St. Mary's Health Care System, Northeast Georgia Medical Center, and Piedmont Athens Regional Medical Center had the lowest cost of care for Hip & Knee Replacement in Northeast Georgia



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By: Barsha Nandy  May. 21, 2020

Dexur’s analysis of medicare claims of hospitals in North East Georgia showed that St. Mary's Health Care System, Northeast Georgia Medical Center, and Piedmont Athens Regional Medical Center had the lowest cost of care over a 90-day episode for Hip & Knee Replacement. The episode of care tracks a patient journey from the date of admission for 90 days 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 Doctors ACO, LLC and Northeast Georgia Health Partners to make appropriate referrals choices. The analysis was risk-adjusted 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.

St. Mary's Health Care System

St. Mary's Health Care System’s total cost of care over a 90-day episode was $15,219 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $10,967 and the average rehospitalization per hospitalization cost was $1,162. The readmission rate was 5.85% and the cost per rehospitalization was at an average of $14,409.

The home health agency discharge rate was 43.17% and the Average home health cost per hospitalization when a home health agency is involved is $2,765 and the average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for St. Mary's Health Care System is:

  1. $2,423 for St Mary's Home Health Services, Watkinsville, GA
  2. $2,793 for Tugaloo Home Health Agency, an Amedisys Company, Lavonia, GA
  3. $3,082 for Encompass Health Home Health, Elberton, GA
  4. $3,296 for Pruitthealth Home Health-Atlanta, Norcross, GA
  5. $3,328 for Amedisys Home Health of Covington, Covington, GA

The Skilled Nursing Facility (SNF) discharge rate was 11.19% and The Average Nursing home cost per hospitalization when a nursing home is involved is $10,444 and the average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for St. Mary's Health Care System are:

  1. $4,169 for Elbert Memorial Hospital, Elberton, GA
  2. $7,138 for Pruitthealth - Athens Heritage, Athens, GA
  3. $8,327 for The Oaks Athens - Pruitt Health, Athens, GA
  4. $10,857 for St.Mary's Good Samaritan Hospital, Greensboro, GA
  5. $24,922 for Morgan Memorial Hospital, Madison, GA

The top surgeons who performed Hip & Knee Replacement surgeries at Holy St. Mary's Health Care System were:

  1. ORMONDE M MAHONEY
  2. JOHN MANFREDI
  3. DAVID WESLEY BACASTOW

Northeast Georgia Medical Center

Northeast Georgia Medical Center’s total cost of care over a 90-day episode was $15,490 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $9,756 and the average rehospitalization per hospitalization cost was $1,523. The readmission rate was 5.43% and the cost per rehospitalization was at an average of $14,321.

The home health agency discharge rate was 55.85% and the Average home health cost per hospitalization when a home health agency is involved is $3,068 and the average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Northeast Georgia Medical Center is:

  1. $2,886 for Encompass Health Home Health, Gainesville, GA
  2. $3,077 for Guardian Home Care of Northeast Georgia, Gainesville, GA
  3. $3,174 for Tugaloo Home Health, an Amedisys Company, Gainesville, GA
  4. $3,184 for Tugaloo Home Health Agency, an Amedisys Company, Lavonia, GA
  5. $3,406 for PruittHealth Home Health-Gainesville, Gainesville, GA

The Skilled Nursing Facility (SNF) discharge rate was 19.67% and The Average Nursing home cost per hospitalization when a nursing home is involved is $10,842 and the average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Northeast Georgia Medical Center are:

  1. $6,078 for New Horizons Limestone, Gainesville, GA
  2. $8,121 for The Oaks - Limestone, Gainesville, GA
  3. $10,018 for Salude, Suwanee, GA
  4. $10,111 for The Oaks - Scenic View Skilled Nursing, Baldwin, GA
  5. $12,318 for Chelsey Park Health and Rehabilitation, Dahlonega, GA

The top surgeons who performed Hip & Knee Replacement surgeries at Northeast Georgia Medical Center were:

  1. MICHAEL BRADLEY GOTTSMAN
  2. JOHN G VACHTSEVANOS
  3. DARRELL KEVIN SCALES

Piedmont Athens Regional Medical Center

Piedmont Athens Regional Medical Center’s total cost of care over a 90-day episode was $17,874 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $10,495 and the average rehospitalization per hospitalization cost was $1,784. The readmission rate was 8.14% and the cost per rehospitalization was at an average of $14,759.

The home health agency discharge rate was 50.23% and the Average home health cost per hospitalization when a home health agency is involved is $3,098 and the average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Piedmont Athens Regional Medical Center is:

  1. $2,481 for St Mary's Home Health Services, Watkinsville, GA
  2. $2,607 for Piedmont Home Health, Athens, GA
  3. $3,193 for Encompass Health Home Health, Elberton, GA
  4. $3,409 for Tugaloo Home Health Agency, an Amedisys Company, Lavonia, GA
  5. $3,717 for Amedisys Home Health of Covington, Covington, GA

The Skilled Nursing Facility (SNF) discharge rate was 25.35% and The Average Nursing home cost per hospitalization when a nursing home is involved is $9,583 and the average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Piedmont Athens Regional Medical Center are:

  1. $9,263 for High Shoals Health and Rehabilitation, Bishop, GA
  2. $8,828 for Pruitthealth - Athens Heritage, Athens, GA
  3. $8,521 for The Oaks Athens - Pruitt Health, Athens, GA

The top surgeons who performed Hip & Knee Replacement surgeries at Piedmont Athens Regional Medical Center were:

  1. JOHN R DORRIS
  2. JOHN MANFREDI
  3. CHARLES LAWTON OGBURN

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The detailed cost of care report of the top four most cost-efficient hospitals in Northeast Georgia (Apr 2016 to Mar 2019), including data with respect to the following: