By: Sruthy Iype  Jul. 03, 2020
Dexur’s analysis of Medicare claims of hospitals within a 50-mile radius of Charleston, West Virginia, showed that CAMC General Hospital had the best value outcomes over a 90-day episode for Renal Failure, followed by Raleigh General Hospital and St. Mary's Medical Center. 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 CAMC Health 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 683: Renal Failure With Complication Or Comorbidity, to adjust for complications and comorbidities.
The average cost of care over a 90-day episode for Renal Failure in West Virginia was $18,455 (for the period between July 2016 to June 2019). The index hospitalization cost was $6,468 and the average rehospitalization cost per hospitalization cost was $7,781. The cost per rehospitalization was at an average of $18,968. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,141.
The state average nursing home cost per hospitalization when a nursing home is involved was $12,970 and the average home health cost per hospitalization when a home health agency is involved was $3,508.
CAMC General Hospital’s total cost of care over a 90-day episode was $18,619 (for the period between July 2016 to June 2019). The index hospitalization cost was $7,160 and the average rehospitalization cost was $7,561. The cost per rehospitalization was at an average of $17,888. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,017.
The average home health cost per hospitalization when a home health agency is involved was $3,699. The average cost per hospitalization for the top home health agency partners for Renal Failure for CAMC General Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $13,454. The average cost per hospitalization for the top nursing home partners for Renal Failure for CAMC General Hospital were:
Raleigh General Hospital’s total cost of care over a 90-day episode was $18,940 (for the period between July 2016 to June 2019). The index hospitalization cost was $6,017 and the average rehospitalization cost was $8,749. The cost per rehospitalization was at an average of $21,249. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $864.
The average home health cost per hospitalization when a home health agency is involved was $3,337. The average cost per hospitalization for the top home health agency partners for Renal Failure for Raleigh General Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $16,479. The average cost per hospitalization for the top nursing home partner for Renal Failure for Raleigh General Hospital was:
St. Mary's Medical Center’s total cost of care over a 90-day episode was $18,948 (for the period between July 2016 to June 2019). The index hospitalization cost was $6,530 and the average rehospitalization cost was $7,938. The cost per rehospitalization was at an average of $20,331. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,046.
The average home health cost per hospitalization when a home health agency is involved was $4,276. The average cost per hospitalization for the top home health agency partners for Renal Failure for St. Mary's Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $12,361. The average cost per hospitalization for the top nursing home partners for Renal Failure for St. Mary's Medical Center were:
The detailed value outcomes and cost of care reports for Renal Failure in Charleston, WV, includes the following data points: