State Health Planning and Development Agency (SHPDA) Health Care UƟlizaƟon Report Hawaii 2012
Page
State Health Planning and Development Agency (SHPDA)
Health Care U liza on Report
Hawaii 2012
Page 2
Table of Contents
Table 1 Licensed Acute Care Beds, 2012 ............................. 3
Table 2 Licensed Long‐Term Care Beds, 2012 ...................... 6
Table 3 Licensed Specialty Care Beds, 2012 .......................12
Table 4 Bed U liza on by County, 2012 ............................14
Table 5 Bed U liza on by Type of Beds, 2012 ...................23
Table 6 Bed U liza on by Facility, 2012 ............................30
Table 7 County‐Level Bed U liza on by Type of Beds, 2012 ................................................39
Table 8 Long‐Term Care Daily Room Rates, 2012 ..............43
Table 9 Computerized Tomography (CT) U liza on, 2012 .....................................................46
Table 10 Magne c Resonance Imaging (MRI) U liza on, 2012 .....................................................48
Table 11 Radia on Therapy U liza on, 2012 ......................50
Table 12 Cardiac Catheteriza on Lab U liza on, 2012 .......51
Table 13 Number of Admissions by County, 2002‒2012 .....52
Table 14 Average Length of Stay by County, 2002‒2012 ....54
Table 15 Occupancy Rate (%) by County, 2002‒2012 .........56
Table 16 Average Daily Census by County, 2002‒2012 .......58
Glossary .................................................................60
Aloha: Thank you for your interest in the State Health Planning and Development Agency (SHPDA). The SHPDA staff and the members of the Statewide Health Coordina ng Councils and the six Sub Area Health Councils are grateful for the health care providers who completed the u li‐za on survey. Thanks to Sam Valeriano for his data collec on efforts and Dr. Ann Pobutsky’s careful review of the dra report. Our collaborator, Dr. Sarah Yuan and her team at the University of Hawaii’s Center of the Family, compiled the survey data and produced the annual report. This annual SHPDA report may be useful for prospec ve SHPDA cer ficate of need appli‐cants, healthcare market analysts, economists, and students who are researching Hawaii’s health care trends, costs, and u liza on rates. With best regards,
Romala Sue Radcliffe Administrator December 2014
Contact Informa on: State Health Planning and Development Agency 1177 Alakea Street, Room 402 Honolulu, HI 96813 Phone: 808‐587‐0788 Fax: 808‐587‐0783 www.hawaii.gov/shpda
CountyFacility/Address
Medical/Surgical
Critical Care
Obstet‐ric
Pedi‐atric
Neona‐tal ICU
Psychi‐atric
Table 1. Licensed Acute Care Beds, 2012
Total
Hawaii County
Hilo Medical Center1190 Waianuenue Avenue
83 11 20 8 0 20
Hilo, HI 96720
142
Kona Community Hospital79‐1019 Haukapila Street
49 9 7 0 0 11
Kealakekua, HI 96750
76
North Hawaii Community Hospital67‐1125 Mamalahoa Highway
24 4 5 0 0 0
Kamuela, HI 96743
33
Hawaii County Total 156 24 32 8 0 31 251
Honolulu County
Castle Medical Center640 Ulukahiki Street
111 8 12 0 0 29
Kailua, HI 96734
160
Kahuku Medical Center56‐117 Pualalea Street
11 0 0 0 0 0
Kahuku, HI 96701
11
Kaiser Permanente Moanalua Medical Center
3288 Moanalua Road
202 20 30 20 13 0
Honolulu, HI 96819
285
Kapiolani Medical Center for Women and Children
1319 Punahou Street
36 19 58 60 24 0
Honolulu, HI 96826
197
Kuakini Medical Center & Geriatric Care347 N. Kuakini Street
188 24 0 0 0 0
Honolulu, HI 96817
212
Pali Momi Medical Center98‐1079 Moanalua Road
108 8 0 0 0 0
Aiea, HI 96701
116
Page 3SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address
Medical/Surgical
Critical Care
Obstet‐ric
Pedi‐atric
Neona‐tal ICU
Psychi‐atric
Table 1. Licensed Acute Care Beds, 2012
Total
Honolulu County
Straub Clinic & Hospital888 S. King Street
140 19 0 0 0 0
Honolulu, HI 96813
159
The Queen's Medical Center1301 Punchbowl Street
369 48 25 0 0 63
Honolulu, HI 96813
505
Wahiawa General Hospital128 Lehua Street
67 6 0 0 0 10
Wahiawa, HI 96786
83
Honolulu County Total 1,232 152 125 80 37 102 1,728
Kauai County
Kauai Veterans Memorial Hospital4640 Waimea Canyon Road
9 2 4 0 0 0
Waimea, HI 96796
15
Samuel Mahelona Memorial Hospital4800 Kawaihau Road
5 0 0 0 0 9
Kapaa, HI 96746
14
Wilcox Memorial Hospital3420 Kuhio Highway
60 7 5 0 0 0
Lihue, HI 96766
72
Kauai County Total 74 9 9 0 0 9 101
Maui County
Lanai Community Hospital628 Seventh StreetLanai City, HI 96763
Maui Memorial Medical Center221 Mahalani Street
152 29 23 0 0 18
Wailuku, HI 96793
222
Page 4SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address
Medical/Surgical
Critical Care
Obstet‐ric
Pedi‐atric
Neona‐tal ICU
Psychi‐atric
Table 1. Licensed Acute Care Beds, 2012
Total
Maui County
Molokai General Hospital280A Puali Street
9 0 2 0 0 0
Kaunakakai, HI 96748
11
Maui County Total 161 29 25 0 0 18 233
1,623 214 191State Total 88 37 160 2,313
A blank cell ( ) indicates data not available.
Note: (1) Lanai Community Hospital did not report in time for this publication; therefore, it is listed without data in the table above. The state and county totals were calculated based on available data only.(2) Acute/SNF swing beds are reported under Table 2 "Licensed Long‐Term Care Beds".
Page 5SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address
Skilled Nursing (SNF)
Intermediate Care (ICF) SNF/ICF
Table 2. Licensed Long‐Term Care Beds, 2012
TotalAcute/SNF
Swing
Hawaii County
Hale Anuenue Restorative Care Center1333 Waianuenue Avenue
0 0 120
Hilo, HI 96720
1200
Hale Ho'ola Hamakua45‐547 Plumeria Street
0 0 66
Honokaa, HI 96727
7711
Hilo Medical Center1190 Waianuenue Avenue
52 82 0
Hilo, HI 96720
1340
Ka'u Hospital1 Kamani Street
0 0 16
Pahala, HI 96777
215
Kohala Hospital54‐383 Hospital Road
0 0 24
Kapaau, HI 96755
284
Kona Community Hospital79‐1019 Haukapila Street
18 0 0
Kealakekua, HI 96750
180
Life Care Center of Hilo944 W. Kawailani Street
0 0 252
Hilo, HI 96720
2520
Life Care Center of Kona78‐6957 Kamehameha III Road
0 0 94
Kailua‐Kona, HI 96740
940
Yukio Okutsu State Veterans Home – Hilo1180 Waianuenue
0 0 95
Hilo, HI 96720
950
Hawaii County Total 70 82 667 83920
Page 6SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address
Skilled Nursing (SNF)
Intermediate Care (ICF) SNF/ICF
Table 2. Licensed Long‐Term Care Beds, 2012
TotalAcute/SNF
Swing
Honolulu County
15 Craigside15 Craigside Place
0 0 41
Honolulu, HI 96817
410
Aloha Nursing & Rehab Centre45‐545 Kamehameha Highway
0 0 141
Kaneohe, HI 96744
1410
Ann Pearl Nursing Facility45‐181 Waikalua Road
0 0 104
Kaneohe, HI 96744
1040
Arcadia Retirement Residence1434 Punahou Street
0 0 81
Honolulu, HI 96822
810
Avalon Care Center – Honolulu1930 Kamehameha IV Road
0 0 108
Honolulu, HI 96819
1080
Care Center of Honolulu (formerly Convalescent Center of Honolulu)
1900 Bachelot Street
0 0 182
Honolulu, HI 96817
1820
Crawford's Convalescent Home58‐130 Kamehameha Highway
0 55 0
Haleiwa, HI 96712
550
Hale Ho Aloha2670 Pacific Heights Road
0 0 59
Honolulu, HI 96813
590
Hale Malamalama6163 Summer Street
0 0 40
Honolulu, HI 96821
400
Hale Nani Rehabilitation and Nursing Center1677 Pensacola Street
0 0 288
Honolulu, HI 96822
2880
Page 7SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address
Skilled Nursing (SNF)
Intermediate Care (ICF) SNF/ICF
Table 2. Licensed Long‐Term Care Beds, 2012
TotalAcute/SNF
Swing
Honolulu County
Hale Ola Kino1314 Kalakaua Avenue
0 0 32
Honolulu, HI 96826
320
Harry and Jeanette Weinberg Care Center at Pohai Nani
45‐090 Namoku Street
0 0 44
Kaneohe, HI 96744
440
Island Nursing Home1205 Alexander Street
0 0 42
Honolulu, HI 96826
420
Ka Punawai Ola – Kapolei91‐575 Farrington Highway, #102Kapolei, HI 96707
Kahala Nui Hi'olani Care Center4389 Malia Street
0 0 60
Honolulu, HI 96821
600
Kahuku Medical Center56‐117 Pualalea Street
0 0 10
Kahuku, HI 96701
100
Kaiser Permanente Moanalua Medical Center
3288 Moanalua Road
28 0 0
Honolulu, HI 96819
280
Kuakini Medical Center & Geriatric Care347 N. Kuakini Street
40 150 0
Honolulu, HI 96817
1900
Kulana Malama91‐1360 Karayan Street
0 0 30
Ewa Beach, HI 96706
300
Leahi Hospital3675 Kilauea AvenueHonolulu, HI 96816
Page 8SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address
Skilled Nursing (SNF)
Intermediate Care (ICF) SNF/ICF
Table 2. Licensed Long‐Term Care Beds, 2012
TotalAcute/SNF
Swing
Honolulu County
Liliha Healthcare Center1814 Liliha Street
0 0 92
Honolulu, HI 96817
920
Maluhia Hospital1027 Hala Drive
0 0 158
Honolulu, HI 96817
1580
Manoa Cottage Kaimuki748 Olokele Avenue
0 0 27
Honolulu, HI 96816
270
Maunalani Nursing Center5113 Maunalani Circle
0 0 100
Honolulu, HI 96816
1000
Nuuanu Hale2900 Pali Highway
0 0 75
Honolulu, HI 96817
750
Oahu Care Facility1808 S. Beretania Street
0 0 82
Honolulu, HI 96826
820
Palolo Chinese Home2459 10th Avenue
0 0 61
Honolulu, HI 96816
610
Pearl City Nursing Home919 Lehua Avenue
0 0 122
Pearl City, HI 96782
1220
Pu'uwai 'O Makaha (formerly Leeward Integrated Health Services)
84‐390 Jade Street
0 0 93
Waianae, HI 96792
930
The Queen's Medical Center1301 Punchbowl Street
28 0 0
Honolulu, HI 96813
280
Page 9SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address
Skilled Nursing (SNF)
Intermediate Care (ICF) SNF/ICF
Table 2. Licensed Long‐Term Care Beds, 2012
TotalAcute/SNF
Swing
Honolulu County
Wahiawa General Hospital128 Lehua Street
0 0 93
Wahiawa, HI 96786
930
Honolulu County Total 96 205 2,165 2,4660
Kauai County
Garden Isle Healthcare & Rehabilitation3‐3420 Kuhio Highway
0 0 109
Lihue, HI 96766
1090
Hale Kupuna Heritage Home4297‐C Omao Road
0 0 84
Lawai, HI 96765
840
Kauai Care Center9611 Waena Road
0 0 53
Waimea, HI 96796
530
Kauai Veterans Memorial Hospital4640 Waimea Canyon Road
0 20 0
Waimea, HI 96796
3010
Samuel Mahelona Memorial Hospital4800 Kawaihau Road
0 0 66
Kapaa, HI 96746
660
Kauai County Total 0 20 312 34210
Maui County
Hale Makua – Kahului472 Kaulana Street
0 0 254
Kahului, HI 96732
2540
Hale Makua – Wailuku1540 East Main Street
0 0 90
Wailuku, HI 96793
900
Page 10SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address
Skilled Nursing (SNF)
Intermediate Care (ICF) SNF/ICF
Table 2. Licensed Long‐Term Care Beds, 2012
TotalAcute/SNF
Swing
Maui County
Kula Hospital204 Kula Highway
0 0 100
Kula, HI 96790
1055
Lanai Community Hospital628 Seventh StreetLanai City, HI 96763
Molokai General Hospital280A Puali Street
0 0 2
Kaunakakai, HI 96748
42
Maui County Total 0 0 446 4537
166 307State Total 3,590 4,10037
A blank cell ( ) indicates data not available.
