By: Sara Riascos  Mar. 03, 2022

Heart Failure is frequently associated with hospital readmission. Readmission is a hospital quality measure that reflects dimensions of quality of inpatient care and also impacts overall programs by payers such as CMS’s Star Rating Program, HRRP and Value-Based Purchasing. Furosemide is a loop diuretic medication used to treat fluid build-up due to heart failure, liver scarring, or kidney disease. Studies have shown that the early use of Furosemide was associated with lower mortality for heart Failure Patients.

Dexur’s analysis of Real-World Evidence based on Medicare Claims data showed that the use of Furosemide within 7 days of hospitalization was associated with lower hospital readmission rates for Heart Failure Patients at Florida Hospital in Orlando, Florida. Reduction in readmission rates helps hospitals improve their outcomes for various cost and quality programs. Dexur is an approved entity to perform Medicare claims data analysis, which it uses to perform quality outcomes analysis. Dexur has published several papers with Harvard Medical School on quality outcomes related topics. Dexur’s analysis of Drugs and their impact on quality outcomes, such as readmissions and mortality, are used by Hospitals, IDNs, and ACOs to implement best practices and manage Real World Evidence based risk factors.

By: Jeffrey Maser  Dec. 29, 2017

Dexur analysts recently studied Medicare inpatient urology data from October 2015 to September 2016 and found that Dr. Vipul R. Patel, of Florida Hospital Orlando, accounted for 270 urology discharges last year, the most of any U.S. physician. Dr. Patel was the only physician to account for over 200 discharges of this nature during the time period and the only physician in all of Florida to report over 100 discharges. Nationally, the 2nd and 3rd ranked physicians were Dr. David B. Samadi of Lenox Hill Hospital in New York, New York and Dr. Thomas Joseph Guzzo of Hospital of the University of Pennsylvania in Philadelphia. The two physicians accounted for 159 and 140 discharges, respectively.

By: Jeffrey Maser  Dec. 26, 2017

A recent Dexur analysis on all U.S. hospitals between January and December of 2016 shows that Florida Hospital Orlando saw more cardiovascular discharges from Medicare enrollees than any other hospital in the U.S., accounting for 6,836 cardiovascular discharges last year. The hospital’s discharges accounted for 0.34% of all national discharges during the timeframe. Cleveland Clinic in Ohio was the nation’s 2nd ranked hospital in cardiovascular volume by accounting for 5,055 discharges, which made up 0.25% of the nation’s discharges. The 3rd ranked hospital was Methodist Hospital in San Antonio, Texas; the facility accounted for 4,814 discharges, which represented 0.24% of the national market share. All cardiovascular inpatient claims data from Medicare was examined and all hospitals with at least 11 cardiovascular discharges were included in the rankings; 4,576 hospitals met this criteria.

By: Jeffrey Maser  Dec. 12, 2017

Dexur's recent analysis of 2016 hospital discharges for U.S. Medicare enrollees found that Florida Hospital Orlando accounted for the most dermatology discharges out of any hospital last year with 255 discharges. The hospital's discharges accounted for just over a half-percent of all dermatology discharges from U.S. Medicare enrollees during the timeframe. Florida Hospital Orlando saw over 100 discharges more than Beaumont Hospital, Royal Oak in Michigan, which was the 2nd highest volume hospital out of all U.S. inpatient facilities with 153 discharges. Mayo Clinic Hospital - St. Mary's Campus in Rochester, Minnesota and Michigan Medicine in Ann Arbor, Michigan were the only other hospitals to report over 100 discharges for Medicare enrollees during the time period.

By: Jeffrey Maser  Dec. 05, 2017

Recent Dexur research shows that between January 2016 and December 2016, the state of Florida had the highest inpatient hospitalization rate in the U.S. for DRG-392, where the state rate was 0.74%, over 50% higher than the national average. For a background on inpatient hospitalization rate, click here.

By: Emily Carpintero  Nov. 17, 2017

Florida had the 4th highest volume of Medicare inpatient discharges in the nation, accounting for 7.56% of the total between October 2015 and September 2016. Using Dexur’s data, we were able to determine not only the total number of Medicare inpatient discharges, but also the total Medicare inpatient payments, total percentage of revenue contributed from 30 day readmissions, and the percentage of total days from length of stay (LOS) that comes from 30 day readmissions. You can read about a general scope of 30 day readmission contribution to revenue and percentage of days from length of stay contributing to 30 day readmissions, as well as how this data is calculated here.