University of Maryland 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 Gilchrist's Hunt Valley - Hunt Valley, MD Seasons Hospice & Palliative Care - Columbia, MD Hospice of the Chesapeake - Pasadena, MD Joseph Richey House - Baltimore, MD Carroll Hospice - Westminster, MD
All 17,082
Surgical 9,968
Non Surgical 9,079
Septicemia or Severe Sepsis 630
Intracranial Hemorrhage or Cerebral Infarction 604
Cardiac Valve and Other Major Cardiothoracic Procedures 567
Endovascular Procedures 481
Craniotomy and Endovascular Intracranial Procedures 470
Coronary Bypass 415
Heart Failure and Shock 401
Kidney Transplant 398
Circulatory Disorders Except AMI with Cardiac Catheterization 394
Other Kidney and Urinary Tract Diagnoses 392
Infections and Parasitic Diseases with O.R. Procedure 370
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 352
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 339
Hip and Femur Procedures Except Major Joint 339
Psychoses 333
Spinal Fusion Except Cervical 312
Major Small and Large Bowel Procedures 305
Acute Myocardial Infarction 296
Major Chest Procedures 275
Renal Failure 258
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 258
Other Major Cardiovascular Procedures 254
Extensive O.R. Procedure Unrelated to Principal Diagnosis 253
Traumatic Stupor and Coma, Coma > 1 Hour 250
Nutritional and Miscellaneous Metabolic Disorders 249
Other Circulatory System Diagnoses 240
Craniotomy with Major Device Implant or Acute Complex CNS PDX 236
Other Vascular Procedures 229
Traumatic Stupor and Coma, Coma < 1 Hour 224
Seizures 210
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 208
G.I.Hemorrhage 207
Simple Pneumonia and Pleurisy 207
Cervical Spinal Fusion 201
Kidney and Urinary Tract Infections 197
Cardiac Arrhythmia and Conduction Disorders 188
Other Respiratory System O.R. Procedures 186
Stomach, Esophageal and Duodenal Procedures 176
Peripheral Vascular Disorders 173
Other Digestive System Diagnoses 168
Medical Back Problems 162
Percutaneous Intracardiac Procedures 161
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 159
Pulmonary Edema and Respiratory Failure 159
Chronic Obstructive Pulmonary Disease 157
Postoperative or Post-Traumatic Infections with O.R. Procedure 157
Respiratory System Diagnosis with Ventilator Support 156
Kidney and Ureter Procedures 153
Other Multiple Significant Trauma 151
Other O.R. Procedures for Injuries 147
Revision of Hip or Knee Replacement 145
Other Procedures for Multiple Significant Trauma 145
Complications of Treatment 141
Combined Anterior/Posterior Spinal Fusion 139
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 131
Pulmonary Embolism 128
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 126
Other Musculoskeletal System and Connective Tissue O.R. Procedures 123
Aortic and Heart Assist Procedures 118
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy 118
Lymphoma and Non-Acute Leukemia 118
Cellulitis 114
Poisoning and Toxic Effects of Drugs 109
Postoperative and Post-Traumatic Infections 108
Signs and Symptoms 106
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 105
Acute Leukemia without Major Procedure 104
Red Blood Cell Disorders 103
Permanent Cardiac Pacemaker Implant 101
Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 101
Degenerative Nervous System Disorders 100
Liver or Intestinal Transplant 100
Syncope and Collapse 98
Diabetes 98
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 97
Non-extensive Procedure Unrelated to Principal Diagnosis 95
Spinal Procedures 93
Extracranial Procedures 92
Other Respiratory System Diagnoses 90
Respiratory Infections and Inflammations 88
Other Disorders of Nervous System 87
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 85
Disorders of Pancreas Except Malignancy 84
Autologous Bone Marrow Transplant or T-cell Immunotherapy 81
Pneumothorax 81
Hernia Procedures 79
Cirrhosis and Alcoholic Hepatitis 79
Cardiac Defibrillator Implant 78
Pancreas, Liver and Shunt Procedures 77
Major Gastrointestinal Disorders and Peritoneal Infections 75
Chemotherapy without Acute Leukemia as Secondary Diagnosis 74
Hypertension 71
Malignancy of Hepatobiliary System or Pancreas 70
Fractures of Hip and Pelvis 70
Major Chest Trauma 69
Amputation for Circulatory System Disorders Except Upper Limb and Toe 69
Nervous System Neoplasms 67
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 63
G.I. Obstruction 63
Major Head and Neck Procedures 63
Cranial/Facial Procedures 59
Other Skin, Subcutaneous Tissue and Breast Procedures 59
Cholecystectomy 58
Respiratory Neoplasms 58
Disorders of Biliary Tract 57
Other Digestive System O.R. Procedures 57
Digestive Malignancy 56
Soft Tissue Procedures 55
Skin Graft 53
Cardiac Congenital and Valvular Disorders 52
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 51
Intracranial Vascular Procedures with PDX Hemorrhage 50
Chest Pain 49
Dental and Oral Diseases 49
Organic Disturbances and Intellectual Disability 48
Procedures for Obesity 47
HIV with Major Related Condition 46
Trauma to the Skin, Subcutaneous Tissue and Breast 46
Chemotherapy 45
Endocrine Disorders 45
Pleural Effusion 45
Aftercare, Musculoskeletal System and Connective Tissue 45
Skin Debridement 45
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 44
Nonspecific Cerebrovascular Disorders 44
Atherosclerosis 43
Peripheral and Cranial Nerve and Other Nervous System Procedures 43
Other Ear, Nose, Mouth and Throat O.R. Procedures 43
Coagulation Disorders 42
Other Kidney and Urinary Tract Procedures 41
Alcohol/Drug Abuse or Dependence 40
Simultaneous Pancreas/Kidney Transplant 39
Viral Illness 38
Cranial and Peripheral Nerve Disorders 38
Other Circulatory O.R. Procedures 37
Other Ear,Nose,Mouth and Throat Diagnoses 37
Acute Adjustment Reaction and Psychosocial Dysfunction 37
Biopsies of Musculoskeletal System and Connective Tissue 36
Ventricular Shunt Procedures 36
Amputation for Musculoskeletal System and Connective Tissue Disorders 35
Peritoneal Adhesiolysis 35
Wound Debridements for Injuries 35
Connective Tissue Disorders 34
Major Bladder Procedures 34
Depressive Neuroses 34
Bronchitis and Asthma 33
Otitis Media and Upper Respiratory Infection 32
Lymphoma and Non-Acute Leukemia with Other Procedure 32
Uterine and Adnexal Procedures for Non-Malignancy 32
Respiratory Signs and Symptoms 32
Adrenal and Pituitary Procedures 32
Cardiac Pacemaker Revision Except Device Replacement 31
Interstitial Lung Disease 31
Other Musculoskeletal System and Connective Tissue Diagnoses 31
Thyroid, Parathyroid and Thyroglossal Procedures 30
Major Procedures with Diagnosis of Other Contact with Health Services 30
Fever And Inflammatory Conditions 29
Minor Skin Disorders 29
Uterine and Adnexal Procedures for Malignancy 28
Signs and Symptoms of Musculoskeletal System and Connective Tissue 28
Craniotomy for Multiple Significant Trauma 28
Heart Transplant or Implant of Heart Assist System 27
Lung Transplant 26
Traumatic Injury 24
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure 24
Peptic Ulcer 23
Mouth Procedures 23
Headaches 22
Inflammatory Bowel Disease 22
Knee Procedures 22
Transient Ischemia 22
Major Joint and Limb Reattachment Procedures of Upper Extremity 22
Lymphoma and Leukemia with Major Procedure 21
Local Excision and Removal Int Fix Devices Except Hip and Femur 21
Osteomyelitis 21
Neuroses Except Depressive 21
Reticuloendothelial and Immunity Disorders 21
Bone Diseases and Arthropathies 21
Percutaneous Cardiovascular Procedures without Coronary Artery Stent 21
Carotid Artery Stent Procedures 21
Other Disorders of the Eye 21
Ear, Nose, Mouth and Throat Malignancy 20
Allogeneic Bone Marrow Transplant 20
Multiple Sclerosis and Cerebellar Ataxia 20
Vagina, Cervix and Vulva Procedures 20
Ischemic Stroke with Use of Thrombolytic Agent 20
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 19
AICD Generator Procedures 18
Allergic Reactions 18
Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 17
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedure 17
Tendonitis, Myositis and Bursitis 17
Concussion 17
Pregnancy, Childbirth & the Puerperium Other Antepartum Diagnoses without O.R. Procedure 16
Disequilibrium 16
Other O.R. Procedures of the Blood and Blood Forming Organs 16
Major Esophageal Disorders 16
Splenectomy 16
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 15
Local Excision and Removal Int Fix Devices of Hip and Femur 15
Minor Small and Large Bowel Procedures 14
Non-Bacterial Infections of Nervous System Except Viral Meningitis 13
Pregnancy, Childbirth & the Puerperium Cesarean Section without Sterilization 13
Skin Grafts for Injuries 13
Cardiac Arrest, Unexplained 13
Major Skin Disorders 13
Spinal Disorders and Injuries 13
Neurological Eye Disorders 12
Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. 12
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures 12
Urinary Stones 12
Malignancy, Female Reproductive System 12
D&C, Conization, Laparoscopy and Tubal Interruption 12
Foot Procedures 12
Aftercare 12
Major Male Pelvic Procedures 12
Disorders of Personality and Impulse Control 11
Other Heart Assist System Implant 11
Appendectomy 11
Transurethral Procedures 11
Other Injury, Poisoning and Toxic Effect Diagnoses 11
Skin Ulcers 11