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Disease Burden News, Research & Data Analysis

Fluid Imbalance is Associated with Longer Length of Stay in Patients on Ventilation; Hemodynamic Ultrasound May Help Address

In Fluid Imbalance

By: James Pitt Jul. 12, 2018

Fluid overload is a common complication in severely ill patients. In a 2015 retrospective study of 63,000 patients, fluid imbalance increased average length of stay from 8 to 11.5 days. This included increasing average ICU length of stay from 3.6 to 6.2 days.

How can Hospitals & Physicians Evaluate the Benefit of Wearable Cardiac Defibrillators (WCDs)?

In Heart Failure

By: James Pitt Jul. 09, 2018

Hospitals and physicians often struggle with how to evaluate the economic & quality benefits of WCDs. Hospitals & physicians face a number of challenges including:

What should be the appropriate measure that measures the quality & economic benefits of WCDs?
How does one get the data to measure the benefit?
Can we even get the right resources & teams to analyze the data?

At Lexington Medical Center, COPD Patients Have Highest Rate of ICU Stays in South Carolina, Both With and Without Hypertension

In Chronic Obstructive Pulmonary Disease (COPD)

By: James Pitt Jul. 09, 2018

A Dexur analysis examined hospital-level data on intensive care unit stays among Medicare-eligible inpatients with COPD in South Carolina. Dexur has previously reported on how COPD complications raise hypertension readmission rates in South Carolina.

Hospital & Physician News, Research & Data Analysis

Bakersfield Heart Hospital Has Half the LOS & 30 Day Readmission Rate of the Second Closest Hospital in Kern County, California for Hip & Knee Replacement Surgeries

By: James Pitt May. 03, 2018

Dexur’s analysis of Medicare claims data for hospitals serving Kern County residents showed that Bakersfield Heart Hospital had half the length of stay (LOS) & readmission rate of the second ranked hospital, San Joaquin Community Hospital. Dexur’s analytic criteria included hospitals that had greater than 5% market share across all inpatient discharges in Kern County. These hospitals were Bakersfield Heart Hospital (BHH), San Joaquin Community Hospital, Bakersfield Memorial Hospital & Mercy Hospital.

Led by Dr. Mattern, Dr. Ginsberg and Dr. Slitt, Augusta Health has the Lowest Average Length of Stay for Cardiac Arrhythmia in Virginia, Over a Full Day Lower than the State and National Averages

By: Jeffrey Maser May. 02, 2018

Augusta Health in Fishersville had the lowest average length of stay (LOS) for a 30-day episode of care with unplanned readmissions for patients with cardiac arrhythmia among all Virginia hospitals at 2.65 days, according to a Dexur study of CMS claims data between 2013-2016. Sentara Martha Jefferson Hospital in Charlottesville ranked 2nd at 2.88 days, followed closely by Riverside Tappahannock Hospital in Tappahannock at 2.92 days. Sentara RMH Medical Center in Harrisonburg ranked 4th at 2.99 days while Riverside Walter Reed Hospital in Gloucester rounded out the top five at 3.19 days. The average LOS for a 30-day episode of care with unplanned readmissions at these five facilities were each substantially lower than the national average of 3.95 days as well as the 3.85 day average for Virginia Medicare enrollees.

Optim Medical Center - Tattnall Inpatients Spend the Fewest Days Hospitalized out of All Georgia Facilities for Spinal Fusion Discharges

By: Jeffrey Maser May. 01, 2018

Dexur analysts studied Medicare inpatient spinal fusion (except cervical) discharge data from CMS and found that Optim Medical Center - Tattnall in Reidsville accounted for the lowest average length of stay (LOS) for a 30-day episode of care with unplanned readmissions among all hospitals in Georgia at 1.48 days between 2013-2016. Optim Medical Center - Tattnall was one of only two hospitals in the state with an average LOS under two days for a 30-day episode of care for spinal fusion patients. There was a substantial difference between the 2nd ranked hospital and the hospitals ranked 3rd - 5th as Piedmont Henry Hospital in Stockbridge ranked 2nd at 1.73 days while Floyd Medical Center in Rome ranked 3rd at 2.19 days. St. Joseph's Hospital in Savannah ranked just behind in 4th at 2.21 days and Memorial Health University Medical Center, also in Savannah, ranked 5th with a 2.22 day rate.