Hospital News, Research & Data Analysis

CHI St. Luke's Heart Transplant In-Hospital Mortality Rate is Near National Average

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By: James Pitt  Jun. 11, 2018

Dexur analysts compared the 20 hospitals with the most CMS inpatient discharges for DRGs 001 and 002 from 2013 to 2016. The national average in-hospital mortality rate for DRG 001 patients was 11.94% from January 2013 to December 2016. St. Luke’s in-hospital mortality rate for these patients was 13% in this period, a 1% difference from national average. The other top 20 hospitals also average slightly higher mortality rates than the national average. The highest was 18% at Stanford Health Care (Stanford, CA), and the lowest 7% at Duke University Health System (Durham, NC).

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COPD Incidence Varies By an Order of Magnitude In Oklahoma

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By: James Pitt  Jun. 01, 2018

Chronic obstructive pulmonary disorder (COPD) is a common lung disease, mainly caused by smoking. There is evidence that COPD patients are at greater risk of mortality when exposed to air pollution, particularly particulate matter. Dexur analysts examined 2016 CMS inpatient discharge data from 20 Oklahoma hospitals with over 1,000 discharges that year. The incidence of COPD varied dramatically across hospitals, from 5.61% of total Medicare discharges at Jackson County Memorial Hospital to 0.54% at Mercy Hospital Oklahoma City.

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Bakersfield Heart Hospital Has Half the LOS & 30 Day Readmission Rate of the Second Closest Hospital in Kern County, California for Hip & Knee Replacement Surgeries

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By: James Pitt  May. 03, 2018

Dexur’s analysis of Medicare claims data for hospitals serving Kern County residents showed that Bakersfield Heart Hospital had half the length of stay (LOS) & readmission rate of the second ranked hospital, San Joaquin Community Hospital. Dexur’s analytic criteria included hospitals that had greater than 5% market share across all inpatient discharges in Kern County. These hospitals were Bakersfield Heart Hospital (BHH), San Joaquin Community Hospital, Bakersfield Memorial Hospital & Mercy Hospital.

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Led by Dr. Mattern, Dr. Ginsberg and Dr. Slitt, Augusta Health has the Lowest Average Length of Stay for Cardiac Arrhythmia in Virginia, Over a Full Day Lower than the State and National Averages

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By: Jeffrey Maser  May. 02, 2018

Augusta Health in Fishersville had the lowest average length of stay (LOS) for a 30-day episode of care with unplanned readmissions for patients with cardiac arrhythmia among all Virginia hospitals at 2.65 days, according to a Dexur study of CMS claims data between 2013-2016. Sentara Martha Jefferson Hospital in Charlottesville ranked 2nd at 2.88 days, followed closely by Riverside Tappahannock Hospital in Tappahannock at 2.92 days. Sentara RMH Medical Center in Harrisonburg ranked 4th at 2.99 days while Riverside Walter Reed Hospital in Gloucester rounded out the top five at 3.19 days. The average LOS for a 30-day episode of care with unplanned readmissions at these five facilities were each substantially lower than the national average of 3.95 days as well as the 3.85 day average for Virginia Medicare enrollees.

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Optim Medical Center - Tattnall Inpatients Spend the Fewest Days Hospitalized out of All Georgia Facilities for Spinal Fusion Discharges

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By: Jeffrey Maser  May. 01, 2018

Dexur analysts studied Medicare inpatient spinal fusion (except cervical) discharge data from CMS and found that Optim Medical Center - Tattnall in Reidsville accounted for the lowest average length of stay (LOS) for a 30-day episode of care with unplanned readmissions among all hospitals in Georgia at 1.48 days between 2013-2016. Optim Medical Center - Tattnall was one of only two hospitals in the state with an average LOS under two days for a 30-day episode of care for spinal fusion patients. There was a substantial difference between the 2nd ranked hospital and the hospitals ranked 3rd - 5th as Piedmont Henry Hospital in Stockbridge ranked 2nd at 1.73 days while Floyd Medical Center in Rome ranked 3rd at 2.19 days. St. Joseph's Hospital in Savannah ranked just behind in 4th at 2.21 days and Memorial Health University Medical Center, also in Savannah, ranked 5th with a 2.22 day rate.

