Friday, April 30, 2021

Medicare Long Term Care Hospital Beds in the Great Lakes Region

Long Term Care Hospitals (LTCHs) are an integral part of the hospital system that serve the needs of over 60 million Americans having Medicare Part A long term care coverage.  LTCH services are geared toward individuals with complex medical situations that require extended inpatient care (more than 25 days on average).  As of calendar year 2019 there were over 6,000 hospitals in total, with more than 932,500 beds, participating in the Medicare program.  LTCHs accounted for about 6% and 2.7% of those hospitals and hospital beds, respectively.

In calendar year 2019, the five-state Great Lakes region of the U.S. was home to 51 long term care hospitals, with almost 3,500 beds, who were participating in the Medicare program.  This made the region home to 14.8% of the nation's Medicare Part A enrollees and 13.6% of the program's long term care hospital beds.  Here is a summary look at Medicare Long Term Care hospital beds in the Great Lakes region:


Medicare Long Term Care Hospital Beds in the Great Lakes Region

Medicare Long Term Care Hospital Beds in the Great Lakes Region

Area # Part A Enrollees # Hospitals # Beds
IL 2,212,802 6 898
IN 1,258,716 8 441
MI 2,063,850 14 806
OH 2,326,789 20 1,209
WI 1,171,641 3 125
Region 9,033,798 51 3,479
National* 61,166,694 367 25,593
% of National 14.8% 13.9% 13.6%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

Thursday, April 29, 2021

Duke Health, our trusted link for April 2021


Duke Health as a Resource


Duke Health in Durham, NC is anchored by the Duke University School of Medicine, ranked #3 in research by U.S. News & World Report. The medical school was established in 1925 in a bequest from the founder of Duke Energy and  British American Tobacco, James B. Duke. A top-ranked nursing school and hospital were funded at the same time. Today, the Duke Health system serves 32 counties in North Carolina and nearby states. It now includes three other hospitals, a research institutehealth policy center, and the Duke-NUS Medical School in Singapore. 

U.S. News & World Report ranks the university medical school performance

  • #2 in Surgery
  • #4 in Anesthesiology
  • #5 in Internal Medicine
  • #6 in Radiology
  • #7 in Pediatrics
  • #8 in Obstetrics and Gynecology
  • #10 in Psychiatry. 

Major U.S. milestones at Duke Health include

  • 1936 - Ultraviolet lights in operating rooms to kill germs
  • 1937 - 1st brain tumor program
  • 1955 - 1st center for aging
  • 1956 - Systemic hypothermia introduced to cardiac surgery
  • 1965 - 1st physician's assistant education program
  • 1969 - Databank for Cardiovascular Disease created
  • 1969 - Human functions below 1,000 feet of water studied
  • 1985 - One of only 2 clinical trials for AZT 
  • 1990 - Newborn screening test for 30 metabolic diseases
  • 1993 - 1st thymus transplant for an infant
  • 1993 - Identification of the 'Alzheimer's gene'
  • 2013 - 1st bioengineered blood vessel implanted.

The Duke Clinical Research Institute has distributed more than 16,000 publications since 1996, and last year their researchers put out 1,225 papers, with 243 in top-tier journals. See their latest announcements

The Duke-NUS Medical School was established in 2005 when Duke University partnered with the National University of Singapore to create Singapore's first graduate school of medicine as well as a leading center for medical research, education, and device development. Their Centre for Technology and Development shepherds the Duke-NUS research into commercial applications. Among their success stories is a company called CognaLearn that markets educational software, such as InteDashboard for team-based learning. 

Check out InteDashboard

The Ten Largest Hospital Providers in Florida

According to certified bed count data from the 2020 Medicare Provider of Services file, the following are the ten largest hospital providers in the state of Florida:

  1. AdventHealth Orlando
    Location:  Orlando
    Bed Count:  2,891

  2. Jackson Memorial Hospital
    Location:  Miami
    Bed Count:  2,137

  3. Orlando Health Orlando Regional Medical Center
    Location:  Orlando
    Bed Count:  1,738

  4. Baycare / St. Joseph's Hospital
    Location:  Tampa
    Bed Count:  1,353

  5. UF Health Shands Hospital
    Location:  Gainesville
    Bed Count:  1,095

  6. Memorial Regional Hospital
    Location:  Hollywood
    Bed Count:  1,013

  7. Tampa General Hospital
    Location:  Tampa
    Bed Count:  1,007

  8. Baptist Medical Center Jacksonville
    Location:  Jacksonville
    Bed Count:  972

  9. Lee Memorial Hospital
    Location:  Fort Myers
    Bed Count:  895

  10. Lakeland Regional Medical Center
    Location:  Lakeland
    Bed Count:  864



Wednesday, April 28, 2021

LPN Employment in the Great Plains Region

Recently released May 2020 employment data from the U.S. Bureau of Labor Statistics (BLS) reported that there were over 676,000 licensed practical nurses (LPNs) employed in the U.S.  Also known as license vocational nurses (LVNs) in some parts of the country, LPNs comprise one of the largest healthcare occupations in the country. Approximately 52,000 of those LPN jobs were in the seven-state Great Plains region of the country. BLS data tells us that the Great Plains region is a weak one for licensed practical nurse pay, with annual mean wage levels in all states in the region falling below the national average for all LPNs.  Two states in the region, Missouri and South Dakota, were in the bottom quintile nationally for LPN annual mean wages.  BLS data from May 2020 reveals the following about LPN employment in the Great Plains region of the U.S.:

LPN Employment in the Great Plains Region
LPN Employment in the Great Plains Region

State # Employed Annual Mean Wages Wage Rank*
IA 6,140 $45,860 37th
KS 6,860 $45,050 39th
MN 14,210 $49,840 23rd
MO 14,770 $44,490 41st
NE 5,530 $45,710 38th
ND 2,520 $48,060 29th
SD 2,020 $39,420 50th
U.S. 676,440 $50,090 -------

(*) annual mean wage ranking among the 50 states and the District of Columbia

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 26, 2021

Tuesday, April 27, 2021

Occupational Therapist Employment in the Mid-East Region

Recently published May 2020 employment data from the U.S. Bureau of Labor Statistics (BLS) reported that there were just over 126,600 occupational therapists (OTs) employed in the U.S.  About 25,800 of those OT jobs were in the Mid-East region of the country, an area which encompasses five states and the District of Columbia.  BLS data reveals the Mid-East region to be a mixed one in terms of OT pay, with OT annual mean wage levels in several states falling below the national average for all occupational therapists.  Even so, the District of Columbia and New Jersey were in the top quintile nationally for OT annual mean wages.  BLS data reveals the following about occupational therapist employment in the Mid-East region of the U.S. as of May 2020:

Occupational Therapist Employment in the Mid-East Region

Occupational Therapist Employment in the Mid-East Region

State # Employed Annual Mean Wages Wage Rank*
DC 360 $96,330 5th
DE 550 $82,360 34th
MD 3,230 $85,840 23rd
NJ 4,070 $98,750 4th
NY 10,560 $91,170 11th
PA 7,070 $83,200 30th
U.S. 126,610 $87,480 -------

(*) annual mean wage ranking among the 50 states and the District of Columbia

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 26, 2021

Monday, April 26, 2021

Medicare Rehabilitation Hospital Beds in the Far West

Rehabilitation hospitals are part of the hospital network that serve the needs of over 60 million Americans having Medicare Part A insurance coverage.  Over 6,000 hospitals of all types, with over 932,500 beds in total, participated in the Medicare program as of calendar year 2019.  Rehabilitation hospitals accounted for approximately 5% of those hospitals and a bit more than 2% of those hospital beds.

In calendar year 2019, Medicare Part A enrollees in the six-state Far West region were, on a relative basis, underserved by rehabilitation hospitals.  Although home to over 15% of the nation's Part A enrollees, the region was home to only about 6% of the rehabilitation hospital beds participating in the Medicare program.  Here is a state-level summary look at Medicare rehabilitation hospital beds in the Far West region of the U.S.:

Medicare Rehabilitation Hospital Beds in the Far West
Medicare Rehabilitation Hospital Beds in the Far West

Area # Part A Enrollees # Hospitals # Beds
AK 99,901 0 0
CA 6,145,985 8 588
HI 273,559 1 100
NV 528,844 5 311
OR 862,861 0 0
WA 1,360,244 2 162
Region 9,271,394 16 1,161
National* 61,166,694 306 19,059
% of National 15.2% 5.2% 6.1%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

Sunday, April 25, 2021

Physician Assistant Employment in New England

Recently published data from the U.S. Bureau of Labor Statistics (BLS) indicates that, as of May 2020, there were just over 125,000 physician assistants (PAs) employed in the U.S.  Nearly 7,900 of those jobs were in the six-state New England region.  BLS data reveals New England as one of the better paying regions of the country for physician assistants.  The annual mean wage for PAs is above the national average in every state in the region.  Moreover, four New England states were in the top quintile nationally for PA annual mean wages.  BLS data from May 2020 reveals the following about physician assistant employment in New England:

Physician Assistant Employment in New England

Physician Assistant Employment in New England

State # Employed Annual Mean Wages Wage Rank*
CT 2,310 $146,110 2nd
MA 3,650 $117,830 17th
ME 830 $117,180 20th
NH 620 $124,080 10th
RI 220 $135,800 3rd
VT 260 $128,050 8th
U.S. 125,280 $116,080 -------

(*) annual mean wage ranking among the 50 states and the District of Columbia

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 24, 2021

Friday, April 23, 2021

Chiropractor Employment in the Rocky Mountain Region

As of May 2020, there were just over 34,700 chiropractors employed in the U.S. according to data recently published by the U.S. Bureau of Labor Statistics (BLS).  About 1,700 of those jobs were in the five-state Rocky Mountain region.  For chiropractors, the region is the weakest in the nation for pay.  The annual mean wage for chiropractors in all five Rocky Mountain states is below the national average.  Moreover, four states in the region fall in the bottom quintile nationally for chiropractor annual mean wages.  BLS data from May 2020 details the following about chiropractor employment in the Rocky Mountain region:

Chiropractor Employment in the Rocky Mountain Region

Chiropractor Employment in the Rocky Mountain Region


State # Employed Annual Mean Wages Wage Rank*
CO 720 $66,290 42nd
ID 260 $67,600 41st
MT 260 $54,050 49th
UT 380 $52,110 50th
WY 90 $76,880 33rd
U.S. 34,760 $83,830 -------

(*) annual mean wage ranking among the 50 states

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 21, 2021

Thursday, April 22, 2021

Medicare Psychiatric Hospital Beds in the Great Plains Region

Psychiatric hospitals account for about 10% of the hospitals, and just over 6.4% of the hospital beds, that provide the hospital infrastructure serving more than 60 million Americans having Medicare Part A insurance coverage.  In calendar year 2019, the seven-state Great Plains region of the U.S. was home to 39 psychiatric hospitals, with over 2,400 beds, who were participating in the Medicare program.  While the region was home to about 6.6% of the nation's Medicare Part A enrollment, it had only 4.0% of the Medicare program's psychiatric hospital beds.  Here is a state-level look at Medicare psychiatric hospital beds in the Great Plains region:

Medicare Psychiatric Hospital Beds in the Great Plains Region
Medicare Psychiatric Hospital Beds in the Great Plains Region

# Part A Enrollees # Hospitals # Beds
IA 624,968 2 227
KS 534,086 7 417
MN 1,020,671 10 323
MO 1,225,992 14 890
NE 345,802 2 98
ND 130,540 3 322
SD 175,506 1 133
Region 4,057,565 39 2,410
National* 61,166,694 604 59,851
% of National 6.6% 6.5% 4.0%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

Wednesday, April 21, 2021

Health Services Management Employment in the Southeast

Health services managers, ranging from front-line supervisors to chief executives, play a key role in maximizing the operational effectiveness of a wide variety of healthcare businesses, including hospitals, physicians' offices, outpatient care centers, skilled nursing facilities, and home health care service providers. There were just over 402,000 health service management jobs in the U.S. as of May 2020 according to data published by the U.S. Bureau of Labor Statistics (BLS).  As of May 2020, more than 61,000 health services management jobs were in the twelve-state Southeast region.  In nine Southeast states the annual mean wage for health services managers was in excess of $100,000.  Nevertheless, on a relative basis health service management jobs in the Southeast pay less than in other regions of the country.  Only two Southeast states, North Carolina and Virginia, had annual mean wage levels for health service managers that ranked among the upper half of all states.  According to May 2020 BLS data, health services management employment in the Southeast states looked as follows:

Health Services Management Employment in the Southeast
Health Services Management Employment in the Southeast

State # Employed Annual Mean Wages Wage Rank*
AL 6,530 $93,330 49th
AR 5,580 $89,700 51st
FL ------- $110,130 30th
GA ------- $103,130 41st
KY 5,710 $94,600 48th
LA 5,140 $105,790 37th
MS 3,140 $100,680 43rd
NC 10,170 $120,060 22nd
SC 6,040 $106,360 36th
TN 9,770 $104,380 39th
VA 7,630 $118,530 24th
WV 1,840 $111,120 27th
U.S. 402,540 $118,800 -------

(*) annual mean wage ranking among the 50 states and the District of Columbia

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 21, 2021

Tuesday, April 20, 2021

Medicare Short Stay Hospital Beds in New England

Short stay hospitals, which provide acute inpatient care, are the backbone to the hospital infrastructure that serves more than 60 million Americans having Medicare Part A insurance coverage.  Of the more than 6,000 hospitals participating in the Medicare program, more than 53% were short stay hospitals.  More importantly, short stay hospitals accounted for over 83% of the total hospital beds serving the inpatient hospital care needs of Medicare Part A enrollees.  

In New England, as of calendar year 2019, there were 131 short stay hospitals, with just over 30,000 beds, participating in the Medicare program.  While the region was home to about 5% of the nation's Medicare Part A enrollment, it had less than 4% of the Medicare program's short stay hospital beds.  Here is a state-level look at Medicare short stay hospital beds in New England.:

Medicare Short Stay Hospital Beds in New England

Medicare Short Stay Hospital Beds in New England

# Part A Enrollees # Hospitals # Beds
CT 678,133 29 7,884
MA 1,329,279 56 12,740
ME 337,672 17 2,944
NH 298,585 13 2,720
RI 218,492 10 2,583
VT 147,133 6 1,445
Region 3,009,294 131 30,316
National* 61,166,694 3,283 779,466
% of National 4.9% 4.0% 3.9%

* National totals include U.S. territories

Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

Monday, April 19, 2021

Medicare Skilled Nursing Facility Beds in the Southwest

Skilled Nursing Facilities (SNFs) serve the needs of the more than 60 million Americans having Medicare Part A SNF coverage.  SNFs are healthcare institutions with the staff and equipment needed to give skilled nursing care on a daily basis and, in most cases, skilled rehabilitative services and other related health services.  Examples of SNF care include physical therapy or intravenous injections that can only be given by a registered nurse or doctor. More than 15,000 skilled nursing facilities, with more than 1,500,000 beds, were participating in the Medicare program as of calendar year 2019.

In calendar year 2019, the Southwest region of the U.S. was home to 1,700 SNFs, with over 180,000 beds, who were participating in the Medicare program.  The region thus was home to about 10.8% of the nation's Medicare Part A enrollees and 11.4% of the program's SNF beds.  Here is a summary look at Medicare skilled nursing facility beds in the Southwest:

Medicare Skilled Nursing Facility Beds in the Southwest

Medicare Skilled Nursing Facility Beds in the Southwest


Area # Part A Enrollees # SNFs # Beds
AZ 1,315,576 146 15,901
NM 416,900 69 6,873
OK 738,438 290 27,650
TX 4,148,110 1,195 130,383
Region 6,619,024 1,700 180,807
National* 61,166,694 15,103 1,592,041
% of National 10.8% 11.3% 11.4%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

Sunday, April 18, 2021

The Ten Largest Healthcare Support Occupations in the U.S.

In recently released reports, the U.S. Bureau of Labor Statistics (BLS) estimated that there were over 6.4 million people employed in healthcare support occupations as of May 2020.  This BLS employment grouping includes a variety of occupations that assist and aid healthcare practitioners, technologists, and technicians who are involved in the diagnosing or treating of medical conditions.   As of May 2020, employment in healthcare support occupations accounted for about 4.6% of total U.S. employment.  BLS data as of May 2020 reveals the following as the ten largest healthcare support occupations in the U.S.:

Occupation # Employed Annual Mean Wages
1 Home Health and Personal Care Aide 3,211,590 $28,060
2 Nursing Assistant 1,371,050 $32,050
3 Medical Assistant 710,200 $36,930
4 Dental Assistant 312,140 $42,310
5 Phlebotomist 128,020 $37,280
6 Veterinary Assistant/Lab Animal Caretaker 98,810 $30,980
7 Physical Therapist Assistant 92,740 $59,440
8 Massage Therapist 85,040 $47,350
9 Medical Equipment Preparer 56,870 $41,070
10 Psychiatric Aide 51,550 $33,300
All Healthcare Support Occupations 6,440,880 $32,250

Source: BLS Economic News Release, March 31, 2021.

Thursday, April 15, 2021

Medicare Long Term Care Hospital Beds in the Mid-East States

Long Term Care Hospitals (LTCHs) serve the needs of the more than 60 million Americans having Medicare Part A long term care coverage.  LTCHs provide services to individuals with complex medical situations that require extended inpatient care (in excess of 25 days on average).  Over 6,000 hospitals in total, with more than 932,500 beds, were participating in the Medicare program as of calendar year 2019.  LTCHs accounted for about 6% of those hospitals and just over 2.7% of those hospital beds.

In calendar year 2019, the Mid-East region of the U.S. was home to 29 LTCHs, with almost 2,000 beds, who were participating in the Medicare program.  As such, the region was home to about 15% of the nation's Medicare Part A enrollees, but only 8.5% of the program's long term care hospital beds.  Here is a summary look at Medicare Long Term Care hospital beds in the Mid-East states:


Medicare Long Term Care Hospital Beds in the Mid-East States
Medicare Long Term Care Hospital Beds in the Mid-East States
Area # Part A Enrollees # Hospitals # Beds
DE 207,483 1 35
DC 92,751 2 142
MD 1,034,889 2 189
NJ 1,599,601 8 544
NY 3,604,216 2 636
PA 2,725,186 14 621
Region 9,264,126 29 2,167
National* 61,166,694 367 25,593
% of National 15.1% 7.9% 8.5%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019