Note: (1) The "Acute/SNF" category is included here in Table 2 with licensed long term care beds, although these beds are actually "sub‐acute" care beds at Critical Access Hospitals and are technically not long‐term care beds.(2) Leahi Hospital, Ka Punawai Ola – Kapolei, and Lanai Community Hospital did not report in time for this publication; therefore, they are listed without data in the table above. The state and county totals were calculated based on available data only.
Page 11SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address Psych TB
S/I MR
Hansen's Disease Rehab
Child Ortho
Table 3. Licensed Specialty Care Beds, 2012
TotalSTF
Honolulu County
Bobby Benson Center56‐660 Kamehameha Highway
0 0 0 0 0 0
Kahuku, HI 96731
2828
Habilitat45‐035 Kuhonu Place
0 0 0 0 0 0
Kaneohe, HI 96744
150150
Hale Mohalu Care Home (at Leahi Hospital)3650 Maunalei Avenue
0 0 0 14 0 0
Honolulu, HI 96816
140
Hawaii State Hospital45‐710 Keaahala Road
202 0 0 0 0 0
Kaneohe, HI 96744
2020
Hina Mauka45‐845 Pookela Street
0 0 0 0 0 0
Kaneohe, HI 96744
4848
Ho'omau Ke Ola85‐761 Farrington Highway
0 0 0 0 0 0
Waianae, HI 96792
1616
Kahi Mohala Hospital91‐2301 Fort Weaver Road
88 0 0 0 0 0
Ewa Beach, HI 96706
880
Leahi Hospital3675 Kilauea AvenueHonolulu, HI 96816
Po'ailani553 Kawainui Street
0 0 0 0 0 0
Kailua, HI 96734
3232
Rehabilitation Hospital of the Pacific226 North Kuakini Street
0 0 0 0 66 0
Honolulu, HI 96817
660
Page 12SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility/Address Psych TB
S/I MR
Hansen's Disease Rehab
Child Ortho
Table 3. Licensed Specialty Care Beds, 2012
TotalSTF
Honolulu County
Shriners Hospitals for Children – Honolulu1310 Punahou Street
0 0 0 0 0 24
Honolulu, HI 96826
240
The Salvation Army Addiction Treatment Services
3624 Waokanaka Street
0 0 0 0 0 0
Honolulu, HI 96817
6666
Honolulu County Total 290 0 0 66 24 340 73414
Maui County
Aloha House4593 Ike Drive
0 0 0 0 0 0
Makawao, HI 96768
4848
Kalaupapa Care HomeKalaupapa
0 0 0 5 0 0
Kalaupapa, HI 96742
50
Kula Hospital204 Kula Highway
0 0 9 0 0 0
Kula, HI 96790
90
The Maui Farm100 Ike Drive
0 0 0 0 0 0
Makawao, HI 96768
66
Maui County Total 0 0 9 0 0 54 685
290 0State Total 9 19 66 24 802394
A blank cell ( ) indicates data not available.
Note: (1) Both Kalaupapa Care Home adn Hale Mohalu Care Home are listed in this report because they are care homes that also have Expanded/Advanced care beds for ICF/SNF for Hansen's Disease patients. (2) Some facilities with specialty care beds did not report in time for this publication; they include Leahi Hospital (listed without data in the table above) and several substance‐abuse treatment facilities (not listed). The state and county totals were calculated based on available data only.
Page 13SHPDA Health Care Utilization Report, Hawaii 2012
CountyType of Beds/Facility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 4. Bed Utilization by County, 2012
Hawaii County
Medical/Surgical
Hilo Medical Center 83 25,519 4,299 5.9 84.24 69.9
Kona Community Hospital 49 7,141 1,901 3.8 39.93 19.6
North Hawaii Community Hospital 24 4,622 1,227 3.8 52.76 12.7
Critical Care
Hilo Medical Center 11 3,400 1,175 2.9 84.68 9.3
Kona Community Hospital 9 1,316 267 4.9 40.06 3.6
North Hawaii Community Hospital 4 969 116 8.4 66.37 2.7
Obstetric
Hilo Medical Center 20 2,533 1,282 2.0 34.70 6.9
Kona Community Hospital 7 1,068 501 2.1 41.80 2.9
North Hawaii Community Hospital 5 1,346 622 2.2 73.75 3.7
Pediatric
Hilo Medical Center 8 457 170 2.7 15.65 1.3
Psychiatric (Psych)
Hilo Medical Center 20 5,154 593 8.7 70.60 14.1
Kona Community Hospital 11 2,060 274 7.5 51.31 5.6
Acute/SNF
Hale Ho'ola Hamakua 11 1,891 67 28.2 47.10 5.2
Ka'u Hospital 5 237 10 23.7 12.99 0.6
Kohala Hospital 4 327 14 23.4 22.40 0.9
Skilled Nursing (SNF)
Hilo Medical Center 52 6,637 302 22.0 34.97 18.2
Page 14SHPDA Health Care Utilization Report, Hawaii 2012
CountyType of Beds/Facility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 4. Bed Utilization by County, 2012
Hawaii County
Skilled Nursing (SNF)
Kona Community Hospital 18 4,349 210 20.7 66.19 11.9
Intermediate Care (ICF)
Hilo Medical Center 82 32,779 95 345.0 109.52 89.8
SNF/ICF
Hale Anuenue Restorative Care Center 120 41,450 157 264.0 94.63 113.6
Hale Ho'ola Hamakua 66 20,562 96 214.2 85.35 56.3
Ka'u Hospital 16 5,269 7 752.7 90.22 14.4
Kohala Hospital 24 7,463 11 678.5 85.19 20.4
Life Care Center of Hilo 252 85,857 253 339.4 93.34 235.2
Life Care Center of Kona 94 2,511 22 114.1 7.32 6.9
Yukio Okutsu State Veterans Home – Hilo 95 30,699 125 245.6 88.53 84.1
Page 15SHPDA Health Care Utilization Report, Hawaii 2012
CountyType of Beds/Facility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 4. Bed Utilization by County, 2012
Honolulu County
Medical/Surgical
Castle Medical Center 111 21,895 4,659 4.7 54.04 60.0
Kahuku Medical Center 11 1,997 142 14.1 49.74 5.5
Kaiser Permanente Moanalua Medical Center 202 50,232 8,848 5.7 68.13 137.6
Kapiolani Medical Center for Women and Children
36 2,544 864 2.9 19.36 7.0
Kuakini Medical Center & Geriatric Care 188 37,776 5,971 6.3 55.05 103.5
Pali Momi Medical Center 108 40,127 6,131 6.5 101.79 109.9
Straub Clinic & Hospital 140 40,452 6,520 6.2 79.16 110.8
The Queen's Medical Center 369 112,820 18,013 6.3 83.77 309.1
Wahiawa General Hospital 67 12,639 2,779 4.5 51.68 34.6
Critical Care
Castle Medical Center 8 1,799 438 4.1 61.61 4.9
Kaiser Permanente Moanalua Medical Center 20 5,112 496 10.3 70.03 14.0
Kapiolani Medical Center for Women and Children
19 2,065 296 7.0 29.78 5.7
Kuakini Medical Center & Geriatric Care 24 5,020 200 25.1 57.31 13.8
Pali Momi Medical Center 8 3,593 426 8.4 123.05 9.8
Straub Clinic & Hospital 19 5,105 1,187 4.3 73.61 14.0
The Queen's Medical Center 48 12,240 2,456 5.0 69.86 33.5
Wahiawa General Hospital 6 1,024 250 4.1 46.76 2.8
Obstetric
Castle Medical Center 12 2,404 1,082 2.2 54.89 6.6
Kaiser Permanente Moanalua Medical Center 30 3,676 1,379 2.7 33.57 10.1
Page 16SHPDA Health Care Utilization Report, Hawaii 2012
CountyType of Beds/Facility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 4. Bed Utilization by County, 2012
Honolulu County
Obstetric
