Page 16 - Hoag Orthopedic Institute 2014 Outcomes Report

CLINICAL OUTCOMES AND INFECTION PREVENTION
READMISSION RATES
CMS tracks all-cause, 30-day, unplanned hospital readmissions as an important indicator of overall quality and cost-effective care. The average cost of readmission for total hip replacement (THR) is $58,000. Based on the national surgical site infection (SSI) averages vs. HOI SSI averages (15 patients out of 1,000 nationally vs. 0.12 patients out of 1,000 at HOI), a savings of $812,000 was realized at HOI for THR procedures.
HOI CMS Comparative Readmission Rate
Percent (Lower is Better)
20% 18% 16% 14% 12% 10% 8% 6% 4% 2% 0%
18.7%
16.0%
CMS National Rate
CMS California Rate
7.6%
HOI CMS Baseline 1/1/10 - 12/31/10
4.1%
HOI CMS Report 4/1/11- 3/31/12
3.3%
HOI CMS Report 4/1/12 - 3/31/13
2.6%
HOI Executive Dashboard YTD FY13
Source: Hoag Orthopedic Institute; Health Service Advisory Group
Total Hip/Knee Replacement Readmission Rates for HOI
Group
Number of Discharges
Number of Discharges Readmitted within 30 Days
30-Day Readmit Rate
Hoag Orthopedic Institute
Orange County
California
*National Average
1,133
2,220
29,542
Not Available
20
72
1,250
Not Available
1.8%
3.2%
4.2%
5.4%
The table depicts the total hip/knee replacement 30-day readmission rates. Results for the nation, State of California and the hospital’s region are provided for comparison.
Reference: Health Services Advisory Group (HSAG), Q2 2012 - Q3 2013
* National Rate Source: Hospital Compare Preview Report for Hoag Orthopedic Institute for Reporting Period for Clinical Process Measures: Q4 2011 through Q3 2012.
16 | HOAG ORTHOPEDIC INSTITUTE