Applying Time-Driven ABC in Health Care · Applying Time-Driven ABC in Health Care Value-Based...

Copyright © President & Fellows of Harvard College

Applying Time-Driven ABC in Health Care

Value-Based Health Care Intensive SeminarJanuary 2019

Bob KaplanSenior Fellow and Marvin Bower Professor of Leadership

Development, Emeritus

2

TDABC promotes collaboration between clinicians and finance personnel

FinanceCost of Supplying Resources(People, Equipment, Space, Consumables)

Clinicians and administrators

How we deliver care today for patients

“P”

“Q”

Cost

= Q

uant

ity (Q

) ×

Pric

e (P

)

3

Measuring Patient’s Cost over a Complete Cycle of Care for a Medical Condition

Initial consultationMinutes Cost/

minute*Total

MD X1 Y1 136.13

RN X2 Y2 68.04

CA X3 Y3 6.17

ASR X4 Y4 15.74

$266.08

Surgical procedure MD X1 Y1 584.99Anes. X2 Y2 603.89

RN X3 Y3 136.29

Tech X4 Y4 97.82

OR X5 Y5 329.16

$1752.15

Follow-up or post-operative visit MD X1 Y1 55.19RN X2 Y2 13.61

CA X3 Y3 3.09

ASR X4 Y4 1.77

$73.66

4

Developing a Process Map

Range of Approaches

Group meetings

• Project team & content experts• Engagement in process

1-on-1 meetings

• Easier scheduling• Especially useful for

physicians

Surveys

• Polling large groups• Independent results

Shadowing

• Often quickest approach• Patient & non-patient processes

must be covered• Less bias• Manual time stamping• Existing electronic time data• Electronic shadowing with RFID

RFID TagsEPIC timestamps

5

Communicating about TDABC to clinicians

• The goal of the project is to better understand all of the personnel time and resources that we use today to care for a patient with a particular medical condition

• You will not be evaluated at all based on the answers that you provide (may need to say this 7 times 7 different ways)

• We are simply looking for your estimates and best guesses—it is ok if you do not know a number exactly

• While we are primarily trying to gain a better understanding of all of the work and resources that are currently involved in the care cycle, we would love to hear your ideas and suggestions for how we could be providing care more efficiently and effectively

SK E SK F München Harlaching Neustadt

Outcome measurement EQ-5D (quality of life): Neustadt with significant higher level than the other Schön hospitals

EQ-5D after 3 months (average)Total Knee Replacement (acute)

half-year 2 2010half-year 1 2011half-year 2 2011half-year 1 2012

Outcome measurement WOMAC (functionality): Neustadt again with significant better results

SK E SK F

WOMAC after 3 months (average)Total Knee Replacement (acute)

München Harlaching Neustadt

half-year 2 2010half-year 1 2011half-year 2 2011half-year 1 2012

And Schön Klinik Neustadt spends considerable less resources than Schön Klinik München Harlaching(direct costs(1))

Schön KlinikMünchen Harlaching

Schön KlinikNeustadt

Personnel costsMaterial costsIndirect costsSum

TKR acute

2.058 $

2.139 $

1.246 $

5.443 $

2.988 $

2.108 $

2.758 $

7.854 $

1.460,00 €

1.517,00 €

884,00 €

Personal Sachmittel Indirekte Kosten

2.119,00 €

1.495,00 €

1.956,00 €

Personal Sachmittel Indirekte Kosten

(1) numbers disguised

10Copyright © Harvard Business School, 2015

0102030405060708090

100

Pain and FunctionImprovement

Physical Health Improvement

Mental Health Improvement

30-day ReadmissionComplications

Cost of Post Acute Care

Cost of Total Hospital Stay

SurgeonsMegan Jones Grace Hopper Max Planck

Use a Radar Chart to Comparing Total Knee Arthroplasty Outcomes and Costs Across Surgeons

Notes: A score of 100 represents ideal performance on the measure. For costs (Total Hospital Stay and Post Acute Care), a score of 100 equals the lowest cost.

Patient-reported outcomes scores (Pain and Function Improvement, Physical Health Improvement, and Mental Health Improvement) are measured using KOOS, Jr. PROMIS-10, or other outcome measurement tools.


Variance Analysis of Cost Differentials

Suppose the personnel cost at Site 2 for knee replacement was $5,400 while at Site 1 was $4,624

Total Cost Variance = $5,400 - $4,624 = $ 776 (U)

• Site 2 used 3,600 minutes at an average cost per minute of $1.50

• Site 1 used 3,400 minutes at an average CPM of $1.36

• Input price variance = ($1.50 – 1.36) × 3,600 = $ 504 (U)

• Quantity (efficiency or productivity) variance= (3,600 – 3,400) × $1.36 = $ 272 (U)


We can view the variance analysis graphically

III IV

I II

Pure Price Variance Joint Variance

Price Variance

Efficiency Variance

3,400 Site 1 quantity of

minutes

3,600 Site 2 quantity of

minutes

Site 2 cost per minute

Site 1 cost per unit

$1.50

$1.36

$ 504

$272

Site 1 quantity of minutes

Site 2 quantity of minutes

3,600

cost per minute 00per unit

3,400

III

IV

I

II

Pure Price Variance

Joint Variance

Price Variance

Efficiency Variance

Site 1 cost per unit

$1.50

$1.36

Site 2

1

1


Neustadt Munich Variance

Personnel Costs € 2,058 € 2,988 € 930. U

Personnel Minutes 1,392 2,043 € 962.5 U

Average Cost/Minute € 1.48 € 1.46 € 32.5 F

The 45% cost difference (unfavorable cost variance of €930) is caused by the unfavorable personnel productivity variance at Munich.

Personnel Time and Cost Variances: Neustadt versus Munich


Comparing Costs of CABG Surgeries at Narayana Health, InterMountain (IMC) and Baylor Heart (THHBP)

THHBP IMC NH A. Costs using each site’s own input prices and practical capacities Personnel costs 150 87 7.4 Space costs 20 13 2.2 TOTAL 170 100 9.6 NH’s cost as a % of site (NH/Site x 100; rounded)

6% 10%

B. Costs using IMC’s input prices and each site’s own practical capacities Personnel costs 141 87 76 Space costs 12 13 8 TOTAL 153 100 84 NH’s cost as a % of site (NH/Site x 100; rounded)

55% 84%

C. Costs using IMC’s input prices and practical capacities Personnel costs 121 87 80 Space costs 17 13 13 TOTAL 138 100 93 NH’s cost as a % of site (NH/Site x 100; rounded)

67% 93%


Variance Analysis of Personnel Costs between NH and the two U.S. hospitals

THHBP vs. IMC NH vs. IMC NH vs. THHBP

Total variance 63 (100%) -78 (100%) -141 (100%)

Price variance 36 (57%) -64 (82%) -73 (52%)

Productivity variance 27 (43%) -14 (18%) -68 (48%)

Mix variance 13.5 -36 -84

Efficiency variance 13.5 22 16


Benefits from Variance Analysis

Variance analysisPrice: Difference in CPM for each Personnel Type

Quantity: Difference in Number of Minutes

(activity duration and LOS)Price: Difference in Mix of

Personnel Types

Variation in Total

Personnel Costs

1

23


Joint Replacement Learning Community: Range in total personnel and consumable costs for Total Knee Arthroscopy (TKA)

N = 27; scope of care is decision for surgery through discharge plus follow-up visits within 90 days

Indexed TKA Total Personnel and Consumable Costs at U.S. Organizations

86

020406080

100120140160180200

Personnel Consumables

90th percentile

75th percentile

Median

25th percentile

10th percentile

135

58

115100

77

184

155138122

2.3x Ratio of 90th to 10thPercentile

2.1x Ratio of 90th to 10thPercentile

Haas, Derek A. and Robert S. Kaplan, “Variation in the cost of care for primary total knee arthroplasties” Journal of Arthroplasty (September 2016).

http://www.sciencedirect.com/science/article/pii/S2352344116300309


Large productivity differences exist between providers

Number of Operating Rooms (OR) Used per Day by Ortho Surgeons in

Joint Replacement Program

10

7

3

0

2

4

6

8

10

12

SurgeonA

SurgeonB

SurgeonC

Number of Joint Replacements Performed per Day per Surgeon with

Similar Cut to Close Times

55%1

OR45%2 ORs


Space and equipment costs are much lower than personnel costs

Personnel

Shoulder surgeryat Hospital A

Cardiac surgeryat Hospital B

Knee surgeryat Hospital C

Equipment Space

$25/min

$20/min

$20/min

$.25/min

$1.30/min

$.25/min

$.35/min

$.40/min

$.55/min

Operating Room Cost per Minute of Time


Discharge disposition, not readmissions, primary driver of variation in post acute care spend

Quartiles of Post Acute Care Spend

Home w/ Outpatient

Home Health

Inpatient Rehab

Skilled Nursing Facility

Readmissions

Standardized Cost

Highest 4% 42% 24% 29% 3% $6,6882nd Highest 17% 50% 4% 29% 3% $4,9112nd Lowest 23% 57% 7% 13% 3% $4,330Lowest 44% 42% 4% 10% 2% $3,664

Organizations were categorized into quartiles based on their standardized post acute care costs; the percentages reflect the averages for each quartile of

organizations

Correl Post Acute Care

medicalconditionPrimary Knee Replacement

actualconsumablecost(All)

internationalNo

Sum of standardcoststandardprocess

care_cycle_idhospitalleadphysicianBefore day of surgeryDay of surgery pre-opSurgeryPACU RecoveryInpatientPost-discharge follow-upPost acute careGrand TotalBefore day of surgeryDay of surgery pre-opSurgeryPACU RecoveryInpatientPost-discharge follow-upPost acute careGrand TotalTotal Less PACInpatientPACTotal Hospital StayPACBefore Day of SurgeryPAC

1Adventist Medical CenterOrganizational Average505173195993221623639309112Adventist Medical Center505173195993221623639309112518222163930444139305053930

2Advocate Health CareGross Mark8921791108131158922645448669Advocate Health Care9411791108131158922145448713416915894544300845449414544

6Advocate Health CareOryhon Jeremy9891791108131158921645448757Central Dupage Hospital3932102063176158118543929000460815814392402943923934392

7Central Dupage HospitalMochel David3612102162162167326948149651Connecticut Joint Replacement Institute7005311361139173829045179277476117384517377045177004517

10Central Dupage HospitalSporer Scott4262101963190148910139708348Delnor Hospital74816413231368501883305671434108503305247333057483305

11Connecticut Joint Replacement InstituteOrganizational Average7005311361139173829045179277Evergreen Health377325854123173918938087416360817393808304238083773808

14Delnor HospitalMorawski David748164132313685018833056714Franciscan St. Francis Mooreville46413078111212355438706646277612353870225938704643870

