McLaren Bay Region 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 McLaren Homecare and Hospice - Davison, MI Heartland Home Health Care and Hospice - Bay City, MI Compassus - Northern Michigan - West Branch, MI Southerncare Saginaw - Saginaw, MI Compassus - Cass City - Cass City, MI
All 10,817
Surgical 5,029
Non Surgical 8,037
Septicemia or Severe Sepsis 767
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 756
Heart Failure and Shock 689
Acute Myocardial Infarction 670
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 622
Renal Failure 589
Chronic Obstructive Pulmonary Disease 587
Psychoses 536
Cardiac Arrhythmia and Conduction Disorders 528
Circulatory Disorders Except AMI with Cardiac Catheterization 444
Simple Pneumonia and Pleurisy 434
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 429
Kidney and Urinary Tract Infections 389
Permanent Cardiac Pacemaker Implant 357
G.I.Hemorrhage 351
Nutritional and Miscellaneous Metabolic Disorders 312
Intracranial Hemorrhage or Cerebral Infarction 279
Coronary Bypass 261
Chest Pain 254
Degenerative Nervous System Disorders 253
Syncope and Collapse 218
Cellulitis 214
Aftercare, Musculoskeletal System and Connective Tissue 209
Other Vascular Procedures 192
Other Musculoskeletal System and Connective Tissue O.R. Procedures 192
Pulmonary Edema and Respiratory Failure 180
Hip and Femur Procedures Except Major Joint 180
Medical Back Problems 178
Peripheral Vascular Disorders 172
Transient Ischemia 169
Signs and Symptoms 165
Infections and Parasitic Diseases with O.R. Procedure 163
Diabetes 162
Respiratory System Diagnosis with Ventilator Support 151
Spinal Fusion Except Cervical 150
Aftercare 146
Percutaneous Intracardiac Procedures 135
Cardiac Valve and Other Major Cardiothoracic Procedures 132
Other Major Cardiovascular Procedures 130
Poisoning and Toxic Effects of Drugs 129
Extracranial Procedures 129
Extensive O.R. Procedure Unrelated to Principal Diagnosis 129
G.I. Obstruction 122
Major Small and Large Bowel Procedures 122
Red Blood Cell Disorders 118
Other Digestive System Diagnoses 112
Other Circulatory System Diagnoses 112
Seizures 109
Cholecystectomy 109
Pulmonary Embolism 106
Other Respiratory System O.R. Procedures 100
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 97
Other Kidney and Urinary Tract Diagnoses 96
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 95
Kidney and Ureter Procedures 95
Major Joint and Limb Reattachment Procedures of Upper Extremity 95
Cervical Spinal Fusion 94
Disorders of Pancreas Except Malignancy 93
Other Disorders of Nervous System 93
Respiratory Infections and Inflammations 92
Atherosclerosis 89
Hypertension 82
Aortic and Heart Assist Procedures 81
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 80
Disorders of Biliary Tract 79
Revision of Hip or Knee Replacement 77
Cardiac Defibrillator Implant 75
Bronchitis and Asthma 74
Transurethral Procedures 73
Respiratory Neoplasms 72
Biopsies of Musculoskeletal System and Connective Tissue 71
Peripheral and Cranial Nerve and Other Nervous System Procedures 70
Trauma to the Skin, Subcutaneous Tissue and Breast 65
Major Gastrointestinal Disorders and Peritoneal Infections 65
Percutaneous Cardiovascular Procedures without Coronary Artery Stent 64
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 64
Traumatic Stupor and Coma, Coma < 1 Hour 63
Nonspecific Cerebrovascular Disorders 61
Fractures of Hip and Pelvis 60
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 58
Cranial and Peripheral Nerve Disorders 58
Disequilibrium 58
Cardiac Pacemaker Revision Except Device Replacement 57
Craniotomy and Endovascular Intracranial Procedures 56
Complications of Treatment 55
Cirrhosis and Alcoholic Hepatitis 52
Combined Anterior/Posterior Spinal Fusion 52
Peptic Ulcer 51
Endovascular Procedures 50
Other Kidney and Urinary Tract Procedures 49
Alcohol/Drug Abuse or Dependence 49
Amputation for Circulatory System Disorders Except Upper Limb and Toe 47
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 46
Coagulation Disorders 45
Pleural Effusion 45
Digestive Malignancy 45
Other Respiratory System Diagnoses 43
Endocrine Disorders 43
Postoperative or Post-Traumatic Infections with O.R. Procedure 41
Headaches 39
Carotid Artery Stent Procedures 39
Other O.R. Procedures for Injuries 38
Bone Diseases and Arthropathies 37
Signs and Symptoms of Musculoskeletal System and Connective Tissue 36
Pneumothorax 36
Skin Debridement 35
Hernia Procedures 35
Other Musculoskeletal System and Connective Tissue Diagnoses 34
Malignancy of Hepatobiliary System or Pancreas 34
Uterine and Adnexal Procedures for Malignancy 34
Postoperative and Post-Traumatic Infections 33
OTHER CARDIOTHORACIC PROCEDURES 32
Non-extensive Procedure Unrelated to Principal Diagnosis 32
Major Chest Procedures 32
Interstitial Lung Disease 31
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 31
Organic Disturbances and Intellectual Disability 30
Other Skin, Subcutaneous Tissue and Breast Procedures 30
Nervous System Neoplasms 29
Tendonitis, Myositis and Bursitis 29
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 27
Uterine and Adnexal Procedures for Non-Malignancy 27
Other Circulatory O.R. Procedures 26
Lymphoma and Non-Acute Leukemia 26
Transurethral Prostatectomy 25
Viral Illness 24
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 24
Traumatic Stupor and Coma, Coma > 1 Hour 23
Peritoneal Adhesiolysis 23
Major Chest Trauma 23
Hypertensive Encephalopathy 23
Urinary Stones 22
Inflammatory Bowel Disease 21
Kidney and Urinary Tract Signs and Symptoms 21
Other Ear,Nose,Mouth and Throat Diagnoses 19
Soft Tissue Procedures 19
Respiratory Signs and Symptoms 19
Acute Adjustment Reaction and Psychosocial Dysfunction 19
Otitis Media and Upper Respiratory Infection 18
Appendectomy 18
Other Digestive System O.R. Procedures 18
Dental and Oral Diseases 18
Ischemic Stroke with Use of Thrombolytic Agent 18
Knee Procedures 17
Spinal Procedures 16
Fever And Inflammatory Conditions 15
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 15
Alcohol/Drug Abuse or Dependence, Left AMA 15
Multiple Sclerosis and Cerebellar Ataxia 14
VAGINAL DELIVERY 14
Inflammation of the Male Reproductive System 14
AICD Generator Procedures 14
Major Esophageal Disorders 14
Amputation for Musculoskeletal System and Connective Tissue Disorders 14
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 14
Malignancy, Female Reproductive System 13
Nonspecific CVA and Precerebral Occlusion without Infarction 13
Stomach, Esophageal and Duodenal Procedures 13
Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 13
Vagina, Cervix and Vulva Procedures 13
Upper Limb and Toe Amputation for Circulatory System Disorders 12
Cardiac Congenital and Valvular Disorders 12
Epistaxis 12
Skin Ulcers 12
Craniotomy with Major Device Implant or Acute Complex CNS PDX 12
Wound Debridements for Injuries 11