Riverview Medical Center, Robert Wood Johnson University Hospital Hamilton, and Ocean Medical Center have the Best Value Outcomes for Hip and Knee Replacement in Toms River, NJ

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By: Barsha Nandy  Jun. 29, 2020

Dexur’s analysis of medicare claims of hospitals within a 25-mile radius of Toms River, NJ, showed that Riverview Medical Center, Robert Wood Johnson University Hospital Hamilton, and Ocean Medical Center had the best value outcomes over a 90-day episode for Hip and Knee Replacement. The episode of care tracks a patient journey 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 AtlantiCare Health Solutions, Kennedy Health Alliance, and Shore Quality Partners ACO, LLC to 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 and Knee Replacement in New Jersey was $24,783 (for the period between July 2016 and June 2019). The index hospitalization cost was $15,776 and, while the average rehospitalization cost per hospitalization was $2,964, the cost per rehospitalization was at an average of $20,651. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $903.

The state average nursing home cost per hospitalization when a nursing home is involved was $11,059 and the average home health cost per hospitalization when a home health agency is involved was $3,539.

Riverview Medical Center

Riverview Medical Center’s total cost of care over a 90 day episode was $21,462 (for the period between July 2016 and June 2019). The index hospitalization cost was $14,105 and the average rehospitalization cost per hospitalization was $2,195. The cost per rehospitalization was at an average of $19,676. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $987.

The average home health cost per hospitalization when a home health agency is involved was $3,124. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Riverview Medical Center were:

  1. Hackensack Meridian Health JFK at Home, Clark, NJ - $2,956
  2. Hackensack Meridian Health at Home Monmouth County, Neptune, NJ - $3,048
  3. Hackensack Meridian Health at Home Ocean County, Brick, NJ - $3,055
  4. VNA of Central Jersey Home Care & Hospice, Toms River, NJ - $3,648

The average nursing home cost per hospitalization when a nursing home is involved was $8,479. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Riverview Medical Center were:

  1. Hackensack Meridian Health Subacute Rehabilitation, Wall, NJ - $5,600
  2. Bayshore Healthcare, Holmdel, NJ - $7,383
  3. Hackensack Meridian Health Nursing & Rehabilitation - Shrewsbury, Shrewsbury, NJ - $8,391
  4. CareOne at King James, Atlantic Highlands, NJ - $11,958

Robert Wood Johnson University Hospital Hamilton

RWJUH Hamilton’s total cost of care over a 90 day episode was $22,383 (for the period between July 2016 and June 2019). The index hospitalization cost was $12,929 and the average rehospitalization cost per hospitalization was $3,637. The cost per rehospitalization was at an average of $20,701. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $803.

The average home health cost per hospitalization when a home health agency is involved was $3,125. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for RWJUH Hamilton were:

  1. Robert Wood Johnson Visiting Nurses, North Brunswick, NJ - $2,800
  2. Penn Medicine Princeton Homecare, West Windsor, NJ - $3,044
  3. Mercer Care, Bordentown, NJ - $3,169
  4. VNA Home Care of Mercer County, Trenton, NJ - $3,263
  5. VNA of Central Jersey Home Care & Hospice, Toms River, NJ - $3,348

The average nursing home cost per hospitalization when a nursing home is involved was $9,923. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for RWJUH Hamilton were:

  1. St. Lawrence Rehabilitation Center, Lawrenceville, NJ - $6,784
  2. Atrium Post Acute Care of Hamilton, Hamilton, NJ - $12,175
  3. Hamilton Continuing Care, Hamilton, NJ - $18,490

Ocean Medical Center

Ocean Medical Center’s total cost of care over a 90 day episode was $23,161 (for the period between July 2016 and June 2019). The index hospitalization cost was $14,425 and the average rehospitalization cost per hospitalization was $3,045. The cost per rehospitalization was at an average of $19,953. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $764.

The average home health cost per hospitalization when a home health agency is involved was $3,693. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Ocean Medical Center were:

  1. Hackensack Meridian Health at Home Monmouth County, Neptune, NJ - $3,333
  2. VNA of Central Jersey Home Care & Hospice, Toms River, NJ - $3,483
  3. Hackensack Meridian Health at Home Ocean County, Brick, NJ - $3,748
  4. Bayada Home Health Care, Whiting, NJ - $4,558

The average nursing home cost per hospitalization when a nursing home is involved was $8,341. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Ocean Medical Center were:

  1. Hackensack Meridian Health Subacute Rehabilitation, Wall, NJ - $4,512
  2. Southern Ocean Medical Center, Manahawkin, NJ - $5,648
  3. Care One At Wall, Wall, NJ - $9,632
  4. Willow Springs Rehabilitation and Healthcare Center, Brick, NJ - $11,029
  5. Hackensack Meridian Health Nursing & Rehabilitation - Brick, Brick, NJ - $11,252

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

The detailed value outcomes and cost of care report for Hip and Knee Replacement in Toms River, NJ, includes the following data points:

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