*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| B9719 - Other enterovirus as the cause of diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.37 | |
| 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 221 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere in DRG | 15.3 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 6.71 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 19.49 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 12.31 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $2,771,009 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $1,870 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $12,539 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $14,977,576 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $67,772 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 19.0 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 40.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 64 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere in DRG | 4.43 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 4.28 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 24.19 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 19.35 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $414,351 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $1,512 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $6,474 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $2,236,055 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $34,938 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 67.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 152: OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 31 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere in DRG | 2.15 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 3.9 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $221,459 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $1,830 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $7,144 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $1,031,216 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $33,265 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 45.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 15 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere in DRG | 1.04 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | 14.93 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $569,309 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $2,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $37,954 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $2,594,713 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | $172,981 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD B9719 - Other enterovirus as the cause of diseases classified elsewhere | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 39 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 36 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 34 |