By: Sruthy Iype  Jul. 01, 2020
Dexur’s analysis of medicare claims of hospitals within a 50-mile radius of Batesville, Arkansas, showed that Stone County Medical Center, White River Medical Center, and Advanced Care Hospital 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. The total cost of care data helps patients make appropriate choices and helps local ACOs such as White River Health System Clinically Integrated Network, LLC make appropriate referrals 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.
The average cost of care over a 90-day episode for Hip & Knee Replacement Surgery in Arkansas was $17,809 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,510 and the average rehospitalization was $3,096. The cost per rehospitalization was at an average of $16,718. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $707.
The state average nursing home cost per hospitalization when a nursing home is involved was $11,224 and the average home health cost per hospitalization when a home health agency is involved was $3,102.
Stone County Medical Center’s total cost of care over a 90-day episode was $9,902 (for the period of July 2016 to June 2019). The index hospitalization cost was $5,173 and the average rehospitalization cost was $870. The cost per rehospitalization was at an average of $9,463. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $488.
The average home health cost per hospitalization when a home health agency is involved was $3,229. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Stone County Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $13,952. The average cost per hospitalization for the top nursing home partner for Hip & Knee Replacement for Stone County Medical Center was:
White River Medical Center’s total cost of care over a 90-day episode was $16,116 (for the period between July 2016 to June 2019). The index hospitalization cost was $11,598 and the average rehospitalization cost was $2,486. The cost per rehospitalization was at an average of $16,723. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $784.
The average home health cost per hospitalization when a home health agency is involved was $3,636. The average cost per hospitalization for the top home health partners for Hip & Knee Replacement for White River Medical Center were:
The average nursing home cost per hospitalization when a nursing home is involved was $8,452. The average cost per hospitalization for the top nursing home partner for Hip & Knee Replacement for White River Medical Center was:
Advanced Care Hospital’s total cost of care over a 90-day episode was $20,981 (for the period of July 2016 to June 2019). The index hospitalization cost was $12,522 and the average rehospitalization cost was $3,749. The cost per rehospitalization was at an average of $16,481. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $875.
The average home health cost per hospitalization when a home health agency is involved was $2,916. The average cost per hospitalization for the top home health agency partners for Hip & Knee Replacement for Advanced Care Hospital were:
The average nursing home cost per hospitalization when a nursing home is involved was $13,712. The average cost per hospitalization for the top nursing home partners for Hip & Knee Replacement for Advanced Care Hospital were:
The detailed value outcomes and cost of care reports for Hip & Knee Replacement in Batesville, AR, includes the following data points: