Lovelace Medical Center, Lovelace Westside Hospital, and Presbyterian Hospital had the lowest cost of care for Hip & Knee Replacement in Albuquerque, NM



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By: Sruthy Iype  May. 21, 2020

Dexur’s analysis of Medicare Claims of hospitals in Albuquerque, NM, revealed that Lovelace Medical Center, Lovelace Westside Hospital, and Presbyterian Hospital had the lowest cost of care over a 90-day episode for Hip & Knee Replacement. For the period between April 2016 to March 2019, the study tracked the patient journey 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 helps patients make appropriate choices and helps local ACOs such as UC San Diego Health Accountable Care Network, Scripps Accountable Care Organization, and Pacific Accountable Care make appropriate referrals choices. The analysis was risk-adjusted and was done at the DRG level (specifically DRG 470: Major Joint Replacement or Reattachment of Lower Extremity Without Major Complication Or Comorbidity (MCC)) to adjust for complications and comorbidities.

Lovelace Medical Center

Lovelace Medical Center ’s total cost of care over a 90-day episode was $14,476 (for the period between April 2016 to March 2019). The index hospitalization cost was $9,375 and the average rehospitalization cost was $1,863. The readmission rate was 9.65% and the cost per rehospitalization was at an average of $14,466.

The hospital’s home health agency discharge rate was 44.1% and the average home health cost per hospitalization when a home health agency is involved was $2,736. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Lovelace Medical Center are:

  1. Armada Skilled Homecare of New Mexico, Albuquerque, NM- $2,333
  2. Legacy Home Health, Albuquerque, NM- $2,519
  3. Compassus Home Health Albuquerque, Albuquerque, NM- $2,759
  4. AHC Home Health of New Mexico, Albuquerque, NM- $2,788
  5. Klarus Home Care, Albuquerque, NM- $3,220

The Skilled Nursing Facility (SNF) discharge rate was 19.0% and the average nursing home cost per hospitalization when a nursing home is involved was $8,586. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Lovelace Medical Center was Advanced Health Care of Albuquerque, Albuquerque, NM and the average cost per hospitalization for the nursing home was $8,194.

The top surgeons who performed Hip & Knee Replacement surgeries at Lovelace Medical Center for the lowest costs include:

  1. Jeffrey W Racca
  2. Joshua T Carothers
  3. Krishna R Tripuraneni

Lovelace Westside Hospital

Lovelace Westside Hospital’s total cost of care over a 90-day episode was $14,555 (for the period of April 2016 to March 2019). The index hospitalization cost was $9,868 and the average rehospitalization cost was $1,463. The readmission rate was 6.37% and the cost per rehospitalization was at an average of $14,475.

The home health agency discharge rate was 72.28% and the average home health cost per hospitalization when a home health agency is involved was $2,834. The average costs per hospitalization for the top home health agency partners for Hip & Knee Replacement for Lovelace Westside Hospital are:

  1. Armada Skilled Homecare of New Mexico, Albuquerque, NM- $2,596
  2. Compassus Home Health Albuquerque, Albuquerque, NM- $2,796

The SNF discharge rate for the hospital was 7.87% and the average nursing home cost per hospitalization when a nursing home is involved was $7,486.

The top surgeons who performed Hip & Knee Replacement surgeries at Lovelace Westside Hospital for the lowest costs were:

  1. Hugh Samuel Brock
  2. Damen Michael Sacoman
  3. Thomas A Mcennerney

Presbyterian Hospital

Presbyterian Hospital’s total cost of care over a 90-day episode was $14,797 (for the period of April 2016 to March 2019). The index hospitalization cost was $10,056 and the average rehospitalization cost was $1,483. The readmission rate was 6.95% and the cost per rehospitalization was at an average of $14,343.

The home health agency discharge rate was 38.11% and the average home health cost per hospitalization when a home health agency is involved was $2,759. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Presbyterian Hospital are:

  1. Presbyterian Home Healthcare, Albuquerque, NM- $2,154
  2. Armada Skilled Homecare of New Mexico, Albuquerque, NM- $2,522
  3. Legacy Home Health, Albuquerque, NM- $2,630
  4. AHC Home Health of New Mexico, Albuquerque, NM- $2,824
  5. Kindred at Home, Albuquerque, NM- $3,040

The hospital’s SNF discharge rate was 22.3% and the average nursing home cost per hospitalization when a nursing home is involved was $7,697. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Presbyterian Hospital are:

  1. Kaseman Subacute and Rehabilitation, Albuquerque, NM- $4,332
  2. Avamere Rehabilitation at Fiesta Park, Albuquerque, NM- $5,733
  3. Spanish Trails Rehabilitation Suites, Albuquerque, NM- $6,813
  4. Advanced Health Care of Albuquerque, Albuquerque, NM $6,835
  5. The Rio at Las Estancias, Albuquerque, NM- $11,375

The top surgeons who performed Hip & Knee Replacement surgeries at Presbyterian Hospital for the lowest costs were:

  1. Samuel K Tabet
  2. Krishna R Tripuraneni
  3. Michael J Archibeck

DEXUR PRO MEMBERS GET ACCESS TO:

The detailed cost of care report for the top 5 hospitals in Albuquerque, NM, with the lowest cost of care for Hip & Knee Replacement (DRG 470), including the following data :