Top 10 hospitals with the highest COPD admissions

Chronic conditions require constant management and care coordination to maintain positive patient outcomes. If left unmanaged, chronic disease can lead to hospitalizations, reduced quality of life or death.

One of the most common chronic diseases is chronic obstructive pulmonary disease, which was the fourth leading cause of death in the United States in 2018.

What is chronic obstructive pulmonary disease (COPD)?

Chronic obstructive pulmonary disease, better known as COPD, is a chronic condition that affects the lungs and creates breathing difficulties. COPD encompasses a range of progressive lung diseases including emphysema and chronic bronchitis. 

The most common cause of COPD is tobacco smoke, though other factors such as air pollutants, genetics and respiratory infections also play a role in COPD development and progression. 

Unfortunately, there is no cure for COPD, but it can be treated to minimize damage to the lungs and lessen the severity of symptoms. 

Let’s take an in-depth look at which hospitals have the most admissions for COPD based on commercial claims data. 

10 hospitals with the most COPD admissions based on 2020 commercial diagnosis claims 


Rank

Definitive ID

Hospital Name

City

State

Total # of Patients w/ COPD

Total # of Admissions for COPD

1

550103

WilmingtonHospital

Wilmington

DE

3,859

26,232

2

2035

SpectrumHealth Butterworth Hospital

GrandRapids

MI

4,140

23,184

3

1365

IUHealth Methodist Hospital

Indianapolis

IN

2,814

16,850

4

872

OrlandoHealth Orlando Regional Medical Center

Orlando

FL

5,637

16,684

5

3120

ClevelandClinic Main Campus

Cleveland

OH

4,879

16,177

6

4148

TexasHealth Fort Worth

FortWorth

TX

3,748

15,920

7

3862

MethodistHospital

SanAntonio

TX

5,291

15,428

8

840

HCAFlorida Ocala Hospital

Ocala

FL

4,697

15,032

9

560414

ChippenhamHospital

Richmond

VA

3,038

14,912

10

3142

OhioHealthGrant Medical Center

Columbus

OH

2,636

14,157

Fig. 1: Data from the Definitive Healthcare ClaimsMx product. Data is from calendar year 2020. Commercial claims data is sourced from multiple medical claims clearinghouses in the United States. Data is updated monthly. Data accessed April 2022.

10 hospitals with the most COPD admissions based on 2021 commercial diagnosis claims


Rank

Definitive ID

HospitalName

City

State

Total # of Patients w/ COPD

Total # of Admissions for COPD

1

1365

IUHealth Methodist Hospital

Indianapolis

IN

4,516

28,068

2

550103

WilmingtonHospital

Wilmington

DE

3,983

27,712

3

2035

SpectrumHealth Butterworth Hospital

GrandRapids

MI

4,487

26,379

4

1305

IUHealth Ball Memorial Hospital

Muncie

IN

2,406

17,787

5

2948

MissionHospital - Memorial Campus

Asheville

NC

4,693

17,549

6

4148

TexasHealth Fort Worth

FortWorth

TX

3,790

17,166

7

3862

MethodistHospital

SanAntonio

TX

5,260

16,578

8

3120

ClevelandClinic Main Campus

Cleveland

OH

5,080

16,545

9

840

HCAFlorida Ocala Hospital

Ocala

FL

4,904

15,458

10

560414

ChippenhamHospital

Richmond

VA

2,836

14,808

Fig. 2: Data from the Definitive Healthcare ClaimsMx product Data is from calendar year 2021. Commercial claims data is sourced from multiple medical claims clearinghouses in the United States. Data is updated monthly. Data accessed April 2022. 

COPD admission rates in 2020 versus 2021

Wilmington Hospital in Delaware had the highest admissions for COPD in 2020 but dropped to the second spot in 2021. IU Health Methodist Hospital took the top spot in 2021 after coming in third in 2020.

COPD admissions dropped by 2.4% in 2021 compared to 2020. In 2020, there were 4,268,357 admissions while 2021 saw about 100,000 fewer admissions with 4,166,675.

The drop between 2020 and 2021 is smaller than 2019 and 2020. Between, 2019 and 2020 COPD admissions dropped around 16% as hospitals were forced to confront the COVID-19 pandemic and patients delayed care to decrease their risk of contracting the virus.

COPD admissions by region

The Southeast and Midwest have the highest volume of COPD hospital admissions according to commercial claims data.

In 2020, the Southeast had nearly 1.5 million COPD admissions and the Midwest had more than 1 million admissions. In 2021, the Southeast experienced nearly 1.5 million COPD admission while the Midwest had just under 1 million.

Hospitals in Indiana, Michigan, Ohio and Florida all top the list based on hospitals with the most COPD admissions based on claims data.

Top common co-morbidities associated with COPD in 2020 by commercial claims data

 
 

Fig. 3: Data from the Definitive Healthcare ClaimsMx product. Data is from calendar year 2020. Commercial claims data is sourced from multiple medical claims clearinghouses in the United States. Data is updated monthly. Data accessed April 2022.

Top common co-morbidities associated with COPD in 2021 by commercial claims data

 
 

Fig. 4: Data from the Definitive Healthcare ClaimsMx product Data is from calendar year 2021. Commercial claims data is sourced from multiple medical claims clearinghouses in the United States. Data is updated monthly. Data accessed April 2022. 

What are the most common co-morbidities for patients with COPD?

Hyperlipidemia and hypertension both top the list as the most common co-morbidities in 2020 and 2021. Both hyperlipidemia and hypertension are two other chronic conditions that need management in addition to COPD.  

Atherosclerotic heart disease also makes an appearance as one of the top three co-morbidities in 2020. High blood pressure, high cholesterol and smoking increase the risk for atherosclerotic heart disease in patients, which likely accounts for its inclusion on the list.

In 2021, exposure to COVID-19 makes an appearance in the top three co-morbidities. This diagnosis is unlikely to show up in 2020 data as testing and diagnosis codes for COVID-19 were not available at the beginning of the coronavirus pandemic.   

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