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
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