University of Nebraska Medical Center 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 VNA of Omaha - Omaha, NE St. Croix Hospice - Omaha, NE Hillcrest Hospice Care - Bellevue, NE St. Joseph Villa Homecare & Hospice - Omaha, NE Kindred Hospice - Omaha, NE
All 16,569
Surgical 8,498
Non Surgical 10,632
Septicemia or Severe Sepsis 1,260
Intracranial Hemorrhage or Cerebral Infarction 722
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 675
Heart Failure and Shock 654
Renal Failure 530
Nutritional and Miscellaneous Metabolic Disorders 444
Cardiac Arrhythmia and Conduction Disorders 443
Simple Pneumonia and Pleurisy 421
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 420
G.I.Hemorrhage 405
Major Small and Large Bowel Procedures 380
Circulatory Disorders Except AMI with Cardiac Catheterization 376
Chronic Obstructive Pulmonary Disease 341
Other Circulatory System Diagnoses 327
Coronary Bypass 320
Other Kidney and Urinary Tract Diagnoses 313
Seizures 313
Cardiac Valve and Other Major Cardiothoracic Procedures 295
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 295
Craniotomy and Endovascular Intracranial Procedures 288
Kidney and Urinary Tract Infections 282
Hip and Femur Procedures Except Major Joint 278
Medical Back Problems 271
Other Vascular Procedures 269
Extensive O.R. Procedure Unrelated to Principal Diagnosis 263
Major Chest Procedures 261
Other Digestive System Diagnoses 251
Infections and Parasitic Diseases with O.R. Procedure 245
Acute Myocardial Infarction 233
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 232
Pulmonary Edema and Respiratory Failure 228
Kidney Transplant 224
G.I. Obstruction 221
Endovascular Procedures 213
Spinal Fusion Except Cervical 209
Kidney and Ureter Procedures 207
Cellulitis 192
Diabetes 190
Other Disorders of Nervous System 174
Traumatic Stupor and Coma, Coma > 1 Hour 171
Traumatic Stupor and Coma, Coma < 1 Hour 170
Revision of Hip or Knee Replacement 169
Stomach, Esophageal and Duodenal Procedures 169
Other Major Cardiovascular Procedures 168
Respiratory System Diagnosis with Ventilator Support 168
Red Blood Cell Disorders 158
Syncope and Collapse 158
Degenerative Nervous System Disorders 157
Cholecystectomy 156
Other Respiratory System O.R. Procedures 155
Complications of Treatment 153
Poisoning and Toxic Effects of Drugs 152
Cervical Spinal Fusion 149
Disorders of Biliary Tract 148
Signs and Symptoms 144
Pancreas, Liver and Shunt Procedures 143
Major Joint and Limb Reattachment Procedures of Upper Extremity 143
Permanent Cardiac Pacemaker Implant 142
Nonspecific Cerebrovascular Disorders 140
Peripheral Vascular Disorders 140
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 137
Other Musculoskeletal System and Connective Tissue O.R. Procedures 136
Hypertension 133
Pulmonary Embolism 133
Other O.R. Procedures for Injuries 133
Major Gastrointestinal Disorders and Peritoneal Infections 132
Craniotomy with Major Device Implant or Acute Complex CNS PDX 131
Aortic and Heart Assist Procedures 126
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 126
Respiratory Infections and Inflammations 124
Disorders of Pancreas Except Malignancy 120
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 118
Combined Anterior/Posterior Spinal Fusion 113
Hernia Procedures 113
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 110
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 109
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 108
Extracranial Procedures 105
Cirrhosis and Alcoholic Hepatitis 104
Endocrine Disorders 99
Other Skin, Subcutaneous Tissue and Breast Procedures 99
Non-extensive Procedure Unrelated to Principal Diagnosis 98
Postoperative or Post-Traumatic Infections with O.R. Procedure 93
Postoperative and Post-Traumatic Infections 92
Chest Pain 91
Malignancy of Hepatobiliary System or Pancreas 90
Trauma to the Skin, Subcutaneous Tissue and Breast 89
Procedures for Obesity 87
Other Kidney and Urinary Tract Procedures 85
Major Chest Trauma 83
Heart Transplant or Implant of Heart Assist System 81
Other Respiratory System Diagnoses 79
Alcohol/Drug Abuse or Dependence 78
Autologous Bone Marrow Transplant or T-cell Immunotherapy 77
Lymphoma and Non-Acute Leukemia 76
Cardiac Defibrillator Implant 76
Cranial and Peripheral Nerve Disorders 75
Pneumothorax 74
Digestive Malignancy 74
Fractures of Hip and Pelvis 73
Respiratory Neoplasms 71
Percutaneous Intracardiac Procedures 71
Major Bladder Procedures 70
Chemotherapy without Acute Leukemia as Secondary Diagnosis 66
Nervous System Neoplasms 66
Other Digestive System O.R. Procedures 66
Amputation for Circulatory System Disorders Except Upper Limb and Toe 64
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 63
Peptic Ulcer 62
Bronchitis and Asthma 62
Major Male Pelvic Procedures 61
Peripheral and Cranial Nerve and Other Nervous System Procedures 60
Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 60
Spinal Procedures 59
OTHER CARDIOTHORACIC PROCEDURES 58
Other Procedures for Multiple Significant Trauma 58
Liver or Intestinal Transplant 56
Headaches 55
Signs and Symptoms of Musculoskeletal System and Connective Tissue 53
Otitis Media and Upper Respiratory Infection 53
Transient Ischemia 53
Pleural Effusion 53
Uterine and Adnexal Procedures for Malignancy 52
Other Multiple Significant Trauma 51
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 50
Skin Graft 48
Viral Illness 46
Soft Tissue Procedures 46
Other Circulatory O.R. Procedures 46
Bone Diseases and Arthropathies 46
Fever And Inflammatory Conditions 45
Carotid Artery Stent Procedures 45
Acute Leukemia without Major Procedure 44
Atherosclerosis 43
Organic Disturbances and Intellectual Disability 42
Uterine and Adnexal Procedures for Non-Malignancy 41
Cardiac Congenital and Valvular Disorders 41
Biopsies of Musculoskeletal System and Connective Tissue 40
Other Musculoskeletal System and Connective Tissue Diagnoses 40
Acute Adjustment Reaction and Psychosocial Dysfunction 39
Psychoses 38
Peritoneal Adhesiolysis 38
Coagulation Disorders 37
Dental and Oral Diseases 37
Aftercare, Musculoskeletal System and Connective Tissue 37
Respiratory Signs and Symptoms 37
Other Endocrine, Nutritional and Metabolic Procedures 36
Other Ear,Nose,Mouth and Throat Diagnoses 35
Chemotherapy 35
Transurethral Procedures 35
Allogeneic Bone Marrow Transplant 34
Ischemic Stroke with Use of Thrombolytic Agent 32
Lymphoma and Non-Acute Leukemia with Other Procedure 31
Urinary Stones 31
Other Disorders of the Eye 30
Appendectomy 30
Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 30
Wound Debridements for Injuries 29
Other Heart Assist System Implant 29
Intracranial Vascular Procedures with PDX Hemorrhage 29
Connective Tissue Disorders 29
Tendonitis, Myositis and Bursitis 28
Minor Skin Disorders 28
Inflammatory Bowel Disease 28
Disequilibrium 26
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 26
Skin Debridement 26
Knee Procedures 25
Neurological Eye Disorders 25
Ventricular Shunt Procedures 25
Other Injury, Poisoning and Toxic Effect Diagnoses 25
Amputation for Musculoskeletal System and Connective Tissue Disorders 25
Reticuloendothelial and Immunity Disorders 25
Bacterial and Tuberculous Infections of Nervous System 25
Non-Bacterial Infections of Nervous System Except Viral Meningitis 24
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure 24
Interstitial Lung Disease 24
Multiple Sclerosis and Cerebellar Ataxia 23
Other Ear, Nose, Mouth and Throat O.R. Procedures 23
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy 23
Other Infectious and Parasitic Disease Diagnoses 21
Allergic Reactions 21
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedure 21
Other O.R. Procedures of the Blood and Blood Forming Organs 20
Lymphoma and Leukemia with Major Procedure 20
Thyroid, Parathyroid and Thyroglossal Procedures 19
Other Factors Influencing Health Status 19
Fractures of Femur 18
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 18
Cardiac Pacemaker Revision Except Device Replacement 18
Hepatobiliary Diagnostic Procedures 18
Cranial/Facial Procedures 17
Local Excision and Removal Int Fix Devices Except Hip and Femur 17
Anal and Stomal Procedures 17
Adrenal and Pituitary Procedures 16
Foot Procedures 16
Major Procedures with Diagnosis of Other Contact with Health Services 16
Major Head and Neck Procedures 16
Major Skin Disorders 15
VAGINAL DELIVERY 15
D&C, Conization, Laparoscopy and Tubal Interruption 15
Minor Small and Large Bowel Procedures 15
Percutaneous Cardiovascular Procedures without Coronary Artery Stent 14
Mouth Procedures 13
Major Esophageal Disorders 13
Epistaxis 13
Osteomyelitis 13
Hypertensive Encephalopathy 13
Nonspecific CVA and Precerebral Occlusion without Infarction 13
CESAREAN SECTION 13
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures 12
Skin Ulcers 12
Concussion 12
Kidney and Urinary Tract Neoplasms 12
Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. 12
Malignancy, Female Reproductive System 12
Upper Limb and Toe Amputation for Circulatory System Disorders 12
Other Male Reproductive System Procedures 11