TrendLens February 15, 2018: TrendTracking the Economic Cost of Sepsis across the Care Continuum

Lisa Remington

Welcome to TrendLens‚Ķtrends bending the curve in home health and post-acute care. In this issue of TrendLens, we focus on Sepsis. Sepsis is the #1 cause of readmissions. Learn the key facts about Sepsis. How should your organization manage Sepsis?  In this TrendLens, we provided clinical resources and valuable readmissions information.

Lisa Remington, President, Remington Health Strategy Group

 Sepsis impacts readmissions across the continuum.

Sepsis Graphic v5

  • For every 100 Medicare patients admitted to a hospital within a 30-day period, 21.3% are admitted because of Sepsis.
  • Due to its associated costs, Sepsis surpasses other frequent hospital readmission conditions such as acute myocardial infarction (AMI), heart failure, chronic obstructive pulmonary disease (COPD), and pneumonia.

Based on the 2013 Nationwide Readmissions Database, which covers about half the hospitalizations in the U.S., investigators found the following proportions of conditions associated with unplanned readmissions:

  • Sepsis (12.2%), mean length of stay (LOS) 7.4 days
  • Heart failure (6.7%), mean LOS 6.5 days
  • Pneumonia (5.0%), mean LOS 6.9 days
  • COPD (4.8%), mean LOS 6.3 days
  • AMI (1.3%), mean LOS 6.0 days

The estimated average cost per readmission for Sepsis was $10,070, compared to $9,533 for pneumonia, $9,424 for AMI, $9,051 for heart failure and $8,417 for COPD.