*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F05 - Delirium due to known physiological condition - as a primary diagnosis code | F05 - Delirium due to known physiological condition - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.38 | |
| Readmission Rate (%) | 26.34 | |
| Unplanned Readmission Rate (%) | 13.31 | |
| 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 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 876: O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS | |
|---|---|---|
| Total Hospitalizations at DRG | 34,840 | |
| Total Hospitalizations with ICD F05 - Delirium due to known physiological condition | 5,466 | |
| DRG Share of Total Hospitalizations | 0.11 | |
| % of Total ICD F05 - Delirium due to known physiological condition in DRG | 97.4 | |
| Avg LOS at DRG | 5.38 | |
| Avg LOS with ICD F05 - Delirium due to known physiological condition | 6.7 | |
| Readmission Rate at DRG | 22.47 | |
| Readmission Rate with ICD F05 - Delirium due to known physiological condition | 23.15 | |
| Unplanned Readmission Rate at DRG | 12.18 | |
| Unplanned Readmission Rate with ICD F05 - Delirium due to known physiological condition | 13.23 | |
| Total Medicare payments at DRG | $193,767,073 | |
| Total Medicare payments with ICD F05 - Delirium due to known physiological condition | $36,145,027 | |
| Total Medicare payment per Day at DRG | $1,033 | |
| Total Medicare payment per Day with ICD F05 - Delirium due to known physiological condition | $988 | |
| Total Medicare payment per Hospitalization at DRG | $5,562 | |
| Total Medicare payment per Hospitalization with ICD F05 - Delirium due to known physiological condition | $6,613 | |
| Total Medicare Charges at DRG | $895,692,673 | |
| Total Medicare Charges with ICD F05 - Delirium due to known physiological condition | $154,486,092 | |
| Avg Charges at DRG | $25,709 | |
| Avg Charges with ICD F05 - Delirium due to known physiological condition | $28,263 | |
| Mortality Rate at DRG | 0.21 | |
| Mortality Rate with ICD F05 - Delirium due to known physiological condition | 0.82 | |
| SNF Discharge Rate at DRG | 12.88 | |
| SNF Discharge Rate with ICD F05 - Delirium due to known physiological condition | 33.7 | |
| Home Discharge Rate at DRG | 62.18 | |
| Home Discharge Rate with ICD F05 - Delirium due to known physiological condition | 28.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SUNFLOWER MEDICAL CENTER CAH | 840 N OAK AVE | RULEVILLE | MS | 38771 | 176 |
| BEVERLY HOSPITAL CORPORATION | 85 HERRICK ST | BEVERLY | MA | 01915 | 48 |
| ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL | 1650 MOON LAKE BOULEVARD | HOFFMAN ESTATES | IL | 60169 | 45 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARGARET K CASSADA | 492 BARNES LANDING RD | GREENVILLE | MS | 38703 | 183 |
| Dr. CHRIS D'AGOSTINO | 1786 MOON LAKE BLVD | HOFFMAN ESTATES | IL | 60194 | 43 |
| Dr. STEVEN ANTHONY GILLESPIE | 298 WASHINGTON STREET | GLOUCESTER | MA | 01930 | 37 |
*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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD F05 - Delirium due to known physiological condition | 35,769 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD F05 - Delirium due to known physiological condition in DRG | 8.11 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD F05 - Delirium due to known physiological condition | 8.82 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD F05 - Delirium due to known physiological condition | 24.53 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD F05 - Delirium due to known physiological condition | 16.69 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD F05 - Delirium due to known physiological condition | $486,320,164 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD F05 - Delirium due to known physiological condition | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD F05 - Delirium due to known physiological condition | $13,596 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD F05 - Delirium due to known physiological condition | $2,742,992,842 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD F05 - Delirium due to known physiological condition | $76,686 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD F05 - Delirium due to known physiological condition | 11.13 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD F05 - Delirium due to known physiological condition | 40.61 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD F05 - Delirium due to known physiological condition | 10.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE 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 | 1,013,774 | ||||
| Total Hospitalizations with ICD F05 - Delirium due to known physiological condition | 10,843 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD F05 - Delirium due to known physiological condition in DRG | 2.46 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD F05 - Delirium due to known physiological condition | 8.4 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD F05 - Delirium due to known physiological condition | 26.54 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD F05 - Delirium due to known physiological condition | 19.91 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD F05 - Delirium due to known physiological condition | $119,813,783 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD F05 - Delirium due to known physiological condition | $1,315 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD F05 - Delirium due to known physiological condition | $11,050 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD F05 - Delirium due to known physiological condition | $694,276,376 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD F05 - Delirium due to known physiological condition | $64,030 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD F05 - Delirium due to known physiological condition | 9.06 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD F05 - Delirium due to known physiological condition | 38.46 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD F05 - Delirium due to known physiological condition | 11.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD F05 - Delirium due to known physiological condition | 6,945 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD F05 - Delirium due to known physiological condition in DRG | 1.58 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD F05 - Delirium due to known physiological condition | 7.05 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD F05 - Delirium due to known physiological condition | 22.01 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD F05 - Delirium due to known physiological condition | 15.84 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD F05 - Delirium due to known physiological condition | $65,234,719 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD F05 - Delirium due to known physiological condition | $1,333 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD F05 - Delirium due to known physiological condition | $9,393 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD F05 - Delirium due to known physiological condition | $350,877,740 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD F05 - Delirium due to known physiological condition | $50,522 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD F05 - Delirium due to known physiological condition | 6.35 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD F05 - Delirium due to known physiological condition | 41.58 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD F05 - Delirium due to known physiological condition | 15.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD F05 - Delirium due to known physiological condition | 5,801 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD F05 - Delirium due to known physiological condition in DRG | 1.32 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD F05 - Delirium due to known physiological condition | 12.09 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD F05 - Delirium due to known physiological condition | 22.12 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD F05 - Delirium due to known physiological condition | 13.33 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD F05 - Delirium due to known physiological condition | $87,142,480 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD F05 - Delirium due to known physiological condition | $1,243 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD F05 - Delirium due to known physiological condition | $15,022 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD F05 - Delirium due to known physiological condition | $330,498,114 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD F05 - Delirium due to known physiological condition | $56,973 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD F05 - Delirium due to known physiological condition | 3.52 | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD F05 - Delirium due to known physiological condition | 44.04 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD F05 - Delirium due to known physiological condition | 11.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 3,328 |
| STANFORD HEALTHCARE | 300 PASTEUR DR | STANFORD | CA | 94305 | 2,186 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 2,020 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 221 |
| Dr. ILYA BILIK | 2912 AVENUE X | BROOKLYN | NY | 11235 | 99 |
| Dr. HELEN KYOMEN | 115 MILL ST | BELMONT | MA | 02478 | 89 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM BURTON ORR | 720 MAIN ST STE 204 | MENDOTA HTS | MN | 55118 | 573 |
| Dr. RAYMOND H CLARK | 5330 PLANTATION CV | CONWAY | AR | 72034 | 551 |
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 490 |