibola Luna Sierra Rio Arriba Sandoval Los Alamos Bernalillo Valencia Socorro Dona Ana Santa Fe Taos Torrance Otero Lincoln Colfax Mora San Miguel Guadalupe De Baca Chaves Patient Days per 1, Residents - 1 11-3 - 7 Eddy Harding Union Quay Curry Roosevelt Lea 1998 County Alc_rate Quay 6 McKinley Rio Arriba 4 Cibola 33 Socorro 8 San Juan 6 Torrance 4 Chaves Hidalgo Valencia Bernalillo Dona Ana San Miguel 17 Grant 16 Guadalupe 16 Curry 1 Sandoval 1 Colfax 14 Lincoln 14 Santa Fe 14 Roosevelt 13 Taos 1 Eddy 11 Lea 9 Los Alamos 7 Otero 7 Sierra 6 Luna Union Catron 3 Mora 3 De Baca Harding Statewide Rate: 19 HPC/HIS: 1/

1 PATIENT DAYS PER 1, STATE RESIDENTS FOR THE TREATMENT OF INJURIES, 1997 vs. 1998 The figures below show the comparative rates of hospital usage (in patient days) for the treatment of all varieties of injuries. The average rate of hospital usage for the treatment of injuries for males under age either declined or remained constant while females in the same age group had an increase in the average number of patient days. Females ages and under had an increase in hospital usage for the treatment of injuries. Overall males showed.7% decline in the total number of patient days spent in treatment for an injury while females demonstrated a 4.7% decrease. 1997 1998 Female Male Female Male 8+ 9 46 8+ 331 74 7-84 167 49 7-84 17 11 6-74 94 11 6-74 8 3-64 7 46-64 8 33 4-4 4 8 4-4 4 4 3-44 4 1 3-44 4-34 4 1-34 4 17 1-4 37 1-4 36 6-14 13 7-14 11 8 1-4 11 11 1-4 11 16 Under 1 18 18 Under 1 18 6 3 3 6 6 3 3 6 PATIENT DAYS PER 1, STATE RESIDENTS FOR THE TREATMENT OF CIRCULATORY DISEASES, 1997 vs. 1998 The rates of hospital usage (in number of patient days) for the treatment of cardiovascular diseases/disorders are displayed below. The patterns of hospital usage are very similar between 1997 and 1998, however, the rates of hospital usage for these diseases/disorders decreased for most over the age of 4, particularly for males ages 7 and over and females ages 8 and over. There was an increase in hospital usage for males ages 4 and under and females ages 1-4 and 7-84. 1997 1998 Female Male Female Male 44 8+ 69 37 8+ 478 3 7-84 444 37 7-84 383 193 6-74 7 19 6-74 61 8-64 17 73-64 17 3 4-4 8 7 4-4 1 3-44 16 8 3-44 1-34 7 3-34 4 1-4 1 1-4 1 3 36-14 1-4 Under 1 1 68 4 31-14 1-4 Under 1 8 76 7 7 7 7 HPC/HIS: 1/

Patient Days per 1, Residents for the Treatment of Injuries by County 16 San Juan Rio Arriba Taos Colf ax Union 1997 County Inj_rate McKinley Cibola Catron Grant Luna Hidalgo Sandoval Valencia Socorro Sierra Dona Ana Los Alamos Bernalillo Santa Fe Torrance Otero Lincoln Mora San Miguel Guadalupe De Baca Chaves Harding Eddy Quay Curry Roosevelt Lea Sierra 8 Luna 81 De Baca 8 Rio Arriba 69 San Juan 61 Catron 8 Chaves 7 Mora Harding 4 Cibola 1 Eddy San Miguel 49 Santa Fe 49 Bernalillo 47 Torrance 47 McKinley 46 Taos 44 Valencia 44 Guadalupe 44 Grant 43 Colfax 4 Socorro 4 Quay 4 Sandoval 36 Curry 3 Lincoln 33 Otero 33 Dona Ana 3 Los Alamos 31 Roosevelt 3 Hidalgo 3 Lea 8 Union 16 Statewide Rate: 46 San Juan Rio Arriba Taos Colfax Union McKinley Catron Grant Hidalgo Cibola Luna Sandoval Bernalillo Valencia Socorro Sierra Dona Ana Los Alamos Santa Fe Torrance Otero Lincoln Mora San Miguel Guadalupe De Baca Chaves Patient Days per 1, Residents - 46 47-6 66-13 Eddy Harding Quay Curry Roosevelt Lea 1998 County Inj_rate Sierra 97 Catron 7 Guadalupe 73 Rio Arriba 7 Chaves 7 San Juan 6 Torrance 6 Eddy 3 Taos 3 Luna McKinley Mora 1 San Miguel 1 Socorro 1 Bernalillo 47 Grant 4 Valencia 4 Cibola 44 Colfax 4 Sandoval 41 De Baca 39 Lincoln 38 Santa Fe 37 Hidalgo 36 Otero 36 Los Alamos 3 Quay 3 Dona Ana 34 Lea 7 Union 17 Harding 7 Curry 3 Roosevelt Statewide Rate: 4 HPC/HIS: 1/

