Adventist Healthcare Washington Adventist Hospital Hospice Referral Patterns and Quality Outcomes

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DRG Category	Total Unique Beneficiaries Discharged (Jan 2016 - Dec 2018)	30 Day Hospice Admission Rate Post Hospital Discharge (%)	Hospice Avg. LOS	Hospice Median LOS	Capital Caring Health - Largo - Largo, MD	Montgomery Hospice - Rockville, MD	Seasons Hospice & Palliative Care - Columbia, MD	Heartland Hospice Services - Beltsville, MD	Holy Cross Home Care and Hospice - Silver Spring, MD
All	7,362
Surgical	2,508
Non Surgical	5,554
Septicemia or Severe Sepsis	809
Psychoses	471
Heart Failure and Shock	439
Intracranial Hemorrhage or Cerebral Infarction	332
Kidney and Urinary Tract Infections	308
Pulmonary Edema and Respiratory Failure	258
G.I.Hemorrhage	253
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent	245
Cardiac Arrhythmia and Conduction Disorders	221
Acute Myocardial Infarction	217
Renal Failure	210
Coronary Bypass	209
Simple Pneumonia and Pleurisy	203
Chronic Obstructive Pulmonary Disease	185
Nutritional and Miscellaneous Metabolic Disorders	169
Infections and Parasitic Diseases with O.R. Procedure	168
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders	160
Circulatory Disorders Except AMI with Cardiac Catheterization	155
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity	155
Other Vascular Procedures	151
Respiratory System Diagnosis with Ventilator Support	139
Endovascular Procedures	134
Diabetes	131
Cardiac Valve and Other Major Cardiothoracic Procedures	130
Cellulitis	108
Permanent Cardiac Pacemaker Implant	107
Signs and Symptoms	99
Other Circulatory System Diagnoses	97
Major Small and Large Bowel Procedures	91
Red Blood Cell Disorders	89
Extensive O.R. Procedure Unrelated to Principal Diagnosis	89
Seizures	88
Bronchitis and Asthma	87
Chest Pain	83
Peripheral Vascular Disorders	79
Hypertension	78
Respiratory Infections and Inflammations	76
Hip and Femur Procedures Except Major Joint	71
Other Kidney and Urinary Tract Diagnoses	71
Syncope and Collapse	69
Cholecystectomy	66
Percutaneous Intracardiac Procedures	66
Pulmonary Embolism	65
Other Digestive System Diagnoses	64
G.I. Obstruction	63
Nonspecific Cerebrovascular Disorders	59
Disorders of Pancreas Except Malignancy	58
Other Major Cardiovascular Procedures	58
Other Disorders of Nervous System	56
Transient Ischemia	49
Cardiac Defibrillator Implant	49
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck	45
Poisoning and Toxic Effects of Drugs	43
Medical Back Problems	42
Amputation for Circulatory System Disorders Except Upper Limb and Toe	36
Degenerative Nervous System Disorders	35
Spinal Fusion Except Cervical	34
Extracranial Procedures	34
Kidney and Ureter Procedures	33
Transurethral Prostatectomy	33
Craniotomy and Endovascular Intracranial Procedures	33
Major Gastrointestinal Disorders and Peritoneal Infections	32
Alcohol/Drug Abuse or Dependence	32
Respiratory Neoplasms	32
Depressive Neuroses	31
Disorders of Biliary Tract	30
Organic Disturbances and Intellectual Disability	30
Other Circulatory O.R. Procedures	28
Cervical Spinal Fusion	28
Ischemic Stroke with Use of Thrombolytic Agent	28
Non-extensive Procedure Unrelated to Principal Diagnosis	28
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis	27
Disequilibrium	26
Combined Anterior/Posterior Spinal Fusion	25
Otitis Media and Upper Respiratory Infection	25
Fractures of Hip and Pelvis	25
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh	25
Endocrine Disorders	25
Aortic and Heart Assist Procedures	25
Tendonitis, Myositis and Bursitis	25
Digestive Malignancy	24
Major Chest Procedures	24
Other Kidney and Urinary Tract Procedures	23
HIV with Major Related Condition	23
Traumatic Stupor and Coma, Coma < 1 Hour	23
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders	23
OTHER CARDIOTHORACIC PROCEDURES	23
Complications of Treatment	22
Hernia Procedures	22
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy	21
Other Musculoskeletal System and Connective Tissue O.R. Procedures	21
Other Respiratory System O.R. Procedures	21
Respiratory Signs and Symptoms	21
Other Respiratory System Diagnoses	21
Stomach, Esophageal and Duodenal Procedures	21
Postoperative or Post-Traumatic Infections with O.R. Procedure	21
Skin Debridement	21
Malignancy of Hepatobiliary System or Pancreas	21
Pleural Effusion	20
Transurethral Procedures	20
Peptic Ulcer	19
Skin Ulcers	19
Other Endocrine, Nutritional and Metabolic Procedures	18
Urinary Stones	18
Other Skin, Subcutaneous Tissue and Breast Procedures	18
Coagulation Disorders	18
Other Digestive System O.R. Procedures	18
Nervous System Neoplasms	17
Other O.R. Procedures for Injuries	17
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation	15
Postoperative and Post-Traumatic Infections	15
Appendectomy	15
Acute Adjustment Reaction and Psychosocial Dysfunction	15
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur	15
Cardiac Congenital and Valvular Disorders	15
Other Musculoskeletal System and Connective Tissue Diagnoses	14
Atherosclerosis	14
Cranial and Peripheral Nerve Disorders	14
Skin Graft	14
Major Male Pelvic Procedures	13
Bone Diseases and Arthropathies	12
Traumatic Injury	12
Cardiac Pacemaker Revision Except Device Replacement	12
Percutaneous Cardiovascular Procedures without Coronary Artery Stent	12
Pneumothorax	12
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators	12
Major Bladder Procedures	12
Peritoneal Adhesiolysis	12
Headaches	12
Cardiac Arrest, Unexplained	11
Uterine and Adnexal Procedures for Non-Malignancy	11