Table 3. Hospital Characteristics by BPCI Participation, 2011-2015.
Non-BPCI Hospitals With Nonzero Volume in Non-BPCI markets (n = 1340) |
BPCI Participating Hospitals (n = 322) |
P Value | |
---|---|---|---|
Beneficiaries receiving LEJR, No. | 753 304 | 289 900 | |
Quarterly LEJR procedural volume per hospital, median (IQR) | 20 (7-44) | 35 (17-69) | <.001 |
Annual admissions, median (IQR)a | |||
Medicare | 3209 (1444-6235) | 5912 (3806-9513) | <.001 |
Total | 6796 (2909-13 283) | 12 939 (7864-20 845) | <.001 |
Hospital size, No. of beds, median (IQR)a | 158 (80-278) | 267 (160-401) | <.001 |
Ownership status, No. (%)a | |||
For-profit | 278 (21) | 67 (21) | <.001 |
Not-for-profit | 876 (65) | 244 (76) | |
Government | 186 (14) | 11 (4) | |
Teaching status, No. (%)a,b | |||
Major | 85 (6) | 46 (14) | <.001 |
Minor | 561 (42) | 196 (61) | |
None | 694 (53) | 80 (25) | |
Urban status, No. (%)a | 964 (72) | 306 (95) | <.001 |
Hospital margin %, median (IQR)a,c | 6 (1-12) | 7 (2-11) | .95 |
Joint Commission accreditation, No. (%)a | 1072 (80) | 279 (87) | .01 |
Safety net hospitals, No. (%)a,d | 330 (25) | 303 (23) | .48 |
Net patient revenue paid on a shared risk basis, % (SD)a | 1.3 (7.2) | 2.5 (9.6) | .06 |
Complication rate from Hospital Compare, No. (%)a,e | |||
<National rate | 32 (2) | 12 (4) | <.001 |
No different than the national rate | 1286 (96) | 296 (92) | |
>National rate | 22 (2) | 14 (5) | |
Readmission rate from Hospital Compare, No. (%)a,e | |||
<National rate | 98 (7) | 26 (8) | <.001 |
No different than the national rate | 1142 (85) | 239 (74) | |
>National rate | 100 (8) | 57 (18) |
Abbreviations: BPCI, Bundled Payments for Care Improvement; IQR, interquartile range; LEJR, lower extremity joint replacement; MS-DRG, Medicare Severity-Diagnosis Related Group.
2015 data.
From the American Hospital Association Annual Survey, major teaching hospitals are members of the Council of Teaching Hospitals (COTH), minor teaching hospitals are non-COTH members that had a medical school affiliation reported to the American Medical Association, and nonteaching hospitals are all other institutions.
Hospital margin is a percentage calculated as the difference between total net revenue and total expenses divided by total net revenue.
Safety net hospitals were in the top quartile of disproportionate share payment percentage, using the fiscal year 2017 Centers for Medicare & Medicaid IMPACT file.
The 30-day joint replacement complication and readmissions rate designations as lower than, no different from, or higher than the national rate were drawn for each hospital directly from the Centers for Medicare & Medicaid Hospital Compare website.15 The method adjusts for patient factors but does not adjust for hospital characteristics.26