17 Patient Days per 1, Residents for the Treatment of Circulatory Diseases by County San Juan Catron Hidalgo Grant McKinley Cibola Luna Sierra Rio Arriba Sandoval Los Alamos Bernalillo Valencia Socorro Dona Ana Santa Fe Taos Torrance Otero Lincoln Colfax Mora San Miguel Guadalupe De Baca Chaves Eddy Union Harding Quay Curry Roosevelt Lea 1997 County Circ_rate Colfax 189 Sierra 1 De Baca 99 Luna 9 Quay 77 Union 7 Chaves 67 Rio Arriba 6 Catron 9 Grant 8 Eddy 7 San Miguel 7 Socorro 6 Curry 4 San Juan 3 Otero 3 Bernalillo 1 Taos 1 Valencia 1 Dona Ana 49 Sandoval 48 Torrance 43 Guadalupe 4 McKinley 4 Santa Fe 41 Cibola 38 Hidalgo 38 Mora 38 Lea 36 Los Alamos 36 Lincoln 34 Harding 31 Roosevelt 9 Statewide Rate: San Juan McKinley Cibola Catron Grant Luna Hidalgo Sierra Rio Arriba Los Alamos Sandoval Bernalillo Valencia Socorro Dona Ana Santa Fe Torrance Taos Colfax Union Otero Lincoln Mora San Miguel Guadalupe De Baca Chaves Eddy Patient Days per 1, Residents 6-1 - 74 7-189 Harding Quay Curry Roosevelt Lea 1998 County Circ_rate Sierra 111 Colfax 18 Guadalupe 9 De Baca 84 Luna 84 Chaves 74 Quay 6 San Juan 64 Grant 6 Otero 61 Catron 8 Rio Arriba 4 Taos 4 Union 4 Eddy 3 Valencia 3 Mora Sandoval San Miguel Dona Ana 49 Bernalillo 48 Socorro 4 Cibola 41 Los Alamos 39 Santa Fe 38 Hidalgo 37 McKinley 37 Lea 3 Lincoln 3 Torrance 3 Harding 8 Curry 6 Roosevelt 6 Statewide Rate: HPC/HIS: 1/

PATIENT DAYS PER 1, STATE RESIDENTS FOR THE TREATMENT OF RESPIRATORY DISEASES, 1997 vs. 1998 18 These figures represent the rates of hospital usage (in patient days) for the treatment of respiratory diseases. While the patterns of hospital usage appear to be very similar between 1997 and 1998, the actual total number of patient days for males and females decreased by 9 percent and 11 percent respectively. One exception to the pattern of decreasing number of days is that the patient days for males ages -34 increased slightly. Some of the overall decrease in usage rate may be due to the missing data from Curry and Roosevelt counties, since both historically have higher incidence rates than the statewide average for respiratory diseases. 1997 1998 Female Male Female Male 438 8+ 949 364 8+ 76 8 7-84 349 38 7-84 34 164 6-74 16 17 6-74 161 78-64 7 66-64 68 31 4-4 9 7 4-4 3 18 3-44 13 3-44 16 1-34 1 1-34 11 7 1-4 4 1-4 4 7-14 9 4-14 7 33 1-4 4 4 1-4 9 181 Under 1 33 168 Under 1 196 1, 1, 1, 1, PATIENT DAYS PER 1, STATE RESIDENTS FOR THE TREATMENT OF DIGESTIVE DISEASES, 1997 vs. 1998 The figures below summarize data from 1997 and 1998 for the rates of hospital usage (in patient days) spent in treatment for digestive diseases/disorders. Males in the 8+ category showed a 1 percent increase in the rate of hospital usage whereas females in the same category showed a 6 percent decrease. Overall, the total number of patient days spent in a hospital for these diseases/disorders decreased slightly by about 4 percent from 1997 to 1998. Some of the overall decrease in usage rate may be due to the missing data from Curry and Roosevelt counties, since both historically have higher incidence rates than the statewide average for diseases of the digestive system. 1997 1998 Female Male Female Male 71 8+ 76 1 8+ 333 176 7-84 13 13 7-84 16 98 6-74 8 94 6-74 7 44-64 49 43-64 44 8 4-4 8 7 4-4 9 18 3-44 3 17 3-44 18 13-34 14 11-34 13 7 1-4 9 7 1-4 7 7-14 8 1-14 7 13 1-4 1 6 1-4 9 7 Under 1 69 7 Under 1 9 4 4 4 4 HPC/HIS: 1/

19 Patient Days per 1, Residents for the Treatment of Respiratory Diseases by County Hidalgo San Juan Rio Arriba Taos Colfax Union McKinley Catron Grant Cibola Luna Sandoval Los Alamos Bernalillo Valencia Socorro Sierra Dona Ana Santa Fe Torrance Otero Lincoln Mora San Miguel Guadalupe De Baca Chaves Eddy Harding Quay Curry Roosevelt Lea 1997 County Resp_rate Colfax 33 Lea 97 Sierra 94 Curry 84 Eddy 8 Socorro 79 San Miguel 78 Mora 7 Chaves 7 Quay 66 Luna 6 De Baca 6 Rio Arriba 9 Grant 3 San Juan Otero 1 Union 1 Roosevelt Cibola 47 Taos 46 Guadalupe 4 Harding 44 Bernalillo 44 Valencia 43 Hidalgo 4 Los Alamos 39 Torrance 38 McKinley 38 Sandoval 37 Dona Ana 3 Santa Fe 33 Catron 3 Lincoln 3 Statewide Rate: 1 Hidalgo San Juan McKinley Catron Grant Cibola Luna Sierra Rio Arriba Los Alamos Sandoval Bernalillo Valencia Socorro Dona Ana Santa Fe Taos Torrance Otero Lincoln Colfax Mora San Miguel Guadalupe De Baca Chaves Eddy Patient Days per 1, Residents 4-6 - 93 94-33 Union Harding Quay Curry Roosevelt Lea 1998 County Resp_rate Colfax 194 Sierra 9 Lea 83 Guadalupe 8 Union 8 Mora 7 San Miguel 69 Eddy 6 Luna 6 Grant 6 Chaves 9 San Juan 9 Taos 3 Quay De Baca Otero 48 Socorro 46 Valencia 43 Rio Arriba 4 Sandoval 4 Bernalillo 41 Hidalgo 39 Cibola 38 Dona Ana 36 Los Alamos 36 Santa Fe 33 Catron 3 McKinley 9 Lincoln 8 Torrance 8 Harding 14 Roosevelt Curry 4 Statewide Rate: 4 HPC/HIS: 1/

