“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 20, 2020

Dexur’s analysis of medicare claims of hospitals within a 25-mile radius of Toms River, NJ, showed that Riverview Medical Center, Robert Wood Johnson University Hospital Hamilton, and Ocean Medical Center had the best value outcomes over a 90-day episode for Hip and Knee Replacement. 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 AtlantiCare Health Solutions, Kennedy Health Alliance, and Shore Quality Partners ACO, LLC 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 470: Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Complication Or Comorbidity (MCC), to adjust for complications and comorbidities.

Riverview Medical Center’s total cost of care over a 90 day episode was $21,462 (for the period between July 2016 and June 2019). The index hospitalization cost was $14,105 and the average rehospitalization cost per hospitalization was $2,195. The cost per rehospitalization was at an average of $19,676. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $987.

RWJUH Hamilton’s total cost of care over a 90 day episode was $22,383 (for the period between July 2016 and June 2019). The index hospitalization cost was $12,929 and the average rehospitalization cost per hospitalization was $3,637. The cost per rehospitalization was at an average of $20,701. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $803.

Ocean Medical Center’s total cost of care over a 90 day episode was $23,161 (for the period between July 2016 and June 2019). The index hospitalization cost was $14,425 and the average rehospitalization cost per hospitalization was $3,045. The cost per rehospitalization was at an average of $19,953. Meanwhile, the average ED costs per hospitalization (when ED is involved) was $764.

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