16Evergreen HealthFuchs Robin413325843124173421437857439Gundersen Health System544210900180127220551068417331112725106256151065445106

17Evergreen HealthRolfe Bruce345325843121178716931976787Hacksensack University Medical Center328114885228123271777410631285712327774245977743287774

18Evergreen HealthMcAllister Craig330325877120122910327985782Henry Ford West Bloomfield Hospital5362621707143192411147029385468419244702403747025364702

20Evergreen HealthOrganizational Average425325843124167021336877286Hoag Orthopedic Institute270158116722626357446589189453126354658418646582704658

22Evergreen HealthStickney Jeff425325843123176821354739170Johns Hopkins Bayview Medical Center3821332676118141533340869143505714154086434240863824086

25Evergreen HealthBadger David326325877125224822139088030Kadlec Medical Center6011221456222219411738448555471121943844399338446013844

28Franciscan St. Francis MoorevilleOrganizational Average46413078111212355438706646Montefiore Medical Center4123161053122149416256219181356014945621298656214125621

30Gundersen Health SystemRiley Ted580210857180135422451258530Moses Taylor Hospital26331814291011653116744711327388016537447350174472637447

31Gundersen Health SystemTopolski Mark509210942180119018750878304Northside Hospital Forsyth399249217657819654149791437658194149330141493994149

35Hacksensack University Medical CenterKlein Gregg328114841228123271777410587Northwestern Memorial Hospital4471047141125613089453659927456313085365402253654475365

37Hacksensack University Medical CenterKissin Yair328114928228123271777410674Orlando Regional Medical Center378172126915115711661459701355615716145316361453786145

38Henry Ford West Bloomfield HospitalWeir Robb5362621707143192411147029385Palmetto Health9661941737206193423645669840527419344566407145669664566

40Hoag Orthopedic InstituteCaillouette James304158115923226436838598424Providence Alaska Medical Center4481271588172182615228477159431218262847371328474482847

45Hoag Orthopedic InstituteGausewitz Steve266158128922926329744239093Providence Sacred Heart Medical Center8582291941227172420944729660518817244472412144728584472

46Hoag Orthopedic InstituteGorab Robert257158111122226316646439088Regional Hospital of Scranton257117119257149876722310419319614987223286472232577223

47Hoag Orthopedic InstituteBarnett Steven2551581111222263466570610151Sierra Medical Center256182836120120615943477107276012064347234543472564347

57Johns Hopkins Bayview Medical CenterKhanuja Harpal (Paul)3821332676118141533340869143Straub Clinic and Hospital76087138113218732243498604425518734349347343497604349

58Kadlec Medical CenterStaeheli John6011221456222219411738448555UCSF Medical Center20611914418318161213786378618163459206

62Montefiore Medical CenterKim SunJin4043161053125149416156219174UMass Memorial Medical Center89126828174352861318543513026759128615435638254358915435

63Montefiore Medical CenterCobelli Neil4203161053120149416456219188UPMC Magee-Womens Hospital53689609154150210632486244299615023248235532485363248

69Moses Taylor HospitalHenzes John26331814291011653116744711327Wake Forest Baptist Medical Center9843322259140191953436419809616819193641465036419843641

70Northside Hospital ForsythOrganizational Average3992492176578196541497914Western Connecticut Health Network - Danbury Hospital4031051177173176126659219806388417615921321559214035921

72Northwestern Memorial HospitalManning David4471047141125613089453659927

76Orlando Regional Medical CenterOrganizational Average378172126915115711661459701

79Orlando Regional Medical CenterHaidukewych George378172126915115711661459701

80Palmetto HealthVoss Frank9661941737206193423645669840

85Providence Alaska Medical CenterTK4921271220172171914428476721

86Providence Alaska Medical CenterDP4041271955172193215928477596

90Providence Sacred Heart Medical CenterPeterson Arnold8582291941227172420944729660

93Regional Hospital of ScrantonOrganizational Average257117119257149876722310419

94Sierra Medical CenterSides Eric301176918125122215943477249

97Sierra Medical CenterHernandez Alvaro211189754115119015943476965

100Straub Clinic and HospitalNakasone Cass76087138113218732243498604

103UCSF Medical CenterBozic Kevin20611914418318161213786

104UMass Memorial Medical CenterOrganizational Average89126828174352861318543513026

106UPMC Magee-Womens HospitalDiGioia Tony53689609154150210632486244

108Wake Forest Baptist Medical CenterShields John9043322259140191951336419708

111Wake Forest Baptist Medical CenterLang Jason10643322259140191955536419910

112Western Connecticut Health Network - Danbury HospitalSG4031051348173176126659219977

114Western Connecticut Health Network - Danbury HospitalDeveney Robert403105834173176126659219463

117Western Connecticut Health Network - Danbury HospitalJD4031051348173176126659219977

2216.111589.11000000000011581.01499999999991738.4600000000003850.400000000000091739.3751235.38000000000011272.30000000000021232.41000000000011924.482634.72000000000031414.932193.78000000000021493.72999999999981653.3000000000009819.060000000000171307.880000000000115711933.73000000000091825.60500000000021723.73000000000021497.841206.28000000000021872.86999999999971815.85000000000062861.04999999999931501.53000000000021919.34999999999971760.55000000000023929.57289999999974543.92600000000044392.05440999999974516.54999999999933304.75833808.02181666666733869.57110000000015105.88739999999967773.6988000000014701.65409999999974657.66677499999974085.74479999999993844.20124000000035621.02229999999967446.65620000000044149.43019999999985364.51159999999986145.11499999999984566.14939999999932846.61840000000034472.07159999999937222.54349999999984346.85093000000054348.7685434.96273247.66669999999983641.262425921.27884441.44000000000053007.51999999999954029.453770.43000000000072473.22000000000033041.922259.02999999999972561.26000000000022458.64999999999964036.83000000000044186.3175000000014342.31000000000043992.83000000000172985.52999999999973500.99000000000073300.60999999999974022.123162.744071.38000000000063712.55999999999954121.412863.662344.72000000000033472.523459.20000000000076381.68999999999872354.544649.763215.11666666666683929.57289999999974543.92600000000044392.05440999999974516.54999999999933304.75833808.02181666666733869.57110000000015105.88739999999967773.6988000000014701.65409999999974657.66677499999974085.74479999999993844.20124000000035621.02229999999967446.65620000000044149.43019999999985364.51159999999986145.11499999999984566.14939999999932846.61840000000034472.07159999999937222.54349999999984346.85093000000054348.7685434.96273247.66669999999983641.262425921.2788505.21000000000015940.61500000000001393.44000000000005700.34000000000015748.04999999999984377.2650000000001463.59000000000003544.43000000000018327.68999999999994535.55999999999995270.39999999999992381.60000000000019600.94000000000005412.19500000000005262.82399.49447.22999999999996377.57000000000005966.03000000000009448858.09000000000026256.58999999999997256.13499999999999759.99000000000024205.81000000000003891.47999999999979536.37000000000012984.05402.713929.57289999999974543.92600000000044392.05440999999974516.54999999999933304.75833808.02181666666733869.57110000000015105.88739999999967773.6988000000014701.65409999999974657.66677499999974085.74479999999993844.20124000000035621.02229999999967446.65620000000044149.43019999999985364.51159999999986145.11499999999984566.14939999999932846.61840000000034472.07159999999937222.54349999999984346.85093000000054348.7685434.96273247.66669999999983641.262425921.2788

Pain Management

medicalconditionPrimary Knee ReplacementmedicalconditionPrimary Hip Replacement

internationalNointernationalNo

Average of total_losstandardprocessAverage of total_losstandardprocess

care_cycle_idhospitalleadphysicianbuckettkaintraoppainmgtbuckettkapostoppainmgtPACU RecoveryInpatientCombinedcare_cycle_idhospitalleadphysicianbucketthaintraoppainmgtbucketthapostoppainmgtPACU RecoveryInpatientCombined

1Adventist Medical CenterOrganizational AverageSpinal plusDirect to oral6031683228PACU4Advocate Health CareGross MarkGeneralPCA/IV9049405030PACU

2Advocate Health CareGross MarkGeneralPCA/IV9049405030Intra-OpAvg. LOS (min)Count5Advocate Health CareOryhon JeremyGeneralPCA/IV9049405030Intra-OpAvg. LOS (min)Count

6Advocate Health CareOryhon JeremyGeneralPCA/IV9049405030General9398Central Dupage HospitalSporer ScottGeneralMulti-modal9035423632General10213

7Central Dupage HospitalMochel DavidGeneral plusDirect to oral9042774367General plus92119Central Dupage HospitalMochel DavidGeneralMulti-modal9041044194General plus868

10Central Dupage HospitalSporer ScottGeneral plusDirect to oral9036003690Spinal plus1331512Connecticut Joint Replacement InstituteOrganizational AverageGeneralDirect to oral10036003700Spinal1524

11Connecticut Joint Replacement InstituteOrganizational AverageGeneralNerve block10043204420Multi-Modal240213Delnor HospitalMorawski DavidGeneralMulti-modal12013971517Spinal plus1446

14Delnor HospitalMorawski DavidGeneralMulti-modal1201397151715Evergreen HealthBadger DavidGeneral plusPCA/IV86.947404826.9Multi-Modal2402

16Evergreen HealthFuchs RobinGeneral plusPCA/IV80.335073587.3Post-OpAvg. LOS (min)Count19Evergreen HealthMcAllister CraigGeneral plusPCA/IV78.124312509.1

17Evergreen HealthRolfe BruceGeneral plusPCA/IV76.636563732.6Direct to oral1131021Evergreen HealthOrganizational Average(blank)(blank)8637393825Post-OpAvg. LOS (min)Count

18Evergreen HealthMcAllister CraigGeneral plusPCA/IV75.420862161.4PCA/IV921623Evergreen HealthFuchs RobinGeneral plusPCA/IV8142194300Direct to oral1299

20Evergreen HealthOrganizational Average(blank)(blank)79.833263405.8Nerve block142524Evergreen HealthStickney JeffGeneral plusPCA/IV92.337433835.3PCA/IV10817

22Evergreen HealthStickney JeffGeneral plusPCA/IV78.636033681.6Multi-modal152726Evergreen HealthRolfe BruceGeneral plusPCA/IV92.844274519.8Multi-modal1409

25Evergreen HealthBadger DavidGeneral plusPCA/IV81.249525033.227Franciscan St. Francis MoorevilleOrganizational AverageGeneral plusMulti-modal8036003680

28Franciscan St. Francis MoorevilleOrganizational AverageGeneral plusMulti-modal8036003680Inpatient29Gundersen Health SystemTopolski MarkGeneral plusPCA/IV9036003690

