By: Saparja Nag  Jan. 25, 2018
According to an analysis done by Dexur, St. John Medical Center in Tulsa discharged the most Medicare inpatients with intracranial hemorrhages or cerebral infarctions of major hospitals in Oklahoma, with a total of 601 discharges between January and December 2016. The next two highest ranked hospitals were Mercy Hospital Oklahoma City and St. Francis Hospital with 364 and 352 relevant Medicare discharges, respectively. St. John Medical Center had roughly 65% more discharges than Mercy Hospital and 71% more than St. Francis Hospital. Intracranial hemorrhage and cerebral infarction conditions include 3 diagnosis-related groups defined below: DRG-064, DRG-065, and DRG-066.
DRG-064 | Intracranial hemorrhage or cerebral infarction with major complication or comorbidity |
DRG-065 | Intracranial hemorrhage or cerebral infarction with complication or comorbidity or TPA in 24 hours |
DRG-066 | Intracranial hemorrhage or cerebral infarction without complication or comorbidity/major complication or comorbidity |
The data analyzed was collected from Oklahoma hospitals with over 3,500 total Medicare inpatient discharges and at least 11 discharges for each DRG at the hospital level. Although discharge volume is not directly reflective of the quality of care offered by a hospital’s services, it may be indicative of which hospitals can offer more experienced care. Both the top ranked St. John Medical Center and 3rd ranked St. Francis Hospital are located in Tulsa while Mercy Hospital in Oklahoma City is just over 100 miles southwest of Tulsa.
More experience in treating similar patients may be particularly important with specific conditions such as intracranial hemorrhages and cerebral infarctions. Intracranial hemorrhage simply means bleeding within the skull and can stem from a number of different larger conditions; they account for 8-13% of all strokes. A cerebral infarction is another term for a stroke, occuring when a group of cells do not receive enough oxygen therefore causing the tissue to die.