*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| E1301 - Other specified diabetes mellitus with hyperosmolarity with coma - as a primary diagnosis code | E1301 - Other specified diabetes mellitus with hyperosmolarity with coma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.05 | |
| Readmission Rate (%) | 33.33 | |
| Unplanned Readmission Rate (%) | 30.0 | |
| 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 E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | 33 | |
| DRG Share of Total Hospitalizations | 0.31 | |
| % of Total ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma in DRG | 57.89 | |
| Avg LOS at DRG | 5.47 | |
| Avg LOS with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | 5.27 | |
| Readmission Rate at DRG | 29.88 | |
| Readmission Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | NA | |
| Unplanned Readmission Rate at DRG | 23.17 | |
| Unplanned Readmission Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | NA | |
| Total Medicare payments at DRG | $916,940,883 | |
| Total Medicare payments with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $339,711 | |
| Total Medicare payment per Day at DRG | $1,661 | |
| Total Medicare payment per Day with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $1,952 | |
| Total Medicare payment per Hospitalization at DRG | $9,085 | |
| Total Medicare payment per Hospitalization with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $10,294 | |
| Total Medicare Charges at DRG | $4,566,782,465 | |
| Total Medicare Charges with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $1,485,786 | |
| Avg Charges at DRG | $45,249 | |
| Avg Charges with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $45,024 | |
| Mortality Rate at DRG | 2.29 | |
| Mortality Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | NA | |
| SNF Discharge Rate at DRG | 23.51 | |
| SNF Discharge Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | NA | |
| Home Discharge Rate at DRG | 40.88 | |
| Home Discharge Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | 42.42 |
*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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||
| Total Hospitalizations with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | 39 | ||
| DRG Share of Total Hospitalizations | 0.31 | ||
| % of Total ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma in DRG | 37.5 | ||
| Avg LOS at DRG | 5.47 | ||
| Avg LOS with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | 5.64 | ||
| Readmission Rate at DRG | 29.88 | ||
| Readmission Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | 31.43 | ||
| Unplanned Readmission Rate at DRG | 23.17 | ||
| Unplanned Readmission Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | NA | ||
| Total Medicare payments at DRG | $916,940,883 | ||
| Total Medicare payments with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $403,465 | ||
| Total Medicare payment per Day at DRG | $1,661 | ||
| Total Medicare payment per Day with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $1,834 | ||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||
| Total Medicare payment per Hospitalization with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $10,345 | ||
| Total Medicare Charges at DRG | $4,566,782,465 | ||
| Total Medicare Charges with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $1,774,060 | ||
| Avg Charges at DRG | $45,249 | ||
| Avg Charges with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | $45,489 | ||
| Mortality Rate at DRG | 2.29 | ||
| Mortality Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | NA | ||
| SNF Discharge Rate at DRG | 23.51 | ||
| SNF Discharge Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | NA | ||
| Home Discharge Rate at DRG | 40.88 | ||
| Home Discharge Rate with ICD E1301 - Other specified diabetes mellitus with hyperosmolarity with coma | 38.46 |