By: Emily Carpintero  Jan. 11, 2018
Recent Dexur analysis of CMS Medicare claims data for 2016 showed that Aurora St. Luke’s Medical Center located in Milwaukee, Wisconsin had 28.27% of their revenue contributed by prior hospitalizations within 30 days. This rate is higher than the state average by 5.3% and higher than the national average by 1.35%. Revenue and length of stay (LOS) contributions from prior hospitalizations within 30-days are key metrics for healthcare professionals to assess a hospital's cost-effectiveness and quality improvement, especially since the implementation of the Hospital Readmission Reduction Program (HRRP) in 2015. You can read about 30 day readmission contribution to revenue and percentage of days from length of stay contributed from 30 day readmissions, as well as how this data is calculated here.
The three hospital divisions with the highest payments per 30-day readmission at Aurora St. Luke’s Medical Center were spine, cardiovascular, and colorectal. The spine division’s payment per 30-day readmission was $2,743; the total percentage of revenue contributed by 30-day readmissions from this department totaled to 8.94%; this is greater than the state and national averages by 1.99% and 1.85%, respectively. The gap between their percent of total days from LOS contributed by 30 day readmissions and the percent of revenue contributing to 30 day readmissions was slightly high at 5.39%. A larger gap due to a higher percentage of LOS compared to revenue indicates a lower payment per patient day for prior hospitalizations.
The cardiovascular division also saw a higher percentage of revenue contributed from 30-day readmissions compared to the state and national averages; they received $2,452 per every 30-day readmission, which totaled to 25.49% in revenue contributed from 30-day readmissions. This was higher than the state and national averages by 5.27% and 1.77%, respectively. The gap between their percent of total days from LOS contributed by 30 day readmissions and the percent of revenue contributing to 30 day readmissions was 3.23%, which suggests they too experienced a lower payment per patient day for prior hospitalizations.
The colorectal division, in comparison to the other two divisions, saw the highest difference between the hospital and the state and national percentages of revenue contributed from 30-day readmissions. They received $2,328 per 30-day readmission which totaled to 29.06% of revenue from 30-day readmissions; the state average for the year was 12.01% less than the hospital’s, and the national average for the year was 12.26% less. The gap between their percent of revenue contributed by 30 day readmissions and the percent of total days from LOS contributing to 30 day readmissions was the lowest of the three divisions at 0.84%, which suggests the payment per patient day for prior hospitalizations was not siginificanlty lower than the payment per patient day for initial admission.
Aurora St. Luke’s Medical Center has implemented The Aurora Back & Spine Program which is dedicated to treating patients with a range of conditions including spinal tumors or fractures or herniated discs. The program’s goal is to provide minimally invasive treatments catered to the specific conditions of each patient for a faster recovery time. It is also the only hospital in Wisconsin with an around-the-clock cardiac team on-site. The department has been recognized by both the American Heart Association and American Stroke Association for their patient care. These tailored programs for each department may promote more readmissions to their facility, and may also offer technology and medical services that add up to the payment per readmission.
|Category||Payments per 30-Day Readmission||% of 30-Day Readmission Medicare Inpatient LOS Contribution||% of 30-Day Readmission Medicare Inpatient Revenue Contribution||Wisconsin % of 30-Day Readmission Medicare Inpatient Revenue Contribution||National % of 30-Day Readmission Medicare Inpatient Revenue Contribution|