Patient Days per 1, Residents for the Treatment of Digestive Diseases by County Hidalgo San Juan Rio Arriba Taos Colfax Union McKinley Catron Grant Cibola Luna Sierra Sandoval Bernalillo Valencia Socorro Dona Ana Los Alamos Santa Fe Torrance Otero Lincoln Mora San Miguel Guadalupe De Baca Chaves Eddy Harding Quay Curry Roosevelt Lea 1997 County Dig_rate De Baca 83 Colfax 61 Sierra 4 Mora 48 Luna 4 Eddy 4 San Miguel 43 Quay 4 Guadalupe 41 Union 38 San Juan 38 Rio Arriba 37 Grant 37 Chaves 36 Roosevelt 36 Taos 36 Curry 3 Socorro 34 Lea 33 Los Alamos 3 Hidalgo 3 Bernalillo 3 Cibola 31 Valencia 9 Santa Fe 9 Torrance 7 Otero 7 Sandoval 6 Lincoln Harding 4 Dona Ana 3 Catron 18 McKinley 17 Statewide Rate: 3 San Juan McKinley Cibola Catron Grant Luna Rio Arriba Sandoval Los Alamos Bernalillo Valencia Socorro Sierra Dona Ana Santa Fe Taos Torrance Lincoln Otero Mora Colfax San Miguel Guadalupe De Baca Chaves Eddy Harding Union Quay Curry Roosevelt Lea 1998 County Dig_rate Colfax 171 Sierra 3 Luna 4 Lea 43 Union 41 Chaves 4 Guadalupe 39 Rio Arriba 39 Eddy 37 Grant 36 Catron 3 Hidalgo 3 Cibola 34 Quay 34 San Juan 34 San Miguel 34 Harding 3 Los Alamos 31 Sandoval 31 Taos 31 Mora 3 Bernalillo 8 De Baca 8 Otero 8 Valencia 8 Santa Fe 7 Socorro 6 Dona Ana 4 Torrance 4 Lincoln 1 McKinley 16 Curry Roosevelt Hidalgo Patient Days per 1, Residents - 3 31-4 41-171 Statewide Rate: 3 HPC/HIS: 1/

1 PATIENT DAYS PER 1, STATE RESIDENTS FOR THE TREATMENT OF NEOPLASMS, 1997 vs. 1998 The figures below summarize data from 1997 and 1998 for the rates of hospital usage (in patient days) spent in treatment for diseases/disorders involving neoplasms (cancer). While the patterns of hospital usage appear to be very similar between 1997 and 1998, there was a decrease in rates for ages 8+ and an increase for ages 1-4 for both genders. For males ages -4 the rate remained contstant or increased, while for females in the same age range, the rate remained constant or decreased. Total patient days spent in treatment for these diseases/disorders increased approximately 1 percent from 1997 to 1998. 1997 1998 Female Male Female Male 89 8+ 17 81 8+ 18 117 7-84 134 14 7-84 138 9 6-74 111 98 6-74 1 6 4 3 8 1 4-64 4-4 3-44 - 34 1-4 - 14 1-4 Under 1 7 18 7 4 1 1 1 6 36 3 7 3 1 3 3-64 4-4 3-44 - 34 1-4 - 14 1-4 Under 1 48 18 8 1 4 1 1 1 1 HPC/HIS: 1/

Patient Days per 1, Residents for the Treatment of Neoplasms by County Hidalgo San Juan Rio Arriba Taos Catron Grant McKinley Cibola Luna Sierra Sandoval Los Alamos Bernalillo Valencia Socorro Dona Ana Santa Fe Torrance Otero Lincoln Colf ax Mora San Miguel Guadalupe De Baca Chaves Eddy Harding Union Quay Curry Roosevelt Lea 1997 County Neo_rate Harding 6 Sierra Colfax 48 Luna 36 De Baca 3 Grant 31 Chaves 31 Socorro 3 Valencia 3 Quay 9 Eddy 7 Bernalillo 7 San Miguel 7 Rio Arriba 6 Lincoln Otero 4 Santa Fe 4 Guadalupe 4 San Juan 3 Cibola 3 Los Alamos Dona Ana Hidalgo Taos Sandoval 1 Curry 1 Union 19 Catron 19 Roosevelt 19 McKinley 17 Mora 17 Torrance 16 Lea 16 Statewide Rate: San Juan Rio Arriba Taos Colfax Union McKinley Catron Grant Hidalgo Cibola Luna Sandoval Los Alamos Bernalillo Valencia Socorro Sierra Dona Ana Santa Fe Torrance Otero Lincoln Mora San Miguel Guadalupe De Baca Chaves Eddy Patient Days per 1, Residents 4-1 - 33 34-6 Harding Quay Curry Roosevelt Lea 1998 County Neo_rate Sierra 3 Luna 41 Chaves 36 Harding 36 Socorro 33 De Baca 3 Grant 9 Rio Arriba 9 Valencia 9 Bernalillo 8 Los Alamos 8 Quay 7 Colfax 6 Dona Ana 6 Hidalgo Catron 4 Otero 4 Sandoval 4 San Juan 4 San Miguel 3 Santa Fe 3 Torrance 3 Lincoln Cibola Eddy Taos 18 McKinley 17 Mora 17 Union 1 Guadalupe 14 Lea 14 Roosevelt Curry 4 Statewide Rate: HPC/HIS: 1/

