Vanderbilt University Medical Center Inpatient Case Mix Index Benchmarks

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DRG Group Total Discharges(Oct 2016 to Sep 2019) Vanderbilt University Medical Center CMI State CMI National CMI TriStar Centennial Medical Center,2300 Patterson St,Nashville,TN,37203 Ascension Saint Thomas West Hospital,4220 Harding Rd,Nashville,TN,37205 TriStar Skyline Medical Center,3441 Dickerson Pike,Nashville,TN,37207 TriStar Summit Medical Center,5655 Frist Blvd,Hermitage,TN,37076 Saint Thomas Midtown Hospital,2000 Church St,Nashville,TN,37236
Septicemia or Severe Sepsis 1,818
Heart Failure and Shock 1,013
Intracranial Hemorrhage or Cerebral Infarction 925
Acute Myocardial Infarction 917
Other Kidney and Urinary Tract Diagnoses 892
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 864
Renal Failure 666
Craniotomy and Endovascular Intracranial Procedures 635
Circulatory Disorders Except AMI with Cardiac Catheterization 601
Major Small and Large Bowel Procedures 577
Cardiac Valve and Other Major Cardiothoracic Procedures 567
Percutaneous Intracardiac Procedures 548
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 546
Coronary Bypass 518
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 513
Cardiac Arrhythmia and Conduction Disorders 502
G.I.Hemorrhage 498
Simple Pneumonia and Pleurisy 475
Other Circulatory System Diagnoses 420
Other Digestive System Diagnoses 401
Nutritional and Miscellaneous Metabolic Disorders 392
Endovascular Procedures 381
Kidney and Ureter Procedures 376
Red Blood Cell Disorders 360
Kidney and Urinary Tract Infections 355
Seizures 348
Infections and Parasitic Diseases with O.R. Procedure 342
Spinal Fusion Except Cervical 331
Kidney Transplant 320
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 316
Major Chest Procedures 311
Hip and Femur Procedures Except Major Joint 311
Pulmonary Edema and Respiratory Failure 303
Chemotherapy without Acute Leukemia as Secondary Diagnosis 287
Chronic Obstructive Pulmonary Disease 280
Traumatic Stupor and Coma, Coma < 1 Hour 275
Medical Back Problems 274
Respiratory Infections and Inflammations 272
Extensive O.R. Procedure Unrelated to Principal Diagnosis 269
Degenerative Nervous System Disorders 252
G.I. Obstruction 247
Other Disorders of Nervous System 244
Traumatic Stupor and Coma, Coma > 1 Hour 242
Respiratory System Diagnosis with Ventilator Support 233
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 228
Complications of Treatment 225
Cellulitis 223
Other Vascular Procedures 222
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 222
Stomach, Esophageal and Duodenal Procedures 221
Nonspecific Cerebrovascular Disorders 219
Pulmonary Embolism 217
Postoperative and Post-Traumatic Infections 215
Other Respiratory System O.R. Procedures 215
Peripheral Vascular Disorders 209
Signs and Symptoms 208
Revision of Hip or Knee Replacement 204
Disorders of Pancreas Except Malignancy 203
Permanent Cardiac Pacemaker Implant 200
Major Bladder Procedures 191
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 189
Other O.R. Procedures for Injuries 184
Diabetes 182
Nervous System Neoplasms 182
Major Gastrointestinal Disorders and Peritoneal Infections 178
Other Major Cardiovascular Procedures 177
Cranial and Peripheral Nerve Disorders 175
Other Multiple Significant Trauma 174
Major Joint and Limb Reattachment Procedures of Upper Extremity 173
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy 173
Other Respiratory System Diagnoses 173
Syncope and Collapse 172
Cirrhosis and Alcoholic Hepatitis 170
Postoperative or Post-Traumatic Infections with O.R. Procedure 163
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 156
Combined Anterior/Posterior Spinal Fusion 154
Poisoning and Toxic Effects of Drugs 154
Major Chest Trauma 150
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 148
Major Male Pelvic Procedures 148
Disorders of Biliary Tract 146
Pancreas, Liver and Shunt Procedures 143
Digestive Malignancy 143
Hypertension 143
Respiratory Neoplasms 142
Cholecystectomy 142
Lymphoma and Non-Acute Leukemia 141
Craniotomy with Major Device Implant or Acute Complex CNS PDX 139
Extracranial Procedures 139
Cervical Spinal Fusion 138
Chemotherapy 129
OTHER CARDIOTHORACIC PROCEDURES 127
Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 125
Endocrine Disorders 122
Cardiac Defibrillator Implant 116
Other Procedures for Multiple Significant Trauma 114
Pneumothorax 107
Peritoneal Adhesiolysis 107
Procedures for Obesity 106
Aortic and Heart Assist Procedures 105
Malignancy of Hepatobiliary System or Pancreas 105
Inflammatory Bowel Disease 104
Non-extensive Procedure Unrelated to Principal Diagnosis 102
Other Musculoskeletal System and Connective Tissue O.R. Procedures 102
Connective Tissue Disorders 101
Heart Transplant or Implant of Heart Assist System 96
Coagulation Disorders 92
Major Head and Neck Procedures 92
Acute Leukemia without Major Procedure 91
Soft Tissue Procedures 91
Adrenal and Pituitary Procedures 90
Full Thickness Burn with Skin Graft or Inhalation Injury 88
Biopsies of Musculoskeletal System and Connective Tissue 79
Ventricular Shunt Procedures 78
Other Digestive System O.R. Procedures 77
Other Kidney and Urinary Tract Procedures 74
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 74
Peripheral and Cranial Nerve and Other Nervous System Procedures 72
Alcohol/Drug Abuse or Dependence 70
Amputation for Circulatory System Disorders Except Upper Limb and Toe 69
Dental and Oral Diseases 67
Hernia Procedures 66
Minor Skin Disorders 65
Liver or Intestinal Transplant 65
Other Skin, Subcutaneous Tissue and Breast Procedures 65
Ischemic Stroke with Use of Thrombolytic Agent 65
Interstitial Lung Disease 65
Acute Adjustment Reaction and Psychosocial Dysfunction 64
Pleural Effusion 64
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure 63
Viral Illness 63
Bronchitis and Asthma 63
Transient Ischemia 62
Skin Graft 61
Organic Disturbances and Intellectual Disability 60
Peptic Ulcer 60
Fractures of Hip and Pelvis 60
Osteomyelitis 60
Spinal Procedures 59
Amputation for Musculoskeletal System and Connective Tissue Disorders 58
Chest Pain 56
Non-Extensive Burns 55
Aftercare, Musculoskeletal System and Connective Tissue 53
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 52
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 52
Fever And Inflammatory Conditions 52
Cardiac Pacemaker Revision Except Device Replacement 52
Lymphoma and Leukemia with Major Procedure 51
Other Circulatory O.R. Procedures 51
Other Infectious and Parasitic Disease Diagnoses 51
Knee Procedures 50
Carotid Artery Stent Procedures 50
Wound Debridements for Injuries 49
Otitis Media and Upper Respiratory Infection 49
Trauma to the Skin, Subcutaneous Tissue and Breast 48
HIV with Major Related Condition 48
Bone Diseases and Arthropathies 48
Psychoses 47
Percutaneous Cardiovascular Procedures without Coronary Artery Stent 47
Uterine and Adnexal Procedures for Malignancy 46
Other Ear,Nose,Mouth and Throat Diagnoses 45
Major Skin Disorders 45
Atherosclerosis 43
Cranial/Facial Procedures 42
Ear, Nose, Mouth and Throat Malignancy 41
Multiple Sclerosis and Cerebellar Ataxia 40
Cardiac Congenital and Valvular Disorders 40
Lymphoma and Non-Acute Leukemia with Other Procedure 39
Other Musculoskeletal System and Connective Tissue Diagnoses 39
Uterine and Adnexal Procedures for Non-Malignancy 38
Headaches 37
Hepatobiliary Diagnostic Procedures 37
Neurological Eye Disorders 36
Respiratory Signs and Symptoms 36
Kidney and Urinary Tract Neoplasms 35
Other Heart Assist System Implant 35
Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 34
Major Esophageal Disorders 34
Other Disorders of the Eye 34
Thyroid, Parathyroid and Thyroglossal Procedures 34
Other Ear, Nose, Mouth and Throat O.R. Procedures 32
Tendonitis, Myositis and Bursitis 32
Non-Bacterial Infections of Nervous System Except Viral Meningitis 32
Skin Debridement 31
Allogeneic Bone Marrow Transplant 31
Urinary Stones 31
Major Procedures with Diagnosis of Other Contact with Health Services 31
Signs and Symptoms of Musculoskeletal System and Connective Tissue 30
Reticuloendothelial and Immunity Disorders 29
Other Factors Influencing Health Status 29
Other Endocrine, Nutritional and Metabolic Procedures 29
Malignancy, Female Reproductive System 27
Skin Grafts for Injuries 27
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedure 27
Mouth Procedures 25
Transurethral Procedures 25
Nonspecific CVA and Precerebral Occlusion without Infarction 25
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 25
Intracranial Vascular Procedures with PDX Hemorrhage 24
Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft 24
Foot Procedures 24
Bacterial and Tuberculous Infections of Nervous System 23
Skin Ulcers 22
Local Excision and Removal Int Fix Devices Except Hip and Femur 21
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 21
Autologous Bone Marrow Transplant or T-cell Immunotherapy 20
Female Reproductive System Reconstructive Procedures 20
Other O.R. Procedures of the Blood and Blood Forming Organs 19
Allergic Reactions 18
Minor Small and Large Bowel Procedures 17
AICD Generator Procedures 17
Vagina, Cervix and Vulva Procedures 16
Appendectomy 16
CESAREAN SECTION 16
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 15
VAGINAL DELIVERY 15
Hypertensive Encephalopathy 14
HIV with or without Other Related Condition 14
Other Injury, Poisoning and Toxic Effect Diagnoses 14
Breast Disorders 14
Inflammation of the Male Reproductive System 14
Kidney and Urinary Tract Signs and Symptoms 13
Infections, Female Reproductive System 13
Other Hepatobiliary or Pancreas Procedures 13
Spinal Disorders and Injuries 13
Disequilibrium 13
OTHER ANTEPARTUM DIAGNOSES 12
D&C, Conization, Laparoscopy and Tubal Interruption 12
Aftercare 12
Lung Transplant 12
Orbital Procedures 12
Acute and Subacute Endocarditis 11
Anal and Stomal Procedures 11
Neuroses Except Depressive 11
Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. 11
Traumatic Injury 11

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