By: Saparja Nag  Feb. 02, 2018
A analysis conducted by Dexur on major Illinois hospitals indicated that Rush University Medical Center had the lowest skilled nursing facility (SNF) discharge rate at 11.48% for DRG-683 (renal failure with complication or comorbidity), less than half the average SNF discharge rate of Illinois. It was one of 23 Illinois hospitals to have a SNF discharge rate less than the state average. SNF discharge rate does not necessarily speak to the efficiency of a hospital in providing care for their patients with renal failure, but rather is more often a reflection of the patients’ baseline of health. Certain patients tend to be sicker or require assistance in care and therefore are more likely to be admitted to SNFs.
This analysis was conducted on hospitals located in Illinois with at least 3,500 Medicare inpatient discharges total and at least 11 discharges at the DRG level during the time period of January - December 2016. For this study of DRG-683, one of the diagnosis related groups classified under renal failure, there were 47 total hospitals that met this criteria. The two other renal failure DRGs are DRG-682 (renal failure with major complication or comorbidity) and DRG-684 (renal failure without complication or comorbidity/major complication or comorbidity).
Loyola University Medical Center joined Rush University Medical Center as the only two Illinois hospitals to achieve SNF discharge rates for DRG-683 under 12%, where Loyola had a SNF discharge rate of 11.82%. Following them was Northwestern Memorial Hospital at 13.25%. University of Chicago Medical Center ranked 4th with a SNF discharge rate of 15.40%. Ranking 5th was Herrin Hospital, which discharged 19.40% of DRG-683 patients to SNFs.