By: Jeffrey Maser  Mar. 12, 2018
Dexur analysts studied Medicare gastrointestinal hemorrhage inpatient data for Florida hospitals and found that Sacred Heart Hospital on the Emerald Coast in Destin accounted for the lowest average length of stay (LOS) for a 30-day episode of care with unplanned readmissions of all hospitals in the state at 2.89 days between 2013-2016. Sacred Heart Hospital on the Emerald Coast was the only facility in the state with an average LOS for a 30-day episode of care under 3 days. Florida Hospital North Pinellas in Tarpon Springs ranked 2nd at 3.28 days, Twin Cities Hospital in Niceville ranked 3rd at 3.3 days, Mayo Clinic Hospital in Jacksonville ranked 4th at 3.36 days, and Bayfront Health Dade City in Dade City ranked 5th at 3.43 days. 17 other hospitals in the state had a 30-day episode of care average LOS under 4 days while no hospital in the state averaged higher than 5 days.
The average length of stay measure for a 30-day episode of care with unplanned readmissions is made up of days during the index hospital stay plus any additional unplanned days spent in the hospital within the first 30 days post-discharge. Unplanned readmissions are defined as hospital readmissions via the emergency department. It is important to note that patients are not necessarily readmitted to the index hospital for subsequent stays. Hospitals in Florida were included in the rankings if they accounted for a minimum of 30 DRG-378 (Gastrointestinal Hemorrhage With Complication or Comorbidity) discharges between January 2013 - December 2016. Discharges where the patient expired, was transferred, or was discharged against medical advice were excluded from the totals.
Two main contributors to Sacred Heart Hospital on the Emerald Coast's best-in-state 30-day episode of care average LOS were their index hospital stay average LOS of 2.54 days and their readmitted hospital stay average LOS of 3.26 days. Both of these rates ranked highest in the state as well, suggesting particularly high quality care. 96 Florida hospitals met the criteria for this analysis and it is quite rare for a hospital to rank 1st in all three of these measures. Sacred Heart Hospital on the Emerald Coast also performed very well in relation to other Florida hospitals in discharging patients directly home following the initial discharge with a home discharge rate on the index hospital stay of 77.46%, which ranked 3rd in the state.