Here are 82 benchmarks to know on procedure and case volume from several sources across the industry.
A Leerink Partners survey fielded questions to 47 hospital administrators on bundled payments to detail the procedure volume for outpatient surgical procedures. Here are statistics on the percent of procedures performed in outpatient or ASC settings, comparing the past 12 months with the increase expected in the next 12:
Hip
Past 12 months:
1. ASC: 7 percent
2. Outpatient: 17 percent
Next 12 months:
3. ASC: 7 percent
4. Outpatient: 19 percent
Knee
Past 12 months:
5. ASC: 12 percent
6. Outpatient: 25 percent
Next 12 months:
7. ASC: 13 percent
8. Outpatient: 26 percent
Spine
Past 12 months:
9. ASC: 10 percent
10. Outpatient: 20 percent
Next 12 months:
11. ASC: 11 percent
12. Outpatient: 20 percent
Cardiac surgery
Past 12 months:
13. ASC: 9 percent
14. Outpatient: 9 percent
Next 12 months:
15. ASC: 7 percent
16. Outpatient: 12 percent
Interventional cardiology
Past 12 months:
17. ASC: 6 percent
18. Outpatient: 31 percent
Next 12 months
19. ASC: 6 percent
20. Outpatient: 34 percent
Electrophysiology
Past 12 months:
21.ASC: 9 percent
22. Outpatient: 39 percent
Next 12 months:
23.ASC: 10 percent
24. Outpatient: 40 percent
ENT
Past 12 months:
25. ASC: 15 percent
26. Outpatient: 46 percent
Next 12 months:
27. ASC: 16 percent
28. Outpatient: 47 percent
Gynecology
Past 12 months:
29. ASC: 15 percent
30. Outpatient: 39 percent
Next 12 months:
31. ASC: 17 percent
32. Outpatient: 39 percent
Urology
Past 12 months:
33. ASC: 15 percent
34. Outpatient 42 percent
Next 12 months:
35. ASC: 17 percent
36. Outpatient: 43 percent
Other
Past 12 months:
37. ASC: 15 percent
38. Outpatient: 28 percent
Next 12 months:
39. ASC: 16 percent
40. Outpatient: 28 percent
VMG Health's 2018 Multi-Specialty ASC Benchmarking Study details statistics on surgical cases per operating room annually and per day, which is based off an analysis of more than 275 licensed freestanding ASCs, covering more than 1.3 million cases.
Surgical cases per OR per year
41. Mean: 1,184
42. 25th percentile: 787
43. Median: 1,104
44. 75th percentile: 1,507
45. 90th percentile: 1,883
By region:
46. Atlantic: 1,225
47. Midwest: 1,063
48. Mountain: 1,042
49. Northeast: 1,324
50. Pacific: 1,111
51. South: 1,098
Surgical cases per day for 250 days
52. Mean: 4.7
53. 25th percentile: 3.1
54. Median: 4.4
55. 75th percentile: 6
56. 90th percentile: 7.5
By region:
57. Atlantic: 4.9
58. Midwest: 4.3
59. Mountain: 4.2
60. Northeast: 5.3
61. Pacific: 4.4
62. South: 4.4
A Medicare Payment Advisory Commission analysis of physician/supplier standard analytic files reflect policy changes making services that were separately payable in 2013 packaged with another service in 2014.
Volume of services (in millions)
63. 2011: 6.7
64. 2012: 6.9
65. 2013 (actual): 6.9
66. 2013 (adjusted): 6.3
67. 2014: 6.2
68. 2015: 6.3
69. 2016: 6.4
Volume per 1,000 fee-for-service beneficiaries (reflects the volume of separately payable services in each year)
70. 2011: 206.1
71. 2012: 209.2
72. 2013 (actual): 210.3
73. 2013 (adjusted): 189.6
74. 2014: 187.8
75. 2015: 191.2
76. 2016: 189.9
Percent change in volume per fee-for-service beneficiary from previous year (assuming that year and the previous year had the same definition of separately payable)
77. 2011: 1.7 percent
78. 2012: 1.5 percent
79. 2013 (actual): 0.5 percent
80. 2014: -0.9 percent
81. 2015: 1.8 percent
82. 2016: -0.5 percent