By: Barsha Nandy  Aug. 05, 2020
Dexur’s analysis of Medicare claims of hospitals within a 10-mile radius of Decatur, GA, showed that Emory Saint Joseph's Hospital, Piedmont Atlanta Hospital, and Northside Hospital Atlanta 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 Emory Healthcare Network Advantage, 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.
Emory Saint Joseph's Hospital’s total cost of care over a 90-day episode was $14,688 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,519 and the average rehospitalization cost was $1,194. The cost per rehospitalization was at an average of $17,574. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $651.
The average home health cost per hospitalization when a home health agency is involved was $3,348. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Emory Saint Joseph's Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $13,321. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Emory Saint Joseph's Hospital were:
Piedmont Atlanta Hospital’s total cost of care over a 90-day episode was $16,213 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,815 and the average rehospitalization cost was $1,265. The cost per rehospitalization was at an average of $13,486. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $752.
The average home health cost per hospitalization when a home health agency is involved was $2,821. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Piedmont Atlanta Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $9,481. The average cost per hospitalization for the top nursing home partner for Hip and Knee Replacement for Piedmont Atlanta Hospital was:
Northside Hospital’s total cost of care over a 90-day episode was $17,930 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,530 and the average rehospitalization cost was $891. The cost per rehospitalization was at an average of $12,886. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $609.
The average home health cost per hospitalization when a home health agency is involved was $2,873. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Northside Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $13,430. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Northside Hospital were:
The detailed value outcomes and cost of care report for Hip and Knee Replacement in Decatur, GA, includes the following data points: