By: Barsha Nandy  Aug. 06, 2020
Dexur’s analysis of medicare claims of hospitals within a 50-mile radius of Pinehurst, NC, showed that FirstHealth Moore Regional Hospital had the best value outcomes over a 90 day episode for Sepsis, followed by Scotland Memorial Hospital and Cape Fear Valley 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 Pinehurst Accountable Care Network (PACN), 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.
FirstHealth Moore Regional Hospital's total cost of care over a 90-day episode was $16,550 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,391 and the average rehospitalization cost was $1,132. The cost per rehospitalization was at an average of $14,847. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $690.
The average home health cost per hospitalization when a home health agency is involved was $2,643. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for FirstHealth Moore Regional Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $8,534. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for FirstHealth Moore Regional Hospital were:
Scotland Memorial Hospital’s total cost of care over a 90-day episode was $17,652 (for the period between July 2016 to June 2019). The index hospitalization cost was $13,153 and the average rehospitalization cost was $2,058. The cost per rehospitalization was at an average of $15,053. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $811.
The average home health cost per hospitalization when a home health agency is involved was $2,846. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Scotland Memorial Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $9,045. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Scotland Memorial Hospital were:
Cape Fear Valley Medical Center’s total cost of care over a 90-day episode was $21,180 (for the period between July 2016 to June 2019). The index hospitalization cost was $13,069 and the average rehospitalization cost was $3,889. The cost per rehospitalization was at an average of $15,559. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $626.
The average home health cost per hospitalization when a home health agency is involved was $3,097. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Cape Fear Valley Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $10,715. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Cape Fear Valley Medical Center were:
The detailed value outcomes and cost of care report for Hip and Knee Replacement in Pinehurst, NC, includes the following data points: