Crestwood Medical Center, Huntsville Hospital, and Riverview Regional Medical Center have the best value outcomes for Hip and Knee replacement in North Alabama
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Dexur’s analysis of medicare claims of hospitals in North Alabama showed that Crestwood Medical Center, Huntsville Hospital, and Riverview Regional Medical Center had the best value outcomes over a 90 day episode for Sepsis. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes the index hospitalizations, rehospitalization, home health, nursing home and ED costs. Total cost of care helps patients make appropriate choices and helps local ACOs such as Accountable Care Coalition of Alabama, LLC and Baptist Physician Alliance ACO LLC make appropriate referrals choices. The analysis was risk adjusted 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.

The average cost of care over a 90 day episode for Hip & Knee replacement in Alabama was $15,297 (for the period between April 2016 and March 2019). The index hospitalization cost was $9,203 and the average rehospitalization cost was $2,035. The readmission rate was 10.39% and the cost per rehospitalization was at an average of $13,847.

The Skilled Nursing Facility (SNF) discharge rate was 27.43% while the home health agency discharge rate stood at 34.83%. Meanwhile, the state average nursing home cost per hospitalization when a nursing home is involved was $7,668 and the average home health cost per hospitalization when a home health agency is involved was $3,003.

Crestwood Medical Center

Crestwood Medical Center’s total cost of care over a 90 day episode was $13,019 (for the period between April 2016 and March 2019). The index hospitalization cost was $8,706 and the average rehospitalization cost was $1,468. The readmission rate was 8.76% and the cost per rehospitalization was at an average of $11,916.

The home health agency discharge rate was 16.3% and the average home health cost per hospitalization when a home health agency is involved was $3,009. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Crestwood Medical Center were:

The Skilled Nursing Facility (SNF) discharge rate was 25.12% and the average nursing home cost per hospitalization when a nursing home is involved was $7,321. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Crestwood Medical Center were:

The top surgeons who performed Hip & Knee Replacement surgeries at Crestwood Medical Center for the lowest costs were:

Huntsville Hospital

Huntsville Hospital’s total cost of care over a 90 day episode was $14,065 (for the period between April 2016 and March 2019). The index hospitalization cost was $9,902 and the average rehospitalization cost was $1,148. The readmission rate was 6.54% and the cost per rehospitalization was at an average of $11,553.

The home health agency discharge rate was 33.46% and the average home health cost per hospitalization when a home health agency is involved was $2,815. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Huntsville Hospital were:

The Skilled Nursing Facility (SNF) discharge rate was 27.28% and the average nursing home cost per hospitalization when a nursing home is involved was $6,097. The average cost per hospitalization for the top nursing home partners for Hip & Knee replacement for Huntsville Hospital were:

The top surgeons who performed Hip & Knee Replacement surgeries at Huntsville Hospital for the lowest costs were:

Riverview Regional Medical Center

Riverview Regional Medical Center’s total cost of care over a 90 day episode was $14,807 (for the period between April 2016 and March 2019). The index hospitalization cost was $8,454 and the average rehospitalization cost was $2,309. The readmission rate was 11.56% and the cost per rehospitalization was at an average of $14,143.

The home health agency discharge rate was 17.69% and the average home health cost per hospitalization when a home health agency is involved was $3,379. The average cost per hospitalization for the top home health agency partners for Hip & Knee replacement for Riverview Regional Medical Center were:

The Skilled Nursing Facility (SNF) discharge rate was 28.57% and the average nursing home cost per hospitalization when a nursing home is involved was $8,253. The average cost per hospitalization for the top nursing home partner for Hip & Knee replacement for Riverview Regional Medical Center was:

The top surgeon who performed Hip & Knee Replacement surgeries at Riverview Regional Medical Center for the lowest cost was DANIEL R. SPARKS

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The detailed cost of care report of the top ten most cost-efficient hospitals for Hip and Knee replacements in North Alabama (Apr 2016 to Mar 2019), including data with respect to the following:

  • DRG Total Hospitalizations
  • Avg. Costs Per Hospitalization (excl Hospice)
  • Avg. Index Hospitalization
  • Avg. Rehospitalization cost per Hospitalization
  • Avg. Rehospitalization cost per Rehospitalization
  • Avg. Nursing Home Cost per Hospitalization
  • Avg. Home Health Cost per Hospitalization
  • Average Nursing Home Costs per Hospitalization when Nursing Home is Involved
  • Average Home Health Costs per Hospitalization when Home Health is Involved

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