Methodist West Hospital - UnityPoint Health, Iowa Lutheran Hospital, and MercyOne West Des Moines Medical Center had the lowest cost of care for Hip & Knee replacement in Des Moines Area, IA

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By: Neha Thomas  May. 11, 2020

Dexur’s analysis of medicare claims of hospitals in Des Moines Metropolitan Area, IA, showed that Methodist West Hospital - UnityPoint Health, Iowa Lutheran Hospital, and MercyOne West Des Moines Medical Center had the lowest cost of care over a 90 day episode for Hip & Knee replacement. The episode of care tracks a patient journey from the date of admission for 90 days includes the index hospitalizations, rehospitalization, home health, nursing home and ED costs. Total cost of care helps patients make appropriate choices and helps local ACOs such as Heartland Health ACO Inc and MercyOne ACO 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.

Methodist West Hospital - UnityPoint Health

Methodist West Hospital - UnityPoint Health’s total cost of care over a 90 day episode was $12,186 (for the period between April 2016 and March 2019). The index hospitalization cost was $10,526 and the average rehospitalization cost was $776. The readmission rate was 3.9% and the cost per rehospitalization was at an average of $11,054.

The home health agency discharge rate was 10.72% and the average home health cost per hospitalization when a home health agency is involved was $1,419. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Methodist West Hospital - UnityPoint Health were:

The Skilled Nursing Facility (SNF) discharge rate was 9.01% and the average nursing home cost per hospitalization when a nursing home is involved was $5,619. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Methodist West Hospital - UnityPoint Health were:

The top surgeons who performed Hip & Knee Replacement surgeries at Methodist West Hospital - UnityPoint Health were:

  1. DAVID ANTHONY VITTETOE
  2. DEVON DANIEL GOETZ
  3. PATRICK MICHAEL SULLIVAN

Iowa Lutheran Hospital

Iowa Lutheran Hospital’s total cost of care over a 90 day episode was $12,547 (for the period between April 2016 and March 2019). The index hospitalization cost was $10,442 and the average rehospitalization cost was $994. The readmission rate was 4.73% and the cost per rehospitalization was at an average of $11,717.

The home health agency discharge rate was 17.59% and the average home health cost per hospitalization when a home health agency is involved was $1,430. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Iowa Lutheran Hospital were:

The Skilled Nursing Facility (SNF) discharge rate was 13.56% and the average nursing home cost per hospitalization when a nursing home is involved was $4,988. The average cost per hospitalization for the top nursing home partner for Hip & Knee replacement for Iowa Lutheran Hospital was:

The top surgeons who performed Hip & Knee Replacement surgeries at Iowa Lutheran Hospital were:

  1. BARRON ROBERT BRUCE BREMNER
  2. IAN LIN
  3. WESLEY RYAN SMIDT

MercyOne West Des Moines Medical Center

MercyOne West Des Moines Medical Center’s total cost of care over a 90 day episode was $13,551 (for the period between April 2016 and March 2019). The index hospitalization cost was $10,307 and the average rehospitalization cost was $1,173. The readmission rate was 4.75% and the cost per rehospitalization was at an average of $14,477.

The home health agency discharge rate was 6.8% and the average home health cost per hospitalization when a home health agency is involved was $3,114. The average cost per hospitalization for the top home health agency partner for Hip & Knee replacement for MercyOne West Des Moines Medical Center was

The Skilled Nursing Facility (SNF) discharge rate was 10.32% and the average nursing home cost per hospitalization when a nursing home is involved was $10,657. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for MercyOne West Des Moines Medical Center were:

The top surgeons who performed Hip & Knee Replacement surgeries at MercyOne West Des Moines Medical Center were:

  1. MARK RICHARD MATTHES
  2. CRAIG ROBERT MAHONEY
  3. MARK DOUGLAS FISH

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The detailed cost of care report of the top five most cost-efficient hospitals for Hip & Knee Replacements in Des Moines Area, IA (Apr 2016 to Mar 2019), including data with respect to the following:

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