By: Barsha Nandy  Jul. 30, 2020
Dexur’s analysis of Medicare claims of hospitals within a 10-mile radius of Buffalo, NY, showed that Mercy Hospital of Buffalo, Kenmore Mercy Hospital, and Sisters of Charity 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 Optimum Physician Alliance, LLC, 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.
Mercy Hospital of Buffalo’s total cost of care over a 90 day episode was $25,474 (for the period between July 2016 and June 2019). The index hospitalization cost was $12,899 and the average rehospitalization cost per hospitalization was $6,746. The cost per rehospitalization was at an average of $22,718. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $848.
The average home health cost per hospitalization when a home health agency is involved was $3,985. The average cost per hospitalization for the top home health agency partners for Sepsis for Mercy Hospital of Buffalo were:
The average nursing home cost per hospitalization when a nursing home is involved was $13,881. The average cost per hospitalization for the top nursing home partners for Sepsis for Mercy Hospital of Buffalo were:
Kenmore Mercy Hospital’s total cost of care over a 90 day episode was $27,483 (for the period between July 2016 and June 2019). The index hospitalization cost was $11,980 and the average rehospitalization cost per hospitalization was $9,904. The cost per rehospitalization was at an average of $25,891. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,040.
The average home health cost per hospitalization when a home health agency is involved was $4,038. The average cost per hospitalization for the top home health agency partners for Sepsis for Kenmore Mercy Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $11,107. The average cost per hospitalization for the top nursing home partners for Sepsis for Kenmore Mercy Hospital were:
Sisters of Charity Hospital’s total cost of care over a 90 day episode was $28,431 (for the period between July 2016 and June 2019). The index hospitalization cost was $13,918 and the average rehospitalization cost per hospitalization was $10,637. The cost per rehospitalization was at an average of $28,209. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $819.
The average home health cost per hospitalization when a home health agency is involved was $3,477. The average cost per hospitalization for the top home health agency partners for Sepsis for Sisters of Charity Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $12,279.
The detailed value outcomes and cost of care report for Sepsis in Buffalo, NY, includes the following data points: