Duke University Hospital - HealthLuminate

Identifiers

Hospital Name	Duke University Hospital
Facility ID	340030

Location

Address	2301 ERWIN RD
City/Town	Durham
State	NC
ZIP Code	27705
County/Parish	DURHAM

Health System

Health System	Duke University Health System
Health System Website Domain	dukehealth.org
Recently Joined Health System (Past 4 Years)	No

Health System Size & Scope

Health System Total Hospitals	4
Health System Total Beds	1720
Health System Hospital Locations	North Carolina

Ownership & Characteristics

Hospital Type	Acute Care Hospitals
Hospital Ownership	Proprietary
Ownership Details	Duke University Health System
Emergency Services	Yes

No leaders were identified on Duke University Hospital's website

Residency Programs

Allopathic Residency Program	No
Dental Residency Program	No
Osteopathic Residency Program	No
Other Residency Programs	Yes
Pediatric Residency Program	No

Capacity & Services

Licensed Beds	1019

Staffing & Personnel

FTE Employees on Payroll	9497.51
FTE Interns & Residents	776.99

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	66844
Inpatient Days (Title XIX)	21109
Total Inpatient Days	336140
Bed Count	1048
Available Bed Days	382520
Discharges (Title V)	NA
Discharges (Title XVIII)	8729
Discharges (Title XIX)	2694
Total Discharges	44871

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	51923
Inpatient Days (Title XIX; Adults & Peds)	15695
Total Inpatient Days (Adults & Peds)	227942
Bed Count (Adults & Peds)	716
Available Bed Days (Adults & Peds)	261340
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	8729
Discharges (Title XIX; Adults & Peds)	2694
Total Discharges (Adults & Peds)	44871

Quality Summary

Care Quality Stengths	High overall patient satisfaction. Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns	Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital	83%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients	No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients	Better Than National Average
Mortality Group – Death Rate for CABG Surgery Patients	No Different Than National Average
Mortality Group – Death Rate for COPD Patients	No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients	No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients	Better Than National Average
Mortality Group – Death Rate for Stroke Patients	No Different Than National Average
Mortality Group – Pressure Ulcer Rate	No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications	Worse Than National Average
Mortality Group – Iatrogenic Pneumothorax Rate	No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate	No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate	No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate	No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate	Worse Than National Average
Mortality Group – Postoperative Sepsis Rate	No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate	No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate	No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite	No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better)	427

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients	11
Readmission Score Hospital Return Days for Heart Failure Patients	-2.1
Readmission Score Hospital Return Days for Pneumonia Patients	-6.4
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	14.3
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy	9.2
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	4.3
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery	1
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate	13
Readmission Score Rate of Readmission for CABG	10.3
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	18.2
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	17.7
Readmission Score Rate of Readmission After Hip/Knee Replacement	3.4
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	13.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	14.4
Readmission Group Hospital Return Days for Heart Attack Patients	Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients	Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients	Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy	Better Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	Better Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery	No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate	No Different Than the National Rate
Readmission Group Rate of Readmission for CABG	No Different Than the National Rate
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate	No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement	No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide)	Better Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate	No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio)	0.935
CAUTI SIR (Standardized Infection Ratio)	0.689
SSI SIR (Standardized Infection Ratio)	1.402
CDI SIR (Standardized Infection Ratio)	0.400
MRSA SIR (Standardized Infection Ratio)	0.979

Fiscal Period

Fiscal Year Begin	Jul 01, 2022
Fiscal Year End	Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost	$93,877
Bad Debt Expense	$55,637
Uncompensated Care Cost	$108,288
Total Uncompensated Care	$136,837

Operating Expenses ($ thousands)

Total Salaries	$884,622
Overhead Expenses (Non-Salary)	$2,440,551
Depreciation Expense	$63,729
Total Operating Costs	$2,551,288

Charges ($ thousands)

Inpatient Charges	$4,320,108
Outpatient Charges	$5,646,981
Total Patient Charges	$9,967,089

Wage-Related Details ($ thousands)

Core Wage Costs	$206,689
Wage Costs (RHC/FQHC)
Adjusted Salaries	$884,622
Contract Labor (Patient Care)	$97,578
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)	$11,661

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances
Short-Term Investments
Notes Receivable
Accounts Receivable	$1,632,047
Allowance for Doubtful Accounts	$-1,167,631
Inventory	$81,903
Prepaid Expenses	$5,622
Other Current Assets	$20,921
Total Current Assets	$595,367

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value	$2,670,295
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets	$1,175,460

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets	$6,242
Total Other Assets	$6,242
Total Assets	$1,777,069

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$111,435
Salaries & Wages Payable	$18,790
Payroll Taxes Payable	$1,829
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities	$352,959

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities	$21,757
Total Long-Term Liabilities	$21,757
Total Liabilities	$374,716

Balance Sheet – Equity ($ thousands)

General Fund Balance	$1,402,353
Total Fund Balances	$1,402,353
Total Liabilities & Equity	$1,777,069

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)	$34,197
DRG (Post-Oct 1)	$108,708
Outlier Payments
DSH Adjustment	$5,831
Eligible DSH %	$0
Simulated MC Payments	$125,674
Total IME Payments	$41,846

Revenue & Income Statement ($ thousands)

Inpatient Revenue	$4,209,665
Outpatient Revenue	$5,850,288
Total Patient Revenue	$10,059,953
Contractual Allowances & Discounts	$6,903,325
Net Patient Revenue	$3,156,628
Total Operating Expenses	$3,298,986
Net Service Income	$-142,358
Other Income	$82,100
Total Income	$-60,258
Other Expenses
Net Income	$-60,258

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$318,433
Medicaid Charges	$1,355,552
Net CHIP Revenue
CHIP Charges

EHR Information

EHR	Epic
EHR Version	EpicCare Inpatient (not Community Connect)
EHR is Changing	No

ERP Information

ERP	SAP
ERP Version	NA
EHR is Changing	No