Saint Thomas Hospital for Specialty Surgery, Parkwest Medical Center, and Fort Sanders Regional Medical Center have the best value outcomes for Hip and Knee Replacement in Tennessee

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By: Neha Thomas  May. 27, 2020

Dexur’s analysis of medicare claims of hospitals in Tennessee showed that Saint Thomas Hospital for Specialty Surgery, Parkwest Medical Center, and Fort Sanders Regional Medical Center had the best value outcomes over a 90 day episode for Hip & Knee replacement. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes the index hospitalizations, rehospitalization, home health, nursing home and ED costs. Total cost of care helps patients make appropriate choices and helps local ACOs such as AdvantagePoint Health Alliance - Blue Ridge, LLC, Ascension Care Management Health Partners Tennessee, and Crestwood Regional Healthcare Alliance make appropriate referrals choices. The analysis was risk adjusted 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 & Knee replacement in Tennessee was $14,566 (for the period between April 2016 and March 2019). The index hospitalization cost was $9,739 and the average rehospitalization cost was $1,681. The readmission rate was 7.65% and the cost per rehospitalization was at an average of $14,519.

The Skilled Nursing Facility ( SNF) discharge rate was 20.84% while the home health agency discharge rate stood at 15.45%. Meanwhile, the state average nursing home cost per hospitalization when a nursing home is involved was $9,284 and the average home health cost per hospitalization when a home health agency is involved was $3,219.

Saint Thomas Hospital for Specialty Surgery

Saint Thomas Hospital for Specialty Surgery’s total cost of care over a 90 day episode was $9,699 (for the period between April 2016 and March 2019). The index hospitalization cost was $9,153 and the average rehospitalization cost was $218, while the cost per rehospitalization was at an average of $5,623.

The average home health cost per hospitalization when a home health agency is involved was $2,309 and the average nursing home cost per hospitalization when a nursing home is involved was $3,840.

The top surgeons who performed Hip & Knee Replacement surgeries at Saint Luke's South Hospital for the lowest costs were:

  1. PHILIP ANTHONY GEORGE KARPOS
  2. WILLIAM BAILEY KURTZ
  3. STUART ELDRIDGE SMITH

Parkwest Medical Center

Parkwest Medical Center’s total cost of care over a 90 day episode was $10,380 (for the period between April 2016 and March 2019). The index hospitalization cost was $7,517 and the average rehospitalization cost was $649. The readmission rate was 4.38% and the cost per rehospitalization was at an average of $9,321.

The home health agency discharge rate was 20.74% and the average home health cost per hospitalization when a home health agency is involved was $2,665. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Parkwest Medical Center were:

The Skilled Nursing Facility (SNF) discharge rate was 25.32% and the average nursing home cost per hospitalization when a nursing home is involved was $5,991. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Parkwest Medical Center were:

The top surgeons who performed Hip & Knee Replacement surgeries at Parkwest Medical Center for the lowest costs were:

  1. BRIAN M. COVINO
  2. HERMAN G BOTERO
  3. PAUL LAWRENCE BECKER

Fort Sanders Regional Medical Center

Fort Sanders Regional Medical Center’s total cost of care over a 90 day episode was $11,245(for the period between April 2016 and March 2019). The index hospitalization cost was $8,320 and the average rehospitalization cost was $775. The readmission rate was 3.99% and the cost per rehospitalization was at an average of $11,310.

The home health agency discharge rate was 8.93% and the average home health cost per hospitalization when a home health agency is involved was $2,831. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Fort Sanders Regional Medical Center were:

The Skilled Nursing Facility (SNF) discharge rate was 20.89% and the average nursing home cost per hospitalization when a nursing home is involved was $7,526. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Fort Sanders Regional Medical Center were:

The top surgeons who performed Hip & Knee Replacement surgeries at Fort Sanders Regional Medical Center for the lowest costs were:

  1. MICHAEL T CASEY
  2. JOHN M REYNOLDS
  3. PAUL FRANKLIN YAU

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The detailed cost of care report of the top ten most cost-efficient hospitals for Hip & Knee replacement in Tennessee (Apr 2016 to Mar 2019), including data with respect to the following:

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