Kapiolani Medical Center for Women and Children
58 19,177 6,586 2.9 90.59 52.5
The Queen's Medical Center 25 5,860 2,357 2.5 64.22 16.1
Pediatric
Kaiser Permanente Moanalua Medical Center 20 1,514 303 5.0 20.74 4.1
Kapiolani Medical Center for Women and Children
60 38,526 9,305 4.1 175.92 105.6
Neonatal ICU
Kaiser Permanente Moanalua Medical Center 13 4,267 345 12.4 89.93 11.7
Kapiolani Medical Center for Women and Children
24 6,143 334 18.4 70.13 16.8
Psychiatric (Psych)
Castle Medical Center 29 8,538 1,318 6.5 80.66 23.4
The Queen's Medical Center 63 7,811 1,130 6.9 33.97 21.4
Wahiawa General Hospital 10 2,562 94 27.3 70.19 7.0
Skilled Nursing (SNF)
Kaiser Permanente Moanalua Medical Center 28 6,262 267 23.5 61.27 17.2
Kuakini Medical Center & Geriatric Care 40 9,908 268 37.0 67.86 27.1
The Queen's Medical Center 28 9,368 727 12.9 91.66 25.7
Intermediate Care (ICF)
Crawford's Convalescent Home 55 4,524 4 1,131.0 22.54 12.4
Kuakini Medical Center & Geriatric Care 150 51,636 174 296.8 94.31 141.5
SNF/ICF
15 Craigside 41 5,620 48 117.1 37.55 15.4
Page 17SHPDA Health Care Utilization Report, Hawaii 2012
CountyType of Beds/Facility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 4. Bed Utilization by County, 2012
Honolulu County
SNF/ICF
Aloha Nursing & Rehab Centre 141 43,655 465 93.9 84.82 119.6
Ann Pearl Nursing Facility 104 35,195 385 91.4 92.72 96.4
Arcadia Retirement Residence 81 25,277 116 217.9 85.50 69.3
Avalon Care Center – Honolulu 108 37,173 284 130.9 94.30 101.8
Care Center of Honolulu (formerly Convalescent Center of Honolulu)
182 61,953 299 207.2 93.26 169.7
Hale Ho Aloha 59 17,552 95 184.8 81.50 48.1
Hale Malamalama 40 14,506 33 439.6 99.36 39.7
Hale Nani Rehabilitation and Nursing Center 288 100,405 742 135.3 95.51 275.1
Hale Ola Kino 32 11,259 127 88.7 96.40 30.8
Harry and Jeanette Weinberg Care Center at Pohai Nani
44 15,263 103 148.2 95.04 41.8
Island Nursing Home 42 15,141 18 841.2 98.77 41.5
Kahala Nui Hi'olani Care Center 60 21,227 75 283.0 96.93 58.2
Kahuku Medical Center 10 3,621 5 724.2 99.21 9.9
Kulana Malama 30 9,938 30 331.3 90.76 27.2
Liliha Healthcare Center 92 33,366 113 295.3 99.36 91.4
Maluhia Hospital 158 55,227 192 287.6 95.76 151.3
Manoa Cottage Kaimuki 27 2,256 58 38.9 22.89 6.2
Maunalani Nursing Center 100 35,419 240 147.6 97.04 97.0
Nuuanu Hale 75 27,075 142 190.7 98.90 74.2
Oahu Care Facility 82 26,601 134 198.5 88.88 72.9
Palolo Chinese Home 61 22,050 194 113.7 99.03 60.4
Pearl City Nursing Home 122 42,866 142 301.9 96.26 117.4
Page 18SHPDA Health Care Utilization Report, Hawaii 2012
CountyType of Beds/Facility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 4. Bed Utilization by County, 2012
Honolulu County
SNF/ICF
Pu'uwai 'O Makaha (formerly Leeward Integrated Health Services)
93 28,314 288 98.3 83.41 77.6
Wahiawa General Hospital 93 32,508 239 136.0 95.77 89.1
Psychiatric (Spec.)
Hawaii State Hospital 202 68,661 291 235.9 93.12 188.1
Kahi Mohala Hospital 88 24,218 1,251 19.4 75.40 66.4
Hansen's Disease
Hale Mohalu Care Home (at Leahi Hospital) 14 2,425 95 25.5 47.46 6.6
Rehabilitation
Rehabilitation Hospital of the Pacific 66 18,688 1,396 13.4 77.58 51.2
Children's Orthopedic
Shriners Hospitals for Children – Honolulu 24 984 219 4.5 11.23 2.7
Other: STF
Bobby Benson Center 28 7,392 52 142.2 72.33 20.3
Habilitat 150 39,325 96 409.6 71.83 107.7
Hina Mauka 48 17,640 392 45.0 100.68 48.3
Ho'omau Ke Ola 16 5,267 94 56.0 90.19 14.4
Po'ailani 32 10,799 185 58.4 92.46 29.6
The Salvation Army Addiction Treatment Services
66 17,845 978 18.2 74.08 48.9
Page 19SHPDA Health Care Utilization Report, Hawaii 2012
CountyType of Beds/Facility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 4. Bed Utilization by County, 2012
Kauai County
Medical/Surgical
Kauai Veterans Memorial Hospital 9 1,487 397 3.7 45.27 4.1
Samuel Mahelona Memorial Hospital 5 18 10 1.8 0.99 0.0
Wilcox Memorial Hospital 60 14,324 3,021 4.7 65.41 39.2
Critical Care
Kauai Veterans Memorial Hospital 2 302 137 2.2 41.37 0.8
Wilcox Memorial Hospital 7 1,569 471 3.3 61.41 4.3
Obstetric
Kauai Veterans Memorial Hospital 4 554 239 2.3 37.95 1.5
Wilcox Memorial Hospital 5 1,295 530 2.4 70.96 3.5
Psychiatric (Psych)
Samuel Mahelona Memorial Hospital 9 1,660 32 51.9 50.53 4.5
Acute/SNF
Kauai Veterans Memorial Hospital 10 1,164 136 8.6 31.89 3.2
Intermediate Care (ICF)
Kauai Veterans Memorial Hospital 20 7,278 26 279.9 99.70 19.9
SNF/ICF
Garden Isle Healthcare & Rehabilitation 109 37,073 346 107.1 93.18 101.6
Hale Kupuna Heritage Home 84 28,362 76 373.2 92.50 77.7
Kauai Care Center 53 17,492 29 603.2 90.42 47.9
Samuel Mahelona Memorial Hospital 66 19,718 30 657.3 81.85 54.0
Page 20SHPDA Health Care Utilization Report, Hawaii 2012
CountyType of Beds/Facility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 4. Bed Utilization by County, 2012
Maui County
Medical/Surgical
Maui Memorial Medical Center 152 39,337 6,058 6.5 70.90 107.8
Molokai General Hospital 9 291 87 3.3 8.86 0.8
Critical Care
Maui Memorial Medical Center 29 6,174 1,403 4.4 58.33 16.9
Obstetric
Maui Memorial Medical Center 23 6,446 3,302 2.0 76.78 17.7
Molokai General Hospital 2 34 30 1.1 4.66 0.1
Psychiatric (Psych)
Maui Memorial Medical Center 18 3,748 708 5.3 57.05 10.3
Acute/SNF
Kula Hospital 5 971 51 19.0 53.21 2.7
Molokai General Hospital 2 268 8 33.5 36.71 0.7
SNF/ICF
Hale Makua – Kahului 254 76,087 432 176.1 82.07 208.5
Hale Makua – Wailuku 90 29,334 70 419.1 89.30 80.4
Kula Hospital 100 27,724 60 462.1 75.96 76.0
Molokai General Hospital 2 732 0 100.27 2.0
SNF/ICF MR
Kula Hospital 9 2,928 0 89.13 8.0
Hansen's Disease
Kalaupapa Care Home 5 372 21 17.7 20.38 1.0
Page 21SHPDA Health Care Utilization Report, Hawaii 2012
CountyType of Beds/Facility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 4. Bed Utilization by County, 2012
Maui County
Other: STF
Aloha House 48 12,775 574 22.3 72.92 35.0
The Maui Farm 6 524 2 262.0 23.93 1.4
A blank cell ( ) indicates data not available.
Note: Leahi Hospital (Honolulu County), Ka Punawai Ola – Kapolei (Honolulu County), Lanai Community Hospital (Maui County), and several substance‐abuse treatment facilities did not report in time for this publication.
Page 22SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsFacility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 5. Bed Utilization by Type of Beds, 2012
Medical/Surgical
Castle Medical Center 111 21,895 4,659 4.7 54.04 60.0
Hilo Medical Center 83 25,519 4,299 5.9 84.24 69.9
Kahuku Medical Center 11 1,997 142 14.1 49.74 5.5
Kaiser Permanente Moanalua Medical Center 202 50,232 8,848 5.7 68.13 137.6
Kapiolani Medical Center for Women and Children
36 2,544 864 2.9 19.36 7.0
Kauai Veterans Memorial Hospital 9 1,487 397 3.7 45.27 4.1
Kona Community Hospital 49 7,141 1,901 3.8 39.93 19.6
Kuakini Medical Center & Geriatric Care 188 37,776 5,971 6.3 55.05 103.5
Maui Memorial Medical Center 152 39,337 6,058 6.5 70.90 107.8
Molokai General Hospital 9 291 87 3.3 8.86 0.8
North Hawaii Community Hospital 24 4,622 1,227 3.8 52.76 12.7
Pali Momi Medical Center 108 40,127 6,131 6.5 101.79 109.9
Samuel Mahelona Memorial Hospital 5 18 10 1.8 0.99 0.0
Straub Clinic & Hospital 140 40,452 6,520 6.2 79.16 110.8
The Queen's Medical Center 369 112,820 18,013 6.3 83.77 309.1
Wahiawa General Hospital 67 12,639 2,779 4.5 51.68 34.6
Wilcox Memorial Hospital 60 14,324 3,021 4.7 65.41 39.2
Critical Care
Castle Medical Center 8 1,799 438 4.1 61.61 4.9
Hilo Medical Center 11 3,400 1,175 2.9 84.68 9.3
Kaiser Permanente Moanalua Medical Center 20 5,112 496 10.3 70.03 14.0
Page 23SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsFacility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 5. Bed Utilization by Type of Beds, 2012
Critical Care
Kapiolani Medical Center for Women and Children
19 2,065 296 7.0 29.78 5.7
Kauai Veterans Memorial Hospital 2 302 137 2.2 41.37 0.8
Kona Community Hospital 9 1,316 267 4.9 40.06 3.6
Kuakini Medical Center & Geriatric Care 24 5,020 200 25.1 57.31 13.8
Maui Memorial Medical Center 29 6,174 1,403 4.4 58.33 16.9
North Hawaii Community Hospital 4 969 116 8.4 66.37 2.7
Pali Momi Medical Center 8 3,593 426 8.4 123.05 9.8
Straub Clinic & Hospital 19 5,105 1,187 4.3 73.61 14.0
The Queen's Medical Center 48 12,240 2,456 5.0 69.86 33.5
Wahiawa General Hospital 6 1,024 250 4.1 46.76 2.8
Wilcox Memorial Hospital 7 1,569 471 3.3 61.41 4.3
Obstetric
Castle Medical Center 12 2,404 1,082 2.2 54.89 6.6
Hilo Medical Center 20 2,533 1,282 2.0 34.70 6.9
Kaiser Permanente Moanalua Medical Center 30 3,676 1,379 2.7 33.57 10.1
Kapiolani Medical Center for Women and Children
58 19,177 6,586 2.9 90.59 52.5
Kauai Veterans Memorial Hospital 4 554 239 2.3 37.95 1.5
Kona Community Hospital 7 1,068 501 2.1 41.80 2.9
Maui Memorial Medical Center 23 6,446 3,302 2.0 76.78 17.7
Molokai General Hospital 2 34 30 1.1 4.66 0.1
North Hawaii Community Hospital 5 1,346 622 2.2 73.75 3.7
Page 24SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsFacility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 5. Bed Utilization by Type of Beds, 2012
Obstetric
The Queen's Medical Center 25 5,860 2,357 2.5 64.22 16.1
Wilcox Memorial Hospital 5 1,295 530 2.4 70.96 3.5
Pediatric
Hilo Medical Center 8 457 170 2.7 15.65 1.3
Kaiser Permanente Moanalua Medical Center 20 1,514 303 5.0 20.74 4.1
Kapiolani Medical Center for Women and Children
60 38,526 9,305 4.1 175.92 105.6
Neonatal ICU
Kaiser Permanente Moanalua Medical Center 13 4,267 345 12.4 89.93 11.7
Kapiolani Medical Center for Women and Children
24 6,143 334 18.4 70.13 16.8
Psychiatric (Psych)
Castle Medical Center 29 8,538 1,318 6.5 80.66 23.4
Hilo Medical Center 20 5,154 593 8.7 70.60 14.1
Kona Community Hospital 11 2,060 274 7.5 51.31 5.6
Maui Memorial Medical Center 18 3,748 708 5.3 57.05 10.3
Samuel Mahelona Memorial Hospital 9 1,660 32 51.9 50.53 4.5
The Queen's Medical Center 63 7,811 1,130 6.9 33.97 21.4
Wahiawa General Hospital 10 2,562 94 27.3 70.19 7.0
Acute/SNF
Hale Ho'ola Hamakua 11 1,891 67 28.2 47.10 5.2
Ka'u Hospital 5 237 10 23.7 12.99 0.6
Page 25SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsFacility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 5. Bed Utilization by Type of Beds, 2012
Acute/SNF
Kauai Veterans Memorial Hospital 10 1,164 136 8.6 31.89 3.2
Kohala Hospital 4 327 14 23.4 22.40 0.9
Kula Hospital 5 971 51 19.0 53.21 2.7
Molokai General Hospital 2 268 8 33.5 36.71 0.7
Skilled Nursing (SNF)
Hilo Medical Center 52 6,637 302 22.0 34.97 18.2
Kaiser Permanente Moanalua Medical Center 28 6,262 267 23.5 61.27 17.2
Kona Community Hospital 18 4,349 210 20.7 66.19 11.9
Kuakini Medical Center & Geriatric Care 40 9,908 268 37.0 67.86 27.1
The Queen's Medical Center 28 9,368 727 12.9 91.66 25.7
Intermediate Care (ICF)
Crawford's Convalescent Home 55 4,524 4 1,131.0 22.54 12.4
Hilo Medical Center 82 32,779 95 345.0 109.52 89.8
Kauai Veterans Memorial Hospital 20 7,278 26 279.9 99.70 19.9
Kuakini Medical Center & Geriatric Care 150 51,636 174 296.8 94.31 141.5
SNF/ICF
15 Craigside 41 5,620 48 117.1 37.55 15.4
Aloha Nursing & Rehab Centre 141 43,655 465 93.9 84.82 119.6
Ann Pearl Nursing Facility 104 35,195 385 91.4 92.72 96.4
Arcadia Retirement Residence 81 25,277 116 217.9 85.50 69.3
Avalon Care Center – Honolulu 108 37,173 284 130.9 94.30 101.8
Page 26SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsFacility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 5. Bed Utilization by Type of Beds, 2012
SNF/ICF
Care Center of Honolulu (formerly Convalescent Center of Honolulu)
182 61,953 299 207.2 93.26 169.7
Garden Isle Healthcare & Rehabilitation 109 37,073 346 107.1 93.18 101.6
Hale Anuenue Restorative Care Center 120 41,450 157 264.0 94.63 113.6
Hale Ho Aloha 59 17,552 95 184.8 81.50 48.1
Hale Ho'ola Hamakua 66 20,562 96 214.2 85.35 56.3
Hale Kupuna Heritage Home 84 28,362 76 373.2 92.50 77.7
Hale Makua – Kahului 254 76,087 432 176.1 82.07 208.5
Hale Makua – Wailuku 90 29,334 70 419.1 89.30 80.4
Hale Malamalama 40 14,506 33 439.6 99.36 39.7
Hale Nani Rehabilitation and Nursing Center 288 100,405 742 135.3 95.51 275.1
Hale Ola Kino 32 11,259 127 88.7 96.40 30.8
Harry and Jeanette Weinberg Care Center at Pohai Nani
44 15,263 103 148.2 95.04 41.8
Island Nursing Home 42 15,141 18 841.2 98.77 41.5
Kahala Nui Hi'olani Care Center 60 21,227 75 283.0 96.93 58.2
Kahuku Medical Center 10 3,621 5 724.2 99.21 9.9
Ka'u Hospital 16 5,269 7 752.7 90.22 14.4
Kauai Care Center 53 17,492 29 603.2 90.42 47.9
Kohala Hospital 24 7,463 11 678.5 85.19 20.4
Kula Hospital 100 27,724 60 462.1 75.96 76.0
Kulana Malama 30 9,938 30 331.3 90.76 27.2
Life Care Center of Hilo 252 85,857 253 339.4 93.34 235.2
Life Care Center of Kona 94 2,511 22 114.1 7.32 6.9
Page 27SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsFacility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 5. Bed Utilization by Type of Beds, 2012
SNF/ICF
Liliha Healthcare Center 92 33,366 113 295.3 99.36 91.4
Maluhia Hospital 158 55,227 192 287.6 95.76 151.3
Manoa Cottage Kaimuki 27 2,256 58 38.9 22.89 6.2
Maunalani Nursing Center 100 35,419 240 147.6 97.04 97.0
Molokai General Hospital 2 732 0 100.27 2.0
Nuuanu Hale 75 27,075 142 190.7 98.90 74.2
Oahu Care Facility 82 26,601 134 198.5 88.88 72.9
Palolo Chinese Home 61 22,050 194 113.7 99.03 60.4
Pearl City Nursing Home 122 42,866 142 301.9 96.26 117.4
Pu'uwai 'O Makaha (formerly Leeward Integrated Health Services)
93 28,314 288 98.3 83.41 77.6
Samuel Mahelona Memorial Hospital 66 19,718 30 657.3 81.85 54.0
Wahiawa General Hospital 93 32,508 239 136.0 95.77 89.1
Yukio Okutsu State Veterans Home – Hilo 95 30,699 125 245.6 88.53 84.1
Psychiatric (Spec.)
Hawaii State Hospital 202 68,661 291 235.9 93.12 188.1
Kahi Mohala Hospital 88 24,218 1,251 19.4 75.40 66.4
SNF/ICF MR
Kula Hospital 9 2,928 0 89.13 8.0
Hansen's Disease
Hale Mohalu Care Home (at Leahi Hospital) 14 2,425 95 25.5 47.46 6.6
Kalaupapa Care Home 5 372 21 17.7 20.38 1.0
Page 28SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsFacility
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 5. Bed Utilization by Type of Beds, 2012
Rehabilitation
Rehabilitation Hospital of the Pacific 66 18,688 1,396 13.4 77.58 51.2
Children's Orthopedic
Shriners Hospitals for Children – Honolulu 24 984 219 4.5 11.23 2.7
Other: STF
Aloha House 48 12,775 574 22.3 72.92 35.0
Bobby Benson Center 28 7,392 52 142.2 72.33 20.3
Habilitat 150 39,325 96 409.6 71.83 107.7
Hina Mauka 48 17,640 392 45.0 100.68 48.3
Ho'omau Ke Ola 16 5,267 94 56.0 90.19 14.4
Po'ailani 32 10,799 185 58.4 92.46 29.6
The Maui Farm 6 524 2 262.0 23.93 1.4
The Salvation Army Addiction Treatment Services
66 17,845 978 18.2 74.08 48.9
A blank cell ( ) indicates data not available.
Note: Leahi Hospital (Honolulu County), Ka Punawai Ola – Kapolei (Honolulu County), Lanai Community Hospital (Maui County), and several substance‐abuse treatment facilities did not report in time for this publication.
Page 29SHPDA Health Care Utilization Report, Hawaii 2012
FacilityType of Beds
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 6. Bed Utilization by Facility, 2012
15 Craigside
SNF/ICF 41 5,620 48 117.1 37.55 15.4
Aloha House
Other: STF 48 12,775 574 22.3 72.92 35.0
Aloha Nursing & Rehab Centre
SNF/ICF 141 43,655 465 93.9 84.82 119.6
Ann Pearl Nursing Facility
SNF/ICF 104 35,195 385 91.4 92.72 96.4
Arcadia Retirement Residence
SNF/ICF 81 25,277 116 217.9 85.50 69.3
Avalon Care Center – Honolulu
SNF/ICF 108 37,173 284 130.9 94.30 101.8
Bobby Benson Center
Other: STF 28 7,392 52 142.2 72.33 20.3
Care Center of Honolulu (formerly Convalescent Center of Honolulu)
SNF/ICF 182 61,953 299 207.2 93.26 169.7
Castle Medical Center
Medical/Surgical 111 21,895 4,659 4.7 54.04 60.0
Critical Care 8 1,799 438 4.1 61.61 4.9
Obstetric 12 2,404 1,082 2.2 54.89 6.6
Psychiatric (Psych) 29 8,538 1,318 6.5 80.66 23.4
Crawford's Convalescent Home
Intermediate Care (ICF) 55 4,524 4 1,131.0 22.54 12.4
Page 30SHPDA Health Care Utilization Report, Hawaii 2012
FacilityType of Beds
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 6. Bed Utilization by Facility, 2012
Garden Isle Healthcare & Rehabilitation
SNF/ICF 109 37,073 346 107.1 93.18 101.6
Habilitat
Other: STF 150 39,325 96 409.6 71.83 107.7
Hale Anuenue Restorative Care Center
SNF/ICF 120 41,450 157 264.0 94.63 113.6
Hale Ho Aloha
SNF/ICF 59 17,552 95 184.8 81.50 48.1
Hale Ho'ola Hamakua
Acute/SNF 11 1,891 67 28.2 47.10 5.2
SNF/ICF 66 20,562 96 214.2 85.35 56.3
Hale Kupuna Heritage Home
SNF/ICF 84 28,362 76 373.2 92.50 77.7
Hale Makua – Kahului
SNF/ICF 254 76,087 432 176.1 82.07 208.5
Hale Makua – Wailuku
SNF/ICF 90 29,334 70 419.1 89.30 80.4
Hale Malamalama
SNF/ICF 40 14,506 33 439.6 99.36 39.7
Hale Mohalu Care Home (at Leahi Hospital)
Hansen's Disease 14 2,425 95 25.5 47.46 6.6
Hale Nani Rehabilitation and Nursing Center
SNF/ICF 288 100,405 742 135.3 95.51 275.1
Page 31SHPDA Health Care Utilization Report, Hawaii 2012
FacilityType of Beds
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 6. Bed Utilization by Facility, 2012
Hale Ola Kino
SNF/ICF 32 11,259 127 88.7 96.40 30.8
Harry and Jeanette Weinberg Care Center at Pohai Nani
SNF/ICF 44 15,263 103 148.2 95.04 41.8
Hawaii State Hospital
Psychiatric (Spec.) 202 68,661 291 235.9 93.12 188.1
Hilo Medical Center
Medical/Surgical 83 25,519 4,299 5.9 84.24 69.9
Critical Care 11 3,400 1,175 2.9 84.68 9.3
Obstetric 20 2,533 1,282 2.0 34.70 6.9
Pediatric 8 457 170 2.7 15.65 1.3
Psychiatric (Psych) 20 5,154 593 8.7 70.60 14.1
Skilled Nursing (SNF) 52 6,637 302 22.0 34.97 18.2
Intermediate Care (ICF) 82 32,779 95 345.0 109.52 89.8
Hina Mauka
Other: STF 48 17,640 392 45.0 100.68 48.3
Ho'omau Ke Ola
Other: STF 16 5,267 94 56.0 90.19 14.4
Island Nursing Home
SNF/ICF 42 15,141 18 841.2 98.77 41.5
Kahala Nui Hi'olani Care Center
SNF/ICF 60 21,227 75 283.0 96.93 58.2
Kahi Mohala Hospital
Psychiatric (Spec.) 88 24,218 1,251 19.4 75.40 66.4
Page 32SHPDA Health Care Utilization Report, Hawaii 2012
FacilityType of Beds
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 6. Bed Utilization by Facility, 2012
Kahuku Medical Center
Medical/Surgical 11 1,997 142 14.1 49.74 5.5
SNF/ICF 10 3,621 5 724.2 99.21 9.9
Kaiser Permanente Moanalua Medical Center
Medical/Surgical 202 50,232 8,848 5.7 68.13 137.6
Critical Care 20 5,112 496 10.3 70.03 14.0
Obstetric 30 3,676 1,379 2.7 33.57 10.1
Pediatric 20 1,514 303 5.0 20.74 4.1
Neonatal ICU 13 4,267 345 12.4 89.93 11.7
Skilled Nursing (SNF) 28 6,262 267 23.5 61.27 17.2
Kalaupapa Care Home
Hansen's Disease 5 372 21 17.7 20.38 1.0
Kapiolani Medical Center for Women and Children
Medical/Surgical 36 2,544 864 2.9 19.36 7.0
Critical Care 19 2,065 296 7.0 29.78 5.7
Obstetric 58 19,177 6,586 2.9 90.59 52.5
Pediatric 60 38,526 9,305 4.1 175.92 105.6
Neonatal ICU 24 6,143 334 18.4 70.13 16.8
Ka'u Hospital
Acute/SNF 5 237 10 23.7 12.99 0.6
SNF/ICF 16 5,269 7 752.7 90.22 14.4
Kauai Care Center
SNF/ICF 53 17,492 29 603.2 90.42 47.9
Page 33SHPDA Health Care Utilization Report, Hawaii 2012
FacilityType of Beds
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 6. Bed Utilization by Facility, 2012
Kauai Veterans Memorial Hospital
Medical/Surgical 9 1,487 397 3.7 45.27 4.1
Critical Care 2 302 137 2.2 41.37 0.8
Obstetric 4 554 239 2.3 37.95 1.5
Acute/SNF 10 1,164 136 8.6 31.89 3.2
Intermediate Care (ICF) 20 7,278 26 279.9 99.70 19.9
Kohala Hospital
Acute/SNF 4 327 14 23.4 22.40 0.9
SNF/ICF 24 7,463 11 678.5 85.19 20.4
Kona Community Hospital
Medical/Surgical 49 7,141 1,901 3.8 39.93 19.6
Critical Care 9 1,316 267 4.9 40.06 3.6
Obstetric 7 1,068 501 2.1 41.80 2.9
Psychiatric (Psych) 11 2,060 274 7.5 51.31 5.6
Skilled Nursing (SNF) 18 4,349 210 20.7 66.19 11.9
Kuakini Medical Center & Geriatric Care
Medical/Surgical 188 37,776 5,971 6.3 55.05 103.5
Critical Care 24 5,020 200 25.1 57.31 13.8
Skilled Nursing (SNF) 40 9,908 268 37.0 67.86 27.1
Intermediate Care (ICF) 150 51,636 174 296.8 94.31 141.5
Kula Hospital
Acute/SNF 5 971 51 19.0 53.21 2.7
SNF/ICF 100 27,724 60 462.1 75.96 76.0
SNF/ICF MR 9 2,928 0 89.13 8.0
Page 34SHPDA Health Care Utilization Report, Hawaii 2012
FacilityType of Beds
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 6. Bed Utilization by Facility, 2012
Kulana Malama
SNF/ICF 30 9,938 30 331.3 90.76 27.2
Life Care Center of Hilo
SNF/ICF 252 85,857 253 339.4 93.34 235.2
Life Care Center of Kona
SNF/ICF 94 2,511 22 114.1 7.32 6.9
Liliha Healthcare Center
SNF/ICF 92 33,366 113 295.3 99.36 91.4
Maluhia Hospital
SNF/ICF 158 55,227 192 287.6 95.76 151.3
Manoa Cottage Kaimuki
SNF/ICF 27 2,256 58 38.9 22.89 6.2
Maui Memorial Medical Center
Medical/Surgical 152 39,337 6,058 6.5 70.90 107.8
Critical Care 29 6,174 1,403 4.4 58.33 16.9
Obstetric 23 6,446 3,302 2.0 76.78 17.7
Psychiatric (Psych) 18 3,748 708 5.3 57.05 10.3
Maunalani Nursing Center
SNF/ICF 100 35,419 240 147.6 97.04 97.0
Molokai General Hospital
Medical/Surgical 9 291 87 3.3 8.86 0.8
Obstetric 2 34 30 1.1 4.66 0.1
Acute/SNF 2 268 8 33.5 36.71 0.7
SNF/ICF 2 732 0 100.27 2.0
Page 35SHPDA Health Care Utilization Report, Hawaii 2012
FacilityType of Beds
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 6. Bed Utilization by Facility, 2012
North Hawaii Community Hospital
Medical/Surgical 24 4,622 1,227 3.8 52.76 12.7
Critical Care 4 969 116 8.4 66.37 2.7
Obstetric 5 1,346 622 2.2 73.75 3.7
Nuuanu Hale
SNF/ICF 75 27,075 142 190.7 98.90 74.2
Oahu Care Facility
SNF/ICF 82 26,601 134 198.5 88.88 72.9
Pali Momi Medical Center
Medical/Surgical 108 40,127 6,131 6.5 101.79 109.9
Critical Care 8 3,593 426 8.4 123.05 9.8
Palolo Chinese Home
SNF/ICF 61 22,050 194 113.7 99.03 60.4
Pearl City Nursing Home
SNF/ICF 122 42,866 142 301.9 96.26 117.4
Po'ailani
Other: STF 32 10,799 185 58.4 92.46 29.6
Pu'uwai 'O Makaha (formerly Leeward Integrated Health Services)
SNF/ICF 93 28,314 288 98.3 83.41 77.6
Rehabilitation Hospital of the Pacific
Rehabilitation 66 18,688 1,396 13.4 77.58 51.2
Page 36SHPDA Health Care Utilization Report, Hawaii 2012
FacilityType of Beds
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 6. Bed Utilization by Facility, 2012
Samuel Mahelona Memorial Hospital
Medical/Surgical 5 18 10 1.8 0.99 0.0
Psychiatric (Psych) 9 1,660 32 51.9 50.53 4.5
SNF/ICF 66 19,718 30 657.3 81.85 54.0
Shriners Hospitals for Children – Honolulu
Children's Orthopedic 24 984 219 4.5 11.23 2.7
Straub Clinic & Hospital
Medical/Surgical 140 40,452 6,520 6.2 79.16 110.8
Critical Care 19 5,105 1,187 4.3 73.61 14.0
The Maui Farm
Other: STF 6 524 2 262.0 23.93 1.4
The Queen's Medical Center
Medical/Surgical 369 112,820 18,013 6.3 83.77 309.1
Critical Care 48 12,240 2,456 5.0 69.86 33.5
Obstetric 25 5,860 2,357 2.5 64.22 16.1
Psychiatric (Psych) 63 7,811 1,130 6.9 33.97 21.4
Skilled Nursing (SNF) 28 9,368 727 12.9 91.66 25.7
The Salvation Army Addiction Treatment Services
Other: STF 66 17,845 978 18.2 74.08 48.9
Wahiawa General Hospital
Medical/Surgical 67 12,639 2,779 4.5 51.68 34.6
Critical Care 6 1,024 250 4.1 46.76 2.8
Psychiatric (Psych) 10 2,562 94 27.3 70.19 7.0
SNF/ICF 93 32,508 239 136.0 95.77 89.1
Page 37SHPDA Health Care Utilization Report, Hawaii 2012
FacilityType of Beds
Licensed Beds
InpatientDays
Admiss‐ions ALOS Occup % ADC
Table 6. Bed Utilization by Facility, 2012
Wilcox Memorial Hospital
Medical/Surgical 60 14,324 3,021 4.7 65.41 39.2
Critical Care 7 1,569 471 3.3 61.41 4.3
Obstetric 5 1,295 530 2.4 70.96 3.5
Yukio Okutsu State Veterans Home – Hilo
SNF/ICF 95 30,699 125 245.6 88.53 84.1
A blank cell ( ) indicates data not available.
Note: Leahi Hospital (Honolulu County), Ka Punawai Ola – Kapolei (Honolulu County), Leahi Community Hosptial (Maui County), and several substance‐abuse treatment facilities did not report in time for this publication.
Page 38SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsCounty
Licensed Beds
Inpatient Days Admissions ALOS Occup % ADC
Table 7. County‐Level Bed Utilization by Type of Beds, 2012
Medical/Surgical
156 37,282 7,427 5.0 65.48 102.1Hawaii County
1,232 320,482 53,927 5.9 71.27 878.0Honolulu County
74 15,829 3,428 4.6 58.60 43.4Kauai County
161 39,628 6,145 6.4 67.43 108.6Maui County
Medical/Surgical Total 1,623 413,221 70,927 5.8 69.75 1,132.1
Critical Care
24 5,685 1,558 3.6 64.90 15.6Hawaii County
152 35,958 5,749 6.3 64.81 98.5Honolulu County
9 1,871 608 3.1 56.96 5.1Kauai County
29 6,174 1,403 4.4 58.33 16.9Maui County
Critical Care Total 214 49,688 9,318 5.3 63.61 136.1
Obstetric
32 4,947 2,405 2.1 42.35 13.6Hawaii County
125 31,117 11,404 2.7 68.20 85.3Honolulu County
9 1,849 769 2.4 56.29 5.1Kauai County
25 6,480 3,332 1.9 71.01 17.8Maui County
Obstetric Total 191 44,393 17,910 2.5 63.68 121.6
Pediatric
8 457 170 2.7 15.65 1.3Hawaii County
80 40,040 9,608 4.2 137.12 109.7Honolulu County
Pediatric Total 88 40,497 9,778 4.1 126.08 111.0
Page 39SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsCounty
Licensed Beds
Inpatient Days Admissions ALOS Occup % ADC
Table 7. County‐Level Bed Utilization by Type of Beds, 2012
Neonatal ICU
37 10,410 679 15.3 77.08 28.5Honolulu County
Neonatal ICU Total 37 10,410 679 15.3 77.08 28.5
Psychiatric (Psych)
31 7,214 867 8.3 63.76 19.8Hawaii County
102 18,911 2,542 7.4 50.80 51.8Honolulu County
9 1,660 32 51.9 50.53 4.5Kauai County
18 3,748 708 5.3 57.05 10.3Maui County
Psychiatric (Psych) Total 160 31,533 4,149 7.6 53.99 86.4
Acute/SNF
20 2,455 91 27.0 33.63 6.7Hawaii County
10 1,164 136 8.6 31.89 3.2Kauai County
7 1,239 59 21.0 48.49 3.4Maui County
Acute/SNF Total 37 4,858 286 17.0 35.97 13.3
Skilled Nursing (SNF)
70 10,986 512 21.5 43.00 30.1Hawaii County
96 25,538 1,262 20.2 72.88 70.0Honolulu County
Skilled Nursing (SNF) Total 166 36,524 1,774 20.6 60.28 100.1
Page 40SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsCounty
Licensed Beds
Inpatient Days Admissions ALOS Occup % ADC
Table 7. County‐Level Bed Utilization by Type of Beds, 2012
Intermediate Care (ICF)
82 32,779 95 345.0 109.52 89.8Hawaii County
205 56,160 178 315.5 75.06 153.9Honolulu County
20 7,278 26 279.9 99.70 19.9Kauai County
Intermediate Care (ICF) Total 307 96,217 299 321.8 85.87 263.6
SNF/ICF
667 193,811 671 288.8 79.61 531.0Hawaii County
2,165 723,467 4,567 158.4 91.55 1,982.1Honolulu County
312 102,645 481 213.4 90.13 281.2Kauai County
446 133,877 562 238.2 82.24 366.8Maui County
SNF/ICF Total 3,590 1,153,800 6,281 183.7 88.05 3,161.1
Psychiatric (Spec.)
290 92,879 1,542 60.2 87.75 254.5Honolulu County
Psychiatric (Spec.) Total 290 92,879 1,542 60.2 87.75 254.5
SNF/ICF MR
9 2,928 0 89.13 8.0Maui County
SNF/ICF MR Total 9 2,928 0 89.13 8.0
Hansen's Disease
14 2,425 95 25.5 47.46 6.6Honolulu County
5 372 21 17.7 20.38 1.0Maui County
Hansen's Disease Total 19 2,797 116 24.1 40.33 7.7
Page 41SHPDA Health Care Utilization Report, Hawaii 2012
Type of BedsCounty
Licensed Beds
Inpatient Days Admissions ALOS Occup % ADC
Table 7. County‐Level Bed Utilization by Type of Beds, 2012
Rehabilitation
66 18,688 1,396 13.4 77.58 51.2Honolulu County
Rehabilitation Total 66 18,688 1,396 13.4 77.58 51.2
Children's Orthopedic
24 984 219 4.5 11.23 2.7Honolulu County
Children's Orthopedic Total 24 984 219 4.5 11.23 2.7
Other: STF
340 98,268 1,797 54.7 79.18 269.2Honolulu County
54 13,299 576 23.1 67.47 36.4Maui County
Other: STF Total 394 111,567 2,373 47.0 77.58 305.7
A blank cell ( ) indicates data not available
Note: Leahi Hospital (Honolulu County), Ka Punawai Ola – Kapolei (Honolulu County), Lanai Community Hospital (Maui County), and several substance‐abuse treatment facilities did not report in time for this publication.
Page 42SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility Private
Semi‐Private
Ward, 3‐4 Beds Private
Semi‐Private
Ward, 3‐4 Beds
SNF ICF
Table 8. Long‐Term Care Daily Room Rates, 2012
Hawaii County
Hale Anuenue Restorative Care Center $490 $415 $480 $400
Hale Ho'ola Hamakua $669 $633 $597 $561
Hilo Medical Center $425 $410
Ka'u Hospital $660 $616
Kohala Hospital $537 $484 $520 $466
Kona Community Hospital $767 $718
Life Care Center of Hilo $392 $392 $382 $382
Life Care Center of Kona $443 $406 $443 $406
Yukio Okutsu State Veterans Home – Hilo $474 $388 $462 $380
Hawaii County Average $544 $529 $427 $513 $503 $416
Honolulu County
15 Craigside $350 $350
Aloha Nursing & Rehab Centre $512 $275 $257
Ann Pearl Nursing Facility $419 $419 $326 $326
Arcadia Retirement Residence $399 $295 $399 $295
Avalon Care Center – Honolulu $319 $309 $319 $309
Care Center of Honolulu (formerly Convalescent Center of Honolulu)
$282 $264 $260 $272 $258 $250
Crawford's Convalescent Home $230 $230 $230
Hale Ho Aloha $305 $300 $242 $305 $300 $242
Hale Malamalama $286 $286 $286 $256 $256 $256
Hale Nani Rehabilitation and Nursing Center $387 $299 $284 $387 $299 $284
Hale Ola Kino $345 $306 $345 $306
Harry and Jeanette Weinberg Care Center at Pohai Nani
$396 $335 $396 $335
Page 43SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility Private
Semi‐Private
Ward, 3‐4 Beds Private
Semi‐Private
Ward, 3‐4 Beds
SNF ICF
Table 8. Long‐Term Care Daily Room Rates, 2012
Island Nursing Home $273 $273 $273 $265 $265 $265
Kahala Nui Hi'olani Care Center $373 $336 $373 $336
Kahuku Medical Center $559 $559
Kaiser Permanente Moanalua Medical Center $860 $860 $645 $645
Kuakini Medical Center & Geriatric Care $430 $375 $380 $330
Kulana Malama $350 $350 $350 $350
Liliha Healthcare Center $303 $303 $303 $303
Maluhia Hospital $330 $310 $305 $330 $310 $305
Manoa Cottage Kaimuki $325 $300 $285 $325 $300 $285
Maunalani Nursing Center $350 $295 $261 $350 $295 $261
Nuuanu Hale $263 $263 $261 $263 $263 $261
Oahu Care Facility $270 $255
Palolo Chinese Home $383 $332 $367 $305
Pearl City Nursing Home $260 $260 $240 $240
Pu'uwai 'O Makaha (formerly Leeward Integrated Health Services)
$309 $309 $276 $276
The Queen's Medical Center $1,152 $865
Wahiawa General Hospital $320 $310 $300 $320 $310 $300
Honolulu County Average $402 $369 $278 $341 $313 $270
Kauai County
Garden Isle Healthcare & Rehabilitation $436 $436 $408 $408
Hale Kupuna Heritage Home $368 $368 $326 $326
Kauai Care Center $430 $398
Kauai Veterans Memorial Hospital $564 $549 $528 $513
Samuel Mahelona Memorial Hospital $638 $584 $546 $616 $562 $509
Page 44SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility Private
Semi‐Private
Ward, 3‐4 Beds Private
Semi‐Private
Ward, 3‐4 Beds
SNF ICF
Table 8. Long‐Term Care Daily Room Rates, 2012
Kauai County Average $487 $484 $546 $455 $452 $509
Maui County
Hale Makua – Kahului $315 $295 $305 $285
Hale Makua – Wailuku $310 $289 $278 $290 $269 $258
Kula Hospital $600 $559 $519 $559 $519 $480
Molokai General Hospital $641 $525
Maui County Average $408 $446 $399 $385 $400 $369
State Average $427 $420 $331 $375 $374 $316
Note: (1) Daily room rates as of December 31, 2012 were reported. When a range was reported for a room category, the median of the range was calculated. (2) Leahi Hospital (Honolulu County), Ka Punawai Ola – Kapolei (Honolulu County), and Lanai Community Hosptial (Maui County) did not report in time for this publication.
