By: Barsha Nandy  Jul. 16, 2020
Dexur’s analysis of Medicare claims of hospitals within a 10-mile radius of Brooklyn, NY, showed that New York Community Hospital, Jamaica Hospital Medical Center, and New York-Presbyterian Queens 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 Community Care of Brooklyn IPA and Empire ACO 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.
The average cost of care over a 90-day episode for Sepsis in New York was $35,572 (for the period between July 2016 to June 2019). The index hospitalization cost was $17,514 and the average rehospitalization cost per hospitalization cost was $10,829. The cost per rehospitalization was at an average of $30,658. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,007.
The state average nursing home cost per hospitalization when a nursing home is involved was $20,097 and the average home health cost per hospitalization when a home health agency is involved was $3,531.
New York Community Hospital’s total cost of care over a 90-day episode was $35,911 (for the period between July 2016 to June 2019). The index hospitalization cost was $15,338 and the average rehospitalization cost was $12,567. The cost per rehospitalization was at an average of $34,112. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $682.
The average home health cost per hospitalization when a home health agency is involved was $3,109. The average cost per hospitalization for the top home health agency partner for Sepsis for New York Community Hospital was:
The average nursing home cost per hospitalization when a nursing home is involved was $23,468. The average cost per hospitalization for the top nursing home partner for Sepsis for New York Community Hospital was:
Jamaica Hospital Medical Center’s total cost of care over a 90-day episode was $36,668 (for the period between July 2016 to June 2019). The index hospitalization cost was $21,330 and the average rehospitalization cost was $9,319. The cost per rehospitalization was at an average of $31,008. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $656.
The average home health cost per hospitalization when a home health agency is involved was $3,277. The average cost per hospitalization for the top home health agency partners for Sepsis for Jamaica Hospital Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $21,141. The average cost per hospitalization for the top nursing home partner for Sepsis for Jamaica Hospital Medical Center was:
New York-Presbyterian Queens’ total cost of care over a 90-day episode was $38,446 (for the period between July 2016 to June 2019). The index hospitalization cost was $18,618 and the average rehospitalization cost was $10,258. The cost per rehospitalization was at an average of $30,703. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $730.
The average home health cost per hospitalization when a home health agency is involved was $3,584. The average cost per hospitalization for the top home health agency partners for Sepsis for New York-Presbyterian Queens were:
The average nursing home cost per hospitalization when a nursing home is involved was $23,698. The average cost per hospitalization for the top nursing home partners for Sepsis for New York-Presbyterian Queens were:
The detailed value outcomes and cost of care reports for Sepsis in Brooklyn, NY, includes the following data points: