By: Sruthy Iype  Jun. 26, 2020
Dexur’s analysis of medicare claims of hospitals within a 10-mile radius of Seattle, Washington, showed that Overlake Medical Center, UW Medical Center - Northwest, and Highline Medical Center had the best value outcomes over a 90-day episode for Heart Failure. 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 helps patients make appropriate choices and helps local ACOs such as Valley Medical Group-Renton, The Polyclinic, Health Connect Partners, Rainier Health Network, and MultiCare Connected Care make appropriate referrals choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 291: Heart Failure And Shock With Major Complication Or Comorbidity, to adjust for complications and comorbidities.
The average cost of care over a 90-day episode for Heart Failure in Washington was $25,975 (for the period between July 2016 to June 2019). The index hospitalization cost was $10,993 and the average rehospitalization was $9,629. The cost per rehospitalization was at an average of $23,101. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,291.
The state average nursing home cost per hospitalization when a nursing home is involved was $15,425 and the average home health cost per hospitalization when a home health agency is involved was $3,954.
Overlake Medical Center’s total cost of care over a 90-day episode was $22,318 (for the period of July 2016 to June 2019). The index hospitalization cost was $9,641 and the average rehospitalization cost was $6,212. The cost per rehospitalization was at an average of $16,151. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,413.
The average home health cost per hospitalization when a home health agency is involved was $5,053. The average cost per hospitalization for the top home health agency partners for Heart Failure for Overlake Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $18,799. The average cost per hospitalization for the top nursing home partners for Heart Failure for Overlake Medical Center were:
UW Medical Center - Northwest’s total cost of care over a 90-day episode was $22,557 (for the period of July 2016 to June 2019). The index hospitalization cost was $10,045 and the average rehospitalization cost was $7,524. The cost per rehospitalization was at an average of $19,391. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $897.
The average home health cost per hospitalization when a home health agency is involved was $4,280. The average cost per hospitalization for the top home health agency partners for UW Medical Center - Northwest were:
The average nursing home cost per hospitalization when a nursing home is involved was $15,903. The average cost per hospitalization for the top nursing home partners for Heart Failure for UW Medical Center - Northwest were:
Highline Medical Center’s total cost of care over a 90-day episode was $24,911 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,281 and the average rehospitalization cost was $8,117. The cost per rehospitalization was at an average of $22,557. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,200.
The average home health cost per hospitalization when a home health agency is involved was $3,914. The average cost per hospitalization for the top home health partners for Heart Failure for Highline Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $16,504. The average cost per hospitalization for the top nursing home partners for Heart Failure for Highline Medical Center were:
The detailed value outcomes and cost of care reports for Heart Failure in Seattle, WA, includes the following data points: