Wednesday, June 30, 2021

Michigan Medicine, Our Trusted Link for June, 2021

 


University of Michigan Health

The University of Michigan healthcare system, headquartered in Ann Arbor, is known as Michigan Medicine. It is ranked #11 on the U. S. News Best Hospitals Honor Roll. For the state of Michigan, it's ranked the #1 hospital, and it also ranks high for 13 adult and 10 children's specialties. 

The University of Michigan Medical School accepted its initial class in 1850, and in 1869 opened the first university-owned hospital in the U. S. On the U. of Michigan campus, the Medical Center contains the main hospital as well several specialty hospitals. Michigan Medicine also operates around 40 health centers around southeast Michigan. It employs over 20,000 people, including 3,500 on the academic staff. 

In 1887, University of Michigan opened the Hygienic Laboratory, the first purpose-built place in the U.S. for studying bacteria, assisting in public health issues. In 1902 the nation’s first Department of Bacteriology was established there. 

The faculty of the Medical School were among the first to experiment with radiology, and in 1913 appointed the first professor of roentgenology (now radiology) in the U. S. 

Other pioneering steps at Michigan Medicine include

  • 1905: the first Dermatology department in the U. S. 
  • 1906: an early Psychiatry department
  • 1913: introduction of the EKG to American physicians
  • 1922: the first hospital school for child patients
  • 1926: a research institute for blood-related diseases
  • 1928: world’s first successful lung removal
  • 1934: first statistical department, for recording and providing access to patient data
  • 1940: first U.S. human genetics program with a clinic for hereditary diseases
  • 1959: first hospital gift shop, run by volunteers and providing grants for patients from the proceeds
  • 1975: one of the first PhD programs in nursing research
  • 2001: nation's first comprehensive Depression Center

Specialties and Institutions

The Rogel Cancer Center has been recognized as a Comprehensive Cancer Center by the National Cancer Institute since 1991. In 2018, $150 million was donated by Richard and Susan Rogel to support both cancer patients and cancer researchers. The program stands out for its multidisciplinary approach and sharing of resources. 

Cancer AnswerLine

Medicare Long Term Care Hospital Beds in the U.S. Far West

Long Term Care Hospitals (LTCHs) serve the needs of over 61 million Americans having Medicare Part A long term care coverage.  LTCHs provide hospital care to individuals with complex medical conditions that require longer duration (in excess of 25 days on average) inpatient care.  As of calendar year 2019, Long Term Care hospitals accounted for about 6% of the more than 6,000 hospitals, and approximately 2.7% of the 932,500 plus hospital beds, that were participating in the Medicare program.

In calendar year 2019, the six-state Far West region of the U.S. was home to 31 LTCHs, with 2,297 beds, who were participating in the Medicare program.  This made the region home to about 15.2% of the nation's Medicare Part A enrollees, but only 9.0% of the program's long term care hospital beds, indicating that the region's Medicare enrollees are relatively under-served for LTCH bed capacity in comparison to other regions of the country.  Here is a closer look at Medicare Long Term Care hospital beds in the U.S. Far West region:

Medicare Long Term Care Hospital Beds in the U.S. Far West
Medicare Long Term Care Hospital Beds in the U.S. Far West

Area # Part A Enrollees # Hospitals # Beds
AK 99,901 1 59
CA 6,145,985 20 1,667
HI 273,559 1 9
NV 528,844 6 369
OR 862,861 1 73
WA 1,360,244 2 120
Region 9,271,394 31 2,297
National* 61,166,694 367 25,593
% of National 15.2% 8.4% 9.0%

* 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

Tuesday, June 29, 2021

Cancer Deaths in the Great Plains Region

Cancer is the number two cause of death in America, accounting for over 599,000 deaths in 2019, or about 21% of all deaths in the United States that year.  Thanks to improvements in medical knowledge, the cancer death rate has dropped modestly over the past twenty years. Whereas in 1999 the U.S. recorded 197.0 cancer deaths per 100,000 population, by 2019 the cancer death rate had dropped to 182.7 deaths per 100,000 population.  The national trend in cancer deaths is also seen in the seven-state Great Plains region of the country.  Although a region where the cancer death rate historically runs above the national average, the Great Plains region also saw its cancer death rate drop between 1999 and 2019, from 204.7 deaths per 100,000 population to 193.2 deaths per 100,000 population.  A closer review of data from the Centers for Disease Control and Prevention, National Center for Health Statistics, reveals the following about cancer deaths in the Great Plains region of the country:

Cancer Deaths in the Great Plains Region
Cancer Deaths in the Great Plains Region

Area/Deaths 1999 2009 2019
IA 6,346 6,249 6,335
KS 5,334 5,319 5,619
MN 8,892 9,580 10,042
MO 12,186 12,472 12,873
NE 3,410 3,336 3,482
ND 1,366 1,243 1,316
SD 1,632 1,503 1,737
Region 39,166 39,702 41,404
U.S. 549,838 567,628 599,601
Area/Death Rate* 1999 2009 2019
IA 217.5 206.0 200.8
KS 199.2 187.8 192.9
MN 182.5 181.4 178.1
MO 219.1 209.2 209.7
NE 200.0 184.0 180.0
ND 212.0 186.9 172.7
SD 217.5 186.2 196.3
Region 204.7 194.7 193.2
U.S. 197.0 185.0 182.7

(*) number of cancer deaths per 100,000 population

Source: CDC Wonder. Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2019 on CDC WONDER Online Database, released in 2020. Data are from the Multiple Cause of Death Files, 1999-2019, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed on June 12, 2021

Monday, June 28, 2021

Physical Therapist Pay in the U.S. Southwest

Data released recently from the U.S. Bureau of Labor Statistics (BLS) reports that there were nearly 221,000 physical therapists (PTs) at work in the United States as of May 2020.  About 22,000 of those working as physical therapists in the U.S. lived in the four-state Southwest region.  The Southwest region is a relatively good one for physical therapist pay, with three of the four states in the region having PT annual mean wage levels higher than the national average.  A deeper dive into BLS data from May 2020 reveals the following about PT employment and physical therapist pay in the U.S. Southwest:

Physical Therapist Pay in the U.S. Southwest

Physical Therapist Pay in the U.S. Southwest


State # Employed Annual Mean Wages Wage Rank*
AZ 3,780 $91,930 15th
NM 1,460 $98,580 6th
OK 1,950 $92,670 13th
TX 14,710 $90,870 21st
U.S. 220,870 $91,680 -------

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

Source: U.S. Bureau of Labor Statistics OES. Data extracted on May 2, 2021

Sunday, June 27, 2021

Licensed Practical Nurse Pay in the Great Lakes Region

Recently published employment data from the U.S. Bureau of Labor Statistics (BLS) reported that, as of May 2020, there were more than 676,000 licensed practical nurses (LPNs) employed in the United States.  Also known as license vocational nurses (LVNs) in some parts of the country, licensed practical nurses make up one of the largest healthcare occupations in the U.S.  Approximately 96,000 of those LPN jobs were in the five-state Great Lakes region of the country. A closer examination of BLS data from May 2020 reveals the following about licensed practical nurse pay in the Great Lakes region of the U.S.:

Licensed Practical Nurse Pay in the Great Lakes Region

Licensed Practical Nurse Pay in the Great Lakes Region

State # Employed Annual Mean Wages Wage Rank*
IL 19,630 $54,580 14th
IN 14,710 $47,890 30th
MI 12,700 $52,220 18th
OH 40,850 $46,590 35th
WI 8,050 $48,070 28th
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

Friday, June 25, 2021

Medicare Psychiatric Hospital Beds in the Southeastern U.S.

Psychiatric hospitals are major elements of the hospital infrastructure that serves more than 61 million Americans with Medicare Part A insurance coverage.  In calendar year 2019, more than 6,000 hospitals of all types, with in excess of 932,500 beds in total, were participating in the Medicare program.  Psychiatric hospitals comprised roughly 10% of those hospitals and about 6.4% of those total hospital beds.

The twelve-state Southeastern U.S. region was home to 174 psychiatric hospitals, with over 15,700 beds, who were participating in the Medicare program in calendar year 2019.  Most Medicare enrollees in the Southeastern U.S. are reasonably well-served for psychiatric hospital bed capacity.  The region holds about 26% of Medicare's psychiatric bed capacity, which is generally in line with region's 27% share of Medicare's Part A enrollment.  Here is a deeper look at Medicare psychiatric hospital beds in the Southeastern region of the U.S.:

Medicare Psychiatric Hospital Beds in the Southeastern U.S.
Medicare Psychiatric Hospital Beds in the Southeastern U.S.

# Part A Enrollees # Hospitals # Beds
AL 1,040,502 10 592
AR 636,495 11 1,219
FL 4,550,450 29 2,221
GA 1,708,820 13 1,316
KY 917,181 11 1,613
LA 867,854 39 2,277
MS 601,243 7 516
NC 1,978,972 14 2,123
SC 1,070,242 9 1,294
TN 1,354,299 18 1,206
VA 1,504,299 8 742
WV 438,435 5 590
Region 16,668,792 174 15,709
National* 61,166,694 604 59,851
% of National 27.3% 28.8% 26.2%

* 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, June 24, 2021

Occupational Therapist Pay in the Great Plains Region

Recently released U.S. Bureau of Labor Statistics (BLS) data from May 2020 indicated that there were just over 126,600 occupational therapists (OTs) employed in the U.S.  About 9,200 of those employed as occupational therapists lived in the seven-state Great Plains region of the country.  BLS data reveals the Great Plains region to be a very weak one in terms of OT pay, with OT annual mean wage levels in all states in the region falling below the national average for occupational therapists.  In fact, five states in the region ranked 40th or worse in the nation for OT annual mean wages.  A closer examination of the BLS data reveals the following about occupational therapist pay in the Great Plains region of the U.S. as of May 2020:

Occupational Therapist Pay in the Great Plains Region
Occupational Therapist Pay in the Great Plains Region

State # Employed Annual Mean Wages Wage Rank*
IA 920 $82,130 36th
KS 1,490 $86,540 19th
MN 2,840 $77,790 44th
MO 2,180 $78,660 43rd
NE 940 $80,670 40th
ND 470 $73,280 50th
SD 390 $74,580 49th
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

Wednesday, June 23, 2021

Pharmacist Pay in the Far West Region of the U.S.

Recently published May 2020 data from the U.S. Bureau of Labor Statistics (BLS) reports that there were more than 315,000 pharmacists employed in the United States.  About 48,000 of those employed as pharmacists in the U.S. lived in the six-state Far West region.  Generally speaking, the region is the strongest one in the nation for pharmacist pay.  The three best states in the nation for pharmacist annual mean wage levels were in the Far West U.S., and two other states in the region ranked in the top ten nationally.  BLS data from May 2020 details the following about pharmacist pay in Far West region of the U.S.:

Pharmacist Pay in the Far West Region of the U.S.

Pharmacist Pay in the Far West Region of the U.S.

State # Employed Annual Mean Wages Wage Rank*
AK 470 $147,040 1st
CA 32,520 $146,070 2nd
HI 1,540 $128,780 10th
NV 2,790 $125,260 18th
OR 4,210 $136,700 3rd
WA 6,590 $129,970 8th
U.S. 315,470 $125,460 -------

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

Source: U.S. Bureau of Labor Statistics OES. Data extracted on May 2, 2021

Tuesday, June 22, 2021

Heart Disease Deaths in the Southwest

Heart disease is the number one cause of death in U.S., accounting for more than 659,000 deaths in 2019, or about 23% of all deaths in the United States that year.  Advances in medical knowledge have contributed significantly to a decline in the heart disease death rate over the past twenty years. From 259.9 deaths per 100,000 population in 1999, by 2019 the heart disease death rate had dropped to 200.8 deaths per 100,000 population.  Even so, the heart disease death rate nationally has been creeping back up since the middle of the last decade.  The national experience with heart disease deaths is mirrored in the U.S. Southwest, where the 2019 death rate of 174.7 per 100,000 population was nearly 22% lower than it was in 1999.  A deeper look at data from the Centers for Disease Control and Prevention, National Center for Health Statistics, reveals the following about the trend in heart disease deaths in the Southwest region of the United States:

Heart Disease Deaths in the Southwest

Heart Disease Deaths in the Southwest


Area/Deaths 1999 2009 2019
AZ 10,800 10,273 12,587
NM 3,452 3,214 4,245
OK 11,263 9,202 10,960
TX 43,418 38,077 46,139
Region 68,933 60,766 73,931
U.S. 725,192 599,413 659,041
Area/Death Rate* 1999 2009 2019
AZ 215.0 162.0 172.9
NM 190.9 157.8 202.4
OK 327.7 247.5 277.0
TX 211.2 153.5 159.1
Region 223.6 164.7 174.7
U.S. 259.9 195.4 200.8

(*) number of heart disease deaths per 100,000 population

Source: CDC Wonder. Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2019 on CDC WONDER Online Database, released in 2020. Data are from the Multiple Cause of Death Files, 1999-2019, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed on June 9, 2021

Monday, June 21, 2021

Medicare Rehabilitation Hospital Beds in the Great Lakes Region

Rehabilitation hospitals are a key part of the hospital infrastructure serving the needs of the more than 61 million Americans with Medicare Part A insurance coverage.  As of calendar year 2019, rehabilitation hospitals accounted for about 5% of the 6,000 plus hospitals, and just over 2% of the 932,500 plus hospital beds, that participated in the Medicare program.

In calendar year 2019, the five-state Great Lakes region of the U.S. was home to 29 rehabilitation hospitals, with just over 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 less than 11% of the program's rehabilitation hospital beds.  Here is a state-level summary look at Medicare rehabilitation hospital beds in the Great Lakes region of the U.S.:

Medicare Rehabilitation Hospital Beds in the Great Lakes Region

Medicare Rehabilitation Hospital Beds in the Great Lakes Region

Area # Part A Enrollees # Hospitals # Beds
IL 2,212,802 4 545
IN 1,258,716 9 482
MI 2,063,850 2 174
OH 2,326,789 11 655
WI 1,171,641 3 171
Region 9,033,798 29 2,027
National* 61,166,694 306 19,059
% of National 14.8% 9.5% 10.6%

* 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

Sunday, June 20, 2021

Drug Induced Deaths in New England

There were over 74,500 drug induced deaths in the United States in 2019, or about 22.7 drug induced deaths per 100,000 population.  Drug overdoses, both intentional and accidental, accounted for almost 95% of these fatalities.  In the twenty years from 1999 to 2019, the drug induced death rate per 100,000 population more than tripled nationally.  While all regions of the country experienced sharp increases in the number of drug induced deaths in the twenty years from 1999 to 2019, the experience in the six-state New England region was particularly bad.  During the same twenty year period that the national drug induced death rate more than tripled, in New England the death rate more than quadrupled.  From a drug induced death rate per 100,000 population that was already over 11% above the national average in 1999, by 2019 the region's drug induced death rate was more than 43% above the national average rate.  A review of data from the Centers for Disease Control and Prevention, National Center for Health Statistics, reveals the following about drug induced deaths in the New England region.:

Drug Induced Deaths in New England

Drug Induced Deaths in New England

Area/Deaths 1999 2009 2019
CT 330 397 1,263
MA 512 916 2,312
ME 70 182 391
NH 62 172 420
RI 61 168 312
VT 31 57 142
Region 1,066 1,892 4,840
U.S. 19,128 39,147 74,511
Area/Death Rate* 1999 2009 2019
CT 9.7 11.1 35.4
MA 8.1 14.1 33.5
ME 5.5 13.7 29.1
NH 5.1 13.1 30.9
RI 5.9 15.9 29.5
VT 5.1 9.1 22.8
Region 7.7 13.1 32.6
U.S. 6.9 12.8 22.7

(*) number of drug induced deaths per 100,000 population

Source: CDC Wonder. Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2019 on CDC WONDER Online Database, released in 2020. Data are from the Multiple Cause of Death Files, 1999-2019, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed on June 5, 2021

Friday, June 18, 2021

Medicare Skilled Nursing Facility Beds in the Great Plains States

Skilled Nursing Facilities (SNFs) serve the needs of over 61 million Americans having Medicare Part A SNF coverage.  Staffed and equipped to provide skilled nursing care on a daily basis, SNFs serve individuals whose medical condition requires daily inpatient nursing care, but not the intensive inpatient care normally provided by short-stay hospitals.  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 1,550,000 beds, were participating in the Medicare program as of calendar year 2019.

In calendar year 2019, the Great Plains states were home to 1,940 SNFs, with over 150,000 beds, who were participating in the Medicare program.  The region thus was home to about 6.6% of the nation's Medicare Part A enrollees and 9.5% of the program's SNF beds, indicating that enrollees in the region were relatively well served by SNF bed capacity in comparison to some other regions of the country.  Here is a summary look at Medicare skilled nursing facility beds in the Great Plains states:

Medicare Skilled Nursing Facility Beds in the Great Plains States
Medicare Skilled Nursing Facility Beds in the Great Plains States

Area # Part A Enrollees # SNFs # Beds
IA 624,968 417 28,284
KS 534,086 292 19,196
MN 1,020,671 360 27,091
MO 1,225,992 510 50,587
NE 345,802 189 14,078
ND 130,540 80 5,908
SD 175,506 92 5,721
Region 4,057,565 1,940 150,865
National* 61,166,694 15,103 1,592,041
% of National 6.6% 12.8% 9.5%

* 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

Thursday, June 17, 2021

Physician Assistant Pay in the Mid-East U.S. Region

Recently published May 2020 data from the U.S. Bureau of Labor Statistics (BLS) put physician assistant (PA) employment at just over 125,000 nationally.  Nearly 27,300 of those PA jobs were in the Mid-East region of the country.  BLS data revealed a mixed tale about pay levels for physician assistants in the region.  Two Mid-East U.S. states, New Jersey and New York, were among the ten best states in the country in terms of physician assistant annual mean wages.  However, every other state in the region had an average PA annual mean wage level that fell below the national average.  An examination of BLS data from May 2020 revealed the following about physician assistant pay in the Mid-East U.S. region:

Physician Assistant Pay in the Mid-East Region

Physician Assistant Pay in the Mid-East Region

State # Employed Annual Mean Wages Wage Rank*
DC 500 $114,330 24th
DE 440 $112,020 31st
MD 2,930 $114,970 23rd
NJ 2,350 $131,210 6th
NY 13,760 $126,370 9th
PA 7,300 $107,520 41st
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