*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I00 - Rheumatic fever without heart involvement - as a primary diagnosis code | I00 - Rheumatic fever without heart involvement - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.54 | |
| Readmission Rate (%) | 21.34 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 14,526 | ||
| Total Hospitalizations with ICD I00 - Rheumatic fever without heart involvement | 40 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD I00 - Rheumatic fever without heart involvement in DRG | 48.78 | ||
| Avg LOS at DRG | 5.12 | ||
| Avg LOS with ICD I00 - Rheumatic fever without heart involvement | 4.25 | ||
| Readmission Rate at DRG | 23.17 | ||
| Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||
| Unplanned Readmission Rate at DRG | 15.83 | ||
| Unplanned Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||
| Total Medicare payments at DRG | $123,348,417 | ||
| Total Medicare payments with ICD I00 - Rheumatic fever without heart involvement | $255,141 | ||
| Total Medicare payment per Day at DRG | $1,658 | ||
| Total Medicare payment per Day with ICD I00 - Rheumatic fever without heart involvement | $1,501 | ||
| Total Medicare payment per Hospitalization at DRG | $8,492 | ||
| Total Medicare payment per Hospitalization with ICD I00 - Rheumatic fever without heart involvement | $6,379 | ||
| Total Medicare Charges at DRG | $565,151,481 | ||
| Total Medicare Charges with ICD I00 - Rheumatic fever without heart involvement | $1,378,535 | ||
| Avg Charges at DRG | $38,906 | ||
| Avg Charges with ICD I00 - Rheumatic fever without heart involvement | $34,463 | ||
| Mortality Rate at DRG | 0.34 | ||
| Mortality Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||
| SNF Discharge Rate at DRG | 16.01 | ||
| SNF Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||
| Home Discharge Rate at DRG | 53.61 | ||
| Home Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | 60.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I00 - Rheumatic fever without heart involvement | 130 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I00 - Rheumatic fever without heart involvement in DRG | 5.41 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I00 - Rheumatic fever without heart involvement | 6.35 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | 23.28 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | 13.79 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I00 - Rheumatic fever without heart involvement | $1,475,877 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I00 - Rheumatic fever without heart involvement | $1,789 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I00 - Rheumatic fever without heart involvement | $11,353 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I00 - Rheumatic fever without heart involvement | $7,109,410 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I00 - Rheumatic fever without heart involvement | $54,688 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | 27.69 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | 30.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD I00 - Rheumatic fever without heart involvement | 42 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD I00 - Rheumatic fever without heart involvement in DRG | 1.75 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD I00 - Rheumatic fever without heart involvement | 5.14 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD I00 - Rheumatic fever without heart involvement | $370,753 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD I00 - Rheumatic fever without heart involvement | $1,716 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD I00 - Rheumatic fever without heart involvement | $8,827 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD I00 - Rheumatic fever without heart involvement | $1,801,947 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD I00 - Rheumatic fever without heart involvement | $42,904 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | 59.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 221,460 | ||||
| Total Hospitalizations with ICD I00 - Rheumatic fever without heart involvement | 35 | ||||
| DRG Share of Total Hospitalizations | 0.67 | ||||
| % of Total ICD I00 - Rheumatic fever without heart involvement in DRG | 1.46 | ||||
| Avg LOS at DRG | 2.1 | ||||
| Avg LOS with ICD I00 - Rheumatic fever without heart involvement | 2.46 | ||||
| Readmission Rate at DRG | 11.15 | ||||
| Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| Unplanned Readmission Rate at DRG | 7.88 | ||||
| Unplanned Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| Total Medicare payments at DRG | $635,922,710 | ||||
| Total Medicare payments with ICD I00 - Rheumatic fever without heart involvement | $83,371 | ||||
| Total Medicare payment per Day at DRG | $1,367 | ||||
| Total Medicare payment per Day with ICD I00 - Rheumatic fever without heart involvement | $969 | ||||
| Total Medicare payment per Hospitalization at DRG | $2,872 | ||||
| Total Medicare payment per Hospitalization with ICD I00 - Rheumatic fever without heart involvement | $2,382 | ||||
| Total Medicare Charges at DRG | $4,179,979,444 | ||||
| Total Medicare Charges with ICD I00 - Rheumatic fever without heart involvement | $854,355 | ||||
| Avg Charges at DRG | $18,875 | ||||
| Avg Charges with ICD I00 - Rheumatic fever without heart involvement | $24,410 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| SNF Discharge Rate at DRG | 4.01 | ||||
| SNF Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| Home Discharge Rate at DRG | 82.23 | ||||
| Home Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | 88.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD I00 - Rheumatic fever without heart involvement | 31 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD I00 - Rheumatic fever without heart involvement in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD I00 - Rheumatic fever without heart involvement | 3.26 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD I00 - Rheumatic fever without heart involvement | $158,792 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD I00 - Rheumatic fever without heart involvement | $1,572 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD I00 - Rheumatic fever without heart involvement | $5,122 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD I00 - Rheumatic fever without heart involvement | $884,106 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD I00 - Rheumatic fever without heart involvement | $28,520 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD I00 - Rheumatic fever without heart involvement | 48.39 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LAHEY HOSPITAL & MEDICAL CENTER | 41 MALL RD | BURLINGTON | MA | 01805 | 15 |
| UTAH VALLEY HOSPITAL | 1034 N 500 W | PROVO | UT | 84604 | 13 |
| NORTH FLORIDA REGIONAL MEDICAL CENTER | 6500 W NEWBERRY RD | GAINESVILLE | FL | 32605 | 12 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |
| 2 | E785 | Hyperlipidemia, unspecified |