By: Jeffrey Maser  Feb. 09, 2018
A Dexur study of 2013 - 2016 Medicare inpatient data from CMS indicates that Dr. Richard D. Schmidt, of Baxter Regional Medical Center, reported the lowest average length of stay (LOS) for heart failure out of all Arkansas physicians at 3.6 days. Baxter Regional, located in Mountain Home, is also the practicing hospital for the 2nd through 4th ranked physicians for lowest average length of stay in the state. Dr. Lincoln Alexander Godfrey and Dr. Daniel C. Goodwin both reported a 3.9 day average length of stay to tie for 2nd in the rankings and Dr. Stephen R. Wilber ranked 4th with a 4.1 day average length of stay. Dr. Christopher Robin Clark, of Mercy Hospital Northwest Arkansas in Rogers, also recorded a 4.1 day average LOS to tie for 4th in the rankings. Dr. Melissa Dirst-Roberts, yet another Baxter Regional physician, tied with two other physicians to rank 6th overall at 4.3 days.
Average length of stay was measured for Arkansas physicians between January 2013 - December 2016 for DRG-291, which represents heart failure and shock with major complication or comorbidity. This specific DRG was selected for the study as it is the highest volume diagnosis related group within heart failure. Between 2013 and 2016, U.S. Medicare enrollees accounted for a total of 928,222 DRG-291 discharges, including 11,195 discharges from enrollees from Arkansas.
With six physicians from Baxter Regional Medical Center accounting for very low average LOS compared to the rest of the state, it is not surprising that the hospital itself also reported the lowest average length of stay of all major Arkansas facilities during the analyzed time period. Baxter Regional accounted for a 4.22 day average LOS, which was over a day and a half lower than the national average of 5.79 days for U.S. Medicare enrollees. The average LOS for Arkansas Medicare enrollees, specifically, was just over one quarter of a day lower than the national average at 5.22 days. Even more impressive is the metric for 2016 alone; Baxter Regional accounted for a 3.99 day average length of stay between January - December 2016.
|Arkansas Physicians with the Lowest Average Length of Stay for DRG-291 (January 2013 - December 2016)|
|Average Length of Stay Rank (Lowest to Highest)||Physician Name||Practicing Hospital||Practicing Hospital City||Average Length of Stay (Days)|
|U.S. Medicare Enrollees||5.79|
|Arkansas Medicare Enrollees||5.51|
|1||Dr. Richard D Schmidt||Baxter Regional Medical Center||Mountain Home||3.6|
|2||Dr. Lincoln Alexander Godfrey||Baxter Regional Medical Center||Mountain Home||3.9|
|3||Dr. Daniel C Goodwin||Baxter Regional Medical Center||Mountain Home||3.9|
|4||Dr. Stephen R. Wilber||Baxter Regional Medical Center||Mountain Home||4.1|
|5||Dr. Christopher Robin Clark||Mercy Hospital Northwest Arkansas||Rogers||4.1|
|6||Dr. Melissa Dirst-Roberts||Baxter Regional Medical Center||Mountain Home||4.3|
|7||Dr. Benjamin Wagner Carlyle||Unity Health - White County Medical Center||Searcy||4.3|
|8||Dr. Christopher Ryan Flood Pease||Mercy Hospital Fort Smith||Fort Smith||4.3|
|9||Dr. Mohammad Nurul Anower||Mercy Hospital Fort Smith / Sparks Regional Medical Center||Fort Smith||4.5|
|10||Dr. Michael C. Fischer||Baptist Health Medical Center - North Little Rock||North Little Rock||4.5|