*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A403 - Sepsis due to Streptococcus pneumoniae - as a primary diagnosis code | A403 - Sepsis due to Streptococcus pneumoniae - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.64 | |
| Readmission Rate (%) | 23.58 | |
| Unplanned Readmission Rate (%) | 12.5 | |
| 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A403 - Sepsis due to Streptococcus pneumoniae | 15,406 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A403 - Sepsis due to Streptococcus pneumoniae in DRG | 80.41 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A403 - Sepsis due to Streptococcus pneumoniae | 6.76 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 19.65 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 12.62 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A403 - Sepsis due to Streptococcus pneumoniae | $179,539,439 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A403 - Sepsis due to Streptococcus pneumoniae | $1,724 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A403 - Sepsis due to Streptococcus pneumoniae | $11,654 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $922,804,310 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $59,899 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 7.62 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 21.69 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 36.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 48,449 | |
| Total Hospitalizations with ICD A403 - Sepsis due to Streptococcus pneumoniae | 130 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD A403 - Sepsis due to Streptococcus pneumoniae in DRG | 0.68 | |
| Avg LOS at DRG | 29.97 | |
| Avg LOS with ICD A403 - Sepsis due to Streptococcus pneumoniae | 29.18 | |
| Readmission Rate at DRG | 76.3 | |
| Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 83.49 | |
| Unplanned Readmission Rate at DRG | 6.46 | |
| Unplanned Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | NA | |
| Total Medicare payments at DRG | $6,190,071,785 | |
| Total Medicare payments with ICD A403 - Sepsis due to Streptococcus pneumoniae | $16,370,902 | |
| Total Medicare payment per Day at DRG | $4,263 | |
| Total Medicare payment per Day with ICD A403 - Sepsis due to Streptococcus pneumoniae | $4,315 | |
| Total Medicare payment per Hospitalization at DRG | $127,765 | |
| Total Medicare payment per Hospitalization with ICD A403 - Sepsis due to Streptococcus pneumoniae | $125,930 | |
| Total Medicare Charges at DRG | $28,754,600,069 | |
| Total Medicare Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $77,340,965 | |
| Avg Charges at DRG | $593,502 | |
| Avg Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $594,931 | |
| Mortality Rate at DRG | 20.61 | |
| Mortality Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 13.85 | |
| SNF Discharge Rate at DRG | 12.46 | |
| SNF Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 13.08 | |
| Home Discharge Rate at DRG | 2.36 | |
| Home Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY HOSPITAL SPRINGFIELD | 1235 E CHEROKEE ST | SPRINGFIELD | MO | 65804 | 73 |
| MERCY HOSPITAL JEFFERSON | 1400 HIGHWAY 61 | FESTUS | MO | 63028 | 66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 14 |
| Dr. JOEL ALEXANDER RANSOM | 3000 ST MATTHEWS ROAD | ORANGEBURG | SC | 29118 | 14 |
| Dr. BENJAMIN YUHICO ALBANO | 1400 US HIGHWAY 61 | CRYSTAL CITY | MO | 63019 | 13 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A403 - Sepsis due to Streptococcus pneumoniae | 15,590 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A403 - Sepsis due to Streptococcus pneumoniae in DRG | 73.95 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A403 - Sepsis due to Streptococcus pneumoniae | 6.78 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 19.69 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 12.68 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A403 - Sepsis due to Streptococcus pneumoniae | $181,915,990 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A403 - Sepsis due to Streptococcus pneumoniae | $1,721 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A403 - Sepsis due to Streptococcus pneumoniae | $11,669 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $937,072,112 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $60,107 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 7.65 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 21.73 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 36.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD A403 - Sepsis due to Streptococcus pneumoniae | 166 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD A403 - Sepsis due to Streptococcus pneumoniae in DRG | 0.79 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD A403 - Sepsis due to Streptococcus pneumoniae | 31.11 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 81.88 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD A403 - Sepsis due to Streptococcus pneumoniae | $21,963,786 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD A403 - Sepsis due to Streptococcus pneumoniae | $4,252 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD A403 - Sepsis due to Streptococcus pneumoniae | $132,312 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $102,968,812 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $620,294 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 13.25 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 10.84 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 094: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD A403 - Sepsis due to Streptococcus pneumoniae | 73 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD A403 - Sepsis due to Streptococcus pneumoniae in DRG | 0.35 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD A403 - Sepsis due to Streptococcus pneumoniae | 23.38 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 48.94 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD A403 - Sepsis due to Streptococcus pneumoniae | $3,389,504 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD A403 - Sepsis due to Streptococcus pneumoniae | $1,986 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD A403 - Sepsis due to Streptococcus pneumoniae | $46,432 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $15,387,130 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $210,783 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 23.29 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 21.92 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD A403 - Sepsis due to Streptococcus pneumoniae | 48 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD A403 - Sepsis due to Streptococcus pneumoniae in DRG | 0.23 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD A403 - Sepsis due to Streptococcus pneumoniae | 11.19 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD A403 - Sepsis due to Streptococcus pneumoniae | $618,690 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD A403 - Sepsis due to Streptococcus pneumoniae | $1,152 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD A403 - Sepsis due to Streptococcus pneumoniae | $12,889 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $5,199,734 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD A403 - Sepsis due to Streptococcus pneumoniae | $108,328 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 27.08 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | 31.25 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD A403 - Sepsis due to Streptococcus pneumoniae | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY HOSPITAL SPRINGFIELD | 1235 E CHEROKEE ST | SPRINGFIELD | MO | 65804 | 77 |
| SANFORD USD MEDICAL CENTER | 1305 W 18TH ST | SIOUX FALLS | SD | 57105 | 68 |
| MERCY HOSPITAL JEFFERSON | 1400 HIGHWAY 61 | FESTUS | MO | 63028 | 67 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOEL ALEXANDER RANSOM | 3000 ST MATTHEWS ROAD | ORANGEBURG | SC | 29118 | 14 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 14 |
| Dr. BENJAMIN YUHICO ALBANO | 1400 US HIGHWAY 61 | CRYSTAL CITY | MO | 63019 | 13 |