Retained Blood Syndrome in Cardiac Surgeries is associated with higher costs over a 90-day Episode of Care at Three Top Hospitals


In Cardiovascular

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By: Neha Thomas  Jun. 29, 2020

Retained blood syndrome (RBS) occurs when drainage systems fail to adequately evacuate blood during recovery from cardiothoracic surgery. Dexur analyzed RBS related complications at three top hospitals to understand value outcomes over a 90-day episode of care. Hospitals, ACOs & Payors benefit from value outcomes and cost of care outcomes data to help manage overall population health. Patients benefit from this data as they can make informed choices regarding the facilities that will provide them the best care for specific conditions with the best value. Value outcomes are also closely aligned to bundled payment initiatives by CMS and other payors.

Methodology to understand the impact of RBS on cost outcomes over a 90-day episode of care is given below:

Cost of Care ComponentsDescriptionHospice Avg. LOS (Oct 2016 to Sep 2019)Avg. Payment for Hospice User (Oct 2016 to Sep 2019)
Index HospitalizationAdmission Cost plus Discharge Cost at the initial hospital51.68$11,380
First interaction nursing home costCost incurred at the first nursing home visited post-discharge from the hospital where index hospitalization happened17.36$5,318
Other interaction nursing home costCost incurred at other nursing homes post-discharge from the first interaction nursing home14.44$4,772
First interaction home health agency costCost incurred at the first home health agency visited post-discharge from the hospital where index hospitalization happened21.58$6,444
Other interaction home health agency costCost incurred at other home health agencies post-discharge from the first interaction HHA11.63$4,697
Rehospitalization costsCost incurred due to re-hospitalization post initial discharge21.39$5,966
ED costCost incurred for care at any Emergency Department post-discharge from the hospital where index hospitalization happened

Results:

The results (in the below table) show that the RBS cohort was associated with higher costs for all the three hospitals analyzed - $7946 (Cleveland Clinic), $11,328 (Mayo Clinic), and $9,578 (Morristown Medical Center)

HospitalAvg. Cost of Care over a 90 Day Episode of Care with RBSAvg. Cost of Care over a 90 Day Episode of Care without RBSDifference
Cleveland Clinic (Cleveland, OH)$57,151$49,205$7,946
Mayo Clinic (Rochester, MN)$77,840$66,512$11,328
Morristown Medical Center (Morristown, NJ)$62,861$53,283$9,578