*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B377 - Candidal sepsis - as a primary diagnosis code | B377 - Candidal sepsis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 21.0 | |
| Readmission Rate (%) | 41.35 | |
| Unplanned Readmission Rate (%) | 21.93 | |
| 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 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD B377 - Candidal sepsis | 3,742 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B377 - Candidal sepsis in DRG | 66.85 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B377 - Candidal sepsis | 10.84 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B377 - Candidal sepsis | 34.96 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B377 - Candidal sepsis | 22.63 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B377 - Candidal sepsis | $55,016,729 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B377 - Candidal sepsis | $1,356 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B377 - Candidal sepsis | $14,702 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B377 - Candidal sepsis | $356,261,952 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B377 - Candidal sepsis | $95,206 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B377 - Candidal sepsis | 10.58 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B377 - Candidal sepsis | 32.2 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B377 - Candidal sepsis | 16.03 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PROMISE HOSPITAL OF EAST LOS ANGELES | 443 S SOTO ST | LOS ANGELES | CA | 90033 | 40 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 33 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 20 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B377 - Candidal sepsis | 4,706 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B377 - Candidal sepsis in DRG | 27.56 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B377 - Candidal sepsis | 11.56 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B377 - Candidal sepsis | 35.46 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B377 - Candidal sepsis | 22.8 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B377 - Candidal sepsis | $72,299,570 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B377 - Candidal sepsis | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B377 - Candidal sepsis | $15,363 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B377 - Candidal sepsis | $482,030,263 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B377 - Candidal sepsis | $102,429 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B377 - Candidal sepsis | 11.98 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B377 - Candidal sepsis | 32.0 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B377 - Candidal sepsis | 15.24 |
*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 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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD B377 - Candidal sepsis | 592 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD B377 - Candidal sepsis in DRG | 3.47 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD B377 - Candidal sepsis | 51.02 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD B377 - Candidal sepsis | 73.11 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD B377 - Candidal sepsis | 7.56 | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD B377 - Candidal sepsis | $114,217,600 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD B377 - Candidal sepsis | $3,782 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD B377 - Candidal sepsis | $192,935 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD B377 - Candidal sepsis | $616,270,375 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD B377 - Candidal sepsis | $1,040,997 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD B377 - Candidal sepsis | 35.98 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD B377 - Candidal sepsis | 9.8 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD B377 - Candidal sepsis | 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 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,827 | ||||
| Total Hospitalizations with ICD B377 - Candidal sepsis | 213 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD B377 - Candidal sepsis in DRG | 1.25 | ||||
| Avg LOS at DRG | 8.58 | ||||
| Avg LOS with ICD B377 - Candidal sepsis | 22.72 | ||||
| Readmission Rate at DRG | 27.62 | ||||
| Readmission Rate with ICD B377 - Candidal sepsis | 41.92 | ||||
| Unplanned Readmission Rate at DRG | 15.85 | ||||
| Unplanned Readmission Rate with ICD B377 - Candidal sepsis | 26.95 | ||||
| Total Medicare payments at DRG | $555,779,802 | ||||
| Total Medicare payments with ICD B377 - Candidal sepsis | $5,371,036 | ||||
| Total Medicare payment per Day at DRG | $1,668 | ||||
| Total Medicare payment per Day with ICD B377 - Candidal sepsis | $1,110 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
| Total Medicare payment per Hospitalization with ICD B377 - Candidal sepsis | $25,216 | ||||
| Total Medicare Charges at DRG | $2,652,789,227 | ||||
| Total Medicare Charges with ICD B377 - Candidal sepsis | $36,667,312 | ||||
| Avg Charges at DRG | $68,323 | ||||
| Avg Charges with ICD B377 - Candidal sepsis | $172,147 | ||||
| Mortality Rate at DRG | 3.06 | ||||
| Mortality Rate with ICD B377 - Candidal sepsis | 14.08 | ||||
| SNF Discharge Rate at DRG | 20.78 | ||||
| SNF Discharge Rate with ICD B377 - Candidal sepsis | 27.7 | ||||
| Home Discharge Rate at DRG | 32.02 | ||||
| Home Discharge Rate with ICD B377 - Candidal sepsis | 11.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD B377 - Candidal sepsis | 148 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD B377 - Candidal sepsis in DRG | 0.87 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD B377 - Candidal sepsis | 50.32 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD B377 - Candidal sepsis | 44.83 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD B377 - Candidal sepsis | 19.54 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD B377 - Candidal sepsis | $3,549,088 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD B377 - Candidal sepsis | $477 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD B377 - Candidal sepsis | $23,980 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD B377 - Candidal sepsis | $32,021,315 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD B377 - Candidal sepsis | $216,360 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD B377 - Candidal sepsis | 29.73 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD B377 - Candidal sepsis | 24.32 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD B377 - Candidal sepsis | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HENRY FORD HOSPITAL | 2799 W GRAND BLVD | DETROIT | MI | 48202 | 89 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 88 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FARHAN SIDDIQUI | 535 COLISEUM DR | MACON | GA | 31217 | 16 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 14 |
| Dr. LEE T WIMBERLY | 50 MEDICAL PARK DR E | BIRMINGHAM | AL | 35235 | 14 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | R6521 | Severe sepsis with septic shock |
| 2 | N179 | Acute kidney failure, unspecified |