“Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes the index hospitalization, rehospitalization, home health, nursing home, and ED costs.”

NEW YORK (PRWEB)
July 13, 2020

Dexur’s analysis of medicare claims of hospitals within a 50-mile radius of Portland, ME, showed that Mid Coast Hospital, Southern Maine Health Care, and Central Maine Medical Center had the best value outcomes over a 90-day episode for Sepsis. The episode of care tracks a patient journey 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 MaineHealth Accountable Care Organization to make appropriate referrals choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 871: Septicemia Or Severe Sepsis Without MV >96 Hours With Major Complication Or Comorbidity (MCC), to adjust for complications and comorbidities.

Mid Coast Hospital’s total cost of care over a 90 day episode was $22,526 (for the period between July 2016 and June 2019). The index hospitalization cost was $11,652 and the average rehospitalization cost per hospitalization was $5,798. The cost per rehospitalization was at an average of $19,668. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $917.

The average home health cost per hospitalization when a home health agency is involved was $3,592. The average cost per hospitalization for the top home health agency partner for Sepsis for Mid Coast Hospital was:

Southern Maine Health Care’s total cost of care over a 90 day episode was $22,944 (for the period between July 2016 and June 2019). The index hospitalization cost was $11,339 and the average rehospitalization cost per hospitalization was $6,571. The cost per rehospitalization was at an average of $22,852. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $847.

Central Maine Medical Center’s total cost of care over a 90 day episode was $23,263 (for the period between July 2016 and June 2019). The index hospitalization cost was $11,865 and the average rehospitalization cost per hospitalization was $6,460. The cost per rehospitalization was at an average of $20,487. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $1,347.

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