*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A412 - Sepsis due to unspecified staphylococcus - as a primary diagnosis code | A412 - Sepsis due to unspecified staphylococcus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.57 | |
| Readmission Rate (%) | 33.81 | |
| Unplanned Readmission Rate (%) | 18.6 | |
| 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 A412 - Sepsis due to unspecified staphylococcus | 3,919 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A412 - Sepsis due to unspecified staphylococcus in DRG | 63.87 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A412 - Sepsis due to unspecified staphylococcus | 7.91 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 30.57 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 19.63 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A412 - Sepsis due to unspecified staphylococcus | $48,600,924 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A412 - Sepsis due to unspecified staphylococcus | $1,568 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A412 - Sepsis due to unspecified staphylococcus | $12,401 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $285,481,109 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $72,845 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 14.8 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 30.24 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 16.97 |
*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 A412 - Sepsis due to unspecified staphylococcus | 43 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD A412 - Sepsis due to unspecified staphylococcus in DRG | 0.7 | |
| Avg LOS at DRG | 25.29 | |
| Avg LOS with ICD A412 - Sepsis due to unspecified staphylococcus | 23.81 | |
| Readmission Rate at DRG | 74.5 | |
| Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 75.0 | |
| Unplanned Readmission Rate at DRG | 8.79 | |
| Unplanned Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | NA | |
| Total Medicare payments at DRG | $3,386,848,549 | |
| Total Medicare payments with ICD A412 - Sepsis due to unspecified staphylococcus | $2,843,034 | |
| Total Medicare payment per Day at DRG | $2,945 | |
| Total Medicare payment per Day with ICD A412 - Sepsis due to unspecified staphylococcus | $2,776 | |
| Total Medicare payment per Hospitalization at DRG | $74,472 | |
| Total Medicare payment per Hospitalization with ICD A412 - Sepsis due to unspecified staphylococcus | $66,117 | |
| Total Medicare Charges at DRG | $15,882,518,852 | |
| Total Medicare Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $13,686,042 | |
| Avg Charges at DRG | $349,235 | |
| Avg Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $318,280 | |
| Mortality Rate at DRG | 13.7 | |
| Mortality Rate with ICD A412 - Sepsis due to unspecified staphylococcus | NA | |
| SNF Discharge Rate at DRG | 17.77 | |
| SNF Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | NA | |
| Home Discharge Rate at DRG | 1.95 | |
| Home Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER | 921 GESSNER RD | HOUSTON | TX | 77024 | 39 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 37 |
| VASSAR BROTHERS MEDICAL CENTER | 45 READE PL | POUGHKEEPSIE | NY | 12601 | 29 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD A412 - Sepsis due to unspecified staphylococcus | 4,159 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A412 - Sepsis due to unspecified staphylococcus in DRG | 41.77 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A412 - Sepsis due to unspecified staphylococcus | 8.01 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 30.59 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 19.36 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A412 - Sepsis due to unspecified staphylococcus | $51,925,803 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A412 - Sepsis due to unspecified staphylococcus | $1,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A412 - Sepsis due to unspecified staphylococcus | $12,485 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $305,693,658 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $73,502 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 14.76 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 30.39 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 16.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD A412 - Sepsis due to unspecified staphylococcus | 165 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD A412 - Sepsis due to unspecified staphylococcus in DRG | 1.66 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD A412 - Sepsis due to unspecified staphylococcus | 8.1 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 31.61 | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 20.65 | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD A412 - Sepsis due to unspecified staphylococcus | $2,417,768 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD A412 - Sepsis due to unspecified staphylococcus | $1,808 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD A412 - Sepsis due to unspecified staphylococcus | $14,653 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $12,981,354 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $78,675 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD A412 - Sepsis due to unspecified staphylococcus | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 30.91 | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 24.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD A412 - Sepsis due to unspecified staphylococcus | 91 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD A412 - Sepsis due to unspecified staphylococcus in DRG | 0.91 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD A412 - Sepsis due to unspecified staphylococcus | 39.09 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 72.73 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD A412 - Sepsis due to unspecified staphylococcus | $13,642,311 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD A412 - Sepsis due to unspecified staphylococcus | $3,835 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD A412 - Sepsis due to unspecified staphylococcus | $149,916 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $64,240,130 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $705,935 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 25.27 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | NA | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 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 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE 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) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 249,842 | ||||
| Total Hospitalizations with ICD A412 - Sepsis due to unspecified staphylococcus | 60 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD A412 - Sepsis due to unspecified staphylococcus in DRG | 0.6 | ||||
| Avg LOS at DRG | 6.05 | ||||
| Avg LOS with ICD A412 - Sepsis due to unspecified staphylococcus | 12.55 | ||||
| Readmission Rate at DRG | 35.06 | ||||
| Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 34.15 | ||||
| Unplanned Readmission Rate at DRG | 11.16 | ||||
| Unplanned Readmission Rate with ICD A412 - Sepsis due to unspecified staphylococcus | NA | ||||
| Total Medicare payments at DRG | $2,933,944,169 | ||||
| Total Medicare payments with ICD A412 - Sepsis due to unspecified staphylococcus | $1,021,021 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD A412 - Sepsis due to unspecified staphylococcus | $1,356 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,743 | ||||
| Total Medicare payment per Hospitalization with ICD A412 - Sepsis due to unspecified staphylococcus | $17,017 | ||||
| Total Medicare Charges at DRG | $15,164,864,310 | ||||
| Total Medicare Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $5,756,892 | ||||
| Avg Charges at DRG | $60,698 | ||||
| Avg Charges with ICD A412 - Sepsis due to unspecified staphylococcus | $95,948 | ||||
| Mortality Rate at DRG | 15.95 | ||||
| Mortality Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 23.33 | ||||
| SNF Discharge Rate at DRG | 27.24 | ||||
| SNF Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | 33.33 | ||||
| Home Discharge Rate at DRG | 12.21 | ||||
| Home Discharge Rate with ICD A412 - Sepsis due to unspecified staphylococcus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HERMANN MEMORIAL CITY MEDICAL CENTER | 921 GESSNER RD | HOUSTON | TX | 77024 | 58 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 53 |
| VASSAR BROTHERS MEDICAL CENTER | 45 READE PL | POUGHKEEPSIE | NY | 12601 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 13 |
| Dr. MICHAEL H ANNABI | 4930 OSBORNE | EL PASO | TX | 79922 | 13 |