Lahey Hospital & Medical Center, Charlton Memorial Hospital, and Massachusetts General Hospital had the lowest cost of care for Coronary Bypass in East Massachusetts

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By: Barsha Nandy  May. 11, 2020

Dexur’s analysis of medicare claims of hospitals in East Massachusetts showed that Lahey Hospital & Medical Center, Charlton Memorial Hospital, and Massachusetts General Hospital had the lowest cost of care over a 90-day episode for Coronary Bypass. The episode of care tracks a patient journey from the date of admission for 90 days includes the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. The total cost of care helps patients make appropriate choices and helps local ACOs such as BMC Integrated Care Services, Partners Healthcare Accountable Care Organization, MACIPA, and Steward National Care Network to make appropriate referrals choices. The analysis was risk-adjusted and was done at the DRG level, specifically DRG 236: Coronary Bypass Without Cardiac Catheterization Without Major Complication Or Comorbidity (Mcc) to adjust for complications and comorbidities.

Lahey Hospital & Medical Center

Lahey Hospital & Medical Center’s total cost of care over a 90-day episode was $32,936 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $26,764 and the average rehospitalization per hospitalization cost was $1,762. The readmission rate was 5.64 for all DRGs corresponding to Coronary Bypass and the cost per rehospitalization was at an average of $13,985.

The home health agency discharge rate was 73.11 and the Average home health cost per hospitalization when a home health agency is involved is $2,818 and the average cost per hospitalization for the top home health agency partners for Coronary Bypass for Lahey Hospital & Medical Center is:

  1. $2,448 for Home Health VNA Merrimack Valley Hospice, HomeCare, Lawrence, MA
  2. $2,806 for Lahey Health at Home, Beverly, MA

The top surgeons who performed Coronary Bypass surgeries at Lahey Hospital & Medical Center were:

  1. GREGORY G SMAROFF
  2. RICHARD S D'AGOSTINO
  3. TORIN PATRICK FITTON

Charlton Memorial Hospital

Charlton Memorial Hospital’s total cost of care over a 90-day episode was $38,394 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $25,698 and the average rehospitalization per hospitalization cost was $6,338. The readmission rate was 12.87 and the cost per rehospitalization was at an average of $18,290.

The home health agency discharge rate was 36.63 and the Average home health cost per hospitalization when a home health agency is involved is $2,797 and the average cost per hospitalization for the top home health agency partners for Coronary Bypass for Charlton Memorial Hospital is:

  1. $2,793 for Southcoast Visiting Nurse Association, Fairhaven, MA

The top surgeons who performed Coronary Bypass surgeries at Charlton Memorial Hospital:

  1. IRAKLIS S GEROGIANNIS
  2. JAMES G FINGLETON
  3. NICOLA A FRANCALANCIA

Massachusetts General Hospital

Massachusetts General Hospital’s total cost of care over a 90-day episode was $40,194 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $34,399 and the average rehospitalization per hospitalization cost was $2,011. The readmission rate was 12.87 and the cost per rehospitalization was at an average of $14,155.

The home health agency discharge rate was 35.53 and the Average home health cost per hospitalization when a home health agency is involved is $3,307 and the average cost per hospitalization for the top home health agency partners for Coronary Bypass for Massachusetts General Hospital is:

  1. $3,031 for Partners Healthcare At Home, Waltham, MA

The top surgeons who performed Coronary Bypass surgeries at Massachusetts General Hospital:

  1. GEORGE TOLIS
  2. DAVID A D'ALESSANDRO
  3. MAURICIO ALEJANDRO VILLAVICENCIO THEODULOZ

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