By: Parvathy Rajagopal  Sep. 14, 2020
Dexur’s analysis of medicare claims of hospitals within a 10-mile radius of Fort Smith, Arkansas, showed that Sparks Regional Medical Center and Mercy Hospital Fort Smith 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 data helps patients make appropriate choices and helps local ACOs 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.
Sparks Regional Medical Center’s total cost of care over a 90 day episode was $20,722 (for the period between July 2016 and June 2019). The index hospitalization cost was $10,859 and the average rehospitalization cost per hospitalization was $3,394. The cost per rehospitalization was at an average of $17,683. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $577.
The average home health cost per hospitalization when a home health agency is involved was $3,694. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Sparks Regional Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $14,110. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Sparks Regional Medical Center were:
Mercy Hospital Fort Smith’s total cost of care over a 90 day episode was $20,872 (for the period between July 2016 and June 2019). The index hospitalization cost was $11,741 and the average rehospitalization cost per hospitalization was $4,154. The cost per rehospitalization was at an average of $16,149. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $728.
The average home health cost per hospitalization when a home health agency is involved was $3,411. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Mercy Hospital Fort Smith were:
The average nursing home cost per hospitalization when a nursing home is involved was $10,896. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Mercy Hospital Fort Smith were:
The detailed value outcomes and cost of care reports for Hip and Knee Replacement in Fort Smith, AR, includes the following data points: