By: Jeffrey Maser  May. 01, 2018
Dexur analysts studied Medicare inpatient spinal fusion (except cervical) discharge data from CMS and found that Optim Medical Center - Tattnall in Reidsville accounted for the lowest average length of stay (LOS) for a 30-day episode of care with unplanned readmissions among all hospitals in Georgia at 1.48 days between 2013-2016. Optim Medical Center - Tattnall was one of only two hospitals in the state with an average LOS under two days for a 30-day episode of care for spinal fusion patients. There was a substantial difference between the 2nd ranked hospital and the hospitals ranked 3rd - 5th as Piedmont Henry Hospital in Stockbridge ranked 2nd at 1.73 days while Floyd Medical Center in Rome ranked 3rd at 2.19 days. St. Joseph's Hospital in Savannah ranked just behind in 4th at 2.21 days and Memorial Health University Medical Center, also in Savannah, ranked 5th with a 2.22 day rate.
Average LOS for a 30-day episode of care with unplanned readmissions includes days in the hospital for the index stay and any other days in the hospital due to an unplanned readmission. An unplanned readmission is defined as an inpatient readmission via the emergency department within 30-days of the index discharge. It is important to note, however, that patients are not necessarily readmitted to the index hospital for subsequent stays. Georgia hospitals were included in the rankings if they accounted for at least 50 DRG-460 (Spinal Fusion Except Cervical Without Major Complication or Comorbidity) discharges between January 2013 - December 2016. Discharges where the patient expired, was transferred, or was discharged against medical advice were excluded from the totals.
Along with ranking 1st in the state for average LOS for a 30-day episode of care with unplanned readmissions, Optim Medical Center - Tattnall also had the lowest 30-day episode of care with all readmissions at 1.63 days. All readmissions include unplanned readmissions as well as planned follow-up visits along with any other inpatient readmissions within 30 days of the index hospital discharge. One major contributor to the hospital's top rank for both of these 30-day episode of care metrics was the hospital's 1.42 day average LOS for the index hospital stay, which also ranked 1st in the state. Additionally, the hospital discharged patients directly home after the initial discharge 98.28% of the time, by far the highest rate in the state. Interestingly, even with these very strong metrics for DRG-460, Optim Medical Center - Tattnall is one of the lower volume hospitals in the state. Among the 44 hospitals included in this analysis, the hospital had the lowest overall market share in Georgia, accounting for only 0.14% of the state's total inpatient discharges over the four year time frame.