By: Sruthy Iype  May. 11, 2020
Dexur’s analysis of Medicare Claims of hospitals in the San Diego Area revealed that Sharp Coronado Hospital, Scripps Green Hospital, and Palomar Health Downtown Campus had the lowest cost of care over a 90-day episode for Hip & Knee Replacement (DRG 470). For the period between April 2016 to March 2019, the study tracked the patient journey from the date of admission for 90 days, including the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. The total cost of care helps patients make appropriate choices and helps local ACOs such as UC San Diego Health Accountable Care Network, Scripps Accountable Care Organization, and Pacific Accountable Care 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.
Sharp Coronado Hospital
Sharp Coronado Hospital ’s total cost of care over a 90-day episode was $18,686 (for the period between April 2016 to March 2019). The index hospitalization cost was $12,886 and the average rehospitalization cost was $1,688. The readmission rate was 2.1% and the cost per rehospitalization was at an average of $24,764.
The hospital’s home health agency discharge rate was 44.93% and the average home health cost per hospitalization when a home health agency is involved was $3,706. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Sharp Coronado Hospital are:
The Skilled Nursing Facility (SNF) discharge rate was 17.48% and the average nursing home cost per hospitalization when a nursing home is involved was $11,069. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Sharp Coronado Hospital are:
The top surgeons who performed Hip & Knee Replacement surgeries at Sharp Coronado Hospital were:Scripps Green Hospital
Scripps Green Hospital’s total cost of care over a 90-day episode was $19,114 (for the period of April 2016 to March 2019). The index hospitalization cost was $12,912 and the average rehospitalization cost was $841. The readmission rate was 3.24% and the cost per rehospitalization was at an average of $15,981.
The home health agency discharge rate was 68.8% and the average home health cost per hospitalization when a home health agency is involved was $3,821. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Scripps Green Hospital are:
The SNF discharge rate for the hospital was 16.0% and the average nursing home cost per hospitalization when a nursing home is involved was $11,174. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Scripps Green Hospital are:
The top surgeons who performed Hip & Knee Replacement surgeries at Scripps Green Hospital were:
Palomar Health Downtown Campus
Palomar Health Downtown Campus’s total cost of care over a 90-day episode was $19,798 (for the period of April 2016 to March 2019). The index hospitalization cost was $11,557 and the average rehospitalization cost was $2,344. The readmission rate was 7.0% and the cost per rehospitalization was at an average of $20,346.
The home health agency discharge rate was 71.33% and the average home health cost per hospitalization when a home health agency is involved was $3,471. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Palomar Health Downtown Campus are:
The hospital’s SNF discharge rate was 19.89% and the average nursing home cost per hospitalization when a nursing home is involved was $17,024. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Palomar Health Downtown Campus are:
The top surgeons who performed Hip & Knee Replacement surgeries at Palomar Health Downtown Campus were:
Dexur Pro Members Get Access To:
The detailed cost of care report for the top ten hospitals in the San Diego area with the lowest cost of care for Hip & Knee Replacement (DRG 470), including the following data :