University of Michigan Health System 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 Arbor Hospice - Ann Arbor, MI Angela Hospice Home Care - Livonia, MI Elara Caring - Jackson, MI Hospice of Michigan - Southfield, MI Residential Hospice - Troy, MI
All 22,414
Surgical 12,143
Non Surgical 13,984
Septicemia or Severe Sepsis 1,420
Heart Failure and Shock 1,169
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 998
Cardiac Valve and Other Major Cardiothoracic Procedures 884
Cardiac Arrhythmia and Conduction Disorders 681
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 639
Circulatory Disorders Except AMI with Cardiac Catheterization 575
Intracranial Hemorrhage or Cerebral Infarction 565
Major Small and Large Bowel Procedures 546
G.I.Hemorrhage 532
Other Kidney and Urinary Tract Diagnoses 526
Renal Failure 526
Simple Pneumonia and Pleurisy 520
Acute Myocardial Infarction 498
Other Circulatory System Diagnoses 467
Endovascular Procedures 444
Other Digestive System Diagnoses 441
Craniotomy and Endovascular Intracranial Procedures 424
Nutritional and Miscellaneous Metabolic Disorders 419
Kidney and Ureter Procedures 394
Stomach, Esophageal and Duodenal Procedures 388
Kidney and Urinary Tract Infections 383
Pulmonary Edema and Respiratory Failure 366
Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 327
Major Chest Procedures 326
Cellulitis 317
Complications of Treatment 303
Degenerative Nervous System Disorders 301
Postoperative and Post-Traumatic Infections 301
Psychoses 300
Other Vascular Procedures 291
Peripheral Vascular Disorders 291
Chronic Obstructive Pulmonary Disease 290
Respiratory Infections and Inflammations 284
Extensive O.R. Procedure Unrelated to Principal Diagnosis 278
Infections and Parasitic Diseases with O.R. Procedure 264
Hip and Femur Procedures Except Major Joint 262
Kidney Transplant 259
Major Bladder Procedures 252
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 247
G.I. Obstruction 246
Seizures 239
Major Gastrointestinal Disorders and Peritoneal Infections 236
Pulmonary Embolism 234
Signs and Symptoms 226
ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 224
Other Respiratory System O.R. Procedures 223
Spinal Fusion Except Cervical 209
Red Blood Cell Disorders 198
Other Disorders of Nervous System 198
Disorders of Pancreas Except Malignancy 196
Cholecystectomy 195
Aortic and Heart Assist Procedures 189
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy 189
Respiratory System Diagnosis with Ventilator Support 188
Other Major Cardiovascular Procedures 188
Diabetes 185
Pancreas, Liver and Shunt Procedures 181
Coronary Bypass 175
Lymphoma and Non-Acute Leukemia 175
Other Respiratory System Diagnoses 174
Major Joint and Limb Reattachment Procedures of Upper Extremity 170
Percutaneous Intracardiac Procedures 167
Nervous System Neoplasms 166
Aftercare, Musculoskeletal System and Connective Tissue 164
Other Musculoskeletal System and Connective Tissue O.R. Procedures 164
Postoperative or Post-Traumatic Infections with O.R. Procedure 160
Syncope and Collapse 160
Disorders of Biliary Tract 160
Digestive Malignancy 156
Other O.R. Procedures for Injuries 156
Chest Pain 146
Cervical Spinal Fusion 144
Cirrhosis and Alcoholic Hepatitis 141
Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 141
Chemotherapy without Acute Leukemia as Secondary Diagnosis 140
Malignancy of Hepatobiliary System or Pancreas 140
Revision of Hip or Knee Replacement 139
Connective Tissue Disorders 134
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 131
Medical Back Problems 131
Permanent Cardiac Pacemaker Implant 125
Combined Anterior/Posterior Spinal Fusion 124
Poisoning and Toxic Effects of Drugs 122
Non-extensive Procedure Unrelated to Principal Diagnosis 121
Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 120
Respiratory Neoplasms 120
Major Male Pelvic Procedures 117
Other Digestive System O.R. Procedures 114
Cranial and Peripheral Nerve Disorders 108
Lymphoma and Leukemia with Major Procedure 108
Transient Ischemia 105
Hernia Procedures 104
Nonspecific Cerebrovascular Disorders 104
Craniotomy with Major Device Implant or Acute Complex CNS PDX 101
Endocrine Disorders 100
Extracranial Procedures 100
Traumatic Stupor and Coma, Coma < 1 Hour 99
Inflammatory Bowel Disease 96
Minor Skin Disorders 95
Major Head and Neck Procedures 95
Other Skin, Subcutaneous Tissue and Breast Procedures 94
Rehabilitation 91
Acute Leukemia without Major Procedure 88
Amputation for Circulatory System Disorders Except Upper Limb and Toe 87
Depressive Neuroses 86
Adrenal and Pituitary Procedures 86
Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 86
OTHER CARDIOTHORACIC PROCEDURES 86
Uterine and Adnexal Procedures for Malignancy 85
Hypertension 84
Chemotherapy 84
Cardiac Defibrillator Implant 84
Otitis Media and Upper Respiratory Infection 84
Peritoneal Adhesiolysis 83
Major Skin Disorders 83
Heart Transplant or Implant of Heart Assist System 81
Autologous Bone Marrow Transplant or T-cell Immunotherapy 80
Alcohol/Drug Abuse or Dependence 80
Coagulation Disorders 78
Bronchitis and Asthma 78
Dental and Oral Diseases 75
Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 75
Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 75
Osteomyelitis 74
Soft Tissue Procedures 73
Acute Adjustment Reaction and Psychosocial Dysfunction 73
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 71
Viral Illness 70
Organic Disturbances and Intellectual Disability 69
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure 69
Other Circulatory O.R. Procedures 68
Major Chest Trauma 68
Atherosclerosis 67
Fever And Inflammatory Conditions 67
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 67
Bone Diseases and Arthropathies 65
Interstitial Lung Disease 64
Aftercare 64
Other Kidney and Urinary Tract Procedures 62
Procedures for Obesity 62
Traumatic Stupor and Coma, Coma > 1 Hour 61
Uterine and Adnexal Procedures for Non-Malignancy 60
Other Ear, Nose, Mouth and Throat O.R. Procedures 60
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 58
Peptic Ulcer 58
Skin Debridement 57
Biopsies of Musculoskeletal System and Connective Tissue 56
Skin Graft 56
Respiratory Signs and Symptoms 56
Lymphoma and Non-Acute Leukemia with Other Procedure 55
Cardiac Congenital and Valvular Disorders 54
Urinary Stones 54
Signs and Symptoms of Musculoskeletal System and Connective Tissue 53
Other Endocrine, Nutritional and Metabolic Procedures 53
Peripheral and Cranial Nerve and Other Nervous System Procedures 53
Spinal Procedures 52
Cardiac Pacemaker Revision Except Device Replacement 49
Pleural Effusion 49
Major Procedures with Diagnosis of Other Contact with Health Services 49
Ventricular Shunt Procedures 49
Full Thickness Burn with Skin Graft or Inhalation Injury 49
Amputation for Musculoskeletal System and Connective Tissue Disorders 48
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedure 47
Fractures of Hip and Pelvis 46
Thyroid, Parathyroid and Thyroglossal Procedures 45
Liver or Intestinal Transplant 44
Headaches 43
Pneumothorax 43
Allogeneic Bone Marrow Transplant 43
Other Ear,Nose,Mouth and Throat Diagnoses 43
Cranial/Facial Procedures 42
Percutaneous Cardiovascular Procedures without Coronary Artery Stent 41
Non-Extensive Burns 39
Other Musculoskeletal System and Connective Tissue Diagnoses 39
Trauma to the Skin, Subcutaneous Tissue and Breast 39
Tendonitis, Myositis and Bursitis 37
VAGINAL DELIVERY 37
Multiple Sclerosis and Cerebellar Ataxia 37
Kidney and Urinary Tract Neoplasms 36
Mouth Procedures 33
Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy 33
Other Multiple Significant Trauma 32
Kidney and Urinary Tract Signs and Symptoms 32
Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 31
Neurological Eye Disorders 31
Transurethral Procedures 30
Vagina, Cervix and Vulva Procedures 30
Minor Bladder Procedures 30
Wound Debridements for Injuries 30
Intracranial Vascular Procedures with PDX Hemorrhage 29
Appendectomy 29
Ischemic Stroke with Use of Thrombolytic Agent 29
Non-Bacterial Infections of Nervous System Except Viral Meningitis 28
Lung Transplant 26
Hepatobiliary Diagnostic Procedures 26
Minor Small and Large Bowel Procedures 26
AICD Generator Procedures 26
Other Infectious and Parasitic Disease Diagnoses 26
Other Disorders of the Eye 25
Ear, Nose, Mouth and Throat Malignancy 25
Carotid Artery Stent Procedures 24
Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. 24
Major Procedure with Principal Diagnosis of Mental Illness 24
Disequilibrium 24
Local Excision and Removal Int Fix Devices Except Hip and Femur 23
CESAREAN SECTION 23
Other Heart Assist System Implant 23
Inflammation of the Male Reproductive System 22
Anal and Stomal Procedures 22
Other Procedures for Multiple Significant Trauma 22
Breast Biopsy, Local Excision and Other Breast Procedures 21
Other O.R. Procedures of the Blood and Blood Forming Organs 21
Major Esophageal Disorders 20
Knee Procedures 20
Bacterial and Tuberculous Infections of Nervous System 20
Disorders of Personality and Impulse Control 20
Pregnancy, Childbirth & the Puerperium Vaginal Delivery without Sterilization/D&C 19
Other Injury, Poisoning and Toxic Effect Diagnoses 19
Reticuloendothelial and Immunity Disorders 19
Foot Procedures 18
Acute and Subacute Endocarditis 18
Orbital Procedures 17
Neuroses Except Depressive 17
Allergic Reactions 17
HIV with Major Related Condition 17
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 17
Epistaxis 17
Malignancy, Female Reproductive System 16
Septic Arthritis 16
OTHER ANTEPARTUM DIAGNOSES 16
D&C, Conization, Laparoscopy and Tubal Interruption 16
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures 16
Postpartum and post Abortion Diagnoses without O.R. Procedure 15
Female Reproductive System Reconstructive Procedures 15
Concussion 15
Local Excision and Removal Int Fix Devices of Hip and Femur 14
Pregnancy, Childbirth & the Puerperium Other Antepartum Diagnoses without O.R. Procedure 13
Other Factors Influencing Health Status 13
Skin Grafts for Injuries 13
Cardiac Pacemaker Device Replacement 13
AICD Lead Procedures 13
Infections, Female Reproductive System 13
Simultaneous Pancreas/Kidney Transplant 12
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 12
Other Hepatobiliary or Pancreas Procedures 12
Skin Ulcers 12
Penis Procedures 12
Upper Limb and Toe Amputation for Circulatory System Disorders 12
Angina Pectoris 12
Pregnancy, Childbirth & the Puerperium Cesarean Section without Sterilization 11
Rectal Resection 11
Menstrual and Other Female Reproductive System Disorders 11
Hypertensive Encephalopathy 11