30Gundersen Health SystemRiley TedGeneral plusPCA/IV9036003690Intra-OpAvg. LOS (min)Count33Gundersen Health SystemRiley TedGeneral plusPCA/IV9036003690Inpatient

31Gundersen Health SystemTopolski MarkGeneral plusPCA/IV9036003690General3890934Hacksensack University Medical CenterKissin YairMulti-ModalMulti-modal24039244164Intra-OpAvg. LOS (min)Count

35Hacksensack University Medical CenterKlein GreggMulti-ModalMulti-modal24039314171General plus37751136Hacksensack University Medical CenterKlein GreggMulti-ModalMulti-modal24032403480General394613

37Hacksensack University Medical CenterKissin YairMulti-ModalMulti-modal24039314171Spinal plus38411941Hoag Orthopedic InstituteBarnett StevenGeneral plusDirect to oral3600General plus374211

38Henry Ford West Bloomfield HospitalWeir RobbSpinal plusDirect to oral12043204440Multi-Modal4061342Hoag Orthopedic InstituteCaillouette JamesGeneral plusDirect to oral3600Spinal41834

40Hoag Orthopedic InstituteCaillouette JamesSpinal plusDirect to oral360043Hoag Orthopedic InstituteGorab RobertSpinal plusDirect to oral3600Spinal plus36457

45Hoag Orthopedic InstituteGausewitz SteveSpinal plusDirect to oral3600Post-OpAvg. LOS (min)Count44Hoag Orthopedic InstituteGausewitz SteveGeneral plusDirect to oral3600Multi-Modal36073

46Hoag Orthopedic InstituteGorab RobertSpinal plusDirect to oral3600Direct to oral38531561Kadlec Medical CenterStaeheli JohnMulti-ModalDirect to oral3658

47Hoag Orthopedic InstituteBarnett StevenSpinal plusDirect to oral3600PCA/IV39351664Montefiore Medical CenterCobelli NeilSpinalPCA/IV18043204500Post-OpAvg. LOS (min)Count

57Johns Hopkins Bayview Medical CenterKhanuja Harpal (Paul)Spinal plusDirect to oral9030963186Nerve block4210566Montefiore Medical CenterKim SunJinSpinalPCA/IV18043204500Direct to oral360614

58Kadlec Medical CenterStaeheli JohnMulti-ModalDirect to oral4320Multi-modal3356768Moses Taylor HospitalHenzes JohnUnknownMulti-modal143.343204463.3PCA/IV413717

62Montefiore Medical CenterKim SunJinSpinal plusNerve block1804320450071Northside Hospital ForsythOrganizational AverageGeneralPCA/IV10521602265Multi-modal37699

63Montefiore Medical CenterCobelli NeilSpinal plusNerve block18043204500Combined73Northwestern Memorial HospitalManning DavidSpinal plusDirect to oral12032003320

69Moses Taylor HospitalHenzes JohnSpinal plusDirect to oral131.543204451.5Intra-OpAvg. LOS (min)Count75Orlando Regional Medical CenterHaidukewych GeorgeGeneralPCA/IV18050405220Combined

70Northside Hospital ForsythOrganizational AverageGeneralPCA/IV10521602265General3982978Orlando Regional Medical CenterOrganizational Average(blank)(blank)18050405220Intra-OpAvg. LOS (min)Count

72Northwestern Memorial HospitalManning DavidSpinal plusMulti-modal12036003720General plus38671182Palmetto HealthVoss FrankGeneralMulti-modal11943204439General404813

76Orlando Regional Medical CenterOrganizational Average(blank)(blank)18050405220Spinal plus40391583Providence Alaska Medical CenterDPSpinal plusMulti-modal13554725607General plus38818

79Orlando Regional Medical CenterHaidukewych GeorgeGeneral plusPCA/IV18050405220Multi-Modal4171284Providence Alaska Medical CenterTKUnknownPCA/IV13548965031Spinal43354

80Palmetto HealthVoss FrankGeneralPCA/IV1194320443991Providence Sacred Heart Medical CenterLovell TimothySpinal plusDirect to oral1903801.63991.6Spinal plus37976

85Providence Alaska Medical CenterTKSpinal plusPCA/IV13543204455Post-OpAvg. LOS (min)Count92Regional Hospital of ScrantonOrganizational AverageGeneralPCA/IV6036003660Multi-Modal38222

86Providence Alaska Medical CenterDPSpinal plusDirect to oral13550405175Direct to oral40201095Sierra Medical CenterHernandez AlvaroGeneralPCA/IV6250405102

90Providence Sacred Heart Medical CenterPeterson ArnoldSpinal plusMulti-modal17540324207PCA/IV40271696Sierra Medical CenterSides EricGeneralPCA/IV13543204455Post-OpAvg. LOS (min)Count

93Regional Hospital of ScrantonOrganizational AverageSpinalPCA/IV6036003660Nerve block4352598Straub Clinic and HospitalNakasone CassGeneralDirect to oral8542914376Direct to oral37329

94Sierra Medical CenterSides EricGeneralPCA/IV6243204382Multi-modal35087102UCSF Medical CenterBozic KevinSpinalDirect to oral12837723900PCA/IV424517

97Sierra Medical CenterHernandez AlvaroGeneralPCA/IV6243204382107UPMC Magee-Womens HospitalDiGioia TonySpinal plusDirect to oral2403441.63681.6Multi-modal39089

100Straub Clinic and HospitalNakasone CassGeneralDirect to oral8542914376109Wake Forest Baptist Medical CenterLang JasonSpinal plusDirect to oral9030003090

103UCSF Medical CenterBozic KevinSpinal plusNerve block12837723900110Wake Forest Baptist Medical CenterShields JohnSpinal plusDirect to oral9030003090

104UMass Memorial Medical CenterOrganizational Average(blank)(blank)16243204482113Western Connecticut Health Network - Danbury HospitalDeveney RobertSpinalDirect to oral12043204440

106UPMC Magee-Womens HospitalDiGioia TonySpinal plusDirect to oral24039604200115Western Connecticut Health Network - Danbury HospitalJD(blank)(blank)12043204440

108Wake Forest Baptist Medical CenterShields JohnSpinal plusMulti-modal9030003090116Western Connecticut Health Network - Danbury HospitalSG(blank)(blank)12043204440

111Wake Forest Baptist Medical CenterLang JasonSpinal plusDirect to oral9030003090

112Western Connecticut Health Network - Danbury HospitalSG(blank)(blank)12043204440

114Western Connecticut Health Network - Danbury HospitalDeveney RobertSpinal plusNerve block12043204440

117Western Connecticut Health Network - Danbury HospitalJD(blank)(blank)12043204440

Surg Minutes and Volume (2)

standardprocessInpatient

personneltype(Multiple Items)

actualconsumablecost(blank)


internationalNo144068%

care_cycle_idhospitalleadphysicianAverage of total_losAverage of ratioSum of accountingdurationSum of activity_time_staffingStaffing RatioLOSAccounting DurationActivities DurationActivities Duration per DayLOS

1Adventist Medical CenterOrganizational Average31685633.6501.250Adventist Medical Center52.26345012282

2Advocate Health CareGross Mark49405988826.90Advocate Health Care53.49888272413

6Advocate Health CareOryhon Jeremy49405988826.90Central Dupage Hospital52.7788260953

7Central Dupage HospitalMochel David42775855.42600Connecticut Joint Replacement Institute4.53.096010683563

10Central Dupage HospitalSporer Scott360057202600Delnor Hospital4.51.03102002061

11Connecticut Joint Replacement InstituteOrganizational Average43204.59601067.820Evergreen Health42.48802751122

14Delnor HospitalMorawski David13974.5310.4445200-0.0000555556Franciscan St. Francis Mooreville52.57204921973

16Evergreen HealthFuchs Robin35074876.752750Gundersen Health System52.5720124503

17Evergreen HealthRolfe Bruce365649142750Hacksensack University Medical Center52.77867062593

18Evergreen HealthMcAllister Craig20864521.52750Henry Ford West Bloomfield Hospital5.53.07854981663

20Evergreen HealthOrganizational Average33264831.52750Hoag Orthopedic Institute2.54661863

22Evergreen HealthStickney Jeff36034900.752750Johns Hopkins Bayview Medical Center62.25162951372

25Evergreen HealthBadger David4952412382750Kadlec Medical Center4.53.09607902633

28Franciscan St. Francis MoorevilleOrganizational Average360057204920Montefiore Medical Center53.08646722243

30Gundersen Health SystemRiley Ted360057201340Moses Taylor Hospital63.0720180603

31Gundersen Health SystemTopolski Mark360057201140Northside Hospital Forsyth41.55406354232

35Hacksensack University Medical CenterKlein Gregg39315786.2720.750Northwestern Memorial Hospital4.52.58005202083

37Hacksensack University Medical CenterKissin Yair39315786.2690.750Orlando Regional Medical Center5.53.59167642184

38Henry Ford West Bloomfield HospitalWeir Robb43205.5785.4545498.250.0000454545Palmetto Health53.08647642553

40Hoag Orthopedic InstituteCaillouette James36004.51620468-820Providence Alaska Medical Center53.393610063093

45Hoag Orthopedic InstituteGausewitz Steve36004.51620492-820Providence Sacred Heart Medical Center52.88062831013

46Hoag Orthopedic InstituteGorab Robert36004.51620452-820Regional Hospital of Scranton52.57205052023

47Hoag Orthopedic InstituteBarnett Steven36004.51620452-820Sierra Medical Center63.0720276923

57Johns Hopkins Bayview Medical CenterKhanuja Harpal (Paul)309665162950Straub Clinic and Hospital53.08586832293

58Kadlec Medical CenterStaeheli John43204.59607900UCSF Medical Center42.69438913403

62Montefiore Medical CenterKim SunJin43205864671.60UMass Memorial Medical Center43.010803591203

63Montefiore Medical CenterCobelli Neil43205864671.60UPMC Magee-Womens Hospital5.52.8720246893

69Moses Taylor HospitalHenzes John432067201800Wake Forest Baptist Medical Center52.16005962862

70Northside Hospital ForsythOrganizational Average216045406350Western Connecticut Health Network - Danbury Hospital53.08646902303

72Northwestern Memorial HospitalManning David36004.58005200

76Orlando Regional Medical CenterOrganizational Average50405.5916.36367640.0000363636

79Orlando Regional Medical CenterHaidukewych George50405.5916.36367640.0000363636


85Providence Alaska Medical CenterTK43205864929.50

86Providence Alaska Medical CenterDP5040510081081.50

90Providence Sacred Heart Medical CenterPeterson Arnold40325806.4282.50




100Straub Clinic and HospitalNakasone Cass42915858.26830

103UCSF Medical CenterBozic Kevin37724943891.380


106UPMC Magee-Womens HospitalDiGioia Tony39605.57202460

108Wake Forest Baptist Medical CenterShields John30005600595.850

111Wake Forest Baptist Medical CenterLang Jason30005600595.850




5554.54.545555.564.55644.55.5555565445.5552.20000000000000023.43055555555555542.735069444444444630.970138888888888882.44560185185185162.52.52.729861111111111132.52.153331.52.53.533.252.82.532.97986111111111112.619444444444444532.752.08333333333333353633.6988787.7960310.44450000000001880.41666666666663720720786.2785.45450000000005516960864720540800916.36360000000002864936806.4720720858.29431080720600864501.25826.899999999999862601067.8200000000002200275492124705.75498.25466295790671.61806355207647641005.5282.5505275.5683891.38359246595.84999999999991690227.84090909090907241.0396761133602995.061571664339212355.94000000000005206.15604867573373112.44675816374823196.849.6258.52963622487914166.08333333333334186.4137.2093023255814263.33333333333331223.8666666666666760423.33333333333331208218.28571428571428254.66666666666666309.38461538461536100.8928571428571520291.833333333333329229.20531344674902340.29353128313892119.6666666666666789.454545454545453286.007999999999922302.20000000000000023.43055555555555542.735069444444444630.970138888888888882.44560185185185162.52.52.729861111111111132.52.153331.52.53.533.252.82.532.97986111111111112.619444444444444532.752.08333333333333353

Surg Minutes and Volume

personneltypeOrthopaedic Surgeon

dos_standard_activity5 Perform surgery



internationalNo

dos_standard_processSurgery

care_cycle_idhospitalleadphysicianSum of prob_times_duration_inc_staffingAverage of tkavolumeMinutesVolumeVolumeMinutes

2Advocate Health CareGross Mark6072Adventist Medical Center

6Advocate Health CareOryhon Jeremy60125Advocate Health Care6098.598.560

7Central Dupage HospitalMochel David82102Central Dupage Hospital82211.5211.582

10Central Dupage HospitalSporer Scott82321Connecticut Joint Replacement Institute

14Delnor HospitalMorawski David55160Delnor Hospital5516016055

16Evergreen HealthFuchs Robin5155Evergreen Health5165.865.851

17Evergreen HealthRolfe Bruce5136Franciscan St. Francis Mooreville

18Evergreen HealthMcAllister Craig51163Gundersen Health System3516816835

22Evergreen HealthStickney Jeff5144Hacksensack University Medical Center42171.5171.542

25Evergreen HealthBadger David5131Henry Ford West Bloomfield Hospital7819819878

30Gundersen Health SystemRiley Ted35159Hoag Orthopedic Institute56192.75192.7556

31Gundersen Health SystemTopolski Mark35177Johns Hopkins Bayview Medical Center1506868150

35Hacksensack University Medical CenterKlein Gregg42214Kadlec Medical Center70939370

37Hacksensack University Medical CenterKissin Yair42129Montefiore Medical Center50138.5138.550

38Henry Ford West Bloomfield HospitalWeir Robb78198Moses Taylor Hospital7914914979

40Hoag Orthopedic InstituteCaillouette James56258Northside Hospital Forsyth

45Hoag Orthopedic InstituteGausewitz Steve5687Northwestern Memorial Hospital7519319375

46Hoag Orthopedic InstituteGorab Robert56257Orlando Regional Medical Center90636390

47Hoag Orthopedic InstituteBarnett Steven56169Palmetto Health80777780

57Johns Hopkins Bayview Medical CenterKhanuja Harpal (Paul)15068Providence Alaska Medical Center81.5676781.5

58Kadlec Medical CenterStaeheli John7093Providence Sacred Heart Medical Center75919175

62Montefiore Medical CenterKim SunJin50194Regional Hospital of Scranton

63Montefiore Medical CenterCobelli Neil5083Sierra Medical Center4019519540

69Moses Taylor HospitalHenzes John79149Straub Clinic and Hospital7517017075

72Northwestern Memorial HospitalManning David75193UCSF Medical Center9010010090

79Orlando Regional Medical CenterHaidukewych George9063UMass Memorial Medical Center

80Palmetto HealthVoss Frank8077UPMC Magee-Womens Hospital3139239231

85Providence Alaska Medical CenterTK6267Wake Forest Baptist Medical Center12073.573.5120

86Providence Alaska Medical CenterDP101Western Connecticut Health Network - Danbury Hospital65.333333333311811865.3333333333












98.5211.516065.8168171.5198192.756893138.51491936377679119517010039273.5118608255513542785615070507975908081.5754075903112065.333333333333329

Surgery Minutes

dos_standard_activity5 Perform surgery



internationalNo

dos_standard_processSurgery

Sum of prob_times_duration_inc_staffingpersonneltype

care_cycle_idhospitalleadphysicianCentral Sterile TechCharge NurseCirculating NurseLicensed Practical Nurse (LPN)Nurse PractitionerOR NurseOrthopaedic FellowOrthopaedic ResidentOrthopaedic SurgeonPhysician Assistant (PA)Pre-Surgery Testing NurseRegistered Nurse (RN)Registered Nurse First Assistant (RNFA)Scrub TechSurgical Assistant (not a Physician Assistant)Surgical TechVendor RepSurgeon MinutesNumber Staff



6Advocate Health CareOryhon Jeremy606060604Central Dupage Hospital824.5


10Central Dupage HospitalSporer Scott20.58261.582825Delnor Hospital554

11Connecticut Joint Replacement InstituteOrganizational Average353535704Evergreen Health513.3333333333


16Evergreen HealthFuchs Robin5151513Gundersen Health System355.5



20Evergreen HealthOrganizational Average5151513Hoag Orthopedic Institute563.5





31Gundersen Health SystemTopolski Mark35357035355Northside Hospital Forsyth




40Hoag Orthopedic InstituteCaillouette James765655764Providence Alaska Medical Center81.54





58Kadlec Medical CenterStaeheli John707070704UCSF Medical Center




70Northside Hospital ForsythOrganizational Average979797974Western Connecticut Health Network - Danbury Hospital65.33333333335






86Providence Alaska Medical CenterDP101101111164.74














956082355551433542785615070507975908081.5756240751353112065.333333333333329544.5443.333333333333333545.5553.55454254443557555

DOS and Surgery

Day of pre-op13%

Prep room3%

Transport pt in1%

Position pt9%

Deliver anesthesia6%

personneltype(Multiple Items)Perform surgery49%dos_standard_activity(All)

actualconsumablecost(blank)Surgery closure8%actualconsumablecost(blank)

medicalconditionPrimary Knee ReplacementPrepare to transport4%Average230572515611084713165288217291699medicalconditionPrimary Knee Replacement

internationalNoClean room2%13%3%1%9%6%49%8%4%2%5%internationalNo49394.8041666667

dos_standard_processSurgeryOther5%dos_standard_processSurgery

2.5414.746.83169.859512.875222.44.720.1345.7157.38318.292583.223333333365.948.314.16170.62.70.7824.2955.394468.201666666778.3571.59.559.72247.39556.85881.0818615.584166666763.9839.9838.285.937.1716.854.916.443213.38185.9529.68120.2373.65115.412213.9883333333268.5556.941509.6116666667550.2427.758.771228.26515.6734.095Orthopaedic Surgeon18615.584166666738%Orthopaedic Surgeon38%

Sum of standardcostdos_standard_activitySum of standardcostpersonneltypeAnesthesiologist9512.87519%Anesthesiologist19%

care_cycle_idhospitalleadphysician0 Day of surgery pre-op1 Prep room2 Transport patient in3 Position patient and complete prep4 Deliver anesthesia/nerve block5 Perform surgery6 Surgery closure7 Prepare to transport patient out8 Clean roomDocumentation and enter ordersExclude - SchedulingMeet with familyOtherX-ray(blank)0 Day of surgery pre-op1 Prep room2 Transport patient in3 Position patient and complete prep4 Deliver anesthesia/nerve block5 Perform surgery6 Surgery closure7 Prepare to transport patient out8 Clean roomOtherDocumentation and enter ordersExclude - SchedulingMeet with familyOtherX-ray(blank)Totalcare_cycle_idhospitalleadphysicianAbstractorAdministrative AssistantAdmitting RegistrarAnesthesia AssistantAnesthesiologistAnesthesiology ResidentBilling SpecialistCardiology TechCentral Sterile TechCertified Medical Assistant (CMA)Charge NurseCirculating NurseClinical AssistantFloor NurseHospital ConciergeHousekeepingJoint Replacement ConciergeLaboratory TechLicensed Practical Nurse (LPN)Medical AssistantNurse Anesthetist (CRNA)Nurse AssistantNurse PractitionerNurses AideOffice ManagerOR NurseOrthopaedic FellowOrthopaedic ResidentOrthopaedic SurgeonOrthopedic Nurse NavigatorPatient Care CoordinatorPatient Care TechPatient Scheduler/Appointment CoordinatorPatient TransporterPharmacistPharmacy TechPhlebotomistPhysician Assistant (PA)Pre-Surgery Testing NurseRadiologistRadiology TechReceptionistRecovery Room NurseRegistered Nurse (RN)Registered Nurse First Assistant (RNFA)Room Service AttendantScrub TechSurgical Assistant (not a Physician Assistant)Surgical CoordinatorSurgical SchedulerSurgical TechTransporter/Transportation AideUnit ClerkAbstractorAdministrative AssistantAdmitting RegistrarAnesthesia AssistantAnesthesiologistAnesthesiology ResidentBilling SpecialistCardiology TechCentral Sterile TechCertified Medical Assistant (CMA)Charge NurseCirculating NurseClinical AssistantFloor NurseHospital ConciergeHousekeepingJoint Replacement ConciergeLaboratory TechLicensed Practical Nurse (LPN)Medical AssistantNurse Anesthetist (CRNA)Nurse AssistantNurse PractitionerNurses AideOffice ManagerOR NurseOrthopaedic FellowOrthopaedic ResidentOrthopaedic SurgeonOrthopedic Nurse NavigatorPatient Care CoordinatorPatient Care TechPatient Scheduler/Appointment CoordinatorPatient TransporterPharmacistPharmacy TechPhlebotomistPhysician Assistant (PA)Pre-Surgery Testing NurseRadiologistRadiology TechReceptionistRecovery Room NurseRegistered Nurse (RN)Registered Nurse First Assistant (RNFA)Room Service AttendantScrub TechSurgical Assistant (not a Physician Assistant)Surgical CoordinatorSurgical SchedulerSurgical TechTransporter/Transportation AideUnit ClerkNurse Anesthetist (CRNA)4468.20166666679%Nurse Anesthetist (CRNA)9%

1Adventist Medical CenterOrganizational Average1731296422940132939772429Adventist Medical Center17312964229401329397724292921321Adventist Medical CenterOrganizational Average6471571076919482221241Adventist Medical Center647.15156.649.55769.491948.13222.31124.280.83Physician Assistant (PA)3213.387%Physician Assistant (PA)7%

2Advocate Health CareGross Mark179246292077017188Advocate Health Care179246292077017188012872Advocate Health CareGross Mark47213323399139670764Advocate Health Care472.46133.223399.2112.8295.6970.1576.094.47Circulating Nurse2583.22333333335%Circulating Nurse5%

6Advocate Health CareOryhon Jeremy179246292077017188Central Dupage Hospital21051303611411076281811536295022726Advocate Health CareOryhon Jeremy47213323399139670764Central Dupage Hospital3.87682.89140.767.7120.97850.49236.47525.8124.214.5292.83579.955.8784.19OR Nurse2247.3955%OR Nurse5%

7Central Dupage HospitalMochel David210332839914311572808362950Connecticut Joint Replacement Institute53154889614739621323940878718937Central Dupage HospitalMochel David468317288793202624593445659Connecticut Joint Replacement Institute6.83248.1445.68302.42230.09405225.91205.62220.862.35Registered Nurse (RN)2213.98833333334%Registered Nurse (RN)4%

10Central Dupage HospitalSporer Scott21070323241399952818362950Delnor Hospital1642335213885862282758653629148710Central Dupage HospitalSporer Scott46831108218221532624593115110Delnor Hospital170.72164.86202.54607.53.089.49150.164.5239.1833.6101.08Scrub Tech1509.61166666673%Other13%

11Connecticut Joint Replacement InstituteOrganizational Average5315488961473962132394087Evergreen Health325108886366429210118011Connecticut Joint Replacement InstituteOrganizational Average7248463022304052262062212Evergreen Health4.83426.95.93155.091.93433.933333333310.4687.7152.1359.1866666667Surgical Tech1228.2652%

14Delnor HospitalMorawski David16423352138858622827583629Franciscan St. Francis Mooreville13039513755735916091214Delnor HospitalMorawski David1711652036083915053934101Franciscan St. Francis Mooreville317.61289.284.1970.434.52131.5219.8174.22Orthopaedic Resident881.082%

16Evergreen HealthFuchs Robin32510858614772921Gundersen Health System210696114465536520260110916Evergreen HealthFuchs Robin542761552451105260Gundersen Health System13.27269.9865.725.7920.47559.56535.4146.6395.853244.9391.02523.48538.0515.09Surgical Assistant (not a Physician Assistant)550.241%

17Evergreen HealthRolfe Bruce32510858614772921Hacksensack University Medical Center11421613605376814149099817Evergreen HealthRolfe Bruce542761552451105260Hacksensack University Medical Center385.11106.265.79373.2282.44.1734.873.742.82Charge Nurse318.291%

18Evergreen HealthMcAllister Craig32510928681372921Henry Ford West Bloomfield Hospital262671534213689013725662929196918Evergreen HealthMcAllister Craig54276155239910885258Henry Ford West Bloomfield Hospital26.54210.422.472.7274.938.85232.4183.96752.14166.1273.06123.6412.07Registered Nurse First Assistant (RNFA)268.5551%

20Evergreen HealthOrganizational Average32510858614772921Hoag Orthopedic Institute158100347210802731225315372132620Evergreen HealthOrganizational Average542761552451105260Hoag Orthopedic Institute8.85393.0516.433.475.3924.87199.87399.217573.092.7673.0653.52587.514.7327.758.770.47Anesthesiology Resident222.40%

22Evergreen HealthStickney Jeff32510858614772921Johns Hopkins Bayview Medical Center133379240401171722928150280922Evergreen HealthStickney Jeff542761552451105260Johns Hopkins Bayview Medical Center2.42186.61225.6515.44419.75150.451278.62302.66227.52Pre-Surgery Testing Nurse185.950%

25Evergreen HealthBadger David32510928681372921Kadlec Medical Center1229476206208977079140157825Evergreen HealthBadger David54276155239910885258Kadlec Medical Center551.46192.814.25549.6315.321.49127.635.2798.271.41Housekeeping170.60%

28Franciscan St. Francis MoorevilleOrganizational Average13039513755735916Montefiore Medical Center316271220455293486291291136928Franciscan St. Francis MoorevilleOrganizational Average31828947051322074Montefiore Medical Center489.3210.594.721.695.79120.999.772.0565.82335.572.24130.248.0727.5531.3149.464.23Anesthesia Assistant169.850%

30Gundersen Health SystemRiley Ted21069611446511652026Moses Taylor Hospital318529369795808116116174730Gundersen Health SystemRiley Ted13270666302735689632456853815Moses Taylor Hospital162.77143.57.71280.45809.9963.981.84156.8252.5962.784.16Radiology Tech120.230%

31Gundersen Health SystemTopolski Mark21069611446596652026Northside Hospital Forsyth249732127281139078172454158146242531Gundersen Health SystemTopolski Mark1327066611923525963245114423815Northside Hospital Forsyth1.69601.09197.19293.07974.97.311.3584.75110.97127.9919.924.47Recovery Room Nurse115.410%

35Hacksensack University Medical CenterKlein Gregg1142261360537107916Northwestern Memorial Hospital104712101072095371431412368368245835Hacksensack University Medical CenterKlein Gregg38510663308243543Northwestern Memorial Hospital416.8884.72171.3923.14196.15151.111301.764.959.0399.16Nurse Assistant78.350%

37Hacksensack University Medical CenterKissin Yair1142613605372819193Orlando Regional Medical Center1721562201016391914845826144137Hacksensack University Medical CenterKissin Yair38510664178243543Orlando Regional Medical Center93.3126.816.7213.5210.7811.41668.253.88124.9257.3259.6164.56Receptionist73.650%

38Henry Ford West Bloomfield HospitalWeir Robb2626715342136890137256629Palmetto Health1941003819029852361139280193138Henry Ford West Bloomfield HospitalWeir Robb27210232759232847521667312412Palmetto Health79.4209.2220.453.82339.1194.7902.565.235.935.4254.27211.18Nurse Practitioner71.50%

40Hoag Orthopedic InstituteCaillouette James1581003472108353212215372Providence Alaska Medical Center127342097239962461952176581154177240Hoag Orthopedic InstituteCaillouette James93931635200370733733288152890Providence Alaska Medical Center512.1750.1320.0772.290.78682.143.93140.1953.871.610.9147.7108.03515.085.64Clinical Assistant65.940%

45Hoag Orthopedic InstituteGausewitz Steve15810034721084914712215372Providence Sacred Heart Medical Center2295357386105825181260740217045Hoag Orthopedic InstituteGausewitz Steve9393163520048637311988152890Providence Sacred Heart Medical Center17.69166.7550.99328.128.77277.74919.91191.3612.19176.83Orthopedic Nurse Navigator63.980%

46Hoag Orthopedic InstituteGorab Robert1581003472107625712215372Regional Hospital of Scranton1174951477065024115150130946Hoag Orthopedic InstituteGorab Robert93931635252003703733288152890Regional Hospital of Scranton95.28151.166.56210.8572.7857.41215.03Orthopaedic Fellow56.850%

47Hoag Orthopedic InstituteBarnett Steven1581003472107625712215372Sierra Medical Center1821079615533249070101847Hoag Orthopedic InstituteBarnett Steven93931635252003703733288152890Sierra Medical Center46.6525.6457.778.31263.945.32126.075286.3973.75513.720.4558.1156.9497.4652.496.355Central Sterile Tech45.7150%

57Johns Hopkins Bayview Medical CenterKhanuja Harpal (Paul)13337924040117172292815Straub Clinic and Hospital872946981957618520146294473146857Johns Hopkins Bayview Medical CenterKhanuja Harpal (Paul)2187226154201501279303228Straub Clinic and Hospital375.1913.548.1887.06125.73465.74146.8472.623.611.4104.3263.060.29Patient Care Coordinator39.980%

58Kadlec Medical CenterStaeheli John122947620620897707914UCSF Medical Center11961221927101791240156058Kadlec Medical CenterStaeheli John551193455015112835981UCSF Medical Center10.61301.73105.91152.2615.04180.1235.8853.3667.094.9633.4Patient Care Tech38.280%

62Montefiore Medical CenterKim SunJin316271220455293486291UMass Memorial Medical Center268106152053416822822457413413308562Montefiore Medical CenterKim SunJin48911526121107266336213082831494UMass Memorial Medical Center61.92546.87.3814.27430.74267.28147.75983.5524.6272.44162.12136.3424.144.161.88Unit Clerk34.0950%

63Montefiore Medical CenterCobelli Neil316271220455293486291UPMC Magee-Womens Hospital8945713237169615069963Montefiore Medical CenterCobelli Neil48911526121107266336213082831494UPMC Magee-Womens Hospital2.541.9379.41.93111.81196.711.531.0379.74115.853.2253.11Radiologist29.680%

69Moses Taylor HospitalHenzes John318529369795808116Wake Forest Baptist Medical Center33253252454581098130364117411658259169Moses Taylor HospitalHenzes John163144828081064215753634Wake Forest Baptist Medical Center8.85436.7521.1898.599.65339.08244.03122.581009.59169.114.52126.74Surgical Coordinator27.750%

70Northside Hospital ForsythOrganizational Average249732127281139078174158146Western Connecticut Health Network - Danbury Hospital105391315811376459320128270Northside Hospital ForsythOrganizational Average26011972939757185111128204Western Connecticut Health Network - Danbury Hospital22.12146.89133.9933333333193.0666666667406.92333333332.62120.046.77153.783333333315.8579.85Licensed Practical Nurse (LPN)24.2950%

72Northwestern Memorial HospitalManning David10471210107209537143141236872Northwestern Memorial HospitalManning David417851712319615113025999Pharmacist16.850%

76Orlando Regional Medical CenterOrganizational Average172375201016391914582676Orlando Regional Medical CenterOrganizational Average93127714211116684125576065Transporter/Transportation Aide15.670%

79Orlando Regional Medical CenterHaidukewych George1722850201016391914582679Orlando Regional Medical CenterHaidukewych George93127714211116684125576065Administrative Assistant14.740%

80Palmetto HealthVoss Frank19410038190298523611392880Palmetto HealthVoss Frank792092043399590356554211Office Manager9.70%

85Providence Alaska Medical CenterTK12735209737254420175258485Providence Alaska Medical CenterTK425020721483411842112572156Nurses Aide9.550%

86Providence Alaska Medical CenterDP127322097106138071215258115486Providence Alaska Medical CenterDP6000207218814163421171144156Surgical Scheduler8.770%

90Providence Sacred Heart Medical CenterPeterson Arnold22953573861058251812607490Providence Sacred Heart Medical CenterPeterson Arnold18167513282927892019112177Floor Nurse8.310%

