University of Miami Hospital is at Southwestern Florida’s Benchmark for Total Cost of Care for Heart Failure in a 90 Day Episode
In Heart Failure

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By: Barsha Nandy  May. 28, 2020

Dexur’s analysis of medicare claims of hospitals in Southwestern Florida showed that University of Miami Hospital is at Southwestern Florida’s Benchmark for Total Cost of Care for Heart Failure. The analysis was done for the period between April 2016 and March 2019. 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 ACMG Health Systems, Orange Accountable Care, Organization of South Florida, and Genuine Health ACO to make appropriate referrals choices. The analysis was risk-adjusted and was done at the DRG level, specifically DRG 291: Heart Failure And Shock With Major Complication Or Comorbidity.

The research took into account all the hospitals in Dexur’s database for the Southwestern Florida area. An in-depth review of multiple factors associated with the total cost of care showed that Baystate Medical Center’s cost of care metrics was at par with the region benchmarks.

Ways to Lower the Cost of Care

University of Miami Hospital’s total cost of care over a 90-day episode was $34,259 (for the period of Apr 2016 to Sep 2019). The Index hospitalization cost was $13,441 and the average rehospitalization per hospitalization cost was $16,089. The cost per rehospitalization was at an average of $31,078.

University of Miami Hospital’s average Nursing Home cost per hospitalization when a nursing home is involved is $14,618. The average can be reduced by choosing a cost-efficient nursing home facility that has a lower cost average. The average cost per hospitalization for the top nursing home agency partners for Heart Failure for University of Miami Hospital is:

  1. Virgin Health Corporation Inc, Miami, FL
  2. Century Home Care Inc, Miami Beach, FL
  3. High Standard Health Services, Miami, FL
  4. Professional Home Services, Inc., Miami Lakes, FL

The home health agency discharge rate was 8.41 and the Average home health cost per hospitalization when a home health agency is involved is $3,047. Home Health agencies were found to be substantially more cost-saving compared to SNFs. An increase in home health agency discharges in proportion to SNF discharges will catalyze a decrease in the overall cost of care. The top home health agency partners for COPD for Baystate Medical Center is:

  1. Unity Health And Rehabilitation Center, Miami, FL
  2. Victoria Nursing & Rehabilitation Center, Miami, FL
  3. University Plaza Rehabilitation And Nursing Center, Miami, FL
  4. Miami Jewish Health Systems, Miami, FL
  5. The Floridean Nursing and Rehabilitation Center, Miami, FL

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