*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A408 - Other streptococcal sepsis - as a primary diagnosis code | A408 - Other streptococcal sepsis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.95 | |
| Readmission Rate (%) | 28.11 | |
| Unplanned Readmission Rate (%) | 15.23 | |
| 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 A408 - Other streptococcal sepsis | 11,055 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A408 - Other streptococcal sepsis in DRG | 59.64 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A408 - Other streptococcal sepsis | 8.13 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A408 - Other streptococcal sepsis | 26.09 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A408 - Other streptococcal sepsis | 16.79 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A408 - Other streptococcal sepsis | $140,616,975 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A408 - Other streptococcal sepsis | $1,565 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A408 - Other streptococcal sepsis | $12,720 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A408 - Other streptococcal sepsis | $823,457,234 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A408 - Other streptococcal sepsis | $74,487 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A408 - Other streptococcal sepsis | 6.81 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A408 - Other streptococcal sepsis | 31.87 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A408 - Other streptococcal sepsis | 22.73 |
*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 A408 - Other streptococcal sepsis | 80 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD A408 - Other streptococcal sepsis in DRG | 0.43 | |
| Avg LOS at DRG | 25.29 | |
| Avg LOS with ICD A408 - Other streptococcal sepsis | 24.82 | |
| Readmission Rate at DRG | 74.5 | |
| Readmission Rate with ICD A408 - Other streptococcal sepsis | 82.26 | |
| Unplanned Readmission Rate at DRG | 8.79 | |
| Unplanned Readmission Rate with ICD A408 - Other streptococcal sepsis | NA | |
| Total Medicare payments at DRG | $3,386,848,549 | |
| Total Medicare payments with ICD A408 - Other streptococcal sepsis | $6,196,553 | |
| Total Medicare payment per Day at DRG | $2,945 | |
| Total Medicare payment per Day with ICD A408 - Other streptococcal sepsis | $3,120 | |
| Total Medicare payment per Hospitalization at DRG | $74,472 | |
| Total Medicare payment per Hospitalization with ICD A408 - Other streptococcal sepsis | $77,457 | |
| Total Medicare Charges at DRG | $15,882,518,852 | |
| Total Medicare Charges with ICD A408 - Other streptococcal sepsis | $29,623,828 | |
| Avg Charges at DRG | $349,235 | |
| Avg Charges with ICD A408 - Other streptococcal sepsis | $370,298 | |
| Mortality Rate at DRG | 13.7 | |
| Mortality Rate with ICD A408 - Other streptococcal sepsis | 16.25 | |
| SNF Discharge Rate at DRG | 17.77 | |
| SNF Discharge Rate with ICD A408 - Other streptococcal sepsis | 17.5 | |
| Home Discharge Rate at DRG | 1.95 | |
| Home Discharge Rate with ICD A408 - Other streptococcal sepsis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 88 |
| ST. LUKE'S UNIVERSITY HOSPITAL - BETHLEHEM CAMPUS | 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 61 |
| SANFORD USD MEDICAL CENTER | 1305 W 18TH ST | SIOUX FALLS | SD | 57105 | 44 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A408 - Other streptococcal sepsis | 11,789 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A408 - Other streptococcal sepsis in DRG | 47.92 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A408 - Other streptococcal sepsis | 8.19 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A408 - Other streptococcal sepsis | 26.36 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A408 - Other streptococcal sepsis | 16.82 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A408 - Other streptococcal sepsis | $150,689,666 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A408 - Other streptococcal sepsis | $1,560 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A408 - Other streptococcal sepsis | $12,782 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A408 - Other streptococcal sepsis | $886,170,305 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A408 - Other streptococcal sepsis | $75,169 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A408 - Other streptococcal sepsis | 6.95 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A408 - Other streptococcal sepsis | 31.72 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A408 - Other streptococcal sepsis | 22.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS 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 | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD A408 - Other streptococcal sepsis | 638 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD A408 - Other streptococcal sepsis in DRG | 2.59 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD A408 - Other streptococcal sepsis | 16.34 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD A408 - Other streptococcal sepsis | 42.03 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD A408 - Other streptococcal sepsis | 17.72 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD A408 - Other streptococcal sepsis | $26,989,611 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD A408 - Other streptococcal sepsis | $2,589 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD A408 - Other streptococcal sepsis | $42,303 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD A408 - Other streptococcal sepsis | $135,889,424 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD A408 - Other streptococcal sepsis | $212,993 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD A408 - Other streptococcal sepsis | 32.45 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD A408 - Other streptococcal sepsis | 26.8 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD A408 - Other streptococcal sepsis | 2.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE 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 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,598 | ||||
| Total Hospitalizations with ICD A408 - Other streptococcal sepsis | 108 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD A408 - Other streptococcal sepsis in DRG | 0.44 | ||||
| Avg LOS at DRG | 12.75 | ||||
| Avg LOS with ICD A408 - Other streptococcal sepsis | 12.96 | ||||
| Readmission Rate at DRG | 37.72 | ||||
| Readmission Rate with ICD A408 - Other streptococcal sepsis | 38.78 | ||||
| Unplanned Readmission Rate at DRG | 16.03 | ||||
| Unplanned Readmission Rate with ICD A408 - Other streptococcal sepsis | 18.37 | ||||
| Total Medicare payments at DRG | $798,278,353 | ||||
| Total Medicare payments with ICD A408 - Other streptococcal sepsis | $3,465,481 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD A408 - Other streptococcal sepsis | $2,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $31,185 | ||||
| Total Medicare payment per Hospitalization with ICD A408 - Other streptococcal sepsis | $32,088 | ||||
| Total Medicare Charges at DRG | $3,604,344,398 | ||||
| Total Medicare Charges with ICD A408 - Other streptococcal sepsis | $16,042,765 | ||||
| Avg Charges at DRG | $140,806 | ||||
| Avg Charges with ICD A408 - Other streptococcal sepsis | $148,544 | ||||
| Mortality Rate at DRG | 4.29 | ||||
| Mortality Rate with ICD A408 - Other streptococcal sepsis | NA | ||||
| SNF Discharge Rate at DRG | 30.14 | ||||
| SNF Discharge Rate with ICD A408 - Other streptococcal sepsis | 26.85 | ||||
| Home Discharge Rate at DRG | 15.85 | ||||
| Home Discharge Rate with ICD A408 - Other streptococcal sepsis | 14.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK 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 485: KNEE PROCEDURES WITH PDX OF INFECTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD A408 - Other streptococcal sepsis | 89 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD A408 - Other streptococcal sepsis in DRG | 0.36 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD A408 - Other streptococcal sepsis | 10.39 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD A408 - Other streptococcal sepsis | 29.73 | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD A408 - Other streptococcal sepsis | 16.22 | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD A408 - Other streptococcal sepsis | $1,518,492 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD A408 - Other streptococcal sepsis | $1,642 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD A408 - Other streptococcal sepsis | $17,062 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD A408 - Other streptococcal sepsis | $8,644,244 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD A408 - Other streptococcal sepsis | $97,126 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD A408 - Other streptococcal sepsis | NA | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD A408 - Other streptococcal sepsis | 17.98 | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD A408 - Other streptococcal sepsis | 33.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 141 |
| ST. LUKE'S UNIVERSITY HOSPITAL - BETHLEHEM CAMPUS | 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 75 |
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 64 |