93Regional Hospital of ScrantonOrganizational Average11749514770650241151593Regional Hospital of ScrantonOrganizational Average95151721157357215Certified Medical Assistant (CMA)7.380%

94Sierra Medical CenterSides Eric176107667559927102794Sierra Medical CenterSides Eric562932016526080859710136Patient Transporter7.170%

97Sierra Medical CenterHernandez Alvaro189107135654672179797Sierra Medical CenterHernandez Alvaro382388208587312681905779427Room Service Attendant6.940%

100Straub Clinic and HospitalNakasone Cass872946981957618520294473100Straub Clinic and HospitalNakasone Cass375148871264661477341104630Admitting Registrar6.830%

103UCSF Medical CenterBozic Kevin1196122192710179124103UCSF Medical CenterBozic Kevin11302106152151803653667533Phlebotomist6.440%

104UMass Memorial Medical CenterOrganizational Average268106152053416822822457413104UMass Memorial Medical CenterOrganizational Average62547714431267148984252721621362442Patient Scheduler/Appointment Coordinator5.930%

106UPMC Magee-Womens HospitalDiGioia Tony8945713237169615106UPMC Magee-Womens HospitalDiGioia Tony3279211219721801165353Medical Assistant5.390%

108Wake Forest Baptist Medical CenterShields John33253252454581098130364111658108Wake Forest Baptist Medical CenterShields John943721991033924412310101695127Pharmacy Tech4.910%

111Wake Forest Baptist Medical CenterLang Jason33253252454581098130364111658111Wake Forest Baptist Medical CenterLang Jason943721991033924412310101695127Billing Specialist4.720%

112Western Connecticut Health Network - Danbury HospitalSG10539131581139355932112Western Connecticut Health Network - Danbury HospitalSG22147150220492314071691689Hospital Concierge4.160%

114Western Connecticut Health Network - Danbury HospitalDeveney Robert10539131581134215932114Western Connecticut Health Network - Danbury HospitalDeveney Robert2214710213923738171231662Joint Replacement Concierge2.70%

117Western Connecticut Health Network - Danbury HospitalJD10539131581139355932117Western Connecticut Health Network - Danbury HospitalJD22147150220492314071691689Abstractor2.540%

Laboratory Tech0.780%

Cardiology Tech0.130%

Orthopaedic Surgeon0.37687332667327617Anesthesiologist0.19258857607577318Nurse Anesthetist (CRNA)9.0458940814709551E-2Physician Assistant (PA)6.5055020547454712E-2Circulating Nurse5.2297470896272583E-2OR Nurse4.5498611400844886E-2Registered Nurse (RN)4.4822291953278158E-2Other0.13240576163839096Day of pre-op0.13289097930641375Prep room3.2713455084789837E-2Transport pt in1.4288885660805896E-2Position pt8.9981064269638159E-2Deliver anesthesia6.3427562878153765E-2Perform surgery0.48991712598087295Surgery closure7.5577683321339531E-2Prepare to transport3.7316445464120711E-2Clean room1.6264626439243909E-2Other4.7622171594621454E-2

Surgery Minutes and CPM

Day of surgery pre-opPrep roomTransport patient inPosition patient and complete prepDeliver anesthesia/nerve blockPerform surgerySurgery closurePrepare to transport patient outClean roomOtherTotalDay of surgery pre-opPrep roomTransport patient inPosition patient and complete prepDeliver anesthesia/nerve blockPerform surgerySurgery closurePrepare to transport patient outClean roomOtherTotal

personneltype(Multiple Items)0.990th213125311801475821801069023214860.990th$ 2.21$ 1.10$ 2.53$ 2.39$ 3.97$ 2.58$ 2.75$ 2.38$ 0.97$ 5.79$ 2.28

actualconsumablecost(blank)0.7575th16492201126048811846597511720.7575th$ 1.81$ 0.92$ 1.89$ 2.14$ 3.59$ 2.39$ 2.10$ 2.05$ 0.79$ 5.79$ 2.09

medicalconditionPrimary Knee Replacement0.5Median12360118830350512530328680.5Median$ 1.55$ 0.86$ 1.46$ 1.91$ 2.55$ 2.11$ 1.91$ 1.46$ 0.62$ 4.29$ 1.87

internationalNo0.2525th80365428269271422157080.2525th$ 1.39$ 0.78$ 1.18$ 1.21$ 1.83$ 1.91$ 1.48$ 1.20$ 0.39$ 2.29$ 1.70

dos_standard_processSurgery0.110th663041942101772054700.110th$ 1.29$ 0.68$ 1.02$ 1.00$ 1.35$ 1.88$ 1.15$ 1.08$ 0.39$ 0.92$ 1.55

UPMC704060818960420451UPMC$ 1.28$ 1.12$ 1.19$ 3.97$ 1.96$ 1.16$ 1.58$ 0.75$ 1.55

Sum of prob_times_duration_inc_staffingdos_standard_activity

care_cycle_idhospitalleadphysician0 Day of surgery pre-op1 Prep room2 Transport patient in3 Position patient and complete prep4 Deliver anesthesia/nerve block5 Perform surgery6 Surgery closure7 Prepare to transport patient out8 Clean roomDocumentation and enter ordersExclude - SchedulingMeet with familyOtherX-ray(blank)0 Day of surgery pre-op1 Prep room2 Transport patient in3 Position patient and complete prep4 Deliver anesthesia/nerve block5 Perform surgery6 Surgery closure7 Prepare to transport patient out8 Clean roomDocumentation and enter ordersExclude - SchedulingMeet with familyOtherX-rayBlankOtherTotal0 Day of surgery pre-op1 Prep room2 Transport patient in3 Position patient and complete prep4 Deliver anesthesia/nerve block5 Perform surgery6 Surgery closure7 Prepare to transport patient out8 Clean roomDocumentation and enter ordersExclude - SchedulingMeet with familyOtherX-rayBlankOtherTotal

1Adventist Medical CenterOrganizational Average961402597105811530405Adventist Medical Center96140259710581153040551044$ 1.81$ 0.92$ 2.55$ 2.36$ 3.97$ 2.29$ 2.58$ 2.55$ 0.61$ 5.79$ 5.79$ 2.07

2Advocate Health CareGross Mark1253052453009048Advocate Health Care1253052453009048627$ 1.44$ 0.79$ 1.11$ 1.22$ 3.97$ 2.57$ 1.90$ 1.84$ 2.05

6Advocate Health CareOryhon Jeremy1253052453009048Central Dupage Hospital1326016191394511402010535501149$ 1.59$ 0.86$ 1.87$ 1.89$ 3.64$ 2.39$ 2.00$ 0.39$ 3.56$ 5.79$ 1.43$ 2.29$ 2.08

7Central Dupage HospitalMochel David1323012208434921202010535Connecticut Joint Replacement Institute307699090902101802406015151366$ 1.73$ 0.79$ 0.98$ 1.07$ 1.63$ 1.89$ 1.19$ 1.00$ 0.67$ 5.79$ 5.79$ 1.45

10Central Dupage HospitalSporer Scott1329020175354101602010535Delnor Hospital112302010050275118237510515833$ 1.47$ 0.78$ 1.75$ 2.13$ 1.77$ 2.13$ 1.93$ 1.18$ 0.78$ 3.56$ 5.79$ 4.30$ 1.86

11Connecticut Joint Replacement InstituteOrganizational Average307699090902101802406015Evergreen Health1714437228241524516$ 1.90$ 2.53$ 2.05$ 1.10$ 2.79$ 2.69$ 1.90$ 0.86$ 2.29

14Delnor HospitalMorawski David1123020100502751182375105Franciscan St. Francis Mooreville8430513302583020470$ 1.55$ 1.31$ 1.03$ 1.04$ 2.51$ 2.22$ 1.97$ 0.81$ 1.94

16Evergreen HealthFuchs Robin1714417211241524Gundersen Health System15210043216263451545671$ 1.38$ 0.69$ 1.50$ 3.56$ 2.90$ 2.11$ 1.44$ 1.35$ 0.57$ 1.65

17Evergreen HealthRolfe Bruce1714417211241524Hacksensack University Medical Center352121315197219723415$ 3.25$ 0.76$ 1.35$ 1.00$ 3.97$ 2.72$ 3.22$ 1.45$ 2.19$ 2.41

18Evergreen HealthMcAllister Craig1714467262231524Henry Ford West Bloomfield Hospital164801018053468722080551137$ 1.60$ 0.83$ 1.50$ 1.90$ 2.57$ 1.90$ 1.90$ 1.24$ 0.82$ 5.79$ 5.79$ 1.76

20Evergreen HealthOrganizational Average1714417211241524Hoag Orthopedic Institute12310816334312351251343258772$ 1.28$ 0.92$ 2.13$ 2.21$ 2.57$ 2.58$ 2.09$ 1.16$ 0.86$ 1.16$ 0.85$ 0.90$ 0.92$ 1.79

22Evergreen HealthStickney Jeff1714417211241524Johns Hopkins Bayview Medical Center6635612616890012025401486$ 2.01$ 1.06$ 1.44$ 1.91$ 2.39$ 1.91$ 1.91$ 1.13$ 0.39$ 1.89

25Evergreen HealthBadger David1714467262231524Kadlec Medical Center629230865350473522729$ 1.97$ 1.02$ 2.53$ 2.40$ 3.97$ 2.56$ 1.48$ 2.27$ 0.62$ 2.16

28Franciscan St. Francis MoorevilleOrganizational Average8430513302583020Montefiore Medical Center17636102022904942157575790$ 1.80$ 0.75$ 1.23$ 1.00$ 1.84$ 1.90$ 1.89$ 1.15$ 0.39$ 3.88$ 3.88$ 2.10

30Gundersen Health SystemRiley Ted15210043216245451545Moses Taylor Hospital21360614735527202020868$ 1.49$ 0.86$ 1.46$ 2.51$ 2.24$ 2.98$ 0.39$ 5.79$ 5.79$ 2.15

31Gundersen Health SystemTopolski Mark15210043216280451545Northside Hospital Forsyth164881411435582342771040571172$ 1.51$ 0.83$ 1.46$ 2.39$ 2.31$ 2.39$ 2.28$ 0.62$ 5.79$ 5.79$ 3.66$ 4.29$ 2.28

35Hacksensack University Medical CenterKlein Gregg352161315197318315Northwestern Memorial Hospital380301045602256020304004001660$ 2.76$ 0.39$ 1.04$ 2.39$ 3.48$ 2.39$ 2.39$ 0.69$ 0.39$ 0.92$ 0.92$ 1.70

37Hacksensack University Medical CenterKissin Yair352813151971111130Orlando Regional Medical Center1171341554120133510515814$ 1.47$ 1.22$ 1.51$ 3.97$ 1.88$ 1.95$ 1.47$ 0.39$ 5.79$ 5.79$ 5.79$ 1.87

38Henry Ford West Bloomfield HospitalWeir Robb1648010180534687220805Palmetto Health14512226951048018055591172$ 1.34$ 0.82$ 1.46$ 2.00$ 2.90$ 1.78$ 2.00$ 2.53$ 0.47$ 1.65

40Hoag Orthopedic InstituteCaillouette James123108163343392012513432Providence Alaska Medical Center89452050684161810901020232868$ 1.42$ 0.75$ 1.02$ 1.94$ 3.54$ 2.31$ 2.60$ 2.01$ 0.58$ 5.79$ 2.89$ 1.90$ 3.74$ 2.11

45Hoag Orthopedic InstituteGausewitz Steve123108163343394012513432Providence Sacred Heart Medical Center147603018070411961191001213$ 1.56$ 0.88$ 1.91$ 2.14$ 1.50$ 2.01$ 1.89$ 2.18$ 0.74$ 1.79

46Hoag Orthopedic InstituteGorab Robert123108163342844012513432Regional Hospital of Scranton7050470363101151027692$ 1.67$ 0.99$ 1.36$ 2.10$ 1.94$ 2.10$ 2.10$ 1.46$ 0.57$ 1.89

47Hoag Orthopedic InstituteBarnett Steven123108163342844012513432Sierra Medical Center1421355513280167222724$ 1.29$ 0.79$ 1.89$ 1.21$ 1.83$ 1.90$ 1.56$ 1.25$ 0.32$ 1.41

57Johns Hopkins Bayview Medical CenterKhanuja Harpal (Paul)663561261689001202540Straub Clinic and Hospital66474010560310511051590110910$ 1.31$ 0.62$ 1.16$ 0.93$ 3.26$ 2.45$ 1.66$ 2.03$ 5.79$ 2.94$ 0.81$ 1.32$ 1.77

58Kadlec Medical CenterStaeheli John629230865350473522UCSF Medical Center87563131244954448888$ 1.37$ 1.10$ 0.71$ 1.67$ 1.11$ 2.05$ 2.06$ 0.51$ 1.76

62Montefiore Medical CenterKim SunJin176361020229049421575UMass Memorial Medical Center1221201010025108025020901201202057$ 2.21$ 0.88$ 1.50$ 2.05$ 1.35$ 1.56$ 1.13$ 1.22$ 0.63$ 3.44$ 3.44$ 1.70

63Montefiore Medical CenterCobelli Neil176361020229049421575UPMC Magee-Womens Hospital704060818960420451$ 1.28$ 1.12$ 1.19$ 3.97$ 1.96$ 1.16$ 1.58$ 0.75$ 1.55

69Moses Taylor HospitalHenzes John213606147355272020Wake Forest Baptist Medical Center184601316118056411826302010301394$ 1.81$ 0.88$ 1.97$ 1.52$ 2.55$ 1.95$ 1.11$ 1.38$ 1.38$ 5.79$ 5.79$ 5.79$ 1.98

70Northside Hospital ForsythOrganizational Average164881411435582342771040Western Connecticut Health Network - Danbury Hospital75458105603925040775$ 1.40$ 0.86$ 1.68$ 1.50$ 1.88$ 1.95$ 1.18$ 0.79$ 1.65




















Surgery Standard

Day of surgery pre-opPrep roomTransport patient inPosition patient and complete prepDeliver anesthesia/nerve blockPerform surgerySurgery closurePrepare to transport patient outClean roomOtherTotal

0.990th$332$106$65$344$369$1,390$281$180$60$386$2,809

actualconsumablecost(blank)0.7575th$265$73$35$227$144$1,016$213$89$41$245$2,166

medicalconditionPrimary Knee Replacement0.5Median$179$52$15$130$70$795$85$29$22$116$1,613

internationalNo0.2525th$124$34$9$71$23$563$64$20$14$65$1,284

dos_standard_processSurgery0.110th$105$21$5$19$8$533$39$11$8$29$998

UPMC$89$45$71$32$371$69$6$15$699

Sum of standardcostdos_standard_activity

care_cycle_idhospitalleadphysician0 Day of surgery pre-op1 Prep room2 Transport patient in3 Position patient and complete prep4 Deliver anesthesia/nerve block5 Perform surgery6 Surgery closure7 Prepare to transport patient out8 Clean roomDocumentation and enter ordersExclude - SchedulingMeet with familyOtherX-ray(blank)0 Day of surgery pre-op1 Prep room2 Transport patient in3 Position patient and complete prep4 Deliver anesthesia/nerve block5 Perform surgery6 Surgery closure7 Prepare to transport patient out8 Clean roomDocumentation and enter ordersExclude - SchedulingMeet with familyOtherX-rayBlankOtherTotal



6Advocate Health CareOryhon Jeremy179246292077017188Central Dupage Hospital2105130361141107628183629501152387


10Central Dupage HospitalSporer Scott21070323241399952818362950Delnor Hospital16423352138858622827583629651551

11Connecticut Joint Replacement InstituteOrganizational Average5315488961473962132394087Evergreen Health325108886366429211180


16Evergreen HealthFuchs Robin32510858614772921Gundersen Health System210696114465536520261109



20Evergreen HealthOrganizational Average32510858614772921Hoag Orthopedic Institute1581003472108027312215372531379





31Gundersen Health SystemTopolski Mark21069611446596652026Northside Hospital Forsyth2497321272811390781741581462452669




40Hoag Orthopedic InstituteCaillouette James1581003472108353212215372Providence Alaska Medical Center1273420972399624619525857401191833





58Kadlec Medical CenterStaeheli John122947620620897707914UCSF Medical Center11961221927101791241560




70Northside Hospital ForsythOrganizational Average249732127281139078174158146Western Connecticut Health Network - Danbury Hospital105391315811376459321282




















Personnel


international(All)

standardprocess(Multiple Items)

personneltypeSum of standardcostSum of prob_times_duration_inc_staffing

Orthopaedic Surgeon524409064$5.79

Registered Nurse (RN)3712334905$1.06

Floor Nurse2065021225$0.97

Anesthesiologist202725128$3.95

Physical Therapist89638966$1.00

Physician Assistant (PA)73475529$1.33

Nurse Anesthetist (CRNA)65923596$1.83

Circulating Nurse51384669$1.10

OR Nurse38663358$1.15

Nurse Practitioner36242958$1.23

Nurse Assistant31867228$0.44

Case Manager30723032$1.01

Patient Care Tech29486832$0.43

Hospitalist29381114$2.64

Recovery Room Nurse28712702$1.06

Scrub Tech28294461$0.63

Orthopaedic Resident22363329$0.67

Radiology Tech19182377$0.81

Clinical Assistant19074177$0.46

Occupational Therapist18661941$0.96

Surgical Tech18143005

Charge Nurse17431618

Social Worker15922236

Pre-Surgery Testing Nurse11091131

Primary Care Physician (PCP)952381

Pharmacist827540

Administrative Assistant7951646

Radiologist780151

Housekeeping7241876

Unit Clerk7221543

Physical Therapist Assistant7141112

Patient Care Coordinator6861405

Nurses Aide6051662

Medical Assistant6031117

Surgical Assistant (not a Physician Assistant)600590

Receptionist5821289

Orderly532968

Patient Scheduler/Appointment Coordinator5291072

Surgical Scheduler440753

Nurse Educator430383

Registered Nurse First Assistant (RNFA)429379

Orthopedic Nurse Navigator385415

Respiratory Therapist362489

Laboratory Tech336541

Anesthesiology Resident301426

Dietitian272402

Anesthesia Assistant263297

Pharmacy Tech239463

Certified Medical Assistant (CMA)234572

Cardiologist22456

Transporter/Transportation Aide218525

Clinical Nurse Specialist215228

Room Service Attendant174550

Phlebotomist157317

Billing Specialist146309

Surgical Coordinator146153

Office Manager118237

Rehab Aide114237

Licensed Practical Nurse (LPN)110201

Office Assistant99248

Rehab Tech93239

Central Sterile Tech91205

Patient Transporter91204

Nurse Manager8971

Joint Replacement Concierge72156

Internist6923

Dietary Tech68164

Orthopaedic Fellow57116

Assistant Nurse Mgr5254

Hospital Concierge40112

Mobility Tech3175

Cardiology Tech2751

Anesthesiology Fellow1928

Scribe1226

Internal Medicine Resident812

Admitting Registrar715

Abstractor513

MRI Tech45

Occupational Therapist Assistant23

N/A Patient Only013013

PAC Standardized

0.990th7267Quartiles of Post Acute Care SpendHome w/ OutpatientHome HealthInpatient RehabSkilled Nursing FacilityReadmissionsStandardized Cost

0.7575th543525th39304Highest4%42%24%29%3%$6,688

0.5Median4517Median58732nd Highest17%50%4%29%3%$4,911

0.2525th393075th91822nd Lowest23%57%7%13%3%$4,330

0.110th35743561Lowest44%42%4%10%2%$3,664

medicalconditionPrimary Knee Replacement1832medicalconditionPrimary Knee Replacement

internationalNointernationalNo

standardprocessPost acute carestandardprocessPost acute care

Average of standardcostactivityAverage of probabilityactivity23456

hospitalHomeHome HealthRehabSkilled Nursing FacilityReadmissionsTotalhospitalHomeHome HealthRehabSkilled Nursing FacilityReadmissionsHomeHome HealthRehabSkilled Nursing FacilityReadmissionsStandardized Cost

UPMC Magee-Womens Hospital26822561163952123248Adventist Medical Center51.736.6011.3711UPMC Magee-Womens Hospital12%82%1%5%2%3248

Delnor Hospital18532485792373873305Advocate Health Care070.81.727.51.812Delnor Hospital83%9%5%3%3%3305

Wake Forest Baptist Medical Center6723113487911253641Central Dupage Hospital5.573.510111.7513Wake Forest Baptist Medical Center3%84%3%10%1%3641

Evergreen Health1046903792106703808Connecticut Joint Replacement Institute071.8027.4314Evergreen Health47%33%7%14%0%3808

Kadlec Medical Center18711914882132543844Delnor Hospital839533.115Kadlec Medical Center84%1%13%3%2%3844

Franciscan St. Francis Mooreville6701266116181803870Evergreen Health46.833333333332.83333333336.833333333313.5016Franciscan St. Francis Mooreville30%46%1%23%0%3870

Adventist Medical Center1154100708938753930Franciscan St. Francis Mooreville3046123017Adventist Medical Center52%37%0%11%7%3930

Johns Hopkins Bayview Medical Center8481183173831604086Gundersen Health System66.508.624.95.2528Johns Hopkins Bayview Medical Center38%43%15%4%0%4086

