By: Sruthy Iype  Jun. 29, 2020
Dexur’s analysis of Medicare Claims of hospitals within a 10-mile radius of Salt Lake City, Utah, showed that LDS Hospital, Lakeview Hospital, and St.Mark's Hospital had the best value outcomes over a 90-day episode for Sepsis. 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 Intermountain Accountable Care, LLC, and UPQC make appropriate referrals choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 871: Septicemia Or Severe Sepsis Without MV >96 Hours With Major Complication Or Comorbidity, to adjust for complications and comorbidities.
The average cost of care over a 90-day episode for Sepsis in Utah was $25,722 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,753 and the average rehospitalization cost per hospitalization cost was $7,014. The cost per rehospitalization was at an average of $24,312. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $989.
The state average nursing home cost per hospitalization when a nursing home is involved was $14,688 and the average home health cost per hospitalization when a home health agency is involved was $3,811.
LDS Hospital’s total cost of care over a 90-day episode was $23,371 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,216 and the average rehospitalization cost was $6,611. The cost per rehospitalization was at an average of $23,419. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,087.
The average home health cost per hospitalization when a home health agency is involved was $3,562. The top home health agency partner for Sepsis for LDS Hospital was Intermountain Homecare & Hospice - South Jordan, South Jordan, UT and the average cost per hospitalization for the agency was $2,762.
The average nursing home cost per hospitalization when a nursing home is involved was $13,857. The top nursing home partner for Sepsis for LDS Hospital was St Joseph Villa, Salt Lake City, UT, and the average cost per hospitalization for the nursing home was $8,727.
Lakeview Hospital’s total cost of care over a 90-day episode was $23,827 (for the period between July 2016 to June 2019). The index hospitalization cost was $10,438 and the average rehospitalization cost was $5,725. The cost per rehospitalization was at an average of $21,916. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,110.
The average home health cost per hospitalization when a home health agency is involved was $3,754. The average cost per hospitalization for the top home health agency partners for Sepsis for Lakeview Hospital are:
The nursing home cost per hospitalization when a nursing home is involved was $13,166. The average cost per hospitalization for the top nursing home partners for Sepsis for Lakeview Hospital are:
St.Mark's Hospital’s total cost of care over a 90-day episode was $24,505 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,716 and the average rehospitalization cost was $5,740. The cost per rehospitalization was at an average of $20,053. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $869.
The average home health cost per hospitalization when a home health agency is involved was $3,943. The average cost per hospitalization for the top home health agency partners for Sepsis for St.Mark's Hospital are:
The average nursing home cost per hospitalization when a nursing home is involved was $14,924. The average cost per hospitalization for the top nursing home partners for Sepsis for St.Mark's Hospital were:
The detailed value outcomes and cost of care reports for Sepsis in Salt Lake City, UT, includes the following data points: