*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D893 - Immune reconstitution syndrome - as a primary diagnosis code | D893 - Immune reconstitution syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.12 | |
| Readmission Rate (%) | 36.53 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | |
|---|---|---|
| Total Hospitalizations at DRG | 8,939 | |
| Total Hospitalizations with ICD D893 - Immune reconstitution syndrome | 11 | |
| DRG Share of Total Hospitalizations | 0.03 | |
| % of Total ICD D893 - Immune reconstitution syndrome in DRG | 32.35 | |
| Avg LOS at DRG | 3.88 | |
| Avg LOS with ICD D893 - Immune reconstitution syndrome | 4.27 | |
| Readmission Rate at DRG | 23.69 | |
| Readmission Rate with ICD D893 - Immune reconstitution syndrome | NA | |
| Unplanned Readmission Rate at DRG | 15.05 | |
| Unplanned Readmission Rate with ICD D893 - Immune reconstitution syndrome | NA | |
| Total Medicare payments at DRG | $57,943,027 | |
| Total Medicare payments with ICD D893 - Immune reconstitution syndrome | $79,263 | |
| Total Medicare payment per Day at DRG | $1,671 | |
| Total Medicare payment per Day with ICD D893 - Immune reconstitution syndrome | $1,686 | |
| Total Medicare payment per Hospitalization at DRG | $6,482 | |
| Total Medicare payment per Hospitalization with ICD D893 - Immune reconstitution syndrome | $7,206 | |
| Total Medicare Charges at DRG | $302,109,342 | |
| Total Medicare Charges with ICD D893 - Immune reconstitution syndrome | $459,180 | |
| Avg Charges at DRG | $33,797 | |
| Avg Charges with ICD D893 - Immune reconstitution syndrome | $41,744 | |
| Mortality Rate at DRG | 0.58 | |
| Mortality Rate with ICD D893 - Immune reconstitution syndrome | NA | |
| SNF Discharge Rate at DRG | 13.86 | |
| SNF Discharge Rate with ICD D893 - Immune reconstitution syndrome | NA | |
| Home Discharge Rate at DRG | 57.72 | |
| Home Discharge Rate with ICD D893 - Immune reconstitution syndrome | 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 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 975: HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,066 | ||||
| Total Hospitalizations with ICD D893 - Immune reconstitution syndrome | 41 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD D893 - Immune reconstitution syndrome in DRG | 15.95 | ||||
| Avg LOS at DRG | 9.3 | ||||
| Avg LOS with ICD D893 - Immune reconstitution syndrome | 14.63 | ||||
| Readmission Rate at DRG | 35.25 | ||||
| Readmission Rate with ICD D893 - Immune reconstitution syndrome | 48.39 | ||||
| Unplanned Readmission Rate at DRG | 25.91 | ||||
| Unplanned Readmission Rate with ICD D893 - Immune reconstitution syndrome | 41.94 | ||||
| Total Medicare payments at DRG | $327,897,431 | ||||
| Total Medicare payments with ICD D893 - Immune reconstitution syndrome | $1,889,100 | ||||
| Total Medicare payment per Day at DRG | $2,341 | ||||
| Total Medicare payment per Day with ICD D893 - Immune reconstitution syndrome | $3,149 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,764 | ||||
| Total Medicare payment per Hospitalization with ICD D893 - Immune reconstitution syndrome | $46,076 | ||||
| Total Medicare Charges at DRG | $1,464,361,630 | ||||
| Total Medicare Charges with ICD D893 - Immune reconstitution syndrome | $8,763,506 | ||||
| Avg Charges at DRG | $97,196 | ||||
| Avg Charges with ICD D893 - Immune reconstitution syndrome | $213,744 | ||||
| Mortality Rate at DRG | 10.49 | ||||
| Mortality Rate with ICD D893 - Immune reconstitution syndrome | NA | ||||
| SNF Discharge Rate at DRG | 17.66 | ||||
| SNF Discharge Rate with ICD D893 - Immune reconstitution syndrome | NA | ||||
| Home Discharge Rate at DRG | 40.16 | ||||
| Home Discharge Rate with ICD D893 - Immune reconstitution syndrome | 34.15 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | B20 | Human immunodeficiency virus [HIV] disease |
| 2 | F329 | Major depressive disorder, single episode, unspecified |
| 3 | Z87891 | Personal history of nicotine dependence |