Lovelace Medical Center, Lovelace Westside Hospital and Presbyterian Hospital have the best value outcomes for Sepsis in Albuquerque, NM


In Sepsis

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By: Sruthy Iype  Jun. 29, 2020

Dexur’s analysis of Medicare Claims of hospitals within a 50-mile radius of Albuquerque, New Mexico, showed that Lovelace Medical Center, Lovelace Westside Hospital, and Presbyterian 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 Zia ACO 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 New Mexico was $26,502 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,013 and the average rehospitalization cost per hospitalization cost was $8,380. The cost per rehospitalization was at an average of $26,102. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,000.

The state average nursing home cost per hospitalization when a nursing home is involved was $12,985 and the average home health cost per hospitalization when a home health agency is involved was $3,573.

Lovelace Medical Center

Lovelace Medical Center’s total cost of care over a 90-day episode was $22,303 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,789 and the average rehospitalization cost was $6,328. The cost per rehospitalization was at an average of $23,237. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $863.

The average home health cost per hospitalization when a home health agency is involved was $3,971. The average cost per hospitalization for the top home health agency partners for Sepsis for Lovelace Medical Center were:

  1. Armada Skilled Homecare of New Mexico, Albuquerque, NM- $3,061
  2. AHC Home Health of New Mexico, Albuquerque, NM- $3,124
  3. Heritage Home Healthcare & Hospice, Albuquerque, NM- $3,612
  4. Compassus Home Health Albuquerque, Albuquerque, NM- $3,780
  5. Onpointe At Home, Albuquerque, NM- $3,813

The average nursing home cost per hospitalization when a nursing home is involved was $11,826. The average cost per hospitalization for the top nursing home partners for Sepsis for Lovelace Medical Center were:

  1. The Rio at Las Estancias, Albuquerque, NM- $10,875
  2. Advanced Health Care of Albuquerque, Albuquerque, NM- $11,530
  3. Avamere Rehabilitation at Fiesta Park, Albuquerque, NM- $12,311

Lovelace Westside Hospital

Lovelace Westside Hospital’s total cost of care over a 90-day episode was $23,486 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,374 and the average rehospitalization cost was $9,159. The cost per rehospitalization was at an average of $25,908. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $928.

The average home health cost per hospitalization when a home health agency is involved was $3,561 and the nursing home cost per hospitalization when a nursing home is involved was $7,790.

Presbyterian Hospital

Presbyterian Hospital’s total cost of care over a 90-day episode was $23,572 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,722 and the average rehospitalization cost was $7,013. The cost per rehospitalization was at an average of $23,813. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $862.

The average home health cost per hospitalization when a home health agency is involved was $3,378. The average cost per hospitalization for the top home health agency partners for Sepsis for Presbyterian Hospital are:

  1. Armada Skilled Homecare of New Mexico, Albuquerque, NM- $2,687,
  2. Presbyterian Home Healthcare, Albuquerque, NM- $2,710
  3. Encompass Home Health Of New Mexico, Albuquerque, NM- $3,341
  4. Legacy Home Health, Albuquerque, NM- $3,426
  5. Klarus Home Care, Albuquerque, NM- $3,964

The average nursing home cost per hospitalization when a nursing home is involved was $11,689. The average cost per hospitalization for the top nursing home partners for Sepsis for Presbyterian Hospital were:

  1. Kaseman Subacute and Rehabilitation, Albuquerque, NM- $4,346
  2. Bear Canyon Rehabilitation Center, Albuquerque, NM- $8,887
  3. Advanced Health Care of Albuquerque, Albuquerque, NM- $10,856
  4. The Rio at Las Estancias, Albuquerque, NM- $11,324
  5. Avamere Rehabilitation at Fiesta Park, Albuquerque, NM- $12,443

To access the premium report, please email dexur@dexur.com for details

The detailed value outcomes and cost of care reports for Sepsis in Albuquerque, NM, includes the following data points: