By: Sruthy Iype  Jul. 06, 2020
Dexur’s analysis of Medicare claims of hospitals within a 10-mile radius of Boulder, Colorado, showed that Boulder Community Hospital had the best value outcomes over a 90-day episode for Hip & Knee Replacement, followed by Good Samaritan Medical Center and Avista Adventist Hospital. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days, including the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. The total cost of care data helps patients make appropriate choices and helps local ACOs such as Boulder Valley Care Network, LLC, make appropriate referrals choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 470: Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Complication Or Comorbidity, to adjust for complications and comorbidities.
The average cost of care over a 90-day episode for Hip & Knee Replacement in Colorado was $20,122 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,853 and the average rehospitalization cost per hospitalization cost was $1,648. The cost per rehospitalization was at an average of $17,705. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $813.
The state average nursing home cost per hospitalization when a nursing home is involved was $10,849 and the average home health cost per hospitalization when a home health agency is involved was $3,192.
Boulder Community Hospital’s total cost of care over a 90-day episode was $16,594 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,373 and the average rehospitalization cost was $1,291. The cost per rehospitalization was at an average of $16,245. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $714.
The average home health cost per hospitalization when a home health agency is involved was $3,044. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Boulder Community Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $9,605. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Boulder Community Hospital were:
Good Samaritan Medical Center’s total cost of care over a 90-day episode was $19,488 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,425 and the average rehospitalization cost was $1,069. The cost per rehospitalization was at an average of $14,592. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $791.
The average home health cost per hospitalization when a home health agency is involved was $3,563. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Good Samaritan Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $9,626. The average cost per hospitalization for the top nursing home partner for Hip & Knee Replacement for Good Samaritan Medical Center was:
Avista Adventist Hospital’s total cost of care over a 90-day episode was $20,873 (for the period between July 2016 to June 2019). The index hospitalization cost was $15,301 and the average rehospitalization cost was $1,392. The cost per rehospitalization was at an average of $16,466. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $826.
The average home health cost per hospitalization when a home health agency is involved was $3,418. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Avista Adventist Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $10,339. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Avista Adventist Hospital were:
The detailed value outcomes and cost of care reports for Hip & Knee Replacement in Boulder, CO, includes the following data points: