Bryan Medical Center Hospice Referral Patterns and Quality Outcomes

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DRG Category Total Unique Beneficiaries Discharged (Jan 2016 - Dec 2018) 30 Day Hospice Admission Rate Post Hospital Discharge (%) Hospice Avg. LOS Hospice Median LOS Tabitha Health Care Services - Lincoln, NE Aseracare Hospice - Lincoln, NE Horisun Hospice - Lincoln, NE Hospice Community Care Of Nebraska - Lincoln, NE Pathways To Compassion - Omaha, NE
All 19,261
Surgical 9,517
Non Surgical 12,690
Septicemia or Severe Sepsis 1,825
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 1,215
Simple Pneumonia and Pleurisy 873
Heart Failure and Shock 796
Intracranial Hemorrhage or Cerebral Infarction 754
Renal Failure 711
Pulmonary Edema and Respiratory Failure 688
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 673
Hip and Femur Procedures Except Major Joint 616
G.I.Hemorrhage 585
Chronic Obstructive Pulmonary Disease 543
Major Small and Large Bowel Procedures 542
Kidney and Urinary Tract Infections 495
Cardiac Arrhythmia and Conduction Disorders 461
Infections and Parasitic Diseases with O.R. Procedure 444
Acute Myocardial Infarction 437
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 428
Coronary Bypass 416
Permanent Cardiac Pacemaker Implant 384
Cholecystectomy 382
Medical Back Problems 373
Nutritional and Miscellaneous Metabolic Disorders 356
Cellulitis 342
Spinal Fusion Except Cervical 301
Other Vascular Procedures 290
Other Respiratory System O.R. Procedures 289
Signs and Symptoms 287
Extracranial Procedures 276
G.I. Obstruction 269
Other Digestive System Diagnoses 264
Respiratory System Diagnosis with Ventilator Support 248
Cardiac Valve and Other Major Cardiothoracic Procedures 247
Endovascular Procedures 246
Pulmonary Embolism 245
Major Chest Procedures 238
Respiratory Infections and Inflammations 236
Syncope and Collapse 236
Circulatory Disorders Except AMI with Cardiac Catheterization 232
Traumatic Stupor and Coma, Coma < 1 Hour 214
Extensive O.R. Procedure Unrelated to Principal Diagnosis 213
Other Musculoskeletal System and Connective Tissue O.R. Procedures 204
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 199
Diabetes 179
Stomach, Esophageal and Duodenal Procedures 170
Red Blood Cell Disorders 168
Peripheral Vascular Disorders 164
Other Kidney and Urinary Tract Diagnoses 161
Major Gastrointestinal Disorders and Peritoneal Infections 161
Kidney and Ureter Procedures 159
Nonspecific Cerebrovascular Disorders 158
Transient Ischemia 158
Major Male Pelvic Procedures 147
Fractures of Hip and Pelvis 146
Other Circulatory System Diagnoses 146
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 144
Other Disorders of Nervous System 140
Major Joint and Limb Reattachment Procedures of Upper Extremity 139
Poisoning and Toxic Effects of Drugs 138
Craniotomy and Endovascular Intracranial Procedures 137
Seizures 135
Disorders of Biliary Tract 135
Disorders of Pancreas Except Malignancy 134
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 127
Hernia Procedures 127
Aortic and Heart Assist Procedures 115
Hypertension 112
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 112
Bronchitis and Asthma 109
Combined Anterior/Posterior Spinal Fusion 106
Cervical Spinal Fusion 105
Cardiac Defibrillator Implant 101
Respiratory Neoplasms 100
Other Major Cardiovascular Procedures 100
Major Chest Trauma 97
Chest Pain 94
Degenerative Nervous System Disorders 94
Other O.R. Procedures for Injuries 92
Peritoneal Adhesiolysis 91
Signs and Symptoms of Musculoskeletal System and Connective Tissue 86
Revision of Hip or Knee Replacement 85
Tendonitis, Myositis and Bursitis 84
Soft Tissue Procedures 84
Percutaneous Intracardiac Procedures 82
Non-extensive Procedure Unrelated to Principal Diagnosis 82
Pneumothorax 77
Traumatic Stupor and Coma, Coma > 1 Hour 76
Alcohol/Drug Abuse or Dependence 75
Complications of Treatment 75
Other Kidney and Urinary Tract Procedures 75
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 74
Trauma to the Skin, Subcutaneous Tissue and Breast 73
Other Digestive System O.R. Procedures 72
Disequilibrium 72
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 71
Pleural Effusion 70
Other Skin, Subcutaneous Tissue and Breast Procedures 70
