SSM DePaul Health Center had Missouri’s Lowest Unplanned Readmission Rate for Alcohol and Drug Abuse Patients at 5.14%



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By: Saparja Nag  Apr. 24, 2018

Dexur analysts studied CMS Medicare claims for alcohol and drug abuse inpatients at Missouri hospitals to determine that SSM DePaul Health Center led the state with the lowest unplanned readmission rate of 5.14% and the 4th lowest average LOS for a 30-day episode of care with unplanned readmissions at 3.78 days. Truman Medical Center Lakewood was another high-performing Missouri hospital for alcohol and drug abuse patients with the 2nd lowest unplanned readmission rate in the state of 10.38% and the 5th lowest average 30-day episode of care LOS with unplanned readmissions at 4.15 days. Ranking 3rd by readmission rate was Research Medical Center at 11.54%, which also ranked 6th for average LOS for a 30-day episode of care including unplanned readmissions at 4.54 days. Twin Rivers Regional Medical Center followed with an unplanned readmission rate of 12.28% to rank 4th and an average LOS of 4.61 days to rank 7th. The last hospital to have an unplanned readmission rate below the national average of 13.33% was Poplar Bluff Regional Medical Center - Oak Grove at 12.36%.

The 22 hospitals included in this analysis had to meet two main criteria: account for at least 50 DRG-897 (Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without Major Complication or Comorbidity) discharges and at least 11 DRG-897 readmissions between January 2013 and December 2016. Unplanned readmission rate only accounts for DRG-897 patients readmitted within 30 days of their index hospital stay via the emergency department. Similarly, the average 30-day episode of care LOS with unplanned readmissions accounts for the total days hospitalized during the index hospital stay and if readmitted via the ED, those days in the hospital as well.

SSM DePaul Health Center and Truman Medical Center Lakewood also ranked in the top 3 for the lowest average LOS for a 30-day episode of care including all readmissions (unplanned and planned). SSM DePaul Health Center ranked 3rd for this metric with a rate of 4.44 days, while Truman Medical Center Lakewood took 2nd at 4.40 days. In addition, they had the lowest overall readmission rates (including unplanned and planned) in the state where SSM DePaul Health Center took 1st at 15.02% and Truman Medical Center Lakewood had the 2nd lowest rate at 15.09%. Ranking in the top five for all the aforementioned metrics (unplanned readmission rate, average LOS for 30-day episode of care with unplanned readmissions, average LOS for 30-day episode with all readmissions, and all readmission rate) indicates that the hospitals have been able to treat Medicare patients diagnosed with DRG-897 efficiently without increasing complications post-discharge.

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ABOUT THE AUTHOR

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Saparja Nag

Saparja is a healthcare journalist with a particular interest in how medicine can and should affect health policy. She has extensive experience as a health educator and research scientist in biochemistry. She also enjoys running, cooking elaborate meals, and then eating elaborate meals. Saparja received a Bachelors of Arts in Biochemistry from Vassar College.