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Admission
Rates: Between 1990 and 2006, Hawai'i's overall
admission rate into long-term care facilities increased
54 percent.1 The admission rate was highest
for Hawai'i County.
Inpatient Days: The number of long-term
care inpatient days per 1,000 population aged 65 and older
decreased 17 percent between 1990 and 2006. Long-term
care utilization was highest on the Neighbor Island counties
and lowest on O'ahu.
Average Length of Stay: Statewide ALOS
has decreased significantly since 1994, when ALOS peaked
at 396 days. In 2006, long-term care patients in Kaua'i
County had the highest ALOS at 387 days; Honolulu County
had the lowest ALOS at 175 days.
High Occupancy Rates: Long-term care
facilities in Hawai'i have operated at full capacity for
many years. In 1994, the average occupancy rate peaked
at 97.8 percent. During this peak year, facilities in
Hawai'i and Kaua'i counties operated at levels in excess
of their licensed capacity. With the development of new
facilities and the expansion in the number of beds available,
occupancy rates dropped. But since 2002, average occupancy
statewide has hovered around 94 percent. The State Health
Planning and Development Agency's (SHPDA) target annual
occupancy rate is 90 percent or lower.2
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Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category.
For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.
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Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category.
For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.
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Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category.
For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.
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Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category.
For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.
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