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 Name||City||State||SNF Discharge Rate (%)|
|All U.S. Hospitals||27.53|
|1||Medical University of South Carolina||Charleston||SC||6.67|
|2||Providence Alaska Medical Center||Anchorage||AK||6.77|
|3||University Of Maryland Medical Center||Baltimore||MD||7.89|
|4||Lake Charles Memorial Hospital||Lake Charles||LA||8.09|
|5||Lafayette General Medical Center||Lafayette||LA||8.9|
|6||Cooper University Hospital||Camden||NJ||9.17|
|7||North Oaks Medical Center||Hammond||LA||10.16|
|8||Methodist Dallas Medical Center||Dallas||TX||10.28|
|9||The Johns Hopkins Hospital||Baltimore||MD||10.78|
|10||North Cypress Medical Center||Cypress||TX||11.03|