*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A411 - Sepsis due to other specified staphylococcus - as a primary diagnosis code | A411 - Sepsis due to other specified staphylococcus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.55 | |
| Readmission Rate (%) | 34.5 | |
| Unplanned Readmission Rate (%) | 19.62 | |
| 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 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 A411 - Sepsis due to other specified staphylococcus | 11,321 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A411 - Sepsis due to other specified staphylococcus in DRG | 63.08 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A411 - Sepsis due to other specified staphylococcus | 8.69 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 31.05 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 20.77 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A411 - Sepsis due to other specified staphylococcus | $145,849,740 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A411 - Sepsis due to other specified staphylococcus | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A411 - Sepsis due to other specified staphylococcus | $12,883 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A411 - Sepsis due to other specified staphylococcus | $854,504,564 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A411 - Sepsis due to other specified staphylococcus | $75,480 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A411 - Sepsis due to other specified staphylococcus | 9.89 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 34.33 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 16.89 |
*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 | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | |||
| Total Hospitalizations with ICD A411 - Sepsis due to other specified staphylococcus | 171 | |||
| DRG Share of Total Hospitalizations | 0.14 | |||
| % of Total ICD A411 - Sepsis due to other specified staphylococcus in DRG | 0.95 | |||
| Avg LOS at DRG | 25.29 | |||
| Avg LOS with ICD A411 - Sepsis due to other specified staphylococcus | 28.48 | |||
| Readmission Rate at DRG | 74.5 | |||
| Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 75.36 | |||
| Unplanned Readmission Rate at DRG | 8.79 | |||
| Unplanned Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 9.42 | |||
| Total Medicare payments at DRG | $3,386,848,549 | |||
| Total Medicare payments with ICD A411 - Sepsis due to other specified staphylococcus | $13,342,820 | |||
| Total Medicare payment per Day at DRG | $2,945 | |||
| Total Medicare payment per Day with ICD A411 - Sepsis due to other specified staphylococcus | $2,740 | |||
| Total Medicare payment per Hospitalization at DRG | $74,472 | |||
| Total Medicare payment per Hospitalization with ICD A411 - Sepsis due to other specified staphylococcus | $78,028 | |||
| Total Medicare Charges at DRG | $15,882,518,852 | |||
| Total Medicare Charges with ICD A411 - Sepsis due to other specified staphylococcus | $66,761,630 | |||
| Avg Charges at DRG | $349,235 | |||
| Avg Charges with ICD A411 - Sepsis due to other specified staphylococcus | $390,419 | |||
| Mortality Rate at DRG | 13.7 | |||
| Mortality Rate with ICD A411 - Sepsis due to other specified staphylococcus | 14.04 | |||
| SNF Discharge Rate at DRG | 17.77 | |||
| SNF Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 24.56 | |||
| Home Discharge Rate at DRG | 1.95 | |||
| Home Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 78 |
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 63 |
| COMANCHE COUNTY MEMORIAL HOSPITAL | 3401 WEST GORE BLVD | LAWTON | OK | 73502 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MATTHEW J RIFFLE | 225 PHYSICIANS PARK | POPLAR BLUFF | MO | 63901 | 28 |
| Dr. OWEN CAPOCYAN | 701 W 5TH ST | ODESSA | TX | 79763 | 15 |
| Dr. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 15 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A411 - Sepsis due to other specified staphylococcus | 12,018 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A411 - Sepsis due to other specified staphylococcus in DRG | 38.37 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A411 - Sepsis due to other specified staphylococcus | 8.83 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 31.15 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 20.81 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A411 - Sepsis due to other specified staphylococcus | $155,696,908 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A411 - Sepsis due to other specified staphylococcus | $1,468 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A411 - Sepsis due to other specified staphylococcus | $12,955 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A411 - Sepsis due to other specified staphylococcus | $920,510,896 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A411 - Sepsis due to other specified staphylococcus | $76,594 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A411 - Sepsis due to other specified staphylococcus | 9.83 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 34.44 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 16.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD A411 - Sepsis due to other specified staphylococcus | 744 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD A411 - Sepsis due to other specified staphylococcus in DRG | 2.38 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD A411 - Sepsis due to other specified staphylococcus | 7.75 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 23.68 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD A411 - Sepsis due to other specified staphylococcus | $7,843,336 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD A411 - Sepsis due to other specified staphylococcus | $1,360 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD A411 - Sepsis due to other specified staphylococcus | $10,542 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD A411 - Sepsis due to other specified staphylococcus | $46,620,429 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD A411 - Sepsis due to other specified staphylococcus | $62,662 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD A411 - Sepsis due to other specified staphylococcus | 3.76 | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 36.42 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 16.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD A411 - Sepsis due to other specified staphylococcus | 290 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD A411 - Sepsis due to other specified staphylococcus in DRG | 0.93 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD A411 - Sepsis due to other specified staphylococcus | 25.27 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 51.79 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 32.59 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD A411 - Sepsis due to other specified staphylococcus | $12,907,075 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD A411 - Sepsis due to other specified staphylococcus | $1,761 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD A411 - Sepsis due to other specified staphylococcus | $44,507 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD A411 - Sepsis due to other specified staphylococcus | $70,003,028 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD A411 - Sepsis due to other specified staphylococcus | $241,390 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD A411 - Sepsis due to other specified staphylococcus | 16.21 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 30.34 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 17.24 |
*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 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD A411 - Sepsis due to other specified staphylococcus | 165 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD A411 - Sepsis due to other specified staphylococcus in DRG | 0.53 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD A411 - Sepsis due to other specified staphylococcus | 17.1 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 36.88 | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD A411 - Sepsis due to other specified staphylococcus | 23.4 | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD A411 - Sepsis due to other specified staphylococcus | $3,235,988 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD A411 - Sepsis due to other specified staphylococcus | $1,147 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD A411 - Sepsis due to other specified staphylococcus | $19,612 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD A411 - Sepsis due to other specified staphylococcus | $19,677,048 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD A411 - Sepsis due to other specified staphylococcus | $119,255 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD A411 - Sepsis due to other specified staphylococcus | NA | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 19.39 | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD A411 - Sepsis due to other specified staphylococcus | 29.7 |
| 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 | 143 |
| WILLIS KNIGHTON MEDICAL CENTER | 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 133 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 122 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 32 |
| Dr. ENGILBERTO JAVIER RAMOS | 506 E SAN ANTONIO ST | VICTORIA | TX | 77901 | 21 |
| Dr. AMY HOLLIS NORCROSS | 213 RADBROOK DR | BOSSIER CITY | LA | 71112 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 36 |
| Dr. MATTHEW J RIFFLE | 225 PHYSICIANS PARK | POPLAR BLUFF | MO | 63901 | 32 |
| Dr. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 29 |