*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) - as a primary diagnosis code | E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.32 | |
| Readmission Rate (%) | 32.33 | |
| Unplanned Readmission Rate (%) | 29.86 | |
| 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||
| Total Hospitalizations with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 150 | ||
| DRG Share of Total Hospitalizations | 0.53 | ||
| % of Total ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) in DRG | 47.47 | ||
| Avg LOS at DRG | 3.86 | ||
| Avg LOS with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 3.54 | ||
| Readmission Rate at DRG | 23.62 | ||
| Readmission Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 29.79 | ||
| Unplanned Readmission Rate at DRG | 17.61 | ||
| Unplanned Readmission Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 25.53 | ||
| Total Medicare payments at DRG | $959,872,570 | ||
| Total Medicare payments with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $831,674 | ||
| Total Medicare payment per Day at DRG | $1,426 | ||
| Total Medicare payment per Day with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $1,566 | ||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||
| Total Medicare payment per Hospitalization with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $5,544 | ||
| Total Medicare Charges at DRG | $4,945,131,055 | ||
| Total Medicare Charges with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $4,036,521 | ||
| Avg Charges at DRG | $28,388 | ||
| Avg Charges with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $26,910 | ||
| Mortality Rate at DRG | 0.24 | ||
| Mortality Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | NA | ||
| SNF Discharge Rate at DRG | 14.83 | ||
| SNF Discharge Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 12.0 | ||
| Home Discharge Rate at DRG | 53.93 | ||
| Home Discharge Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 62.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 172 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) in DRG | 27.79 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 3.85 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 26.54 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 22.84 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $971,310 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $5,647 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $4,799,373 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $27,903 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 13.95 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 59.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 46,074 |
| Total Hospitalizations with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 11 |
| DRG Share of Total Hospitalizations | 0.14 |
| % of Total ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) in DRG | 1.78 |
| Avg LOS at DRG | 6.4 |
| Avg LOS with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 3.82 |
| Readmission Rate at DRG | 30.1 |
| Readmission Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | NA |
| Unplanned Readmission Rate at DRG | 22.25 |
| Unplanned Readmission Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | NA |
| Total Medicare payments at DRG | $521,643,628 |
| Total Medicare payments with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $110,284 |
| Total Medicare payment per Day at DRG | $1,770 |
| Total Medicare payment per Day with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $2,626 |
| Total Medicare payment per Hospitalization at DRG | $11,322 |
| Total Medicare payment per Hospitalization with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $10,026 |
| Total Medicare Charges at DRG | $2,529,558,523 |
| Total Medicare Charges with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $375,936 |
| Avg Charges at DRG | $54,902 |
| Avg Charges with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | $34,176 |
| Mortality Rate at DRG | 3.37 |
| Mortality Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | NA |
| SNF Discharge Rate at DRG | 12.08 |
| SNF Discharge Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | NA |
| Home Discharge Rate at DRG | 56.72 |
| Home Discharge Rate with ICD E1300 - Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | NA |