Mayo Clinic Hospital - Mankato and United Hospital had the Lowest Average LOS for a 30-Day Episode of Care for Pneumonia and Pleurisy Patients at 3.33 Days
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By: Saparja Nag Apr. 06, 2018
An analysis recently conducted by Dexur on Minnesota hospitals treating Medicare patients for simple pneumonia and pleurisy determined that two hospitals in the state, Mayo Clinic Hospital - Mankato in Mankato and United Hospital in Saint Paul, tied for the lowest average LOS for a 30-day episode of care with unplanned readmissions at 3.33 days. St. Cloud Hospital located in Saint Cloud followed closely in 3rd, averaging a LOS of 3.34 days between 2013 - 2016. Ranking 4th was Grand Rapids’ Grand Itasca Clinic and Hospital, which averaged 3.35 days per 30-day episode of care. Lake Region Healthcare, located in Fergus Falls, had an average LOS for a 30-day episode of care at 3.38 days, which ranked 5th.
In order to be incorporated into this analysis, hospitals had to account for at least 50 DRG-194 (Simple Pneumonia and Pleurisy with Complication or Comorbidity) discharges and at least 11 DRG-194 30-day readmissions between January 2013 and December 2016. The 30-day episode of care average LOS metric takes into account the number of days DRG-194 patients stayed during their index hospital stay, their unplanned readmitted stay, if applicable, and the readmission rate. Hospitals with a higher readmission rate tend to have higher average LOS over a period of 30 days as their total length of stay would likely be higher as more patients are readmitted. Readmissions may occur at the index hospital or a different hospital in any state, but the number of days will be categorized under the index hospital stay. Unplanned readmissions are defined as inpatient readmissions who originally enter the hospital through the emergency department.
The top four hospitals in Minnesota by lowest average LOS for a 30-day episode of care including unplanned readmissions were also the top four hospitals by lowest average LOS for a 30-day episode of care including all readmissions, although in a different ranking order. Mayo Clinic - Mankato, one of two hospitals with the lowest metric with unplanned readmissions, ranked 4th by average LOS for all readmissions at 3.54 days. United Hospital, the other top ranking hospital by average LOS including unplanned readmissions, had the 3rd lowest average LOS including all readmissions at 3.52 days. St. Cloud Hospital ranked 2nd for 30-day episode of care with all readmissions at an average LOS of 3.48 days. The hospital with the lowest average LOS with all readmissions was Grand Itasca at 3.45 days.
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