Brigham and Women's Faulkner Hospital, New England Baptist Hospital, and Winchester Hospital have the best value outcomes for Hip and Knee Replacement in Boston, MA



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By: Barsha Nandy  Jul. 31, 2020

Dexur’s analysis of Medicare claims of hospitals within a 10-mile radius of Boston, MA, showed that Brigham and Women's Faulkner Hospital, New England Baptist Hospital, and Winchester Hospital had the best value outcomes over a 90-day episode for Hip and Knee Replacement. 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 Steward National Care Network, Inc, 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.

Brigham and Women's Faulkner Hospital

Brigham and Women's Faulkner Hospital’s total cost of care over a 90-day episode was $20,566 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,297 and the average rehospitalization cost was $1,504. The cost per rehospitalization was at an average of $14,793. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $846.

The average home health cost per hospitalization when a home health agency is involved was $3,588. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Brigham and Women's Faulkner Hospital were:

  1. Overlook Visiting Nurse Association, Charlton, MA ($3,107)
  2. VNA of Cape Cod - Hyannis, Hyannis, MA ($3,485)
  3. Partners Healthcare At Home, Waltham, MA ($3,519)
  4. NVNA and Hospice, Norwell, MA ($3,550)
  5. VNA Care, Worcester, MA ($4,116)

The average nursing home cost per hospitalization when a nursing home is involved was $7,616. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Brigham and Women's Faulkner Hospital were:

  1. Newbridge on the Charles Skilled Nursing Facility, Dedham, MA ($6,141)
  2. Sherrill House, Boston, MA ($6,404)
  3. Hebrew Rehabilitation Center, Boston, MA ($7,226)
  4. Spaulding Nursing & Therapy Center - Brighton, Boston, MA ($7,997)

New England Baptist Hospital

New England Baptist Hospital’s total cost of care over a 90-day episode was $21,840 (for the period between July 2016 to June 2019). The index hospitalization cost was $15,453 and the average rehospitalization cost was $1,207. The cost per rehospitalization was at an average of $16,885. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $922.

The average home health cost per hospitalization when a home health agency is involved was $3,813. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for New England Baptist Hospital were:

  1. Caregroup Parmenter Home Care & Hospice, Watertown, MA ($3,433)
  2. Caretenders, Needham Heights, MA ($3,612)
  3. VNA Care, Worcester, MA ($3,698)
  4. VNA of Boston, Charlestown, MA ($3,935)
  5. NVNA and Hospice, Norwell, MA ($4,203)

The average nursing home cost per hospitalization when a nursing home is involved was $6,673. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for New England Baptist Hospital were:

  1. Jewish Healthcare Center, Worcester, MA ($4,109)
  2. Sherrill House, Boston, MA ($6,022)
  3. Newbridge on the Charles Skilled Nursing Facility, Dedham, MA ($6,153)
  4. Hebrew Rehabilitation Center, Boston, MA ($7,044)
  5. Whittier Westborough Transitional Care Unit, Westborough, MA ($7,128)

Winchester Hospital

Winchester Hospital’s total cost of care over a 90-day episode was $22,104 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,795 and the average rehospitalization cost was $2,098. The cost per rehospitalization was at an average of $20,790. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $987.

The average home health cost per hospitalization when a home health agency is involved was $4,130. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Winchester Hospital were:

  1. VNA Care, Worcester, MA ($3,525)
  2. Home Health VNA Merrimack Valley Hospice, Lawrence, MA ($3,695)
  3. Great Lakes Caring, Byfield, MA ($3,700)
  4. Lahey Health at Home, Beverly, MA ($4,071)
  5. Caretenders, Needham Heights, MA ($4,469)

The average nursing home cost per hospitalization when a nursing home is involved was $9,208. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Winchester Hospital were:

  1. CareOne at Wilmington, Wilmington, MA ($5,593)
  2. Aberjona Nursing Center, Winchester, MA ($7,584)
  3. Winchester Nursing Center, Inc, Winchester, MA ($9,057)
  4. Bear Hill Nursing Center At Wakefield, Stoneham, MA ($11,671)

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The detailed value outcomes and cost of care report for Hip and Knee Replacement in Boston, MA, includes the following data points: