Jane Phillips Memorial Medical Center 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 Septicemia or Severe Sepsis 892
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 716
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 163
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS 13
DRG Group Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 414
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 386
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Heart Failure and Shock 391
291 HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 276
292 HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 84
293 HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group Degenerative Nervous System Disorders 219
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 176
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 43
DRG Group Renal Failure 211
682 RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 106
683 RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) 91
684 RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Cardiac Arrhythmia and Conduction Disorders 206
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 81
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 73
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 52
DRG Group Simple Pneumonia and Pleurisy 202
193 SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 129
194 SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) 67
DRG Group Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 193
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 113
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS 64
DRG Group G.I.Hemorrhage 190
378 G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) 135
377 G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 50
DRG Group Hip and Femur Procedures Except Major Joint 186
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) 124
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 48
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Acute Myocardial Infarction 176
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 83
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) 51
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
DRG Group Pulmonary Edema and Respiratory Failure 160
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 160
DRG Group Intracranial Hemorrhage or Cerebral Infarction 141
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS 79
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 45
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Aftercare, Musculoskeletal System and Connective Tissue 139
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) 79
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Kidney and Urinary Tract Infections 130
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 66
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 64
DRG Group Chronic Obstructive Pulmonary Disease 118
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 83
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 27
DRG Group Infections and Parasitic Diseases with O.R. Procedure 112
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 79
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 32
DRG Group Carotid Artery Stent Procedures 102
036 CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 62
035 CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 35
DRG Group Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 101
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 68
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
DRG Group Major Small and Large Bowel Procedures 100
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 47
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Nutritional and Miscellaneous Metabolic Disorders 96
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 53
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 43
DRG Group Signs and Symptoms 95
948 SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 53
947 SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 42
DRG Group Respiratory Infections and Inflammations 92
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 61
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) 29
DRG Group G.I. Obstruction 87
389 G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) 44
388 G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
390 G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Other Kidney and Urinary Tract Diagnoses 84
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 64
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 18
DRG Group Circulatory Disorders Except AMI with Cardiac Catheterization 81
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 45
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
DRG Group Psychoses 79
885 PSYCHOSES 79
DRG Group Respiratory System Diagnosis with Ventilator Support 73
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 68
DRG Group Other Major Cardiovascular Procedures 68
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) 36
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Organic Disturbances and Intellectual Disability 65
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY 65
DRG Group Nonspecific Cerebrovascular Disorders 62
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 26
DRG Group Diabetes 58
637 DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
638 DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 23
DRG Group Pulmonary Embolism 55
175 PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
176 PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Major Joint and Limb Reattachment Procedures of Upper Extremity 53
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 53
DRG Group Permanent Cardiac Pacemaker Implant 52
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) 18
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Poisoning and Toxic Effects of Drugs 50
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Cholecystectomy 49
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Peripheral Vascular Disorders 46
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 23
299 PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Other Disorders of Nervous System 41
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Cellulitis 41
603 CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
DRG Group Other Circulatory System Diagnoses 37
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Aortic and Heart Assist Procedures 37
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 35
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Red Blood Cell Disorders 34
812 RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
811 RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Other Vascular Procedures 34
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 14
252 OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 33
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Kidney and Ureter Procedures 32
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) 11
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Disorders of Pancreas Except Malignancy 31
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Other Digestive System Diagnoses 31
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Disorders of Biliary Tract 30
444 DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 29
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 27
DRG Group Hypertension 29
305 HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
304 HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Transurethral Procedures 27
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Extensive O.R. Procedure Unrelated to Principal Diagnosis 27
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Transient Ischemia 26
069 TRANSIENT ISCHEMIA 26
DRG Group Bronchitis and Asthma 25
202 BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Fractures of Hip and Pelvis 24
536 FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Syncope and Collapse 24
312 SYNCOPE AND COLLAPSE 24
DRG Group Amputation for Circulatory System Disorders Except Upper Limb and Toe 24
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 23
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Seizures 22
101 SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Hernia Procedures 22
DRG Group Other Kidney and Urinary Tract Procedures 22
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Peritoneal Adhesiolysis 21
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Medical Back Problems 21
552 MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Stomach, Esophageal and Duodenal Procedures 21
DRG Group Aftercare 19
949 AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Revision of Hip or Knee Replacement 19
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Peptic Ulcer 19
DRG Group Pneumothorax 18
DRG Group Respiratory Neoplasms 18
180 RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Other Respiratory System Diagnoses 17
DRG Group Percutaneous Cardiovascular Procedures without Coronary Artery Stent 16
DRG Group Other Respiratory System O.R. Procedures 15
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Major Gastrointestinal Disorders and Peritoneal Infections 15
DRG Group Pleural Effusion 15
DRG Group Endocrine Disorders 14
DRG Group Other O.R. Procedures for Injuries 13
DRG Group Tendonitis, Myositis and Bursitis 13
DRG Group Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 13
DRG Group Skin Debridement 12
DRG Group Amputation for Musculoskeletal System and Connective Tissue Disorders 12
DRG Group Non-extensive Procedure Unrelated to Principal Diagnosis 12
DRG Group Alcohol/Drug Abuse or Dependence 12
DRG Group Complications of Treatment 11
DRG Group Acute Adjustment Reaction and Psychosocial Dysfunction 11
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION 11