NUMBER, RATE & AVERAGE LENGTH OF STAY FOR 1997 DISCHARGES (NEW MEXICO, WESTERN REGION, UNITED STATES) New Mexico s discharge rate was lower than the composite western region states AND the western region states were lower than the U.S. rates. New Mexico s average length of stay was shorter than the composite western region states AND the average length of stay for the western region states was shorter than the U.S. rates. New Mexico s average length of stay was shorter than the U.S. average for all age groups EXCEPT those less than 1 years of age, who had a longer average length of stay than the national average. New Mexico s discharge rate was lower or equal to the U.S. rate for all major diagnostic groupings EXCEPT complications of pregnancy, symptoms and ill-defined conditions, and diseases of the nervous system. The discharge rate for complications of pregnancy was significantly higher than the U.S. rate. The discharge rate for the diagnostic group of symptoms and ill-defined conditions was higher in all age groups, but was most apparent in those over 4 years of age. In the diagnostic groups of diseases of the nervous system and supplementary classifications, the discharge rate for ages 6 and over was higher than the U.S. rate. New Mexico s average length of stay was lower or equal to the national average length of stay for all diagnostic groupings EXCEPT for mental disorders and supplementary classifications. In the mental disorders diagnostic grouping, males had longer average lengths of stay than the U.S. average AND the age group of less than 1 had significantly longer average lengths of stay than the U.S. average. In the supplementary classifications diagnostic grouping, females had significantly longer average lengths of stay than the U.S. average AND the age groups of 1 and over had longer average lengths of stay than the U.S. average. New Mexico s rate of procedures was lower than the U.S. rate EXCEPT for eye, ear, nose, mouth, & pharynx operations. Eye operations for New Mexicans were over five times more frequent per 1 population than the U.S. rate with only slightly higher rates for ear, nose, mouth, and pharynx operations.

METHODOLOGY NOTES: Supplementary Classifications are diagnosis codes V1-V8 and include need for vaccination, personal or family history of specific diseases, exposure to or carrier of specific diseases, routine health exams, newborns, doners, fittings and adjustments of appliances, counseling, convalesence, observations, and screenings. All national and western region data is from Advance Data, Number 38, August 18, 1999 published by Vital & Health Statistics of the Centers for Disease Control and Prevention/National Center for Health Statistics, 1997 Summary: National Hospital Discharge Survey. This is the most recent comparable data available. Hospitals included in the study are non-federal, short-stay (hospitals with an average length of stay for all patients of less than 3 days) or hospitals whose specialty is general (medical or surgical) or children s general. Hospitals must have at least 6 beds or more staffed for patient use. The western region includes the states of Montana, Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada, Washington, Oregon, California, Hawaii, and Alaska. Data for newborns were excluded from this analysis. New Mexico discharge data used in this analysis are for New Mexico residents only and are from non-federal NM hospitals only. Thus, rates may be artificially low. Diagnosis code groups are based on principal diagnosis code only. Procedure code categories are based on all listed procedures (up to four coding positions). HPC/HIS: 1/

3 NUMBER, RATE, & AVERAGE LENGTH OF STAY FOR 1997 DISCHARGES (from short stay, non-federal hospitals excluding newborns) WESTERN REGION AK OR WA ID MT WY CA NV UT CO HI AZ NM BY GENDER & REGION: Region Number of Discharges Discharge Rate per 1 Population Average Length of Stay in Days Male Female Total Male Female Total Male Female Total United States 1,68, 18,647, 3,914, 9.7 13. 114.3. 4.8.1 *West,16, 3,4,,6, 71.4 11.7 9.. 4.1 4.4 New Mexico 9,4 9,39 14,817 69.4 18.3 89.1 3.9 4.9 4.3 *West includes the following states: Montana, Idaho, Wyoming, Colorado, New Mexico, Arizona, Utah, Nevada, Washington, Oregon, California, Hawaii, and Alaska. HPC/HIS: 1/

