MedStar Montgomery Medical Center Hospice Referral Patterns and Quality Outcomes - Oct 2016 to Sep 2019

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DRG Category Total Unique Beneficiaries Discharged (Oct 2016 to Sep 2019) 30 Day Hospice Admission Rate Post Hospital Discharge (%) Hospice Avg. LOS Hospice Median LOS Montgomery Hospice - Rockville, MD Jewish Social Service Agency - Rockville, MD Holy Cross Home Care and Hospice - Silver Spring, MD Seasons Hospice & Palliative Care - Columbia, MD Gilchrist's Hunt Valley - Hunt Valley, MD
All 6,906
Surgical 1,597
Non Surgical 5,802
Septicemia or Severe Sepsis 1,322
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 510
Heart Failure and Shock 418
Kidney and Urinary Tract Infections 390
Intracranial Hemorrhage or Cerebral Infarction 301
Simple Pneumonia and Pleurisy 294
Cardiac Arrhythmia and Conduction Disorders 254
Psychoses 250
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 209
G.I.Hemorrhage 200
Hip and Femur Procedures Except Major Joint 199
Chronic Obstructive Pulmonary Disease 199
Renal Failure 196
Cellulitis 189
Acute Myocardial Infarction 188
Pulmonary Edema and Respiratory Failure 187
Nutritional and Miscellaneous Metabolic Disorders 182
Respiratory Infections and Inflammations 160
G.I. Obstruction 123
Diabetes 106
Other Kidney and Urinary Tract Diagnoses 106
Medical Back Problems 98
Other Digestive System Diagnoses 98
Infections and Parasitic Diseases with O.R. Procedure 97
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 96
Red Blood Cell Disorders 89
Bronchitis and Asthma 84
Fractures of Hip and Pelvis 81
Major Gastrointestinal Disorders and Peritoneal Infections 77
Peripheral Vascular Disorders 75
Other Circulatory System Diagnoses 75
Seizures 74
Pulmonary Embolism 72
Syncope and Collapse 70
Transient Ischemia 63
Degenerative Nervous System Disorders 57
Signs and Symptoms 56
Other Disorders of Nervous System 56
Respiratory System Diagnosis with Ventilator Support 56
Major Small and Large Bowel Procedures 53
Postoperative and Post-Traumatic Infections 53
Other Musculoskeletal System and Connective Tissue Diagnoses 51
Ischemic Stroke with Use of Thrombolytic Agent 48
Spinal Fusion Except Cervical 46
Disorders of Biliary Tract 45
Disorders of Pancreas Except Malignancy 44
Digestive Malignancy 43
Extensive O.R. Procedure Unrelated to Principal Diagnosis 40
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 40
Permanent Cardiac Pacemaker Implant 38
Respiratory Neoplasms 38
Other Vascular Procedures 38
Major Joint and Limb Reattachment Procedures of Upper Extremity 37
Malignancy of Hepatobiliary System or Pancreas 36
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 36
Alcohol/Drug Abuse or Dependence 35
Chest Pain 35
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 34
Aftercare, Musculoskeletal System and Connective Tissue 34
Poisoning and Toxic Effects of Drugs 34
Endocrine Disorders 32
Revision of Hip or Knee Replacement 32
Organic Disturbances and Intellectual Disability 32
Extracranial Procedures 31
Hypertension 29
Nonspecific Cerebrovascular Disorders 28
Lymphoma and Non-Acute Leukemia 27
Cholecystectomy 27
Kidney and Ureter Procedures 26
Trauma to the Skin, Subcutaneous Tissue and Breast 25
Cranial and Peripheral Nerve Disorders 25
Bone Diseases and Arthropathies 25
Disequilibrium 24
Interstitial Lung Disease 24
Complications of Treatment 23
Coagulation Disorders 23
Major Chest Trauma 23
Peptic Ulcer 22
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 22
Nervous System Neoplasms 21
Pneumothorax 20
Other Respiratory System O.R. Procedures 20
Other Major Cardiovascular Procedures 20
Signs and Symptoms of Musculoskeletal System and Connective Tissue 20
Other Kidney and Urinary Tract Procedures 19
Cirrhosis and Alcoholic Hepatitis 19
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 18
Combined Anterior/Posterior Spinal Fusion 18
Tendonitis, Myositis and Bursitis 18
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 18
Skin Ulcers 18
Traumatic Stupor and Coma, Coma < 1 Hour 17
Cardiac Congenital and Valvular Disorders 17
Non-extensive Procedure Unrelated to Principal Diagnosis 17
Depressive Neuroses 17
Aortic and Heart Assist Procedures 16
Urinary Stones 15
Skin Debridement 15
Osteomyelitis 15
Inflammatory Bowel Disease 14
Foot Procedures 14
Other Musculoskeletal System and Connective Tissue O.R. Procedures 13
Fever And Inflammatory Conditions 13
Uterine and Adnexal Procedures for Non-Malignancy 13
Non-Bacterial Infections of Nervous System Except Viral Meningitis 13
Peritoneal Adhesiolysis 13
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 13
Viral Illness 13
Soft Tissue Procedures 13
Other Respiratory System Diagnoses 12
Other Digestive System O.R. Procedures 12
Benign Prostatic Hypertrophy 12
Angina Pectoris 12
Fractures of Femur 12
Minor Bladder Procedures 12
Major Male Pelvic Procedures 11
Other Multiple Significant Trauma 11
Acute Adjustment Reaction and Psychosocial Dysfunction 11
Hernia Procedures 11
Transurethral Procedures 11
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 11
Pleural Effusion 11