Page 45SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility
Number of CT
Number of Procedures
Average Technical Charge per Procedure
Table 9. Computerized Tomography (CT) Utilization, 2012
Hawaii County
Hawaii Radiologic Associates – Kona 1 1,298 $475
Hawaii Radiologic Associates – Ponahawai 1 3,318 $475
Hilo Medical Center 1 14,829 $900
Kona Community Hospital 1 7,769 $1,052
North Hawaii Community Hospital 1 4,669 $1,165
Hawaii County Total 5 31,883 ...
Honolulu County
Castle Medical Center 1 10,053 $2,159
Hawaii PET Imaging 1 1,163 $781
Kaiser Permanente Moanalua Medical Center 2 $362
Kapiolani Medical Center for Women and Children 1 4,266 $2,963
Koolau Radiology 1 1,484 $526
Kuakini Medical Center & Geriatric Care 1 12,658 $1,923
Pali Momi Medical Center 2 21,354
Straub Clinic & Hospital 2 15,241 $2,827
The Queen's Medical Center 3 45,324
Wahiawa General Hospital 1 6,612 $1,364
Yeoh and Muranaka 2 5,255
Honolulu County Total 17 123,410 ...
Kauai County
Kauai Veterans Memorial Hospital 1 1,280 $1,400
Wilcox Memorial Hospital 2 8,371
Kauai County Total 3 9,651 ...
Page 46SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility
Number of CT
Number of Procedures
Average Technical Charge per Procedure
Table 9. Computerized Tomography (CT) Utilization, 2012
Maui County
Maui Diagnostic Imaging 1 1,854 $846
Maui Medical Group 1 2,731 $364
Maui Memorial Medical Center 1 17,805
Molokai General Hospital 1 830 $888
Maui County Total 4 23,220 ...
29State Total 188,164 ...
A blank cell ( ) indicates data not available. An ellipsis (...) indicates cateogory not applicable.
Note: The total number of procedures was calculated based on data available at time of publication.
Page 47SHPDA Health Care Utilization Report, Hawaii 2012
CountyName
Number of MRI
Number of Procedures
Average Technical Charge per Procedure
Table 10. Magnetic Resonance Imaging (MRI) Utilization, 2012
Hawaii County
Hawaii Radiologic Associates – Ponahawai 1
Hilo Medical Center 1 2,801 $2,000
Kona Community Hospital 1 2,070 $2,026
North Hawaii Community Hospital 1 1,616 $1,924
Hawaii County Total 4 6,487 ...
Honolulu County
Castle Medical Center 1 3,519 $2,142
Hawaii PET Imaging 1 7,078 $1,151
InVision Imaging 1 6,739 $980
Kaiser Permanente Moanalua Medical Center 1 10,113
Kapiolani Medical Center for Women and Children 1 3,401 $2,915
Kuakini Medical Center & Geriatric Care 1 5,453 $1,675
Pali Momi Medical Center 2 7,836
Straub Clinic & Hospital 1 5,444 $2,499
The Queen's Medical Center 3 29,470
Yeoh and Muranaka 2 5,067
Honolulu County Total 14 84,120 ...
Kauai County
Kauai Veterans Memorial Hospital 1 166 $1,769
Wilcox Memorial Hospital 1 3,407
Kauai County Total 2 3,573 ...
Page 48SHPDA Health Care Utilization Report, Hawaii 2012
CountyName
Number of MRI
Number of Procedures
Average Technical Charge per Procedure
Table 10. Magnetic Resonance Imaging (MRI) Utilization, 2012
Maui County
Kaiser Permanente Maui Lani Medical Office 1 3,521 $1,178
Maui Diagnostic Imaging 1 3,457 $1,376
Maui Medical Group 1 783 $560
Maui Memorial Medical Center 1 3,122
Maui County Total 4 10,883 ...
24State Total 105,063 ...
A blank cell ( ) indicates data not available. An ellipsis (...) indicates cateogory not applicable.
Page 49SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility
Number of Linac
Number of Treatments
Table 11. Radiation Therapy Utilization, 2012
Hawaii County
Hilo Medical Center 1 4,672
Kona Community Hospital 1 3,352
Hawaii County Total 2 8,024
Honolulu County
Kuakini Medical Center & Geriatric Care 1 9,445
The Queen's Medical Center 3 11,778
Honolulu County Total 4 21,223
Maui County
Maui Memorial Hospital 1 6,910
Maui County Total 1 6,910
7State Total 36,157
Note: (1) Data includes linac based radiation therapy only. A treatment is defined as a single patient‐visit equivalent when using a linear accelerator (linac) as the treatment device. (2) The totals were calculated based on data available at time of publication.
Page 50SHPDA Health Care Utilization Report, Hawaii 2012
CountyFacility
Number of Cath Labs
Adult Cardiac Catheterization
Pediatric Cardiac Catheterization
Table 12. Cardiac Catheterization Lab Utilization, 2012Number of Diagnostic‐equivalent Cardiac Catheterization Procedures
Honolulu County
Castle Medical Center 1 875 0
Kaiser Permanente Moanalua Medical Center 2 1,049 0
Pali Momi Medical Center 1 511 0
Straub Clinic & Hospital 1 545 22
The Queen's Medical Center 4 1,979 0
Honolulu County Total 9 4,959 22
Maui County
Maui Memorial Medical Center 1 541 0
Maui County Total 1 541 0
10State Total 5,500 22
Note: The total number of procedures was calculated based on data available at time of publication.
Page 51SHPDA Health Care Utilization Report, Hawaii 2012
Table 13. Number of Admissions by County, 2002–2012Acute Care
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012County/Island
Hawaii County 14,096 13,736 13,006 13,321 13,310 13,199 13,487 14,049 12,217 12,512 12,427
Honolulu County 78,635 77,682 80,947 78,782 77,460 76,959 75,188 79,489 83,646 80,554 83,909
Kauai County 6,047 6,604 6,443 5,830 6,388 6,100 5,234 5,107 4,744 4,699 4,837
Maui County 10,576 11,033 12,670 13,162 12,594 12,647 12,223 12,079 11,559 11,544 11,588
Island of Lanai 0 0 31 18 29 28 23 17 14
Island of Maui 10,479 10,940 12,464 12,987 12,419 12,493 12,085 11,954 11,443 11,391 11,471
Island of Molokai 97 93 175 157 146 126 115 108 102 153 117
Figure 1. Number of Acute Care Admissions by County, 2002–2012
A blank cell ( ) indicates data not available.
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Num
ber of A
dmission
s
Hawaii County Honolulu County Kauai County Maui County
Page 52SHPDA Health Care Utilization Report, Hawaii 2012
Table 13. Number of Admissions by County, 2002–2012Long‐Term Care
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012County/Island
Hawaii County 925 1,148 1,417 1,267 1,041 1,227 1,432 1,495 1,459 1,532 1,369
Honolulu County 4,692 5,147 5,260 5,669 4,956 5,271 5,103 5,903 5,777 5,966 6,007
Kauai County 460 550 435 446 129 443 519 592 689 733 643
Maui County 596 623 769 789 623 689 501 512 565 668 621
Island of Lanai 56 48 6 10 10 19 14 5 4
Island of Maui 488 532 756 778 612 655 472 489 548 654 613
Island of Molokai 52 43 7 1 1 15 15 18 13 14 8
Figure 2. Number of Long‐Term Care Admissions by County, 2002–2012
A blank cell ( ) indicates data not available.
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Num
ber of A
dmission
s
Hawaii County Honolulu County Kauai County Maui County
Page 53SHPDA Health Care Utilization Report, Hawaii 2012
Table 14. Average Length of Stay by County, 2002–2012Acute Care
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012County/Island
Hawaii County 4.9 4.4 4.4 3.9 4.6 4.4 4.2 3.8 3.8 4.2 4.5
Honolulu County 6.1 6.0 5.7 6.1 6.2 6.0 5.8 5.4 5.3 5.2 5.4
Kauai County 3.3 3.3 3.8 4.3 4.6 3.9 4.0 4.0 4.5 4.4 4.4
Maui County 5.4 5.2 4.3 4.2 4.4 4.8 4.7 4.9 4.5 4.9 4.8
Island of Lanai 0.0 0.0 2.5 2.7 2.5 2.5 5.4 1.8 1.6
Island of Maui 5.4 5.3 4.4 4.2 4.4 4.8 4.7 4.9 4.5 4.9 4.9
Island of Molokai 2.1 1.6 2.1 4.6 4.6 3.7 2.9 3.5 3.7 2.0 2.8
Figure 3. Average Length of Stay for Acute Care by County, 2002–2012
A blank cell ( ) indicates data not available.
