*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| F4311 - Post-traumatic stress disorder, acute - as a primary diagnosis code | F4311 - Post-traumatic stress disorder, acute - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.23 | |
| Readmission Rate (%) | 25.0 | |
| Unplanned Readmission Rate (%) | 11.38 | |
| 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 882: NEUROSES EXCEPT DEPRESSIVE | |
|---|---|
| Total Hospitalizations at DRG | 22,451 |
| Total Hospitalizations with ICD F4311 - Post-traumatic stress disorder, acute | 262 |
| DRG Share of Total Hospitalizations | 0.07 |
| % of Total ICD F4311 - Post-traumatic stress disorder, acute in DRG | 100.0 |
| Avg LOS at DRG | 7.27 |
| Avg LOS with ICD F4311 - Post-traumatic stress disorder, acute | 7.06 |
| Readmission Rate at DRG | 20.53 |
| Readmission Rate with ICD F4311 - Post-traumatic stress disorder, acute | 21.95 |
| Unplanned Readmission Rate at DRG | 10.81 |
| Unplanned Readmission Rate with ICD F4311 - Post-traumatic stress disorder, acute | 11.38 |
| Total Medicare payments at DRG | $122,713,938 |
| Total Medicare payments with ICD F4311 - Post-traumatic stress disorder, acute | $1,447,180 |
| Total Medicare payment per Day at DRG | $751 |
| Total Medicare payment per Day with ICD F4311 - Post-traumatic stress disorder, acute | $783 |
| Total Medicare payment per Hospitalization at DRG | $5,466 |
| Total Medicare payment per Hospitalization with ICD F4311 - Post-traumatic stress disorder, acute | $5,524 |
| Total Medicare Charges at DRG | $442,340,377 |
| Total Medicare Charges with ICD F4311 - Post-traumatic stress disorder, acute | $4,846,476 |
| Avg Charges at DRG | $19,702 |
| Avg Charges with ICD F4311 - Post-traumatic stress disorder, acute | $18,498 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA |
| SNF Discharge Rate at DRG | 3.92 |
| SNF Discharge Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA |
| Home Discharge Rate at DRG | 84.46 |
| Home Discharge Rate with ICD F4311 - Post-traumatic stress disorder, acute | 87.02 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOLY FAMILY HOSPITAL | 70 EAST ST | METHUEN | MA | 01844 | 15 |
| BERKSHIRE MEDICAL CENTER | 725 NORTH ST | PITTSFIELD | MA | 01201 | 11 |
| PEACEHEALTH SOUTHWEST MEDICAL CENTER | 400 NE MOTHER JOSEPH PL | VANCOUVER | WA | 98664 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 881: DEPRESSIVE NEUROSES | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD F4311 - Post-traumatic stress disorder, acute | 573 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD F4311 - Post-traumatic stress disorder, acute in DRG | 39.44 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD F4311 - Post-traumatic stress disorder, acute | 9.14 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD F4311 - Post-traumatic stress disorder, acute | 23.37 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD F4311 - Post-traumatic stress disorder, acute | 13.04 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD F4311 - Post-traumatic stress disorder, acute | $3,811,852 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD F4311 - Post-traumatic stress disorder, acute | $728 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD F4311 - Post-traumatic stress disorder, acute | $6,652 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD F4311 - Post-traumatic stress disorder, acute | $13,055,599 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD F4311 - Post-traumatic stress disorder, acute | $22,785 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD F4311 - Post-traumatic stress disorder, acute | 89.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | ||||
| Total Hospitalizations with ICD F4311 - Post-traumatic stress disorder, acute | 18 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD F4311 - Post-traumatic stress disorder, acute in DRG | 1.24 | ||||
| Avg LOS at DRG | 2.93 | ||||
| Avg LOS with ICD F4311 - Post-traumatic stress disorder, acute | 5.33 | ||||
| Readmission Rate at DRG | 33.86 | ||||
| Readmission Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||||
| Unplanned Readmission Rate at DRG | 10.34 | ||||
| Unplanned Readmission Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||||
| Total Medicare payments at DRG | $313,351,773 | ||||
| Total Medicare payments with ICD F4311 - Post-traumatic stress disorder, acute | $84,851 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD F4311 - Post-traumatic stress disorder, acute | $884 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD F4311 - Post-traumatic stress disorder, acute | $4,714 | ||||
| Total Medicare Charges at DRG | $1,750,048,705 | ||||
| Total Medicare Charges with ICD F4311 - Post-traumatic stress disorder, acute | $446,680 | ||||
| Avg Charges at DRG | $24,392 | ||||
| Avg Charges with ICD F4311 - Post-traumatic stress disorder, acute | $24,816 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||||
| Home Discharge Rate at DRG | 51.88 | ||||
| Home Discharge Rate with ICD F4311 - Post-traumatic stress disorder, acute | 72.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||
| Total Hospitalizations with ICD F4311 - Post-traumatic stress disorder, acute | 12 | ||
| DRG Share of Total Hospitalizations | 1.1 | ||
| % of Total ICD F4311 - Post-traumatic stress disorder, acute in DRG | 0.83 | ||
| Avg LOS at DRG | 12.3 | ||
| Avg LOS with ICD F4311 - Post-traumatic stress disorder, acute | 18.92 | ||
| Readmission Rate at DRG | 16.01 | ||
| Readmission Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||
| Unplanned Readmission Rate at DRG | 9.86 | ||
| Unplanned Readmission Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||
| Total Medicare payments at DRG | $5,883,826,653 | ||
| Total Medicare payments with ICD F4311 - Post-traumatic stress disorder, acute | $264,949 | ||
| Total Medicare payment per Day at DRG | $1,329 | ||
| Total Medicare payment per Day with ICD F4311 - Post-traumatic stress disorder, acute | $1,167 | ||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||
| Total Medicare payment per Hospitalization with ICD F4311 - Post-traumatic stress disorder, acute | $22,079 | ||
| Total Medicare Charges at DRG | $15,374,824,749 | ||
| Total Medicare Charges with ICD F4311 - Post-traumatic stress disorder, acute | $950,716 | ||
| Avg Charges at DRG | $42,716 | ||
| Avg Charges with ICD F4311 - Post-traumatic stress disorder, acute | $79,226 | ||
| Mortality Rate at DRG | 0.3 | ||
| Mortality Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||
| SNF Discharge Rate at DRG | 27.95 | ||
| SNF Discharge Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA | ||
| Home Discharge Rate at DRG | 26.85 | ||
| Home Discharge Rate with ICD F4311 - Post-traumatic stress disorder, acute | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDAR HILLS HOSPITAL | 10300 SW EASTRIDGE ST | BEAVERTON | OR | 97225 | 46 |
| HOLY FAMILY HOSPITAL | 70 EAST ST | METHUEN | MA | 01844 | 38 |
| BERKSHIRE MEDICAL CENTER | 725 NORTH ST | PITTSFIELD | MA | 01201 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NEHA GAURI | 2801 N GANTENBEIN AVE | PORTLAND | OR | 97227 | 12 |
| Dr. LJILJANA MARKOVIC | 25 MARSHALL STREET | NORTH ADAMS | MA | 01247 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NEHA GAURI | 2801 N GANTENBEIN AVE | PORTLAND | OR | 97227 | 21 |
| Dr. MICHAEL ANTHONY BURKE | 5454 YORKTOWNE DR | ATLANTA | GA | 30349 | 18 |
| Dr. SARAH REBECCA PAUL | 1675 SW MARLOW AVE | PORTLAND | OR | 97225 | 17 |