4 BY GENDER, AGE GROUP, & REGION: DISCHARGE RATES: Discharge Rate by Age Group & Gender - US vs. NM Discharge Rate per 1 Population 4 3 3 1 1 <1 1-44 4-64 6+ Age Group US Males NM Males US Females NM Females US Total NM Total AVERAGE LENGTH OF STAY: Average Length of Stay by Age Group & Gender - US vs. NM 7 6 4 3 1 <1 1-44 4-64 6+ Age Group US Males NM Males US Females NM Females US Total NM Total HPC/HIS: 1/

BY GENDER, AGE GROUP AND REGION: Age in Years <1 1-44 4-64 6+ Region US NM US NM US NM US NM Number of Discharges Discharge Rate per 1 Population Average Length of Stay in Days Male Female Total Male Female Total Male Female Total 1,316, 99,,31, 43. 34.1 38.7 4.3 4. 4.3 7,47,89 13,31 3.4 8.7 3.1.1 4.8.,688, 7,341, 1,3, 44.1 11.1 8.4. 3. 3.7 14,699 44,48 8,947 38. 11.4 76.6 4..6 3. 3,161, 3,16, 6,377, 117.9 113. 11.4.3.. 1,68 16,189 31,7 86.4 87.3 86.8 4. 4.4 4.4,1, 7,94, 1,196, 366.1 37.6 361.1 6. 6.4 6.3,183 9,19 1,31 61.8 67.1 64.8.6.. HPC/HIS: 1/

6 Discharge Rate by Principal Diagnosis Code Group & Gender Infectious /Parasitic Diseases Neoplasms US NM US NM Discharges per 1 population 4 3 1 Males Females Total Discharges per 1 population 1 8 6 4 Males Females Total Endocrine/Metabolic Diseases Diseases of the Blood US NM US NM Discharges per 1 population 6 4 3 1 Males Females Total Discharges per 1 population 1. 1. Males Females Total Mental Disorders Diseases of the Nervous US NM US NM Discharges per 1 population 8 7 6 4 3 1 Males Females Total Discharges per 1 population. 1. 1. Males Females Total HPC/HIS: 1/

7 Discharges per 1 population 3 1 1 Diseases of the Circulatory US NM Males Females Total Discharges per 1 population 14 1 1 8 6 4 Diseases of the Respiratory US NM Males Females Total Diseases of the Digestive Diseases of the Genitourinary US NM US NM Discharges per 1 population 14 1 1 8 6 4 Males Females Total Discharges per 1 population 9 8 7 6 4 3 1 Males Females Total Complications of Pregnancy Diseases of the Skin US NM US NM Discharges per 1 population 3 3 1 1 Females Total Discharges per 1 population 1. 1. Males Females Total HPC/HIS: 1/

8 Diseases of the Musculoskeletal Congenital Anomalies Discharges per 1 population 7 6 4 3 1 US NM Males Females Total Discharges per 1 population.8.6.4. US NM Males Females Total Discharges per 1 population.8.6.4. Conditions in Perinatal Period US NM Males Females Total Discharges per 1 population 4 3 1 Symptoms & Ill-defined Conditions US NM Males Females Total Injury & Poisoning Supplementary Classifications US NM US NM Discharges per 1 population 1 8 6 4 Males Females Total Discharges per 1 population 3 3 1 1 Males Females Total HPC/HIS: 1/

Discharge Rate by Principal Diagnosis Group & Age Group 9 Discharges per 1 population 1 1 8 6 4 Infectious & Parasitic Diseases US NM <1 1-44 4-64 6+ Discharges per 1 population 1 1 Neoplasms US NM <1 1-44 4-64 6+ Endocrine/Metabolic Diseases Diseases of the Blood US NM US NM Discharges per 1 population 16 1 8 4 <1 1-44 4-64 6+ Dicharges per 1 population 4 3 1 <1 1-44 4-64 6+ Discharges per 1 population 1 8 6 4 Mental Disorders US NM <1 1-44 4-64 6+ Discharges per 1 Population 1 8 6 4 Diseases of the Nervous US NM <1 1-44 4-64 6+ HPC/HIS: 1/

