Sepsis


Analysis of Selected Major Mississippi Hospitals Shows a Difference of About 4 Days in Sepsis LOS between Lowest & Highest Hospitals

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By: James Pitt  Jun. 08, 2018

Sepsis is a serious condition, in which the immune system mounts a systemic inflammatory response to infection. Controlling fluid balance is an important part of sepsis treatment. Septic shock kills by reducing circulation, and hypovolemia (low fluid) may contribute to worse outcomes, while excess fluid increases the risk of death. Dexur has previously examined fluid balance’s effects on sepsis mortality in California and urosepsis readmissions in Connecticut.

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Edwards Oximetry CVC and Other Hemodynamic Monitors May Help Address Sepsis Mortality in California

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By: James Pitt  May. 04, 2018

Sepsis is a common and severe complication of infection. It is involved in up to half of all in-hospital deaths. Sepsis occurs when the immune system responds to infection by causing a systemic inflammatory response.This in turn can cause widespread damage, including acute lung injury.

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Dr. Shazia Abbas Discharged the Most Sepsis Patients in Iowa with Over 250 Discharges between 2013 and 2016

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By: Saparja Nag  Mar. 02, 2018

A recent analysis by Dexur of CMS Medicare claims discovered that Dr. Shazia Abbas of Central Iowa Healthcare* outperformed all Iowa physicians in terms of sepsis discharge volume between January 2013 and December 2016 with 257 total discharges. Dr. Pankaj Agrawal's 187 discharges ranked 2nd, which was 70 discharges less than Dr. Abbas. Dr. Agrawal was also associated with Central Iowa Healthcare*. Dr. Laurence M. Deshields followed closely in 3rd with 181 discharges. In 4th was Dr. Pinalkumar Patel with 166 discharges and Dr. Burt Humburg rounded out the top five with 149 discharges. The top four physicians for all sepsis Medicare discharges were also the top four discharging physicians for DRG-871 with Dr. Abbas also leading this ranking with 197 discharges. Dr. Deshields followed in 2nd with 158 discharges, while Dr. Agrawal had 132 DRG-871 discharges placing him 3rd. Dr. Patel kept his ranking at 4th with 116 DRG-871 discharges during the same time period.

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Memorial Hospital Central Averaged the Lowest Length of Stay in 2016 for Sepsis Medicare Patients of Major Colorado Hospitals at 4.52 Days

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By: Saparja Nag  Feb. 15, 2018

A study of major Colorado hospitals by Dexur analysts determined that Memorial Hospital Central in Colorado Springs averaged the lowest length of stay (LOS) at 4.52 days for Medicare inpatients with septicemia or severe sepsis with major complication or comorbidity, DRG-871, in 2016. Memorial Hospital Central has not only held this distinction for the year of 2016; they also had the lowest average LOS in the state between January 2013 and December 2016 at 4.77 days. A comparison of these values indicates that Memorial Hospital Central was able to decrease the average LOS for Medicare inpatients with septicemia or severe sepsis with MCC over time. Length of stay is an important metric in determining the efficiency of medical care. When a hospital experiences a decreased average length of stay, this allows more patients to be treated within the same timeframe.

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Mercy Hospital-Anderson, in Cincinnati, had the Lowest 30-Day Readmission Rate in Ohio at 17% for Sepsis Procedure DRG-871

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By: Emily Carpintero  Feb. 02, 2018

Dexur’s analysis on 2013 through 2016 CMS administrative claims revealed that Mercy Hospital-Anderson was the highest discharging hospital in Maryland for all sepsis diagnosis-related groups combined, and had the lowest 30-day readmission rate for DRG-871 (septicemia or severe sepsis without MV > 96 hours without major complication or comorbidity) in the state at 17.42%. Only hospitals with a minimum of 3,500 Medicare inpatient discharges and at least 11 discharges at the DRG-level between January and December 2016 were included in this analysis. 30-day readmission rates are a common metric used by healthcare professionals to evaluate quality outcomes and cost of care. For context, the top ten hospitals between 2013-2016 with the lowest 30-day readmission rates for Medicare enrollees in Ohio for DRG-871 conditions are charted below.

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Rockledge Regional Medical Center is the only Central Florida Hospital to Report a Skilled Nursing Facility Discharge Rate Under 20% for Sepsis

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By: Jeffrey Maser  Jan. 26, 2018

A recent Dexur analysis of inpatient Medicare claims data shows that Rockledge Regional Medical Center in Rockledge, Florida accounted for a 19.44% skilled nursing facility (SNF) discharge rate for sepsis, the lowest of all major hospitals in Central Florida throughout 2016. The hospital with the next lowest SNF discharge rate for the condition was Oak Hill Hospital in Brooksville, where the 21.32% rate was nearly 2% higher than the rate at Rockledge Regional. The 3rd ranked hospital was Medical Center of Trinity, located in Trinity, with a SNF discharge rate of 21.43%. The 4th ranked hospital was Tampa General Hospital in Tampa at 22.44% and the 5th ranked hospital was The Villages Regional Hospital in The Villages, which accounted for a 22.87% rate. These five facilities were the only Central Florida hospitals to report SNF discharge rates under 23% for sepsis during the analyzed time period.

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Dr. Oladayo Sanusi of Harlingen, Texas Accounted for Twice as Many DRG-871 Discharges Than Any Other Texas Physician and the Second Most DRG-871 Discharges of Any Physician Nationwide

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By: Jeffrey Maser  Jan. 12, 2018

A recent Dexur analysis of CMS Medicare claims data shows that Dr. Oladayo A. Sanusi reported 109 DRG-871 (Septicemia Or Severe Sepsis Without Mv >96 Hours With Major Complication Or Comorbidity) discharges for Texas Medicare enrollees between October 2015 - September 2016, which accounted for over a quarter of a percent of all DRG-871 discharges from Texas enrollees. Dr. Sanusi practices with three different hospitals in Harlingen, Texas: Valley Baptist Medical Center - Harlingen, Harlingen Medical Center and Solara Hospital Harlingen. Dr. Sanusi’s DRG-871 discharges were more than double those of Dr. Juan B. Iribarren, the next highest volume Texas physician. Dr. Iribarren is affiliated with Baptist Hospitals Southeast Texas - Beaumont and reported 54 discharges to comprise 0.14% of the Texas market share for this specific diagnosis related group.

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Louisiana’s Lake Charles Memorial Hospital and Lafayette General Medical Center were 2 of Only 5 U.S. Hospitals to Report a Skilled Nursing Facility Discharge Rate Under 9% for Septicemia or Severe Sepsis in 2016

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By: Jeffrey Maser  Jan. 11, 2018

Dexur analysts recently studied severe sepsis or septicemia Medicare discharges in 2016 for all major U.S. hospitals and found that Lake Charles Memorial Hospital and Lafayette General Medical Center, each in Louisiana, were 2 of the only 5 U.S. hospitals to have a skilled nursing facility (SNF) discharge rate under 9% during the time period. Lake Charles had the 4th lowest SNF discharge rate in the nation at 8.09% while Lafayette General ranked 5th with a rate of 8.9%. Nationally, the only three hospitals to account for a lower SNF discharge rate than Lake Charles during the time period were The Medical University of South Carolina in Charleston, Providence Alaska Medical Center in Anchorage and University of Maryland Medical Center in Baltimore. These three facilities accounted for severe sepsis or septicemia SNF discharge rates of 6.67%, 6.77% and 7.89%, respectively.

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Florida Hospital Orlando was the Only Hospital in the Country with Over 2,000 Septicemia or Severe Sepsis Medicare Inpatient Discharges in 2016

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By: Saparja Nag  Dec. 22, 2017

An analysis on 2016 CMS administrative claims recently conducted by Dexur found that Florida Hospital Orlando led the nation in combined DRG-871 and DRG-872 Medicare discharges. These DRGs are defined as septicemia or severe sepsis without MV > 96 hours with MCC for DRG-871 and without MCC for DRG-872. The following four hospitals were Oroville Hospital, Cedars Sinai Medical Center, Yale-New Haven Hospital, and Methodist University Hospital. Septicemia or severe sepsis commonly occur when a bacterial infection enters the bloodstream and spreads throughout the body. This often leads to tissue damage, organ failure, and death.  

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Dr. Nhia Kash Vang Accounted for 182 Severe Sepsis Discharges, Ranking as the Highest Volume U.S. Physician for the Condition between October 2015 and September 2016

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By: Jeffrey Maser  Dec. 15, 2017

A recent Dexur analysis of data between October 2015 and September 2016 indicates that Dr. Nhia Kash Vang, of Oroville Hospital in California, accounted for the most septicemia and severe sepsis discharges out of any U.S. physician with 182 discharges and .02% of the nation’s discharges during the timeframe. Only two other physicians accounted for over 100 septicemia and severe sepsis discharges during this same period, with Dr. Oladayo A. Sanusi and Dr. Nechemia B. Peleg accounting for 143 and 125 discharges, respectively. Dr. Sanusi is associated with three different hospitals in Harlingen, Texas, each belonging to a separate health system: Valley Baptist Medical Center - Harlingen, Harlingen Medical Center and Solara Hospital of Harlingen. Dr. Peleg practices at Sherman Oaks Hospital in Sherman Oaks, California. Read more