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Hospital admissions jump 3% as population ages

By Joe Manning, the Milwaukee Journal Sentinel

January 4, 2004


 

The number of patients admitted to hospitals in southeast Wisconsin increased 3% during the first 11 months of 2003, and some health officials say the jump signals a trend of growing use of hospitals that parallels the aging population.

But there could be other dynamics involved in the increase as area hospitals reach out to capture patients living outside the immediate area.

There's also been an uptick in older, formerly healthy people who had been in other states returning here as their health declines, and they seek familiar surroundings and family support.

No matter the reasons, more hospitalization means higher costs spread across the population of people with health insurance, contributing to spiraling health care costs in southeast Wisconsin .

Through November, nearly 227,000 patients received inpatient care at Milwaukee area hospitals, according to figures compiled by the Wisconsin Hospital Association. During the same period in 2002, some 220,000 patients had been cared for.

The increase in admissions also comes at a time when hospitals and their clinics are working to keep patients out of hospitals through preventive measures and primary care.

"It's the aging of the population, and as we age we go to the hospital more and more," said Paul Nannis, spokesman for Aurora Health Care, which saw a 1.8% increase in admissions to its Milwaukee area hospitals.

“But the admissions increase (at Aurora ) is low, and that means we are providing preventive care and ambulatory care at the right time when it is feasible to do so,” said Nannis, pointing out that hospitalizations are often the result of short-comings in care.

Susan Duvall, program analyst with the Southeastern Wisconsin Area Agency on Aging, said counties in southeast Wisconsin experienced a 2.3% increase in people 60 years of age and older between 1990 and 2000.

Oldest group grows

But the fastest growing group among seniors were people 85 and older, which saw a 27.3% increase for the decade, Duvall said.

“We absolutely have seen an increase in seniors in the area,” Duvall said, adding that while seniors are living longer and are generally healthier than in past years, they require more health care.

William D. Petasnick, president of Froedtert Memorial Lutheran Hospital , says the admissions increase may also be attributable to patients coming into the Milwaukee area for treatments they used to receive elsewhere.

This was true in the system made up of Froedtert and Community Memorial Hospital , Menomonee Falls , which has seen growth through affiliation with the ThedaCare health system in the Fox Valley , he said.

“We see more patients coming out of the Valley than ever before. And, we have seen a significant increase in patient transfers from other hospitals outside the Milwaukee region. Those transfers are complex surgical, medical or trauma cases,” he said, that hospitals in smaller cities or rural areas might not be able to handle.

Hospitals everywhere are dealing with sicker patients than in the past, Petasnick said. Some of those patients, he said, are retirees who have returned to Wisconsin as they age and their health declines.

“They come back sicker and with more problems,” he said.

Froedtert's admissions were up 4.2% through November, and Community Memorial's increased by 5.4%. Kerry Freiberg, spokeswoman for Community Memorial, said admissions were up because of the hospital's new heart and vascular center and an increase in beds from 208 to 237.

Richard Blomquist, who operates a benefits consulting group, said an aging population as well as "patients being referred in from the outposts, so to speak," were the drivers in the admissions increase.

The largest growth in admissions through November was seen at Aurora Medical Center in Kenosha, where the number of patients increased by 14.2%, but the growth is probably attributable mostly to the growing population in the area, said Chris Olson, administrator of the 73-bed, 5-year-old Aurora facility.

Increases in cases at Columbia St. Mary's Inc. reveal the effect of an aging demographic, said Therese Pandl, executive vice president and chief operating officer.

The hospital system is seeing an increase in age-related hip and knee replacements.

“We did more than 1,000 such procedures in 2003, and that's 200 more than in 2002,” Pandl said. The system's increase in admissions paralleled the region's at 3%.

Obesity and related conditions are also adding to admissions, Pandl said. Stomach-stapling bariatric surgery is on the rise, she said.

Columbia St. Mary's is also seeing more patients who have not gotten primary care.As their untreated conditions worsen, hospitalization becomes necessary.

"I would say there is a trend toward higher hospital utilization because people are living longer through advancements in technology and pharmacology," said Bill Bazan, area vice president of the Wisconsin Hospital Association.

But, the current goal in health care remains trying to keep as many people as possible out of expensive inpatient hospital settings, he said.

 

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