Barnes - Jewish Hospital Led Missouri in Medicare Inpatient Gastrointestinal Hemorrhage Discharge Volume with over 1,100 Discharges between 2013 and 2016

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As the only hospital in the state of Missouri with more than 1,000 gastrointestinal hemorrhage discharges among Medicare inpatients over four years, Barnes - Jewish Hospital in Saint Louis far surpassed all other Missouri hospitals for the same condition. Between January 2013 and December 2016, they discharged 1,135 patients diagnosed with gastrointestinal hemorrhages. They were also the leading hospital for GI hemorrhage discharges in 2016 alone, with 250 discharges between January and December 2016. Mercy Hospital Springfield followed Barnes - Jewish Hospital for both time periods with 889 discharges over four years and 212 during 2016. For 2013 - 2016, Missouri Baptist Medical Center ranked 3rd with 875 discharges, followed by Cox Medical Center South in 4th with 763 discharges and the 5th ranked Mercy Hospital St. Louis with 743 discharges.

For the analysis of both time periods, hospitals were required to have accounted for a minimum of 3,500 total inpatient discharges and 11 discharges for all gastrointestinal hemorrhages. This condition incorporates DRG-377: GI Hemorrhage with Major Complication or Comorbidity, DRG-378: GI Hemorrhage with Complication or Comorbidity and DRG-379: GI Hemorrhage without Complication or Comorbidity/Major Complication or Comorbidity. 28 hospitals met this criteria during both time periods.

Although the 2016 time period is a quarter of the 2013 - 2016 time period, the discharge volume during 2016 does not necessarily break down to 25% of the four year time period as the patient population’s needs change over time. In fact for Barnes - Jewish Hospital, the 2016 discharge volume made up 22% of the total. Mercy Hospital Springfield saw 23.8% of the 2013 - 2016 GI hemorrhage discharge total in 2016. The difference between the top two hospitals within each time frame can also be compared. There was a 27.6% difference from Mercy Hospital Springfield to Barnes - Jewish Hospital for the 2013 - 2016 data, while there was only a 17.9% difference in 2016. Noting the differences in the y-axis for both graphs, the general trend of GI hemorrhage discharge volume for the top 5 hospitals is relatively similar for both 2013 - 2016 and 2016.

ABOUT THE AUTHOR

Saparja Nag

Saparja is a healthcare journalist with a particular interest in how medicine can and should affect health policy. She has extensive experience as a health educator and research scientist in biochemistry. She also enjoys running, cooking elaborate meals, and then eating elaborate meals. Saparja received a Bachelors of Arts in Biochemistry from Vassar College.