By: Sruthy Iype  Jun. 25, 2020
Dexur’s analysis of medicare claims of hospitals within a 25-mile radius of Denver, Colorado, showed that OrthoColorado Hospital, Porter Adventist Hospital, and Sky Ridge Medical Center had the best value outcomes over a 90-day episode for Hip & Knee Replacement. Dexur’s value analysis tracks a patient’s episode of care 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 Community Health Provider Alliance, Boulder Valley Care Network, and Banner Network Colorado 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 & Knee Replacement Surgery in Colorado was $20,122 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,853 and the average rehospitalization was $1,648. The cost per rehospitalization was at an average of $17,705. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $813.
The state average nursing home cost per hospitalization when a nursing home is involved was $10,849 and the average home health cost per hospitalization when a home health agency is involved was $3,192.
OrthoColorado Hospital’s total cost of care over a 90-day episode was $16,205 (for the period between July 2016 to June 2019). The index hospitalization cost was $13,363 and the average rehospitalization cost was $1,140. The cost per rehospitalization was at an average of $14,756. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $839.
The average home health cost per hospitalization when a home health agency is involved was $2,893. The average cost per hospitalization for the top home health partners for Hip & Knee Replacement for OrthoColorado Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $5,466. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for OrthoColorado Hospital were:
Porter Adventist Hospital’s total cost of care over a 90-day episode was $16,579 (for the period of July 2016 to June 2019). The index hospitalization cost was $14,179 and the average rehospitalization cost was $1,054. The cost per rehospitalization was at an average of $19,740. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $812.
The average home health cost per hospitalization when a home health agency is involved was $3,468. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Porter Adventist Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $9,475. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Porter Adventist Hospital were:
Sky Ridge Medical Center’s total cost of care over a 90-day episode was $18,473 (for the period of July 2016 to June 2019). The index hospitalization cost was $13,886 and the average rehospitalization cost was $1,963. The cost per rehospitalization was at an average of $17,756. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $686.
The average home health cost per hospitalization when a home health agency is involved was $3,160. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Sky Ridge Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $8,143. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Sky Ridge Medical Center were:
The detailed value outcomes and cost of care reports for Hip & Knee Replacement in Denver, CO, includes the following data points: