*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A401 - Sepsis due to streptococcus, group B - as a primary diagnosis code | A401 - Sepsis due to streptococcus, group B - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.53 | |
| Readmission Rate (%) | 25.33 | |
| Unplanned Readmission Rate (%) | 13.59 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A401 - Sepsis due to streptococcus, group B | 8,745 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A401 - Sepsis due to streptococcus, group B in DRG | 53.29 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A401 - Sepsis due to streptococcus, group B | 7.5 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 24.23 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 15.33 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A401 - Sepsis due to streptococcus, group B | $105,195,304 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A401 - Sepsis due to streptococcus, group B | $1,604 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A401 - Sepsis due to streptococcus, group B | $12,029 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A401 - Sepsis due to streptococcus, group B | $578,334,401 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A401 - Sepsis due to streptococcus, group B | $66,133 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A401 - Sepsis due to streptococcus, group B | 5.67 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | 32.37 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | 24.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|
| Total Hospitalizations at DRG | 45,478 | |
| Total Hospitalizations with ICD A401 - Sepsis due to streptococcus, group B | 67 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD A401 - Sepsis due to streptococcus, group B in DRG | 0.41 | |
| Avg LOS at DRG | 25.29 | |
| Avg LOS with ICD A401 - Sepsis due to streptococcus, group B | 23.1 | |
| Readmission Rate at DRG | 74.5 | |
| Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 91.07 | |
| Unplanned Readmission Rate at DRG | 8.79 | |
| Unplanned Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | NA | |
| Total Medicare payments at DRG | $3,386,848,549 | |
| Total Medicare payments with ICD A401 - Sepsis due to streptococcus, group B | $5,470,898 | |
| Total Medicare payment per Day at DRG | $2,945 | |
| Total Medicare payment per Day with ICD A401 - Sepsis due to streptococcus, group B | $3,534 | |
| Total Medicare payment per Hospitalization at DRG | $74,472 | |
| Total Medicare payment per Hospitalization with ICD A401 - Sepsis due to streptococcus, group B | $81,655 | |
| Total Medicare Charges at DRG | $15,882,518,852 | |
| Total Medicare Charges with ICD A401 - Sepsis due to streptococcus, group B | $24,035,007 | |
| Avg Charges at DRG | $349,235 | |
| Avg Charges with ICD A401 - Sepsis due to streptococcus, group B | $358,731 | |
| Mortality Rate at DRG | 13.7 | |
| Mortality Rate with ICD A401 - Sepsis due to streptococcus, group B | NA | |
| SNF Discharge Rate at DRG | 17.77 | |
| SNF Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | NA | |
| Home Discharge Rate at DRG | 1.95 | |
| Home Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 47 |
| LANCASTER GENERAL HOSPITAL | 555 N DUKE ST | LANCASTER | PA | 17602 | 41 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A401 - Sepsis due to streptococcus, group B | 9,021 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A401 - Sepsis due to streptococcus, group B in DRG | 45.67 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A401 - Sepsis due to streptococcus, group B | 7.53 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 24.3 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 15.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A401 - Sepsis due to streptococcus, group B | $108,673,877 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A401 - Sepsis due to streptococcus, group B | $1,600 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A401 - Sepsis due to streptococcus, group B | $12,047 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A401 - Sepsis due to streptococcus, group B | $599,942,971 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A401 - Sepsis due to streptococcus, group B | $66,505 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A401 - Sepsis due to streptococcus, group B | 5.76 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | 32.4 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | 24.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD A401 - Sepsis due to streptococcus, group B | 321 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD A401 - Sepsis due to streptococcus, group B in DRG | 1.63 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD A401 - Sepsis due to streptococcus, group B | 8.04 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 27.38 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 19.01 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD A401 - Sepsis due to streptococcus, group B | $4,525,597 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD A401 - Sepsis due to streptococcus, group B | $1,753 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD A401 - Sepsis due to streptococcus, group B | $14,098 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD A401 - Sepsis due to streptococcus, group B | $26,328,603 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD A401 - Sepsis due to streptococcus, group B | $82,021 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD A401 - Sepsis due to streptococcus, group B | 5.61 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | 19.0 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | 28.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD A401 - Sepsis due to streptococcus, group B | 108 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD A401 - Sepsis due to streptococcus, group B in DRG | 0.55 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD A401 - Sepsis due to streptococcus, group B | 10.61 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 23.68 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | NA | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD A401 - Sepsis due to streptococcus, group B | $1,657,479 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD A401 - Sepsis due to streptococcus, group B | $1,446 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD A401 - Sepsis due to streptococcus, group B | $15,347 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD A401 - Sepsis due to streptococcus, group B | $7,237,467 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD A401 - Sepsis due to streptococcus, group B | $67,014 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD A401 - Sepsis due to streptococcus, group B | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | 24.07 | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD A401 - Sepsis due to streptococcus, group B | 66 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD A401 - Sepsis due to streptococcus, group B in DRG | 0.33 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD A401 - Sepsis due to streptococcus, group B | 12.55 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 42.37 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD A401 - Sepsis due to streptococcus, group B | 22.03 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD A401 - Sepsis due to streptococcus, group B | $1,764,357 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD A401 - Sepsis due to streptococcus, group B | $2,131 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD A401 - Sepsis due to streptococcus, group B | $26,733 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD A401 - Sepsis due to streptococcus, group B | $10,197,474 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD A401 - Sepsis due to streptococcus, group B | $154,507 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD A401 - Sepsis due to streptococcus, group B | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | 22.73 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD A401 - Sepsis due to streptococcus, group B | 24.24 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 55 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 51 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 48 |