3 Discharges per 1 population 1 1 8 6 4 Diseases of the Circulatory US NM.. <1 1-44 4-64 6+ Discharges per 1 population 6 4 3 1 Diseases of the Respiratory US NM <1 1-44 4-64 6+ Diseases of the Digestive Diseases of the Genitourinary US NM US NM Discharges per 1 population 4 3 3 1 1 <1 1-44 4-64 6+ Discharges per 1 population 4 16 1 8 4 <1 1-44 4-64 6+ Complications of Pregnancy Diseases of the Skin US NM US NM Discharges per 1 population 4 3 3 1 1..3..1 <1 1-44 4-64 6+ Discharges per 1 population 6 4 3 1 <1 1-44 4-64 6+ HPC/HIS: 1/

31 Discharges per 1 population 1 1 Diseases of the Musculoskeletal US NM <1 1-44 4-64 6+ Discharges per 1 population 1. 1. Congenital Anomalies US NM <1 1-44 4-64 6+ Conditions in Perinatal Period Symptoms & Ill-defined Conditions US NM US NM Discharges per 1 population. 1. 1. <1 1-44 4-64 6+ Discharges per 1 population 14 1 1 8 6 4 <1 1-44 4-64 6+ Injury & Poisoning Supplementary Classifications US NM US NM Discharges per 1 population 3 3 1 1 <1 1-44 4-64 6+ Discharges per 1 population 3 3 1 1 1.1.4 <1 1-44 4-64 6+ HPC/HIS: 1/

3 DISCHARGE RATE (per 1 population) BY PRINCIPAL DIAGNOSIS GROUP, GENDER, AND AGE GROUP: Sex Age Group Principal Diagnosis Total Male Female <1 1-44 4-64 6+ Group US NM US NM US NM US NM US NM US NM US NM Infectious & Parasitic Diseases 3. 1.9 3.1 1.9 3. 1.9 3. 1.8 1.6 1.1. 1.7 1. 6. Neoplasms 6. 4.. 3. 7.7.6.8.3.3. 1.6 7.6 4.8 17.1 Endocrine/Metabolic Diseases 4.8 3. 4..6.4 3.4.1 1.9. 1. 6. 3. 17.6 1.6 Diseases of the Blood 1.4. 1.. 1.6. 1.1.4.8. 1.. 4.3 1.8 *Mental Disorders 7.3 3.9 7.4 4.1 7.1 3.7 1. 1.6 9..4 8. 3.6 9.3 3. Diseases of the Nervous..1 1.9..1.3 1. 1.1 1.1.9.1.4 6.4 8.7 Diseases of the Circulatory.6 11.7 3.4 1.7 1.8 1.8.. 3.4 1.9 3.1 16. 118. 67. Diseases of the Respiratory 1.8 9. 1.6 9. 13.1 9.6 1.3 1.6 3..7 1.9 7.7.8 37.9 Diseases of the Digestive 11.1 9. 9.9 8.7 1. 9.6 3.8.6 6.3 6. 14.1 1.3 36. 9.7 Diseases of the Genitourinary 6.3.1 4.1 3. 8.4 7.1 1. 1. 4.7 4.4 7.1 6.4 19. 13.9 Complications of Pregnancy 1.8 1.9 - - 3.6 31.3 -.3 4.1 3.7 -.1 - - Diseases of the Skin 1.7 1.1 1.7 1. 1.6 1.1.6.4 1..9.1 1.4.4 3.3 Diseases of the Musculoskeletal.6 4.4. 3.9 6.1 4.9.6.6.8. 8. 6.3 19.8 16. Congenital Anomalies.6..6.6..4 1.8 1....3... Conditions in Perinatal Period...6.6.4.4.3.1 - - - - - - Symptoms & Ill-defined Conditions 1. 4. 1. 3.7 1. 4.3.9 1.7.8.1 1. 6.1 1.7 1.6 Injury & Poisoning 9.3 8.9 9.3 9.4 9.3 8.4 3.6 3.4 6.8 7.4 8.9 8.6 9. 6.9 Supplementary Classifications 16.. 1.7 1.6 9.7. 1.1.4 31.9 1.4..3 7.4 7.7 All Conditions 114.3 88.8 9.7 69. 13. 17.9 38.7 31.9 8.4 76. 11.4 86.6 361.1 64. *NOTE: Many of New Mexico mental disorder discharges are from specialty (long stay) hospitals and are not included in this study in order to comply with the methodology of the federal study for comparison purposes. HPC/HIS: 1/