Duke University Hospital, 2301 ERWIN ROAD, DURHAM, NC, 27710
NPI Number : 1992703540 | Territory Name: Carolinas
IDN: Duke Medicine

Talking Points:

  • Incidence Rate: Duke University Hospital Cardiac patients have an RBS Incidence rate of 13.0% compared to the national average of 12.39%
  • LOS: Duke University Hospital Cardiac patients with RBS have an extra LOS of 17 days
  • ICU LOS: Duke University Hospital Cardiac patients with RBS have stay for 1 extra day in the ICU
  • Readmission Rate: Duke University Hospital Cardiac patients with RBS have a readmission rate of 24.05% compared to those without RBS of 17.89% which is an excess readmission rate of 6.16%
  • In-Hospital Mortality Rate: Duke University Hospital Cardiac patients with RBS have an inhospital rate of 13.11% compared to those without RBS of 2.38% which is an excess inhospital rate of 10.73%
  • Total Cost of Care Per Hospitalization: Duke University Hospital Cardiac patients with RBS have an extra cost of care per hospitalization of $74,631 (Difference of $140,526 with RBS and $65,895 without RBS). The total cost of care includes initial Index Hospitalization, Rehospitalization costs, Nursing Home costs, Home Health costs and ED costs. Hospitals are increasingly tracking the total cost of care because of Value-Based Purchasing programs, Medicare Spending Per Beneficiary efficiency efforts, and also the shift to Accountable Care Organization (ACO) models.
April 2017 to Mar 2020 April 2019 to Mar 2020
Hospital Cardiac Procedures (Cardiac Valve & Coronary Bypass) 1,415 441
RBS Incidence Rate 13.0 % 16.1 %
LOS Impact
Avg. LOS Cardiac Procedures 15.97 15.37
Avg. LOS Cardiac Procedures with RBS 30.57 28.83
Avg. LOS Cardiac Procedures without RBS 13.79 12.78
Avg. LOS Difference with & without RBS 16.78 16.05
ICU LOS Impact
Avg. ICU LOS Cardiac Procedures 4.85 6.92
Avg. ICU LOS Cardiac Procedures with RBS 5.47 11.5
Avg. ICU LOS Cardiac Procedures without RBS 4.61 4.63
Avg. ICU LOS Difference with & without RBS 0.86 6.87
30 Day Readmission Rate Impact*
30 Day Readmission Rate Cardiac Procedures 18.62 % 19.32 %
30 Day Readmission Rate Cardiac Procedures with RBS 24.05 % 25.4 %
30 Day Readmission Rate Cardiac Procedures without RBS 17.89 % 18.21 %
30 Day Readmission Rate Difference with & without RBS 6.16 % 7.19 %
In-Hospital Mortality Rate Impact
In-Hospital Mortality Rate Cardiac Procedures 3.8 % 3.4 %
In-Hospital Mortality Rate Cardiac Procedures with RBS 13.11 % 8.45 %
In-Hospital Mortality Rate Cardiac Procedures without RBS 2.38 % 2.43 %
In-Hospital Mortality Rate Difference with & without RBS 10.73 % 6.02 %
90 Day Cost of Care Impact**
90 Day Cost of Care Cardiac Procedures $ 75,392 $ 79,991
90 Day Cost of Care Cardiac Procedures with RBS $ 140,526 $ 146,630
90 Day Cost of Care Cardiac Procedures without RBS $ 65,895 $ 67,469
Avg. 90 Day Cost of Care per Hospitalization Difference with & without RBS $ 74,631 $ 79,161
* Upto Feb 2020 ** Upto Dec 2019
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