*Updated December 2019
Children's hospitals serve a special need on the healthcare continuum—providing care to one of the most vulnerable and under-served patient populations. These facilities not only provide treatment, but also serve as regional centers for research and preventative care.
With only 262 active facilities across the U.S.—according to our hospital database—children’s hospitals are also far less common than traditional hospitals. Families often travel significant distances to treat children with chronic or urgent illnesses.
Children require a specialized form of healthcare that is mindful of both their physical and cognitive differences, as well as inclusive of parents and caregivers. Pediatricians and clinicians who work with children must be compassionate and flexible in their approach to care delivery.
Although all children benefit from access to children's hospitals, uninsured and under-insured children receive the most assistance. Approximately 37 million children are insured by Medicaid, and more than half of the care provided at children’s hospitals is covered by Medicaid. Children's hospitals are a vital resource to provide young patients with care not available in any other settings.
Top 10 Children's Hospitals by Net Patient Revenue
Fig 1 Data from Definitive Healthcare’s Hospitals Platform as of 12/10/2019.
|Rank ||Hospital Name ||Definitive ID ||State ||Net Patient Revenue |
|1 ||Children's Hospital of Philadelphia ||3567 ||PA ||$2,020,908,385 |
|2 ||Texas Children's Hospital ||6386 ||TX ||$1,921,106,127 |
|3 ||Cincinnati Children's Hospital - Burnet Campus ||5576 ||OH ||$1,659,809,285 |
|4 ||Nationwide Children's Hospital ||5966 ||OH ||$1,615,577,956 |
|5 ||Lucile Packard Children's Hospital Stanford ||586 ||CA ||$1,461,400,469 |
|6 ||Boston Children’s Hospital ||1979 ||MA ||$1,302,832,049 |
|7 ||Seattle Children's Hospital ||4366 ||WA ||$1,269,476,999 |
|8 ||Children's Mercy Hospital - Adele Hall Campus ||2375 ||MO ||$1,221,967,124 |
|9 ||Children’s Hospital Los Angeles ||360 ||CA ||$1,201,299,146 |
|10 ||Children’s Hospital Colorado – Anschutz Medical Campus ||644 ||CO ||$1,102,847,368 |
Two of the children's hospitals with the greatest net patient revenue are located in Ohio, which is surprising considering its population when compared to states such as New York and California—with 15 and 17 total children’s facilities, respectively.
In addition, eight of the hospitals with the highest net patient revenue also ranked in the top ten of the U.S. News Honor Roll of Best Children's Hospitals (of 11, due to a tie for 10th place) including: Boston Children's Hospital, Children's Hospital of Philadelphia, and Cincinnati Children's Hospital. The Honor Roll highlights the top 50 children's hospitals with high clinical and reputational rankings across multiple specialties.
We've selected the three hospitals with the highest net patient revenue and highlighted some key metrics about each facility.
Key Stats on the Top 3 Children's Hospitals
1. Children's Hospital of Philadelphia
Net Patient Revenue: $2,020,908,385
Staffed Beds: 541
Average Length of Stay: 8.7 days
Inpatient EHR Vendor: Epic Systems Corp
2. Texas Children's Hospital
Net Patient Revenue: $1,921,106,127
Staffed Beds: 795
Average Length of Stay: 6.5 days
Inpatient EHR Vendor: Epic Systems Corp.
3. Cincinnati Children's Hospital
Net Patient Revenue: $1,659,809,285
Staffed Beds: 602
Average Length of Stay: 8.1 days
Inpatient EHR Vendor: Epic Systems Corp.
Technology Opportunities Among Children’s Hospitals
Interestingly, 7 of the top 10 hospitals named Epic as their inpatient EHR software, with the remaining three using Cerner. According to our technology vendor data, Epic holds 50 percent of the EHR market share for children's hospitals. Cerner comes in second with just over 32 percent market share. Meditech comes in as a distant third with 10 percent.
Installation Rates of Clinical Technologies Children's Hospitals vs. All U.S. Hospitals
Fig 2 Data from Definitive Healthcare Expert platform as of 08/20/2019.
Definitive Healthcare data also indicates that children’s hospitals have higher installations for specialty clinical applications compared to all U.S. hospitals. Some of these differences may be due to the individual hospital's reporting of their solutions. Within the specialty of a children's hospital, there are pediatric sub-specialties, which could lead to an increased need for more specific software. Technologies in specialized areas like anesthesia, cardiology, and oncology, in particular, are used more widely used among children's hospitals. In each of these applications, the percentage of specialty technology installations at children’s hospitals fell between 72 and 76 percent. In contrast, technology installations for each of these specialty applications was only approximately 36 percent among other U.S. hospitals.
The market for oncology information systems is likely to grow over the next several years. Various cancer therapies—including chemo and radiation therapies—are becoming increasingly more available to pediatric oncology patients. This, as well as an increase in initiatives related to the modernization of healthcare infrastructure, points to more expansion in cancer-specific clinical applications at children's hospitals.
Installation activity for technologies at children's hospitals show opportunities in a number of areas. Hospitals currently contracting a solution show where vendor switches are taking place while purchase plan information, both for solution replacement and first-time installation, reveal future implementation plans. If you want to track the latest technographics, requests for proposals, and intent data, Definitive Healthcare’s platform gives you the tools you need. Start a free trial today to see how you can:
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