Malignancy of Hepatobiliary System or Pancreas 67
Lymphoma and Non-Acute Leukemia 65
Cirrhosis and Alcoholic Hepatitis 64
Amputation for Circulatory System Disorders Except Upper Limb and Toe 61
Peptic Ulcer 57
Digestive Malignancy 57
Ischemic Stroke with Use of Thrombolytic Agent 57
Otitis Media and Upper Respiratory Infection 56
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 55
Procedures for Obesity 55
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 53
Endocrine Disorders 53
Postoperative or Post-Traumatic Infections with O.R. Procedure 52
Carotid Artery Stent Procedures 52
Organic Disturbances and Intellectual Disability 51
Headaches 50
Respiratory Signs and Symptoms 50
Appendectomy 50
Urinary Stones 50
Skin Debridement 50
Concussion 49
Kidney and Urinary Tract Signs and Symptoms 49
Other Musculoskeletal System and Connective Tissue Diagnoses 49
Nervous System Neoplasms 49
Bone Diseases and Arthropathies 48
Minor Small and Large Bowel Procedures 48
Uterine and Adnexal Procedures for Non-Malignancy 48
Other Respiratory System Diagnoses 47
Biopsies of Musculoskeletal System and Connective Tissue 46
Viral Illness 46
Postoperative and Post-Traumatic Infections 46
Transurethral Procedures 45
Cranial and Peripheral Nerve Disorders 45
Transurethral Prostatectomy 44
Other Multiple Significant Trauma 42
Peripheral and Cranial Nerve and Other Nervous System Procedures 42
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 36
Major Procedures with Diagnosis of Other Contact with Health Services 36
Spinal Procedures 36
Fever And Inflammatory Conditions 36
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 35
Dental and Oral Diseases 34
Coagulation Disorders 33
Foot Procedures 32
Fractures of Femur 31
Aftercare, Musculoskeletal System and Connective Tissue 31
Atherosclerosis 31
Cardiac Congenital and Valvular Disorders 30
Other Ear,Nose,Mouth and Throat Diagnoses 30
Nonspecific CVA and Precerebral Occlusion without Infarction 29
Interstitial Lung Disease 29
Inflammatory Bowel Disease 28
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 28
Amputation for Musculoskeletal System and Connective Tissue Disorders 27
Other Circulatory O.R. Procedures 27
Pancreas, Liver and Shunt Procedures 26
Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 25
Cardiac Pacemaker Revision Except Device Replacement 25
Lymphoma and Non-Acute Leukemia with Other Procedure 25
Minor Skin Disorders 24
Hypertensive Encephalopathy 23
Upper Limb and Toe Amputation for Circulatory System Disorders 23
Craniotomy with Major Device Implant or Acute Complex CNS PDX 23
Major Esophageal Disorders 23
Kidney and Urinary Tract Neoplasms 23
Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 22
Knee Procedures 22
Percutaneous Cardiovascular Procedures without Coronary Artery Stent 21
Ventricular Shunt Procedures 21
Other Endocrine, Nutritional and Metabolic Procedures 21
Other Procedures for Multiple Significant Trauma 20
Heart Transplant or Implant of Heart Assist System 19
Major Bladder Procedures 19
Acute Adjustment Reaction and Psychosocial Dysfunction 19
Traumatic Injury 18
Other Disorders of the Eye 17
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures 17
Anal and Stomal Procedures 17
Aftercare 16
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 16
Cardiac Arrest, Unexplained 15
Hepatobiliary Diagnostic Procedures 15
Psychoses 15
Non-Bacterial Infections of Nervous System Except Viral Meningitis 15
Minor Bladder Procedures 15
Inflammation of the Male Reproductive System 14
Other Heart Assist System Implant 14
Local Excision and Removal Int Fix Devices Except Hip and Femur 14
Multiple Sclerosis and Cerebellar Ataxia 14
Acute Leukemia without Major Procedure 14
Allergic Reactions 14
Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. 14
Skin Ulcers 13
Breast Disorders 13
Connective Tissue Disorders 13
Other Ear, Nose, Mouth and Throat O.R. Procedures 13
Mastectomy for Malignancy 13
Skin Graft 12
Malignancy, Female Reproductive System 12
Bacterial and Tuberculous Infections of Nervous System 12
Chemotherapy without Acute Leukemia as Secondary Diagnosis 11
Lymphoma and Leukemia with Major Procedure 11
Reticuloendothelial and Immunity Disorders 11