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Num
ber of D
ays
Hawaii County Honolulu County Kauai County Maui County
Page 54SHPDA Health Care Utilization Report, Hawaii 2012
Table 14. Average Length of Stay by County, 2002–2012Long‐Term Care
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012County/Island
Hawaii County 265 219 179 207 239 210 185 185 185 179 175
Honolulu County 194 173 172 160 175 165 155 139 152 139 134
Kauai County 232 200 255 249 248 249 176 157 134 157 173
Maui County 288 274 222 217 225 248 273 266 234 227 218
Island of Lanai 66 76 576 326 348 130 277 679 848
Island of Maui 337 308 218 215 223 256 279 268 233 230 219
Island of Molokai 64 81 304 1,256 730 75 85 71 78 76 125
Figure 4. Average Length of Stay for Long‐Term Care by County, 2002–2012
A blank cell ( ) indicates data not available.
0
50
100
150
200
250
300
350
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Num
ber of D
ays
Hawaii County Honolulu County Kauai County Maui County
Page 55SHPDA Health Care Utilization Report, Hawaii 2012
Table 15. Occupancy Rate (%) by County, 2002–2012Acute Care
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012County/Island
Hawaii County 84.5 68.2 65.9 55.1 67.9 65.5 65.1 61.9 50.5 56.0 60.7
Honolulu County 67.3 64.7 65.3 67.7 66.3 63.1 61.8 61.3 62.4 68.2 72.4
Kauai County 57.0 62.2 71.2 62.3 77.3 65.6 57.6 55.8 58.8 55.5 57.5
Maui County 75.8 76.9 75.6 74.9 77.3 79.1 74.7 71.0 61.9 68.7 65.9
Island of Lanai 0.0 0.0 5.4 3.3 4.9 4.8 8.5 2.1 1.6 0.0 0.0
Island of Maui 78.5 79.8 79.7 79.8 83.5 84.5 79.8 75.4 65.8 71.8 68.8
Island of Molokai 7.0 5.1 12.8 17.9 14.1 11.6 8.2 9.5 9.4 7.8 8.1
Figure 5. Occupancy Rate for Acute Care by County, 2002–2012
A blank cell ( ) indicates data not available.
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Occup
ancy Rate (%
)
Hawaii County Honolulu County Kauai County Maui County
Page 56SHPDA Health Care Utilization Report, Hawaii 2012
Table 15. Occupancy Rate (%) by County, 2002–2012Long‐Term Care
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012County/Island
Hawaii County 92.1 94.6 94.8 99.9 97.8 96.5 87.7 91.3 91.1 89.8 78.4
Honolulu County 95.5 93.0 93.5 92.5 94.3 93.2 93.0 89.4 89.9 88.5 89.5
Kauai County 88.2 90.3 90.8 95.7 96.0 92.1 76.1 77.8 77.3 92.2 89.0
Maui County 93.2 92.9 90.0 94.4 94.3 93.7 95.7 95.0 92.4 91.8 81.7
Island of Lanai 72.1 71.2 94.7 89.3 95.2 67.6 106.1 93.0 92.9
Island of Maui 96.2 95.8 92.8 94.6 94.2 94.4 95.6 95.1 92.7 91.9 81.8
Island of Molokai 41.3 43.3 26.5 86.0 100.0 77.5 87.5 87.4 69.6 72.8 68.5
Figure 6. Occupancy Rate for Long‐Term Care by County, 2002–2012
A blank cell ( ) indicates data not available.
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
110.0
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Occup
ancy Rate (%
)
Hawaii County Honolulu County Kauai County Maui County
Page 57SHPDA Health Care Utilization Report, Hawaii 2012
Table 16. Average Daily Census by County, 2002–2012Acute Care
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012County/Island
Hawaii County 188 166 157 143 167 158 154 147 126 144 152
Honolulu County 1,305 1,271 1,261 1,312 1,309 1,255 1,188 1,187 1,208 1,158 1,252
Kauai County 55 60 68 69 81 66 58 56 59 56 58
Maui County 157 159 151 151 152 165 158 162 141 154 154
Island of Lanai 0 0 1 1 1 2 0 0 0
Island of Maui 156 158 149 149 150 163 157 161 140 153 153
Island of Molokai 1 1 1 2 2 1 1 1 1 1 1
Figure 7. Average Daily Census for Acute Care by County, 2002–2012
A blank cell ( ) indicates data not available.
0
200
400
600
800
1,000
1,200
1,400
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Num
ber of P
atients
Hawaii County Honolulu County Kauai County Maui County
Page 58SHPDA Health Care Utilization Report, Hawaii 2012
Table 16. Average Daily Census by County, 2002–2012Long‐Term Care
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012County/Island
Hawaii County 672 690 693 719 681 707 726 756 739 753 658
Honolulu County 2,501 2,444 2,477 2,483 2,374 2,381 2,167 2,243 2,399 2,278 2,206
Kauai County 293 302 304 304 305 302 250 255 253 315 304
Maui County 470 468 467 470 385 468 375 372 362 416 370
Island of Lanai 10 10 9 9 10 7 11 9 9
Island of Maui 450 448 452 458 373 459 361 360 350 413 367
Island of Molokai 9 10 6 3 2 3 4 4 3 3 3
Figure 8. Average Daily Census for Long‐Term Care by County, 2002–2012
A blank cell ( ) indicates data not available.
0
500
1,000
1,500
2,000
2,500
3,000
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Num
ber of P
atients
Hawaii County Honolulu County Kauai County Maui County
Page 59SHPDA Health Care Utilization Report, Hawaii 2012
Acute Bed is the bed type designated to service inpatients whose average length of stay is usually less than thirty days and require access to the full range of services provided by an acute care inpatient facility. Acute Psychiatric Bed is the bed type designated to provide 24 hour inpatient acute care services for mentally disordered patients whose length of stay is usually less than thirty days. Acute/SNF is a “swing” bed designated to service either acute level or skilled nursing level patients. Admissions refer to the number of inpatients admitted by the respective facility and bed type. It includes multiple admissions by an individual admitted more than once during the reporting period. Average Daily Census (ADC) is the average number of inpatients during the year. The ADC multiplied by 365 gives the total number of patient days per year. The ADC divided by the bed capacity and multiplied by 100 gives the occupancy rate. Average Length of Stay (ALOS) is the average number of days a patient stays in the facility. ALOS is computed by dividing the total patient days by the number of admissions.
The ALOS may indicate whether a facility is able to appropriately discharge patients from the facility or to another type of bed based on the patient’s condition. It may also indicate the proportion of very seriously ill patients the facility cares for. Usually, the larger the number of very sick patients, the longer the ALOS.
The data includes patient days that result from being unable to discharge patients due to a lack of available services in the community or beds needed at other facilities. If these “waitlisted days” were excluded from the ALOS data, it would provide better accurate data on how many days are needed to care for patients and result in a lower ALOS.
County means one of four major counties: (1) Hawaii County is composed of the island of Hawaii; (2) Honolulu County is composed of the island of Oahu and the City of Honolulu (Census County Division, or CCD) on Oahu and is the most populous city in the state; (3) Kauai County is composed of the island of Kauai; and (4) Maui County comprises the islands of Maui, Molokai and Lanai. Critical Care Unit (CCU) is a specialized care bed designed to provide intensive, focused care for patients who are seriously or critically ill within an acute bed facility setting. Inpatient Days is the total number of days a patient stays in a facility. The totals currently include “waitlisted days”, i.e. patient days as a result of not being able to discharge a patient due to lack of community services or other types of beds appropriate for the care of the patient. Intermediate Care Facility (ICF) is a facility which provides appropriate care to persons referred by a physician needing: (1) 24‐hour a day assistance with the normal activities of daily living; (2) need care provided by licensed nursing personnel and paramedical personnel on a regular, long term basis, and; (3) don’t need skilled nursing or paramedical care 24‐hours a day.
SHPDA Health Care Utilization Report, Hawaii 2012 Page 60
Glossary
Licensed Beds means the approved bed capacity as determined by the Office of Health Care Assurance (OHCA) for the State of Hawaii. Occupancy Rates (Occup %) is the percentage of licensed bed capacity occupied on average. Occupancy rates are computed by dividing the ADC by the number of licensed beds and multiplying by 100.
Health care facilities require some excess capacity to efficiently manage admissions, discharges and transfers of patients. If, however, the occupancy rate is low for long periods of time, the facility may not be able to generate sufficient revenue to justify staffing and other expenses for this additional capacity.
In acute care, particularly where patients are admitted on a non‐scheduled basis, e.g. OB, CCU, etc., optimal occupancy must accommodate unforeseen increases in admissions. Consequently, occupancy rates may occasionally exceed 100% because of an unexpected surge in number of admissions. This might also occur if there is a decrease in routine patient discharges. Chronic high occupancy rates will decrease the number of beds available to the community.
Lack of qualified staffing and temporary closure of patient areas because of facility renovations, labor shortages and strikes may also prevent making more beds available.
Psychiatric Beds are inpatient beds designated for the diagnosis and long‐term treatment of chronic mental illness or mental disorder. Rehabilitation Beds are inpatient beds designated to restore the ill or disabled person to achieve the fullest physical, mental, social, vocational, and economic usefulness possible. Skilled Nursing Facility (SNF) is a facility that accepts patients for rehabilitative services or medical care that is less intense than that received in a hospital. The cost per bed day in a SNF is typically less than a like cost in an acute care hospital. SNF/ICF – Mental Retardation (S/I – MR) is a facility providing skilled nursing care or intermediate care services for persons who are mentally retarded. Specialty Care Beds means a facility which provides a therapeutic residential program for care, diagnoses, treatment or rehabilitation services for socially or emotionally distressed persons, mentally ill persons, persons suffering from substance abuse, and developmentally disabled persons. Substance‐Abuse Treatment Facility (STF) is a facility that provides residential substance‐abuse treatment services.
SHPDA Health Care Utilization Report, Hawaii 2012 Page 61