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Patients Undergoing Stent Procedures at NYU Langone Health’s Tisch Hospital Spend Only 1.79 Days in the Hospital within 30 Days, the Lowest Rate in New York

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By: Jeffrey Maser  Apr. 30, 2018

A Dexur analysis of stent procedure discharges between 2013-2016 shows that Medicare inpatients at NYU Langone Health's Tisch Hospital in New York City averaged 1.79 days in the hospital for a 30-day episode of care with unplanned readmissions, the lowest rate in New York state. Two other New York City facilities ranked 2nd and 3rd as Lenox Hill Hospital ranked just behind Tisch Hospital at 1.81 days while The Mount Sinai Hospital ranked 3rd at 1.84 days. Unity Hospital in Rochester ranked 4th at 2.22 days and Crouse Hospital in Syracuse ranked 5th at 2.49 days. These five hospitals were the only in-state facilities with an average LOS for a 30-day episode of care with unplanned readmissions under two and a half days.

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Medicare Pulmonary Embolism Discharges in Alabama: Inpatients at Cullman Regional Medical Center Spend the Fewest Days in the Hospital

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By: Jeffrey Maser  Apr. 25, 2018

According to Dexur analysts, Cullman Regional Medical Center in Cullman had a 3.57 day average length of stay (LOS) for a 30-day episode of care with unplanned readmissions for Medicare inpatient pulmonary embolism discharges, the lowest rate of any Alabama hospital between 2013-2016. Baptist Medical Center South in Montgomery ranked 2nd at 3.96 days and joined Cullman Regional as one of only two hospitals in the state with an average LOS under 4 days for a 30-day episode of care. UAB Hospital in Birmingham ranked 3rd at 4.11 days while Decatur Morgan Hospital - Decatur Campus ranked 4th at 4.2 days. Princeton Baptist Medical Center in Birmingham rounded out the top five with a 4.29 day average LOS.

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SSM DePaul Health Center had Missouri’s Lowest Unplanned Readmission Rate for Alcohol and Drug Abuse Patients at 5.14%

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By: Saparja Nag  Apr. 24, 2018

Dexur analysts studied CMS Medicare claims for alcohol and drug abuse inpatients at Missouri hospitals to determine that SSM DePaul Health Center led the state with the lowest unplanned readmission rate of 5.14% and the 4th lowest average LOS for a 30-day episode of care with unplanned readmissions at 3.78 days. Truman Medical Center Lakewood was another high-performing Missouri hospital for alcohol and drug abuse patients with the 2nd lowest unplanned readmission rate in the state of 10.38% and the 5th lowest average 30-day episode of care LOS with unplanned readmissions at 4.15 days. Ranking 3rd by readmission rate was Research Medical Center at 11.54%, which also ranked 6th for average LOS for a 30-day episode of care including unplanned readmissions at 4.54 days. Twin Rivers Regional Medical Center followed with an unplanned readmission rate of 12.28% to rank 4th and an average LOS of 4.61 days to rank 7th. The last hospital to have an unplanned readmission rate below the national average of 13.33% was Poplar Bluff Regional Medical Center - Oak Grove at 12.36%.

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Respiratory Failure Average LOS for a 30-Day Episode of Care: Sparks Medical Center - Van Buren’s 3.38 Day Rate is Lowest in Arkansas and Under Half the State Average

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By: Jeffrey Maser  Apr. 23, 2018

Dexur analysts recently studied pulmonary edema and respiratory failure claims data from CMS between 2013-2016 and found that Sparks Medical Center - Van Buren in Van Buren had the lowest 30-day episode of care average length of stay (LOS) among Arkansas hospitals at only 3.38 days. This was less than half the 6.84 day rate for Arkansas Medicare enrollees and four and a half days lower than the national average of 7.88 days. Baptist Health Medical Center-Heber Springs, located in Heber Springs, ranked 2nd at 3.52 days while North Arkansas Regional Medical Center in Harrison ranked 3rd at 3.86 days. Great River Medical Center in Blytheville ranked 4th at 3.88 days and Mercy Hospital Northwest Arkansas in Rogers placed 5th at 3.89 days. The 6th ranked hospital had a rate of 4.67 days, 0.78 days higher than Mercy Hospital Northwest Arkansas and over a full day higher than Sparks Medical Center - Van Buren.

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Analysis of Medicare Pneumonia Discharges Shows that Margaret Mary Health is the Only Indiana Hospital with an Average LOS for a 30-Day Episode of Care Below 4 Days

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By: Jeffrey Maser  Apr. 20, 2018

A Dexur analysis of Medicare inpatient discharge data from CMS indicates that Margaret Mary Health in Batesville had a 3.62 day average length of stay (LOS) for a 30-day episode of care with unplanned readmissions for pneumonia, the lowest rate of any hospital in Indiana between 2013-2016. This made Margaret Mary Health the only hospital in the state with a rate below 4 days. Witham Hospital in Lebanon ranked 2nd at 4.06 days while Plymouth Medical Center in Plymouth and Hancock Regional Hospital in Greenfield tied for 3rd at 4.13 days. Fayette Regional Hospital was just behind in 5th with a 4.14 day rate.

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