OSS Orthopaedic Hospital has the best value outcomes for Hip & Knee Replacement in York, PA

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By: Sruthy Iype  Jul. 06, 2020

Dexur’s analysis of Medicare claims of hospitals within a 25-mile radius of York, Pennsylvania, showed that OSS Orthopaedic Hospital had the best value outcomes over a 90-day episode for Hip & Knee Replacement, followed by UPMC Pinnacle Harrisburg and Lancaster General Hospital. 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 WellSpan Population Health Services 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, to adjust for complications and comorbidities.

The average cost of care over a 90-day episode for Hip & Knee Replacement in Pennsylvania was $19,953 (for the period between July 2016 to June 2019). The index hospitalization cost was $13,659 and the average rehospitalization cost per hospitalization cost was $2,590. The cost per rehospitalization was at an average of $17,942. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $708.

The state average nursing home cost per hospitalization when a nursing home is involved was $9,250 and the average home health cost per hospitalization when a home health agency is involved was $3,000.

OSS Orthopaedic Hospital

OSS Orthopaedic Hospital’s total cost of care over a 90-day episode was $18,667 (for the period between July 2016 to June 2019). The index hospitalization cost was $12,123 and the average rehospitalization cost was $3,761. The cost per rehospitalization was at an average of $15,959. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $772.

The average home health cost per hospitalization when a home health agency is involved was $2,996. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for OSS Orthopaedic Hospital were:

  1. Spiritrust Lutheran Home Care & Hospice, Chambersburg, PA ($2,529)
  2. Visiting Nurse Association of Hanover and Spring Grove, Hanover, PA ($2,801)
  3. Wellspan VNA Home Care, York, PA ($2,938)
  4. OSS Health At Home, York, PA ($3,000)
  5. Encompass Home Health Of Pennsylvania, York, PA ($3,334)

The average nursing home cost per hospitalization when a nursing home is involved was $11,282.

UPMC Pinnacle Harrisburg

UPMC Pinnacle Harrisburg’s total cost of care over a 90-day episode was $19,005 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,724 and the average rehospitalization cost was $2,634. The cost per rehospitalization was at an average of $20,135. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $794.

The average home health cost per hospitalization when a home health agency is involved was $3,115. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for UPMC Pinnacle Harrisburg were:

  1. Affilia Home Health, Lancaster, PA ($2,771)
  2. Team Home Health, Mcconnellsburg, PA ($2,881)
  3. Southeastern Home Care Services of PA, Elizabethtown, PA ($2,995)
  4. Bayada Home Health Care, Harrisburg, PA ($3,354)
  5. Residential Home Health of Carlisle, Mechanicsburg, PA ($3,374)

The average nursing home cost per hospitalization when a nursing home is involved was $9,564. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for UPMC Pinnacle Harrisburg were:

  1. Penn State Health Transitional Care, Hummelstown, PA ($4,691)
  2. Messiah Lifeways, Mechanicsburg, PA ($6,637)
  3. Vibra Rehabilitation Center, Mechanicsburg, PA ($8,445)
  4. Fulton County Medical Center, Mcconnellsburg, PA ($20,325)

Lancaster General Hospital

Lancaster General Hospital’s total cost of care over a 90-day episode was $20,695 (for the period between July 2016 to June 2019). The index hospitalization cost was $14,637 and the average rehospitalization cost was $2,397. The cost per rehospitalization was at an average of $16,667. 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 $2,643. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Lancaster General Hospital were:

  1. Affilia Home Health, Lancaster, PA ($2,391)
  2. Bayada Home Health Care, Harrisburg, PA ($2,788)
  3. Amedisys Home Health, Lancaster, PA ($2,918)
  4. Kindred at Home, Lancaster, PA ($3,582)
  5. Southeastern Home Care Services of PA, Elizabethtown, PA ($3,722)

The average nursing home cost per hospitalization when a nursing home is involved was $10,116. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Lancaster General Hospital were:

  1. Masonic Village At Elizabethtown, Elizabethtown, PA ($7,326)
  2. Mennonite Home, The, Lancaster, PA ($7,732)
  3. Rehabilitation Center At Brethren Village LLC, Lancaster, PA ($8,614)
  4. Glen At Willow Valley, Lancaster, PA ($9,649)
  5. Quarryville Presbyterian Retirement Community, Quarryville, PA ($15,440)

To access the premium report, please email dexur@dexur.com for details

The detailed value outcomes and cost of care reports for Hip & Knee Replacement in York, PA, includes the following data points:

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