By: Emily Carpintero  Nov. 17, 2017
Florida had the 4th highest volume of Medicare inpatient discharges in the nation, accounting for 7.56% of the total between October 2015 and September 2016. Using Dexur’s data, we were able to determine not only the total number of Medicare inpatient discharges, but also the total Medicare inpatient payments, total percentage of revenue contributed from 30 day readmissions, and the percentage of total days from length of stay (LOS) that comes from 30 day readmissions. You can read about a general scope of 30 day readmission contribution to revenue and percentage of days from length of stay contributing to 30 day readmissions, as well as how this data is calculated here.
According to Dexur’s data, the three leading hospitals in Florida for Medicare inpatient discharges between October 2015 and September 2016 were Florida Hospital, Orlando, Baptist Medical Center, Jacksonville and Sarasota Memorial Hospital. Looking at the table below, we were able to analyze the percentage of revenue contributed from 30 day readmissions of Medicare inpatients. We were also able to review the percentage of days from from length of stay (LOS) contributing to 30 day admissions at a national, state and individual hospital level.
Hospital Name | City | State | Total Medicare Inpatient Discharges (Oct. 2015 - Sep. 2016) | Total Medicare Inpatient Payments (Oct. 2015 - Sep. 2016) | 30 Day Readmission Medicare Inpatient Revenue Contribution % (Oct. 2015 - Sep. 2016) | 30 Day Readmission Medicare Inpatient LOS Contribution % (Oct. 2015 - Sep. 2016) |
---|---|---|---|---|---|---|
Total, U.S. | 10893308 | $122,976,827,094 | 25.72% | 27.07% | ||
Total, FL | 823506 | $7,935,916,960 | 27.2% | 29.17% | ||
Florida Hospital, Orlando | Orlando | Florida | 36454 | $378,225,995 | 27.81% | 30.35% |
Baptist Medical Center, Jacksonville | Jacksonville | Florida | 14439 | $128,656,027 | 24.15% | 26.32% |
Sarasota Memorial Hospital | Sarasota | Florida | 14315 | $136,116,891 | 23.34% | 25.45% |
The national hospital average of revenue contribution from 30 day readmissions of Medicare inpatients was an estimated 26%, while Florida hospital average is an estimated 1.48% higher than the national average.
Florida Hospital, Orlando the leading hospital in Florida for Medicare inpatient discharges, was the only hospital of the three above the national and state average for percent of Medicare inpatient revenue contributed from 30-day readmission (2.09% and 0.61%, respectively).
Florida Hospital, Orlando’s gap between percentage of revenue contributed from 30 day readmission rates and percentage of days from LOS from 30 day readmissions was 2.54%; this is a slightly high gap, thus impacting the hospital’s overall revenue.
Baptist Medical Center, Jacksonville was below the national and state average for both: revenue contributed from 30 day readmission rates and percentage of days from LOS from 30 day readmissions.
Baptist Medical Center, Jacksonville was below the national average of revenue contributed by 30 day readmissions by 1.57%, and below the state average by 3.05%. The gap between revenue from 30 day readmission rates and percentage of days from LOS from 30 day readmissions was 2.17%.
Sarasota Memorial Hospital was also below the national and state average for both categories. This hospital had the lowest percentage of revenue from 30 day readmissions, of the three hospitals, with only a 23.34% contribution rate. This was 2.38% lower than the national average and 3.86% lower than the state average.
Sarasota Memorial Hospital had a 25.24% of days from LOS contributing from 30 day readmissions which held a 2.11% gap from the revenue contributed by 30 day readmissions.
After reviewing the Dexur data, it is evident that two of the top three Medicare discharging hospitals in Florida (Baptist Medical Center, Jacksonville and Sarasota Memorial Hospital) were able to stay below the national averages for percentage of revenue contributed from 30 day readmission rates and percentage of days from LOS from 30 day readmissions. However, the leading hospital of the three (Florida Hospital, Orlando) had over 20,000 more discharges than Baptist Medical Center, Jacksonville and Sarasota Memorial Hospital. When assessing these averages it’s important to consider volume of patients and the scope of conditions the hospitals are treating.