By: Barsha Nandy  Jul. 31, 2020
Dexur’s analysis of Medicare claims of hospitals within a 25-mile radius of Ellsworth, ME, showed that Northern Light Maine Coast Hospital, St. Joseph Hospital, and Northern Light Eastern Maine Medical Center 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 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.
Northern Light Maine Coast Hospital’s total cost of care over a 90-day episode was $21,993 (for the period between July 2016 and June 2019). The index hospitalization cost was $12,242 and the average rehospitalization cost per hospitalization was $6,466. The cost per rehospitalization was at an average of $19,480. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $887.
The average home health cost per hospitalization when a home health agency is involved was $2,759. The average cost per hospitalization for the top home health agency partners for Sepsis for Northern Light Maine Coast Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $7,211. The average cost per hospitalization for the top nursing home partners for Sepsis for Northern Light Maine Coast Hospital were:
St. Joseph Hospital’s total cost of care over a 90-day episode was $22,237 (for the period between July 2016 and June 2019). The index hospitalization cost was $11,135 and the average rehospitalization cost per hospitalization was $6,162. The cost per rehospitalization was at an average of $18,312. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,165.
The average home health cost per hospitalization when a home health agency is involved was $3,567. The average cost per hospitalization for the top home health agency partners for Sepsis for St. Joseph Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $12,587. The average cost per hospitalization for the top nursing home partners for Sepsis for St. Joseph Hospital were:
Northern Light Eastern Maine Medical Center’s total cost of care over a 90-day episode was $26,913 (for the period between July 2016 and June 2019). The index hospitalization cost was $13,081 and the average rehospitalization cost per hospitalization was $8,064. The cost per rehospitalization was at an average of $23,451. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,406.
The average home health cost per hospitalization when a home health agency is involved was $3,682. The average cost per hospitalization for the top home health agency partners for Sepsis for Northern Light Eastern Maine Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $15,194. The average cost per hospitalization for the top nursing home partners for Sepsis for Northern Light Eastern Maine Medical Center were:
The detailed value outcomes and cost of care report for Sepsis in Ellsworth, ME, includes the following data points: