Louisiana’s Lake Charles Memorial Hospital and Lafayette General Medical Center were 2 of Only 5 U.S. Hospitals to Report a Skilled Nursing Facility Discharge Rate Under 9% for Septicemia or Severe Sepsis in 2016


By: Jeffrey Maser  Jan. 11, 2018

Dexur analysts recently studied severe sepsis or septicemia Medicare discharges in 2016 for all major U.S. hospitals and found that Lake Charles Memorial Hospital and Lafayette General Medical Center, each in Louisiana, were 2 of the only 5 U.S. hospitals to have a skilled nursing facility (SNF) discharge rate under 9% during the time period. Lake Charles had the 4th lowest SNF discharge rate in the nation at 8.09% while Lafayette General ranked 5th with a rate of 8.9%. Nationally, the only three hospitals to account for a lower SNF discharge rate than Lake Charles during the time period were The Medical University of South Carolina in Charleston, Providence Alaska Medical Center in Anchorage and University of Maryland Medical Center in Baltimore. These three facilities accounted for severe sepsis or septicemia SNF discharge rates of 6.67%, 6.77% and 7.89%, respectively.

Hospitals were only included in the rankings if the facility reported over 3,500 total Medicare discharges as well as 11 or more SNF discharges for DRG-871 (Septicemia Or Severe Sepsis Without Mv >96 Hours With Major Complication Or Comorbidity) throughout January - December of 2016. 1,075 hospitals met this criteria, including 17 within the state of Louisiana. Nationally, the average SNF discharge rate was 27.93% during the analyzed timeframe, while the Louisiana state rate was 15.97%. Louisiana ranked 2nd lowest of all states, only to Alaska, where patients were discharged to skilled nursing facilities for severe sepsis or septicemia at a 6.55% rate.

Lake Charles patients, specifically, were discharged to SNFs only half as often as the state average while both Lake Charles and Lafayette General patients were discharged to SNFs only a third as often as the national average. Furthermore, the hospitals were two of only five in-state facilities to report a SNF discharge rate under 15%, whereas the Louisiana hospital with the highest SNF discharge rate for DRG-871 accounted for a 30.77% rate. For more information on septicemia or severe sepsis, an analysis of three studies regarding patterns in sepsis readmissions can be found here.

Top 10 Hospitals with the Lowest SNF Discharge Rate for Septicemia or Severe Sepsis between January-December 2016
SNF Discharge Rate Rank (Lowest to Highest)Hospital NameCityStateSNF Discharge Rate (%)
All U.S. Hospitals27.53
1Medical University of South CarolinaCharlestonSC6.67
2Providence Alaska Medical CenterAnchorageAK6.77
3University Of Maryland Medical CenterBaltimoreMD7.89
4Lake Charles Memorial HospitalLake CharlesLA8.09
5Lafayette General Medical CenterLafayetteLA8.9
6Cooper University HospitalCamdenNJ9.17
7North Oaks Medical CenterHammondLA10.16
8Methodist Dallas Medical CenterDallasTX10.28
9The Johns Hopkins HospitalBaltimoreMD10.78
10North Cypress Medical CenterCypressTX11.03

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ABOUT THE AUTHOR

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Jeffrey Maser

Jeffrey Maser is an analyst. He truly loves working with numbers and enjoys the challenge of turning healthcare data into a resource that real patients can use to help make important decisions. Jeff's passion for data will serve him well in his quest to become the top mind in Fantasy Hockey. He previously worked at Truven Health Analytics, now a part of IBM Watson Health, and is a graduate of Brandeis University.