*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1111 - Type 2 diabetes mellitus with ketoacidosis with coma - as a primary diagnosis code | E1111 - Type 2 diabetes mellitus with ketoacidosis with coma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.97 | |
| Readmission Rate (%) | 35.09 | |
| Unplanned Readmission Rate (%) | 18.25 | |
| 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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 100,926 | |
| Total Hospitalizations with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 250 | |
| DRG Share of Total Hospitalizations | 0.31 | |
| % of Total ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma in DRG | 75.08 | |
| Avg LOS at DRG | 5.47 | |
| Avg LOS with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 6.44 | |
| Readmission Rate at DRG | 29.88 | |
| Readmission Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 31.03 | |
| Unplanned Readmission Rate at DRG | 23.17 | |
| Unplanned Readmission Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 19.21 | |
| Total Medicare payments at DRG | $916,940,883 | |
| Total Medicare payments with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $2,382,355 | |
| Total Medicare payment per Day at DRG | $1,661 | |
| Total Medicare payment per Day with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $1,481 | |
| Total Medicare payment per Hospitalization at DRG | $9,085 | |
| Total Medicare payment per Hospitalization with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $9,529 | |
| Total Medicare Charges at DRG | $4,566,782,465 | |
| Total Medicare Charges with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $17,008,962 | |
| Avg Charges at DRG | $45,249 | |
| Avg Charges with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $68,036 | |
| Mortality Rate at DRG | 2.29 | |
| Mortality Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 12.4 | |
| SNF Discharge Rate at DRG | 23.51 | |
| SNF Discharge Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 28.0 | |
| Home Discharge Rate at DRG | 40.88 | |
| Home Discharge Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 28.4 |
*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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 297 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma in DRG | 27.58 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 6.46 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 32.93 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 23.17 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $3,872,237 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $2,017 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $13,038 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $26,541,868 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $89,367 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 35.69 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 26.6 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 12.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 296: CARDIAC ARREST, UNEXPLAINED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 46 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma in DRG | 4.27 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 14.76 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 44.12 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | NA | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $1,723,441 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $2,538 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $37,466 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $9,418,844 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $204,757 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 45.65 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 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 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 31,431 |
| Total Hospitalizations with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 13 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma in DRG | 1.21 |
| Avg LOS at DRG | 4.53 |
| Avg LOS with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 6.0 |
| Readmission Rate at DRG | NA |
| Readmission Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | NA |
| Unplanned Readmission Rate at DRG | NA |
| Unplanned Readmission Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | NA |
| Total Medicare payments at DRG | $375,682,488 |
| Total Medicare payments with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $172,288 |
| Total Medicare payment per Day at DRG | $2,638 |
| Total Medicare payment per Day with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $2,209 |
| Total Medicare payment per Hospitalization at DRG | $11,953 |
| Total Medicare payment per Hospitalization with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $13,253 |
| Total Medicare Charges at DRG | $1,972,247,066 |
| Total Medicare Charges with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $1,653,608 |
| Avg Charges at DRG | $62,748 |
| Avg Charges with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | $127,201 |
| Mortality Rate at DRG | 100.0 |
| Mortality Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | 100.0 |
| SNF Discharge Rate at DRG | NA |
| SNF Discharge Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | NA |
| Home Discharge Rate at DRG | NA |
| Home Discharge Rate with ICD E1111 - Type 2 diabetes mellitus with ketoacidosis with coma | NA |