By: Sruthy Iype  Jun. 30, 2020
Dexur’s analysis of medicare claims of hospitals within a 25-mile radius of Oklahoma City, Oklahoma, showed that McBride Orthopedic Hospital, Community Hospital South Campus, and Oklahoma Center for Orthopedic & Multi-Specialty Surgery (OCOM) had the best value outcomes over a 90-day episode for Hip & Knee Replacement. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes 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 Patient Care Network of Oklahoma, LLC, Access Care Oklahoma, LLC, and Stillwater Collaborative Care 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 470: Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Complication Or Comorbidity (MCC), to adjust for complications and comorbidities.
The average cost of care over a 90-day episode for Hip & Knee Replacement Surgery in Oklahoma was $19,456 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,430 and the average rehospitalization was $2,635. The cost per rehospitalization was at an average of $17,219. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $704.
The state average nursing home cost per hospitalization when a nursing home is involved was $12,057 and the average home health cost per hospitalization when a home health agency is involved was $3,293.
McBride Orthopedic Hospital’s total cost of care over a 90-day episode was $14,113 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,265 and the average rehospitalization cost was $1,014. The cost per rehospitalization was at an average of $14,339. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $649.
The average home health cost per hospitalization when a home health agency is involved was $2,618. The average cost per hospitalization for the top home health partners for Hip & Knee Replacement for McBride Orthopedic Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $8,314. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for McBride Orthopedic Hospital were:
Community Hospital South Campus’s total cost of care over a 90-day episode was $16,473 (for the period of July 2016 to June 2019). The index hospitalization cost was $11,030 and the average rehospitalization cost was $1,649. The cost per rehospitalization was at an average of $14,804. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $739.
The average home health cost per hospitalization when a home health agency is involved was $3,569. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Community Hospital South Campus were:
The average nursing home cost per hospitalization when a nursing home is involved was $10,180. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Community Hospital South Campus were:
Oklahoma Center for Orthopedic & Multi-Specialty Surgery’s total cost of care over a 90-day episode was $16,833 (for the period of July 2016 to June 2019). The index hospitalization cost was $11,553 and the average rehospitalization cost was $1,300. The cost per rehospitalization was at an average of $14,234. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $873.
The average home health cost per hospitalization when a home health agency is involved was $3,572. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Oklahoma Center for Orthopedic & Multi-Specialty Surgery were:
The average nursing home cost per hospitalization when a nursing home is involved was $12,401.
The detailed value outcomes and cost of care reports for Hip & Knee Replacement in Oklahoma City, OK, includes the following data points: