Christiana Care Wilmington Hospital 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 Seasons Hospice & Palliative Care - Newark, DE Heartland Hospice Services - Newark, DE Compassionate Care Hospice - Newport, DE Delaware Hospice - Newark, DE Vitas Healthcare Corporation Atlantic - Newark, DE
All 38,236
Surgical 18,731
Non Surgical 26,058
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 4,126
Simple Pneumonia and Pleurisy 2,393
Heart Failure and Shock 2,262
Intracranial Hemorrhage or Cerebral Infarction 1,920
Kidney and Urinary Tract Infections 1,739
Septicemia or Severe Sepsis 1,733
Renal Failure 1,500
G.I.Hemorrhage 1,404
Chronic Obstructive Pulmonary Disease 1,308
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 1,275
Cardiac Arrhythmia and Conduction Disorders 971
Major Small and Large Bowel Procedures 951
Nutritional and Miscellaneous Metabolic Disorders 949
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 843
Circulatory Disorders Except AMI with Cardiac Catheterization 839
Spinal Fusion Except Cervical 826
Hip and Femur Procedures Except Major Joint 782
Cellulitis 729
Degenerative Nervous System Disorders 693
Medical Back Problems 690
Syncope and Collapse 681
Combined Anterior/Posterior Spinal Fusion 675
Other Disorders of Nervous System 668
Pulmonary Edema and Respiratory Failure 667
Other Digestive System Diagnoses 574
Respiratory Infections and Inflammations 573
Cervical Spinal Fusion 568
Seizures 518
Psychoses 500
G.I. Obstruction 496
Signs and Symptoms 486
Pulmonary Embolism 486
Diabetes 485
Coronary Bypass 485
Red Blood Cell Disorders 485
Aftercare, Musculoskeletal System and Connective Tissue 480
Other Vascular Procedures 471
Acute Myocardial Infarction 439
Major Joint and Limb Reattachment Procedures of Upper Extremity 437
Transient Ischemia 436
Poisoning and Toxic Effects of Drugs 431
Respiratory System Diagnosis with Ventilator Support 425
Cholecystectomy 419
Bronchitis and Asthma 402
Other Kidney and Urinary Tract Diagnoses 401
Traumatic Stupor and Coma, Coma < 1 Hour 401
Other Circulatory System Diagnoses 397
Peripheral Vascular Disorders 389
Permanent Cardiac Pacemaker Implant 383
Extensive O.R. Procedure Unrelated to Principal Diagnosis 383
Craniotomy and Endovascular Intracranial Procedures 380
Extracranial Procedures 375
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 364
Major Gastrointestinal Disorders and Peritoneal Infections 360
Infections and Parasitic Diseases with O.R. Procedure 335
Endovascular Procedures 332
Other Major Cardiovascular Procedures 324
Major Chest Trauma 322
Revision of Hip or Knee Replacement 318
Ischemic Stroke with Use of Thrombolytic Agent 310
Disorders of Biliary Tract 304
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 297
Disequilibrium 286
Cardiac Valve and Other Major Cardiothoracic Procedures 284
Other Respiratory System O.R. Procedures 281
Hypertension 272
Kidney and Ureter Procedures 270
Stomach, Esophageal and Duodenal Procedures 267
Disorders of Pancreas Except Malignancy 250
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 248
Hernia Procedures 244
Fractures of Hip and Pelvis 241
Complications of Treatment 239
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 235
Traumatic Stupor and Coma, Coma > 1 Hour 227
Uterine and Adnexal Procedures for Non-Malignancy 223
Other Respiratory System Diagnoses 222
Endocrine Disorders 214
Craniotomy with Major Device Implant or Acute Complex CNS PDX 208
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 202
Other Musculoskeletal System and Connective Tissue O.R. Procedures 201
Chest Pain 197
Postoperative and Post-Traumatic Infections 196
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 195
Alcohol/Drug Abuse or Dependence 195
Respiratory Neoplasms 194
Major Chest Procedures 185
Malignancy of Hepatobiliary System or Pancreas 181
Cranial and Peripheral Nerve Disorders 176
Percutaneous Intracardiac Procedures 176
Aortic and Heart Assist Procedures 175
Uterine and Adnexal Procedures for Malignancy 173
Cardiac Defibrillator Implant 171
Headaches 169
Other Skin, Subcutaneous Tissue and Breast Procedures 168
Other O.R. Procedures for Injuries 162
Digestive Malignancy 162
Nervous System Neoplasms 162
Organic Disturbances and Intellectual Disability 158
Non-extensive Procedure Unrelated to Principal Diagnosis 157
Nonspecific Cerebrovascular Disorders 157
Peptic Ulcer 150
Postoperative or Post-Traumatic Infections with O.R. Procedure 149
Other Digestive System O.R. Procedures 148
Peritoneal Adhesiolysis 147
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 146
Biopsies of Musculoskeletal System and Connective Tissue 145
Trauma to the Skin, Subcutaneous Tissue and Breast 142
Pleural Effusion 142
Other Kidney and Urinary Tract Procedures 141
Procedures for Obesity 138
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 134
Cirrhosis and Alcoholic Hepatitis 121
Urinary Stones 121
Amputation for Circulatory System Disorders Except Upper Limb and Toe 120
Signs and Symptoms of Musculoskeletal System and Connective Tissue 117
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 117
Lymphoma and Non-Acute Leukemia 117
Soft Tissue Procedures 116
Bone Diseases and Arthropathies 113
Pancreas, Liver and Shunt Procedures 112
Interstitial Lung Disease 108
Other Multiple Significant Trauma 107
Pneumothorax 104
Aftercare 102
Otitis Media and Upper Respiratory Infection 101
Viral Illness 96
Tendonitis, Myositis and Bursitis 93
Thyroid, Parathyroid and Thyroglossal Procedures 93
Respiratory Signs and Symptoms 88
Other Endocrine, Nutritional and Metabolic Procedures 85
Inflammatory Bowel Disease 85
Minor Skin Disorders 84
Acute Adjustment Reaction and Psychosocial Dysfunction 84
Skin Debridement 84
Spinal Procedures 84
Other Ear,Nose,Mouth and Throat Diagnoses 84
Transurethral Procedures 83
Peripheral and Cranial Nerve and Other Nervous System Procedures 82
Other Circulatory O.R. Procedures 82
Other Musculoskeletal System and Connective Tissue Diagnoses 82
OTHER CARDIOTHORACIC PROCEDURES 74
Dental and Oral Diseases 74
Major Male Pelvic Procedures 72
Other Procedures for Multiple Significant Trauma 71
Connective Tissue Disorders 71
Fever And Inflammatory Conditions 70
Percutaneous Cardiovascular Procedures without Coronary Artery Stent 70
Epistaxis 69
Major Esophageal Disorders 69
Coagulation Disorders 68
Carotid Artery Stent Procedures 66
Kidney Transplant 65
Osteomyelitis 63
Kidney and Urinary Tract Signs and Symptoms 61
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 60
Appendectomy 60
Atherosclerosis 59
Allergic Reactions 57
Lymphoma and Non-Acute Leukemia with Other Procedure 55
Amputation for Musculoskeletal System and Connective Tissue Disorders 54
Other Disorders of the Eye 54
Chemotherapy without Acute Leukemia as Secondary Diagnosis 54
Knee Procedures 52
Major Bladder Procedures 52
Cardiac Congenital and Valvular Disorders 51
Inflammation of the Male Reproductive System 51
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 50
Other Ear, Nose, Mouth and Throat O.R. Procedures 50
Skin Ulcers 50
Ventricular Shunt Procedures 49
Nonspecific CVA and Precerebral Occlusion without Infarction 48
Skin Graft 47
Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 46
Multiple Sclerosis and Cerebellar Ataxia 44
Intracranial Vascular Procedures with PDX Hemorrhage 43
Acute Leukemia without Major Procedure 42
Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 41
Cardiac Pacemaker Revision Except Device Replacement 41
Minor Small and Large Bowel Procedures 40
Foot Procedures 39
Neurological Eye Disorders 38
Kidney and Urinary Tract Neoplasms 38
Vagina, Cervix and Vulva Procedures 36
Major Head and Neck Procedures 36
Cardiac Arrest, Unexplained 35
Malignancy, Female Reproductive System 35
Female Reproductive System Reconstructive Procedures 35
Upper Limb and Toe Amputation for Circulatory System Disorders 34
Anal and Stomal Procedures 34
Benign Prostatic Hypertrophy 33
HIV with Major Related Condition 33
Bacterial and Tuberculous Infections of Nervous System 32
Other Injury, Poisoning and Toxic Effect Diagnoses 32
Salivary Gland Procedures 31
Other Infectious and Parasitic Disease Diagnoses 31
Local Excision and Removal Int Fix Devices Except Hip and Femur 31
Concussion 30
Lymphoma and Leukemia with Major Procedure 30
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 28
Reticuloendothelial and Immunity Disorders 27
Transurethral Prostatectomy 27
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy 26
Other Heart Assist System Implant 26
CESAREAN SECTION 26
Minor Bladder Procedures 26
Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy 26
Other Factors Influencing Health Status 26
Major Skin Disorders 25
Acute and Subacute Endocarditis 25
Adrenal and Pituitary Procedures 25
Non-Bacterial Infections of Nervous System Except Viral Meningitis 24
Mouth Procedures 24
Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. 23
Major Procedures with Diagnosis of Other Contact with Health Services 23
Infections, Female Reproductive System 22
Cranial/Facial Procedures 22
Wound Debridements for Injuries 22
Neuroses Except Depressive 20
Other Male Reproductive System Procedures 20
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure 19
D&C, Conization, Laparoscopy and Tubal Interruption 18
Spinal Disorders and Injuries 18
Alcohol/Drug Abuse or Dependence, Left AMA 18
Breast Disorders 18
Nontraumatic Stupor and Coma 18
Other Hepatobiliary or Pancreas Procedures 17
Autologous Bone Marrow Transplant or T-cell Immunotherapy 17
Chemotherapy 17
Prostatectomy 16
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedure 16
Sinus and Mastoid Procedures 16
Malignancy, Male Reproductive System 16
Septic Arthritis 16
Extraocular Procedures Except Orbit 16
Hypertensive Encephalopathy 16
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures 15
VAGINAL DELIVERY 15
Pregnancy, Childbirth & the Puerperium Vaginal Delivery without Sterilization/D&C 14
Heart Transplant or Implant of Heart Assist System 14
Other O.R. Procedures of the Blood and Blood Forming Organs 13
Menstrual and Other Female Reproductive System Disorders 13
Fractures of Femur 13
HIV with or without Other Related Condition 12
Acute Major Eye Infections 12
Ear, Nose, Mouth and Throat Malignancy 12
Mastectomy for Malignancy 12
Traumatic Injury 11
Breast Disorders 11
Angina Pectoris 11
AICD Generator Procedures 11