MedStar Washington Hospital 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 Capital Hospice - Washington, DC Community Hospice of Washington DC - Washington, DC Capital Caring Health - Largo - Largo, MD VITAS Innovative Hospice Care of Greater Washington - Washington, DC The Community Hospice Of Maryland - Beltsville, MD
All 25,412
Surgical 12,521
Non Surgical 15,994
Septicemia or Severe Sepsis 1,716
Heart Failure and Shock 1,709
Coronary Bypass 1,225
Acute Myocardial Infarction 1,121
Circulatory Disorders Except AMI with Cardiac Catheterization 1,021
Intracranial Hemorrhage or Cerebral Infarction 909
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 901
Endovascular Procedures 854
G.I.Hemorrhage 783
Cardiac Valve and Other Major Cardiothoracic Procedures 778
Renal Failure 763
Nutritional and Miscellaneous Metabolic Disorders 728
Psychoses 656
Other Vascular Procedures 656
Cardiac Arrhythmia and Conduction Disorders 624
Percutaneous Intracardiac Procedures 602
Other Circulatory System Diagnoses 563
Simple Pneumonia and Pleurisy 532
Other Major Cardiovascular Procedures 511
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 505
Major Small and Large Bowel Procedures 504
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 492
Infections and Parasitic Diseases with O.R. Procedure 457
Chronic Obstructive Pulmonary Disease 446
Kidney and Urinary Tract Infections 441
Permanent Cardiac Pacemaker Implant 337
Red Blood Cell Disorders 325
Extensive O.R. Procedure Unrelated to Principal Diagnosis 308
Peripheral Vascular Disorders 295
Diabetes 287
Hypertension 268
Syncope and Collapse 256
Respiratory System Diagnosis with Ventilator Support 251
Other Kidney and Urinary Tract Diagnoses 251
Pulmonary Embolism 250
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 249
Craniotomy and Endovascular Intracranial Procedures 247
Seizures 244
Other Digestive System Diagnoses 241
G.I. Obstruction 224
Kidney and Ureter Procedures 223
Aortic and Heart Assist Procedures 218
Cardiac Defibrillator Implant 203
Major Male Pelvic Procedures 202
Medical Back Problems 198
Cellulitis 191
Hip and Femur Procedures Except Major Joint 189
Pulmonary Edema and Respiratory Failure 175
Chest Pain 172
Traumatic Stupor and Coma, Coma < 1 Hour 167
Extracranial Procedures 164
Spinal Fusion Except Cervical 159
Cervical Spinal Fusion 157
Amputation for Circulatory System Disorders Except Upper Limb and Toe 152
Respiratory Infections and Inflammations 145
Bronchitis and Asthma 142
Disorders of Biliary Tract 138
Disorders of Pancreas Except Malignancy 135
Other Kidney and Urinary Tract Procedures 134
Signs and Symptoms 128
Poisoning and Toxic Effects of Drugs 127
Other Circulatory O.R. Procedures 120
Alcohol/Drug Abuse or Dependence 120
Complications of Treatment 119
Heart Transplant or Implant of Heart Assist System 118
Depressive Neuroses 118
Digestive Malignancy 116
Malignancy of Hepatobiliary System or Pancreas 114
Traumatic Stupor and Coma, Coma > 1 Hour 114
Degenerative Nervous System Disorders 109
Bone Diseases and Arthropathies 109
Cholecystectomy 109
Craniotomy with Major Device Implant or Acute Complex CNS PDX 106
Stomach, Esophageal and Duodenal Procedures 105
Major Gastrointestinal Disorders and Peritoneal Infections 104
Respiratory Neoplasms 103
Nonspecific Cerebrovascular Disorders 103
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 103
Other Disorders of Nervous System 102
Percutaneous Cardiovascular Procedures without Coronary Artery Stent 101
Transient Ischemia 101
Other Respiratory System O.R. Procedures 100
Postoperative or Post-Traumatic Infections with O.R. Procedure 98
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 96
Organic Disturbances and Intellectual Disability 94
Hernia Procedures 94
Other O.R. Procedures for Injuries 94
Other Skin, Subcutaneous Tissue and Breast Procedures 93
Revision of Hip or Knee Replacement 92
Full Thickness Burn with Skin Graft or Inhalation Injury 89
Other Digestive System O.R. Procedures 88
Endocrine Disorders 88
Pleural Effusion 87
Procedures for Obesity 86
Major Chest Procedures 84
Atherosclerosis 79
HIV with Major Related Condition 78
Lymphoma and Non-Acute Leukemia 77
Non-Extensive Burns 77
Pneumothorax 76
Non-extensive Procedure Unrelated to Principal Diagnosis 76
Uterine and Adnexal Procedures for Malignancy 75
Otitis Media and Upper Respiratory Infection 74
Other Endocrine, Nutritional and Metabolic Procedures 71
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 71
Cranial and Peripheral Nerve Disorders 71
Other Musculoskeletal System and Connective Tissue O.R. Procedures 69
Ischemic Stroke with Use of Thrombolytic Agent 69
Cardiac Congenital and Valvular Disorders 69
Major Chest Trauma 68
Peritoneal Adhesiolysis 68
Major Bladder Procedures 66
Postoperative and Post-Traumatic Infections 65
Peripheral and Cranial Nerve and Other Nervous System Procedures 64
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 64
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 63
Skin Debridement 62
Nervous System Neoplasms 62
Pancreas, Liver and Shunt Procedures 62
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 60
Uterine and Adnexal Procedures for Non-Malignancy 57
Adrenal and Pituitary Procedures 56
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 55
Other Respiratory System Diagnoses 55
Cardiac Pacemaker Revision Except Device Replacement 53
Soft Tissue Procedures 52
Respiratory Signs and Symptoms 51
Minor Skin Disorders 51
Major Joint and Limb Reattachment Procedures of Upper Extremity 51
Coagulation Disorders 50
Carotid Artery Stent Procedures 50
Wound Debridements for Injuries 49
Allergic Reactions 48
Peptic Ulcer 48
Disequilibrium 48
Skin Ulcers 48
Signs and Symptoms of Musculoskeletal System and Connective Tissue 48
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy 47
Skin Graft 45
Amputation for Musculoskeletal System and Connective Tissue Disorders 45
Interstitial Lung Disease 45
Combined Anterior/Posterior Spinal Fusion 44
Transurethral Procedures 43
Bilateral or Multiple Major Joint Procedures of Lower Extremity 41
Cirrhosis and Alcoholic Hepatitis 41
Fractures of Hip and Pelvis 40
Other Musculoskeletal System and Connective Tissue Diagnoses 40
Tendonitis, Myositis and Bursitis 40
Urinary Stones 40
Chemotherapy without Acute Leukemia as Secondary Diagnosis 39
Fever And Inflammatory Conditions 39
Thyroid, Parathyroid and Thyroglossal Procedures 38
Connective Tissue Disorders 37
Trauma to the Skin, Subcutaneous Tissue and Breast 37
Other Ear,Nose,Mouth and Throat Diagnoses 37
Major Skin Disorders 35
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 35
Viral Illness 34
Other Multiple Significant Trauma 34
Biopsies of Musculoskeletal System and Connective Tissue 34
Acute Adjustment Reaction and Psychosocial Dysfunction 34
Other Procedures for Multiple Significant Trauma 33
Other Disorders of the Eye 33
AICD Generator Procedures 32
Intracranial Vascular Procedures with PDX Hemorrhage 28
Cardiac Arrest, Unexplained 28
Kidney and Urinary Tract Neoplasms 28
Dental and Oral Diseases 26
Other Heart Assist System Implant 26
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 26
Vagina, Cervix and Vulva Procedures 26
Upper Limb and Toe Amputation for Circulatory System Disorders 26
Minor Small and Large Bowel Procedures 25
Kidney and Urinary Tract Signs and Symptoms 25
Major Head and Neck Procedures 25
Hypertensive Encephalopathy 24
Angina Pectoris 24
Knee Procedures 24
Aftercare, Musculoskeletal System and Connective Tissue 24
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 23
Other Male Reproductive System Procedures 23
Headaches 22
Neurological Eye Disorders 22
Osteomyelitis 22
Other Infectious and Parasitic Disease Diagnoses 21
Cranial/Facial Procedures 21
Major Esophageal Disorders 21
Breast Disorders 21
Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 20
Appendectomy 19
Anal and Stomal Procedures 19
Reticuloendothelial and Immunity Disorders 19
Lymphoma and Non-Acute Leukemia with Other Procedure 19
Major Procedures with Diagnosis of Other Contact with Health Services 19
Non-Bacterial Infections of Nervous System Except Viral Meningitis 18
Hepatobiliary Diagnostic Procedures 17
Acute and Subacute Endocarditis 17
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure 17
Acute Leukemia without Major Procedure 17
Malignancy, Female Reproductive System 16
Transurethral Prostatectomy 16
Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. 16
Lymphoma and Leukemia with Major Procedure 16
Cardiac Pacemaker Device Replacement 16
Inflammatory Bowel Disease 16
Other O.R. Procedures of the Blood and Blood Forming Organs 16
Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 15
Other Injury, Poisoning and Toxic Effect Diagnoses 15
Neuroses Except Depressive 15
Inflammation of the Male Reproductive System 15
Nonspecific CVA and Precerebral Occlusion without Infarction 15
Pregnancy, Childbirth & the Puerperium Vaginal Delivery without Sterilization/D&C 15
Minor Bladder Procedures 14
Foot Procedures 14
Epistaxis 14
Malignancy, Male Reproductive System 14
HIV with or without Other Related Condition 14
Spinal Procedures 14
Intraocular Procedures 13
Other Ear, Nose, Mouth and Throat O.R. Procedures 13
Other Factors Influencing Health Status 13
Fractures of Femur 13
Benign Prostatic Hypertrophy 13
Multiple Sclerosis and Cerebellar Ataxia 13
Prostatectomy 12
Traumatic Injury 12
Rectal Resection 12
Menstrual and Other Female Reproductive System Disorders 11
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 11
Local Excision and Removal Int Fix Devices of Hip and Femur 11
Ear, Nose, Mouth and Throat Malignancy 11
Extraocular Procedures Except Orbit 11
Breast Disorders NA