Ascension Macomb - Oakland 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 Reverence Home Health and Hospice - Clinton Township, MI Seasons Hospice & Palliative Care - Madison Heights, MI Heart to Heart Hospice - Bingham Farms, MI Residential Hospice - Troy, MI Great Lakes Caring Hospice - Clinton Township, MI
All 11,422
Surgical 3,364
Non Surgical 9,576
Septicemia or Severe Sepsis 1,789
Heart Failure and Shock 922
Pulmonary Edema and Respiratory Failure 689
Renal Failure 611
Simple Pneumonia and Pleurisy 599
Psychoses 546
G.I.Hemorrhage 497
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 485
Kidney and Urinary Tract Infections 479
Cardiac Arrhythmia and Conduction Disorders 473
Nutritional and Miscellaneous Metabolic Disorders 432
Acute Myocardial Infarction 431
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 401
Chronic Obstructive Pulmonary Disease 398
Intracranial Hemorrhage or Cerebral Infarction 395
Infections and Parasitic Diseases with O.R. Procedure 347
Cellulitis 325
Hip and Femur Procedures Except Major Joint 265
Degenerative Nervous System Disorders 252
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 247
Other Disorders of Nervous System 238
Respiratory Infections and Inflammations 233
Diabetes 210
Signs and Symptoms 207
Red Blood Cell Disorders 204
Respiratory System Diagnosis with Ventilator Support 200
G.I. Obstruction 198
Syncope and Collapse 173
Poisoning and Toxic Effects of Drugs 164
Peripheral Vascular Disorders 163
Seizures 159
Circulatory Disorders Except AMI with Cardiac Catheterization 151
Other Kidney and Urinary Tract Diagnoses 147
Other Digestive System Diagnoses 147
Spinal Fusion Except Cervical 140
Medical Back Problems 139
Transient Ischemia 138
Major Small and Large Bowel Procedures 133
Extensive O.R. Procedure Unrelated to Principal Diagnosis 129
Pulmonary Embolism 125
Permanent Cardiac Pacemaker Implant 122
Other Vascular Procedures 120
Hypertension 119
Aftercare 117
Nonspecific Cerebrovascular Disorders 110
Other Circulatory System Diagnoses 109
Endocrine Disorders 98
Cervical Spinal Fusion 95
Alcohol/Drug Abuse or Dependence 94
Disorders of Pancreas Except Malignancy 90
Aftercare, Musculoskeletal System and Connective Tissue 78
Disorders of Biliary Tract 77
Cholecystectomy 77
Other Respiratory System O.R. Procedures 76
Tendonitis, Myositis and Bursitis 75
Traumatic Stupor and Coma, Coma < 1 Hour 72
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 70
Chest Pain 68
Respiratory Neoplasms 67
Fractures of Hip and Pelvis 65
Coronary Bypass 63
Major Gastrointestinal Disorders and Peritoneal Infections 62
Kidney and Ureter Procedures 61
Cranial and Peripheral Nerve Disorders 61
Bronchitis and Asthma 59
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 57
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 56
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 54
Traumatic Stupor and Coma, Coma > 1 Hour 54
Major Chest Trauma 53
Percutaneous Cardiovascular Procedures without Coronary Artery Stent 53
Non-extensive Procedure Unrelated to Principal Diagnosis 52
Major Joint and Limb Reattachment Procedures of Upper Extremity 51
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 47
Organic Disturbances and Intellectual Disability 47
Trauma to the Skin, Subcutaneous Tissue and Breast 47
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 47
Urinary Stones 47
Skin Debridement 46
Other Major Cardiovascular Procedures 46
Complications of Treatment 46
Disequilibrium 46
Major Chest Procedures 45
Cardiac Valve and Other Major Cardiothoracic Procedures 43
Other Musculoskeletal System and Connective Tissue O.R. Procedures 43
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 42
Amputation for Circulatory System Disorders Except Upper Limb and Toe 40
Malignancy of Hepatobiliary System or Pancreas 40
Digestive Malignancy 40
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 38
Bone Diseases and Arthropathies 37
Transurethral Procedures 37
Cirrhosis and Alcoholic Hepatitis 37
Other Circulatory O.R. Procedures 37
Peptic Ulcer 37
Stomach, Esophageal and Duodenal Procedures 36
Lymphoma and Non-Acute Leukemia 34
Hernia Procedures 33
Other Skin, Subcutaneous Tissue and Breast Procedures 32
Revision of Hip or Knee Replacement 32
Coagulation Disorders 31
Nervous System Neoplasms 31
Traumatic Injury 31
Other Kidney and Urinary Tract Procedures 30
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 30
Ischemic Stroke with Use of Thrombolytic Agent 30
Other Musculoskeletal System and Connective Tissue Diagnoses 29
Allergic Reactions 27
Other O.R. Procedures for Injuries 26
Atherosclerosis 25
Postoperative and Post-Traumatic Infections 25
Hypertensive Encephalopathy 24
Inflammatory Bowel Disease 24
Craniotomy and Endovascular Intracranial Procedures 24
Other Digestive System O.R. Procedures 23
Other Ear,Nose,Mouth and Throat Diagnoses 23
Postoperative or Post-Traumatic Infections with O.R. Procedure 23
Minor Skin Disorders 23
Extracranial Procedures 22
Cardiac Defibrillator Implant 22
Other Respiratory System Diagnoses 22
Aortic and Heart Assist Procedures 22
Appendectomy 22
Alcohol/Drug Abuse or Dependence, Left AMA 22
Otitis Media and Upper Respiratory Infection 22
Kidney and Urinary Tract Signs and Symptoms 21
Multiple Sclerosis and Cerebellar Ataxia 20
Biopsies of Musculoskeletal System and Connective Tissue 19
Pneumothorax 19
Peripheral and Cranial Nerve and Other Nervous System Procedures 19
Soft Tissue Procedures 19
Combined Anterior/Posterior Spinal Fusion 19
Headaches 19
Other Endocrine, Nutritional and Metabolic Procedures 19
Other Disorders of the Eye 18
Nonspecific CVA and Precerebral Occlusion without Infarction 17
Pleural Effusion 17
Cardiac Arrest, Unexplained 17
Dental and Oral Diseases 17
Major Esophageal Disorders 16
Epistaxis 16
Malignancy, Female Reproductive System 15
Spinal Procedures 14
Other Multiple Significant Trauma 14
Peritoneal Adhesiolysis 14
Carotid Artery Stent Procedures 14
Major Male Pelvic Procedures 14
Uterine and Adnexal Procedures for Non-Malignancy 13
Skin Ulcers 13
Minor Small and Large Bowel Procedures 13
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 13
Chemotherapy without Acute Leukemia as Secondary Diagnosis 12
Acute Leukemia without Major Procedure 12
Cardiac Congenital and Valvular Disorders 12
Signs and Symptoms of Musculoskeletal System and Connective Tissue 12
Minor Bladder Procedures 11
Infections, Female Reproductive System 11
Percutaneous Intracardiac Procedures 11
Acute Adjustment Reaction and Psychosocial Dysfunction 11