St. Joseph Hospital, Southern New Hampshire Medical Center, and Catholic Medical Center have the Best Value Outcomes for COPD in Manchester, NH


In Chronic Obstructive Pulmonary Disease (COPD)

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By: Barsha Nandy  Jun. 24, 2020

Dexur’s analysis of medicare claims of hospitals within a 25-mile radius of Manchester, NH, showed that St. Joseph Hospital, Southern New Hampshire Medical Center, and Catholic Medical Center had the best value outcomes over a 90-day episode for COPD. The episode of care tracks a patient journey from the date of admission for 90 days and includes 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 NH Value Care ACO, LLC, and SolutionHealth ACO LLC to make appropriate referrals choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 190: Chronic Obstructive Pulmonary Disease With Major Complication Or Comorbidity (MCC), to adjust for complications and comorbidities.

The average cost of care over a 90-day episode for COPD in New Hampshire was $21,572 (for the period between July 2016 and June 2019). The index hospitalization cost was $9,027 and, while the average rehospitalization cost per hospitalization was $7,611, the cost per rehospitalization was at an average of $19,659. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,476.

The state average nursing home cost per hospitalization when a nursing home is involved was $12,739 and the average home health cost per hospitalization when a home health agency is involved was $3,307.

St. Joseph Hospital

St. Joseph Hospital’s total cost of care over a 90-day episode was $16,457 (for the period of July 2016 and June 2019). The Index hospitalization cost was $7,601 and the average rehospitalization cost per hospitalization was $5,573. The rehospitalization cost per rehospitalization was at an average of $15,587. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,375.

The average home health cost per hospitalization when a home health agency is involved is $3,177 and the average cost per hospitalization for the top home health agency partner for COPD for St. Joseph Hospital was:

The average nursing home cost per hospitalization when a nursing home is involved is $10,288.

Southern New Hampshire Medical Center

Southern New Hampshire Medical Center’s total cost of care over a 90-day episode was $18,064 (for the period of July 2016 and June 2019). The Index hospitalization cost was $8,283 and the average rehospitalization cost per hospitalization was $6,148. The rehospitalization cost per rehospitalization was at an average of $16,170. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,304.

The average home health cost per hospitalization when a home health agency is involved is $3,432.and the average cost per hospitalization for the top home health agency partner for COPD for Southern New Hampshire Medical Center was:

The average nursing home cost per hospitalization when a nursing home is involved is $10,747 and the average cost per hospitalization for the top nursing home partner for COPD for Southern New Hampshire Medical Center was:

Catholic Medical Center

Catholic Medical Center’s total cost of care over a 90-day episode was $18,761 (for the period of July 2016 and June 2019). The Index hospitalization cost was $7,850 and the average rehospitalization cost per hospitalization was $7,224. The rehospitalization cost per rehospitalization was at an average of $18,285. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,076.

The average home health cost per hospitalization when a home health agency is involved is $3,252 and the average cost per hospitalization for the top home health agency partners for COPD for Catholic Medical Center were:

The average nursing home cost per hospitalization when a nursing home is involved is $12,351 and the average cost per hospitalization for the top nursing home partners for COPD for Catholic Medical Center were:

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The detailed value outcomes and cost of care report for COPD in Manchester, NH, includes the following data points: