Signature Healthcare Brockton Hospital has the best value outcomes for Hip and Knee Replacement in Brockton, MA



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By: Barsha Nandy  Jul. 09, 2020

Dexur’s analysis of Medicare claims of hospitals within a 10-mile radius of Brockton, MA, showed that Signature Healthcare Brockton Hospital had the best value outcomes over a 90 day episode for Hip and Knee Replacement, followed by South Shore Hospital and Good Samaritan Medical Center. 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 data helps patients make appropriate choices and helps local ACOs, such as Connected Care of Southeastern Massachusetts, Beth Israel Deaconess Care Organization, and MACIPA make appropriate referral 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 Massachusetts was $25,428 (for the period between July 2016 and June 2019). The index hospitalization cost was $16,525 and, while the average rehospitalization cost per hospitalization was $2,161, the cost per rehospitalization was at an average of $18,989. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $929.

The state average nursing home cost per hospitalization when a nursing home is involved was $9,391 and the average home health cost per hospitalization when a home health agency is involved was $3,986.

Signature Healthcare Brockton Hospital

Signature Healthcare Brockton Hospital’s total cost of care over a 90 day episode was $23,428 (for the period between July 2016 and June 2019). The index hospitalization cost was $16,811 and the average rehospitalization cost per hospitalization was $650. The cost per rehospitalization was at an average of $11,701. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,095.

The average home health cost per hospitalization when a home health agency is involved was $4,614. The average cost per hospitalization for the top home health agency partner for Hip and Knee Replacement for Signature Healthcare Brockton Hospital was:

  1. Brockton VNA, Brockton, MA - $4,634

The average nursing home cost per hospitalization when a nursing home is involved was $10,992. The average cost per hospitalization for the top nursing home partner for Hip and Knee Replacement for Signature Healthcare Brockton Hospital was:

  1. Tcu-Brockton Hospital, Brockton, MA ($6,483)

South Shore Hospital

South Shore Hospital’s total cost of care over a 90 day episode was $24,851 (for the period between July 2016 and June 2019). The index hospitalization cost was $15,931 and the average rehospitalization cost per hospitalization was $1,511. The cost per rehospitalization was at an average of $14,251. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $872.

The average home health cost per hospitalization when a home health agency is involved was $4,293. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for South Shore Hospital were:

  1. VNA of Cape Cod - Hyannis, Hyannis, MA - $3,509
  2. Bayada Home Health Care, Plymouth, MA - $4,033
  3. South Shore VNA, Rockland, MA - $4,070
  4. NVNA and Hospice, Norwell, MA - $4,766
  5. Partners Healthcare At Home, Waltham, MA - $4,911

The average nursing home cost per hospitalization when a nursing home is involved was $10,228. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for South Shore Hospital were:

  1. Queen Anne Nursing Home, Inc, Hingham, MA - $8,285
  2. Linden Ponds, Hingham, MA - $8,813
  3. Alliance Health at Braintree, Braintree, MA - $9,095
  4. Harbor House Rehabilitation & Nursing Center, Hingham, MA - $10,275
  5. CareOne at Weymouth, Weymouth, MA - $11,858

Good Samaritan Medical Center

Good Samaritan Medical Center’s total cost of care over a 90 day episode was $27,052 (for the period between July 2016 and June 2019). The index hospitalization cost was $16,427 and the average rehospitalization cost per hospitalization was $2,239. The cost per rehospitalization was at an average of $21,158. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,013.

The average home health cost per hospitalization when a home health agency is involved was $4,381. The average cost per hospitalization for the top home health agency partners for Hip and Knee Replacement for Good Samaritan Medical Center were:

  1. Steward Home Care, Westwood, MA - $4,223
  2. Amedisys Home Health Care, Lawrence, MA ($4,429)
  3. Stoughton Public Health Association, Stoughton, MA ($4,555)
  4. Brockton VNA, Brockton, MA ($5,119)

The average nursing home cost per hospitalization when a nursing home is involved was $10,005. The average cost per hospitalization for the top nursing home partners for Hip and Knee Replacement for Good Samaritan Medical Center were:

  1. Life Care Center of West Bridgewater, West Bridgewater, MA - $9,160
  2. Life Care Center of Raynham, Raynham, MA - $9,220
  3. Copley At Stoughton Nursing Care Center, Stoughton, MA - $9,784
  4. Hannah B G Shaw Home For The Aged, Middleboro, MA - $11,631

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 Brockton, MA, includes the following data points: