Mercy Medical Center, Cooley Dickinson Hospital, and Holyoke Medical Center have the Best Value Outcomes for Hip and Knee Replacement in Northampton, MA



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By: Barsha Nandy  Jun. 30, 2020

Dexur’s analysis of medicare claims of hospitals within a 25-mile radius of Northampton, MA, showed that Mercy Medical Center, Cooley Dickinson Hospital, and Holyoke Medical Center had the best value outcomes over a 90-day episode for Hip and Knee Replacement. The episode of care tracks a patient journey 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 UMASS Memorial Accountable Care Organization and QHI ACO to 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 and Knee Replacement in Massachusetts was $25,428 (for the period between July 2016 and June 2019). The index hospitalization cost was $16,525 and, while the average rehospitalization cost per hospitalization was $2,161, the cost per rehospitalization was at an average of $18,989. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $929.

The state average nursing home cost per hospitalization when a nursing home is involved was $9,391 and the average home health cost per hospitalization when a home health agency is involved was $3,986.

Mercy Medical Center

Mercy Medical Center’s total cost of care over a 90 day episode was $22,816 (for the period between July 2016 and June 2019). The index hospitalization cost was $15,842 and the average rehospitalization cost per hospitalization was $2,308. The cost per rehospitalization was at an average of $18,079. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $701.

The average home health cost per hospitalization when a home health agency is involved was $3,826. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Mercy Medical Center were:

  1. Amedisys Home Health Care, Agawam, MA - $3,471
  2. Caretenders, Holyoke, MA - $3,727
  3. Trinity Health of New England at Home, W Springfield, MA - $3,857

The average nursing home cost per hospitalization when a nursing home is involved was $6,110. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Mercy Medical Center were:

  1. Mary's Meadow at Providence Place, Holyoke, MA - $4,297
  2. Heritage Hall North, Agawam, MA - $6,097
  3. JGS Lifecare, Longmeadow, MA - $7,570

Cooley Dickinson Hospital

Cooley Dickinson Hospital’s total cost of care over a 90 day episode was $23,469 (for the period between July 2016 and June 2019). The index hospitalization cost was $14,762 and the average rehospitalization cost per hospitalization was $1,929. The cost per rehospitalization was at an average of $16,400. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $851.

The average home health cost per hospitalization when a home health agency is involved was $3,884. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Cooley Dickinson Hospital were:

  1. Amedisys Home Health Care, Agawam, MA - $3,790
  2. VNA & Hospice of Cooley Dickinson, Northampton, MA - $3,810
  3. Overlook Visiting Nurse Association, Charlton, MA - $4,267

The average nursing home cost per hospitalization when a nursing home is involved was $8,262. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Cooley Dickinson Hospital were:

  1. Mary's Meadow at Providence Place, Holyoke, MA - $5,209
  2. Charlene Manor Extended Care Facility, Greenfield, MA - $5,374
  3. Elaine Center At Hadley, Hadley, MA - $6,178
  4. Linda Manor Extended Care Facility, Leeds, MA - $7,984
  5. Care One At Northampton, Northampton, MA - $9,549

Holyoke Medical Center (Row 6027)

Holyoke Medical Center’s total cost of care over a 90 day episode was $24,95 (for the period between July 2016 and June 2019). The index hospitalization cost was $15,575 and the average rehospitalization cost per hospitalization was $1,813. The cost per rehospitalization was at an average of $13,406. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $662.

The average home health cost per hospitalization when a home health agency is involved was $3,696. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Holyoke Medical Center were:

  1. Holyoke Visiting Nurse Association, Holyoke, MA - $3,579
  2. Amedisys Home Health Care, Agawam, MA - $3,758

The average nursing home cost per hospitalization when a nursing home is involved was $8,602. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Holyoke Medical Center were:

  1. Mary's Meadow at Providence Place, Holyoke, MA - $5,328
  2. Holyoke Healthcare Center, Holyoke, MA - $8,306

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The detailed value outcomes and cost of care report for Hip and Knee Replacement in Northampton, MA, includes the following data points: