*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A413 - Sepsis due to Hemophilus influenzae - as a primary diagnosis code | A413 - Sepsis due to Hemophilus influenzae - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.64 | |
| Readmission Rate (%) | 23.43 | |
| Unplanned Readmission Rate (%) | 11.66 | |
| 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 A413 - Sepsis due to Hemophilus influenzae | 3,076 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A413 - Sepsis due to Hemophilus influenzae in DRG | 74.5 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A413 - Sepsis due to Hemophilus influenzae | 7.34 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 19.33 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 11.97 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A413 - Sepsis due to Hemophilus influenzae | $36,338,494 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A413 - Sepsis due to Hemophilus influenzae | $1,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A413 - Sepsis due to Hemophilus influenzae | $11,814 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $197,238,161 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $64,122 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 8.13 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 25.75 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 32.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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) | 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 | 48,449 | |||
| Total Hospitalizations with ICD A413 - Sepsis due to Hemophilus influenzae | 22 | |||
| DRG Share of Total Hospitalizations | 0.15 | |||
| % of Total ICD A413 - Sepsis due to Hemophilus influenzae in DRG | 0.53 | |||
| Avg LOS at DRG | 29.97 | |||
| Avg LOS with ICD A413 - Sepsis due to Hemophilus influenzae | 40.14 | |||
| Readmission Rate at DRG | 76.3 | |||
| Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 77.78 | |||
| Unplanned Readmission Rate at DRG | 6.46 | |||
| Unplanned Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | |||
| Total Medicare payments at DRG | $6,190,071,785 | |||
| Total Medicare payments with ICD A413 - Sepsis due to Hemophilus influenzae | $2,572,623 | |||
| Total Medicare payment per Day at DRG | $4,263 | |||
| Total Medicare payment per Day with ICD A413 - Sepsis due to Hemophilus influenzae | $2,914 | |||
| Total Medicare payment per Hospitalization at DRG | $127,765 | |||
| Total Medicare payment per Hospitalization with ICD A413 - Sepsis due to Hemophilus influenzae | $116,937 | |||
| Total Medicare Charges at DRG | $28,754,600,069 | |||
| Total Medicare Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $11,198,481 | |||
| Avg Charges at DRG | $593,502 | |||
| Avg Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $509,022 | |||
| Mortality Rate at DRG | 20.61 | |||
| Mortality Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | |||
| SNF Discharge Rate at DRG | 12.46 | |||
| SNF Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | |||
| Home Discharge Rate at DRG | 2.36 | |||
| Home Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SANFORD USD MEDICAL CENTER | 1305 W 18TH ST | SIOUX FALLS | SD | 57105 | 23 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 15 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 A413 - Sepsis due to Hemophilus influenzae | 3,179 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD A413 - Sepsis due to Hemophilus influenzae in DRG | 66.46 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD A413 - Sepsis due to Hemophilus influenzae | 7.39 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 19.61 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 12.17 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD A413 - Sepsis due to Hemophilus influenzae | $37,765,054 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD A413 - Sepsis due to Hemophilus influenzae | $1,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD A413 - Sepsis due to Hemophilus influenzae | $11,880 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $206,036,581 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $64,812 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 8.24 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 25.67 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 31.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD A413 - Sepsis due to Hemophilus influenzae | 48 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD A413 - Sepsis due to Hemophilus influenzae in DRG | 1.0 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD A413 - Sepsis due to Hemophilus influenzae | 6.42 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD A413 - Sepsis due to Hemophilus influenzae | $531,158 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD A413 - Sepsis due to Hemophilus influenzae | $1,725 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD A413 - Sepsis due to Hemophilus influenzae | $11,066 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $2,018,717 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $42,057 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 35.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,066 | ||||
| Total Hospitalizations with ICD A413 - Sepsis due to Hemophilus influenzae | 22 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD A413 - Sepsis due to Hemophilus influenzae in DRG | 0.46 | ||||
| Avg LOS at DRG | 9.3 | ||||
| Avg LOS with ICD A413 - Sepsis due to Hemophilus influenzae | 7.77 | ||||
| Readmission Rate at DRG | 35.25 | ||||
| Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| Unplanned Readmission Rate at DRG | 25.91 | ||||
| Unplanned Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| Total Medicare payments at DRG | $327,897,431 | ||||
| Total Medicare payments with ICD A413 - Sepsis due to Hemophilus influenzae | $484,965 | ||||
| Total Medicare payment per Day at DRG | $2,341 | ||||
| Total Medicare payment per Day with ICD A413 - Sepsis due to Hemophilus influenzae | $2,836 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,764 | ||||
| Total Medicare payment per Hospitalization with ICD A413 - Sepsis due to Hemophilus influenzae | $22,044 | ||||
| Total Medicare Charges at DRG | $1,464,361,630 | ||||
| Total Medicare Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $2,348,915 | ||||
| Avg Charges at DRG | $97,196 | ||||
| Avg Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $106,769 | ||||
| Mortality Rate at DRG | 10.49 | ||||
| Mortality Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| SNF Discharge Rate at DRG | 17.66 | ||||
| SNF Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| Home Discharge Rate at DRG | 40.16 | ||||
| Home Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | 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 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD A413 - Sepsis due to Hemophilus influenzae | 12 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD A413 - Sepsis due to Hemophilus influenzae in DRG | 0.25 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD A413 - Sepsis due to Hemophilus influenzae | 12.0 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD A413 - Sepsis due to Hemophilus influenzae | $229,649 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD A413 - Sepsis due to Hemophilus influenzae | $1,595 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD A413 - Sepsis due to Hemophilus influenzae | $19,137 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $642,503 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD A413 - Sepsis due to Hemophilus influenzae | $53,542 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD A413 - Sepsis due to Hemophilus influenzae | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SANFORD USD MEDICAL CENTER | 1305 W 18TH ST | SIOUX FALLS | SD | 57105 | 27 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 16 |
| DEACONESS HOSPITAL | 600 MARY ST | EVANSVILLE | IN | 47710 | 15 |