Adventist Health Howard Memorial Inpatient Case Mix Index Benchmarks Calculations

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DRG Description Total Hospitalizations (Oct 2016 to Sep 2019) % of DRG Group State % of DRG Group The difference from State Benchmark National % of DRG Group The difference from National Benchmark
DRG Group Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 436
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 429
DRG Group Septicemia or Severe Sepsis 218
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 170
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 48
DRG Group Heart Failure and Shock 115
291 HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 87
292 HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 18
DRG Group Simple Pneumonia and Pleurisy 111
193 SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 54
194 SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) 42
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Hip and Femur Procedures Except Major Joint 75
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) 43
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 57
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) 28
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Revision of Hip or Knee Replacement 54
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 30
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Intracranial Hemorrhage or Cerebral Infarction 47
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS 30
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Cellulitis 45
603 CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
DRG Group Kidney and Urinary Tract Infections 45
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Nutritional and Miscellaneous Metabolic Disorders 44
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Major Joint and Limb Reattachment Procedures of Upper Extremity 44
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 44
DRG Group Chronic Obstructive Pulmonary Disease 43
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
DRG Group Pulmonary Edema and Respiratory Failure 35
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 35
DRG Group G.I. Obstruction 33
390 G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
389 G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group G.I.Hemorrhage 32
378 G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) 16
DRG Group Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 29
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Cardiac Arrhythmia and Conduction Disorders 29
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Major Small and Large Bowel Procedures 29
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 15
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Diabetes 27
638 DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Other Musculoskeletal System and Connective Tissue O.R. Procedures 27
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Cholecystectomy 26
DRG Group Aftercare, Musculoskeletal System and Connective Tissue 26
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 20
563 FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 20
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Red Blood Cell Disorders 20
812 RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Poisoning and Toxic Effects of Drugs 19
DRG Group Pulmonary Embolism 18
DRG Group Other Kidney and Urinary Tract Diagnoses 17
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Combined Anterior/Posterior Spinal Fusion 17
DRG Group Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 16
DRG Group Major Gastrointestinal Disorders and Peritoneal Infections 15
DRG Group Disorders of Pancreas Except Malignancy 15
DRG Group Spinal Fusion Except Cervical 14
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Renal Failure 14
DRG Group Respiratory Infections and Inflammations 13
DRG Group Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 13
DRG Group Infections and Parasitic Diseases with O.R. Procedure 13
DRG Group Seizures 13
101 SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Pleural Effusion 12
DRG Group Syncope and Collapse 12
312 SYNCOPE AND COLLAPSE 12
DRG Group Medical Back Problems 12
DRG Group Soft Tissue Procedures 12
DRG Group Organic Disturbances and Intellectual Disability 11
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY 11
DRG Group Cervical Spinal Fusion 11
DRG Group Otitis Media and Upper Respiratory Infection 11
DRG Group Other Skin, Subcutaneous Tissue and Breast Procedures 11

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