Northside Hospital Forsyth02339011866254149Hacksensack University Medical Center71926482.329Northside Hospital Forsyth0%85%0%15%5%4149

Sierra Medical Center11319501509750254347Henry Ford West Bloomfield Hospital0751245210Sierra Medical Center5%71%13%9%0%4347

Straub Clinic and Hospital1809014254906254349Hoag Orthopedic Institute071.01256.077521.1052.65211Straub Clinic and Hospital81%0%12%6%5%4349

Central Dupage Hospital123202211598702194392Johns Hopkins Bayview Medical Center38431540212Central Dupage Hospital6%74%10%11%2%4392

Providence Sacred Heart Medical Center670143123212658754472Kadlec Medical Center83.780.6812.842.72.03213Providence Sacred Heart Medical Center30%52%2%16%7%4472

Connecticut Joint Replacement Institute01975021663754517Montefiore Medical Center0534432.4214Connecticut Joint Replacement Institute0%72%0%27%3%4517

Advocate Health Care0194819721742254544Moses Taylor Hospital050481.73315Advocate Health Care0%71%2%28%2%4544

Palmetto Health0195361418741254566Northside Hospital Forsyth0850155316Palmetto Health0%71%5%24%1%4566

Hoag Orthopedic Institute0195470416683314658Northwestern Memorial Hospital0590414317Hoag Orthopedic Institute0%71%6%21%3%4658

Henry Ford West Bloomfield Hospital0206411618976254702Orlando Regional Medical Center05519263318Henry Ford West Bloomfield Hospital0%75%1%24%5%4702

Gundersen Health System1485099619686565106Palmetto Health0715.323.71319Gundersen Health System67%0%9%25%5%5106

Northwestern Memorial Hospital01623032415005365Providence Sacred Heart Medical Center30522167320Northwestern Memorial Hospital0%59%0%41%4%5365

UMass Memorial Medical Center1197061432493755435Regional Hospital of Scranton0444742321UMass Memorial Medical Center54%0%5%41%3%5435

Montefiore Medical Center0145846333993005621Sierra Medical Center5.0870.8613.029.490.2422Montefiore Medical Center0%53%4%43%2%5621

Western Connecticut Health Network - Danbury Hospital42477011641115005921Straub Clinic and Hospital81012.36.25423Western Connecticut Health Network - Danbury Hospital19%28%1%52%4%5921

Orlando Regional Medical Center01513220120553756145UMass Memorial Medical Center53.605.341.13424Orlando Regional Medical Center0%55%19%26%3%6145

Regional Hospital of Scranton0121154463162507223UPMC Magee-Womens Hospital1282151.7425Regional Hospital of Scranton0%44%47%4%2%7223

Moses Taylor Hospital0137655621343757447Wake Forest Baptist Medical Center3843101426Moses Taylor Hospital0%50%48%2%3%7447

Hacksensack University Medical Center156523301337952877774Western Connecticut Health Network - Danbury Hospital19281524427Hacksensack University Medical Center7%19%26%48%2%7774

1355.611303999999563929.5729000000001586.977099999999151832.40334000000081918.41270000000077

PAC Actuals (4)

PercentileHome w/ OutpatientHome HealthInpatient RehabSkilled NursingReadmissionsTotal

0.990th$0$1,376$5,562$134$375$7,447

0.7575th$1,197$0$614$3,249$375$5,435

0.5Median$0$1,975$0$2,166$375$4,517

0.2525th$1,154$1,007$0$893$875$3,930

0.110th$1,853$248$579$237$387$3,305

Standardized Cost$0$0$0$0$2


international(All)

standardprocessPost acute care

Average of standardcostactivity

hospitalHomeHome HealthRehabSkilled Nursing FacilityReadmissions

Hvidovre Hospital22330003752608Hvidovre Hospital$2,608

Providence Alaska Medical Center51415682321583752847

UPMC Magee-Womens Hospital26822561163952123248UPMC Magee-Womens Hospital$3,248

Delnor Hospital18532485792373873305Delnor Hospital$3,305

Wake Forest Baptist Medical Center6723113487911253641Wake Forest Baptist Medical Center$3,641

Evergreen Health1046903792106703808Evergreen Health$3,808

Kadlec Medical Center18711914882132543844Kadlec Medical Center$3,844

Franciscan St. Francis Mooreville6701266116181803870Franciscan St. Francis Mooreville$3,870

Adventist Medical Center1154100708938753930Adventist Medical Center$3,930

Johns Hopkins Bayview Medical Center8481183173831604086Johns Hopkins Bayview Medical Center$4,086

Northside Hospital Forsyth02339011866254149Northside Hospital Forsyth$4,149

Sierra Medical Center11319501509750254347Sierra Medical Center$4,347

Straub Clinic and Hospital1809014254906254349Straub Clinic and Hospital$4,349

Central Dupage Hospital123202211598702194392Central Dupage Hospital$4,392

Providence Sacred Heart Medical Center670143123212658754472Providence Sacred Heart Medical Center$4,472

Connecticut Joint Replacement Institute01975021663754517Connecticut Joint Replacement Institute$4,517

Advocate Health Care0194819721742254544Advocate Health Care$4,544

Palmetto Health0195361418741254566Palmetto Health$4,566

Hoag Orthopedic Institute0195470416683314658Hoag Orthopedic Institute$4,658

Henry Ford West Bloomfield Hospital0206411618976254702Henry Ford West Bloomfield Hospital$4,702

Gundersen Health System1485099619686565106Gundersen Health System$5,106

Northwestern Memorial Hospital01623032415005365Northwestern Memorial Hospital$5,365

UMass Memorial Medical Center1197061432493755435UMass Memorial Medical Center$5,435

Montefiore Medical Center0145846333993005621Montefiore Medical Center$5,621

Western Connecticut Health Network - Danbury Hospital42477011641115005921Western Connecticut Health Network - Danbury Hospital$5,921

Orlando Regional Medical Center01513220120553756145Orlando Regional Medical Center$6,145

Jewish General Hospital018273847325006205Jewish General Hospital$6,205

Regional Hospital of Scranton0121154463162507223Regional Hospital of Scranton$7,223

Moses Taylor Hospital0137655621343757447Moses Taylor Hospital$7,447

Hacksensack University Medical Center156523301337952877774Hacksensack University Medical Center$7,774

PAC Actuals (3)

PercentileHome w/ OutpatientHome HealthInpatient RehabSkilled NursingReadmissionsPercentileHome w/ OutpatientHome HealthInpatient RehabSkilled NursingTotalReadmissions

0.990th83%81%32%43%5%$ 7,2230.990th0%50%48%2%100%3%

0.7575th48%71%13%26%4%$ 5,5280.7575th54%0%5%41%100%3%

0.5Median6%53%5%14%3%$ 4,5170.5Median0%72%0%27%99%3%

0.2525th0%26%1%4%2%$ 3,9000.2525th52%37%0%11%100%7%

0.110th0%0%0%2%0%$ 3,3050.110th83%9%5%3%100%3%

medicalconditionPrimary Knee ReplacementStandard Cost$0$0$0$0$2

international(All)

standardprocessPost acute care

Average of probabilityactivity

hospitalHomeHome HealthRehabSkilled Nursing FacilityReadmissionsHome w/ OutpatientHome HealthInpatient RehabSkilled NursingReadmissionsHvidovre Hospital$2,608

Adventist Medical Center51.736.6011.37100%52%37%0%11%7%

Advocate Health Care070.81.727.51.8100%0%71%2%28%2%UPMC Magee-Womens Hospital$3,248

Central Dupage Hospital5.573.510111.75100%6%74%10%11%2%Delnor Hospital$3,305

Connecticut Joint Replacement Institute071.8027.4399%0%72%0%27%3%Wake Forest Baptist Medical Center$3,641

Delnor Hospital839533.1100%83%9%5%3%3%Evergreen Health$3,808

Evergreen Health46.833333333332.83333333336.833333333313.50100%47%33%7%14%0%Kadlec Medical Center$3,844

Franciscan St. Francis Mooreville30461230100%30%46%1%23%0%Franciscan St. Francis Mooreville$3,870

Gundersen Health System66.508.624.95.25100%67%0%9%25%5%Adventist Medical Center$3,930

Hacksensack University Medical Center71926482.3100%7%19%26%48%2%Johns Hopkins Bayview Medical Center$4,086

Henry Ford West Bloomfield Hospital0751245100%0%75%1%24%5%Northside Hospital Forsyth$4,149

Hoag Orthopedic Institute071.01256.077521.1052.6598%0%71%6%21%3%Sierra Medical Center$4,347

Hvidovre Hospital1000003100%100%0%0%0%3%Straub Clinic and Hospital$4,349

Jewish General Hospital066.433.20.44100%0%66%33%0%4%Central Dupage Hospital$4,392

Johns Hopkins Bayview Medical Center38431540100%38%43%15%4%0%Providence Sacred Heart Medical Center$4,472

Kadlec Medical Center83.780.6812.842.72.03100%84%1%13%3%2%Connecticut Joint Replacement Institute$4,517

Montefiore Medical Center0534432.4100%0%53%4%43%2%Advocate Health Care$4,544

Moses Taylor Hospital050481.73100%0%50%48%2%3%Palmetto Health$4,566

Northside Hospital Forsyth0850155100%0%85%0%15%5%Hoag Orthopedic Institute$4,658

Northwestern Memorial Hospital0590414100%0%59%0%41%4%Henry Ford West Bloomfield Hospital$4,702

Orlando Regional Medical Center05519263100%0%55%19%26%3%Gundersen Health System$5,106

Palmetto Health0715.323.71100%0%71%5%24%1%Northwestern Memorial Hospital$5,365

Providence Alaska Medical Center235722384%23%57%2%2%3%UMass Memorial Medical Center$5,435

Providence Sacred Heart Medical Center30522167100%30%52%2%16%7%Montefiore Medical Center$5,621

Regional Hospital of Scranton044474295%0%44%47%4%2%Western Connecticut Health Network - Danbury Hospital$5,921

Sierra Medical Center5.0870.8613.029.490.298%5%71%13%9%0%Orlando Regional Medical Center$6,145

Straub Clinic and Hospital81012.36.25100%81%0%12%6%5%Jewish General Hospital$6,205

UMass Memorial Medical Center53.605.341.13100%54%0%5%41%3%Regional Hospital of Scranton$7,223

UPMC Magee-Womens Hospital1282151.7100%12%82%1%5%2%Moses Taylor Hospital$7,447

Wake Forest Baptist Medical Center3843101100%3%84%3%10%1%Hacksensack University Medical Center$7

Applying Time-Driven ABC in Health Care · Applying Time-Driven ABC in Health Care Value-Based...

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