*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I011 - Acute rheumatic endocarditis - as a primary diagnosis code | I011 - Acute rheumatic endocarditis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.3 | |
| Readmission Rate (%) | 38.98 | |
| Unplanned Readmission Rate (%) | 15.09 | |
| 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 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,800 | |||
| Total Hospitalizations with ICD I011 - Acute rheumatic endocarditis | 58 | |||
| DRG Share of Total Hospitalizations | 0.04 | |||
| % of Total ICD I011 - Acute rheumatic endocarditis in DRG | 40.85 | |||
| Avg LOS at DRG | 5.45 | |||
| Avg LOS with ICD I011 - Acute rheumatic endocarditis | 9.91 | |||
| Readmission Rate at DRG | 34.97 | |||
| Readmission Rate with ICD I011 - Acute rheumatic endocarditis | 36.11 | |||
| Unplanned Readmission Rate at DRG | 17.75 | |||
| Unplanned Readmission Rate with ICD I011 - Acute rheumatic endocarditis | NA | |||
| Total Medicare payments at DRG | $119,131,393 | |||
| Total Medicare payments with ICD I011 - Acute rheumatic endocarditis | $633,241 | |||
| Total Medicare payment per Day at DRG | $1,852 | |||
| Total Medicare payment per Day with ICD I011 - Acute rheumatic endocarditis | $1,101 | |||
| Total Medicare payment per Hospitalization at DRG | $10,096 | |||
| Total Medicare payment per Hospitalization with ICD I011 - Acute rheumatic endocarditis | $10,918 | |||
| Total Medicare Charges at DRG | $540,657,626 | |||
| Total Medicare Charges with ICD I011 - Acute rheumatic endocarditis | $4,076,140 | |||
| Avg Charges at DRG | $45,818 | |||
| Avg Charges with ICD I011 - Acute rheumatic endocarditis | $70,278 | |||
| Mortality Rate at DRG | 6.52 | |||
| Mortality Rate with ICD I011 - Acute rheumatic endocarditis | NA | |||
| SNF Discharge Rate at DRG | 16.02 | |||
| SNF Discharge Rate with ICD I011 - Acute rheumatic endocarditis | NA | |||
| Home Discharge Rate at DRG | 34.57 | |||
| Home Discharge Rate with ICD I011 - Acute rheumatic endocarditis | 18.97 |
*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 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I011 - Acute rheumatic endocarditis | 159 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I011 - Acute rheumatic endocarditis in DRG | 18.45 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I011 - Acute rheumatic endocarditis | 10.65 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I011 - Acute rheumatic endocarditis | 47.52 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I011 - Acute rheumatic endocarditis | 23.76 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I011 - Acute rheumatic endocarditis | $2,131,213 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I011 - Acute rheumatic endocarditis | $1,258 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I011 - Acute rheumatic endocarditis | $13,404 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I011 - Acute rheumatic endocarditis | $16,174,514 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I011 - Acute rheumatic endocarditis | $101,727 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I011 - Acute rheumatic endocarditis | 16.35 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I011 - Acute rheumatic endocarditis | 27.67 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I011 - Acute rheumatic endocarditis | 7.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD I011 - Acute rheumatic endocarditis | 30 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD I011 - Acute rheumatic endocarditis in DRG | 3.48 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD I011 - Acute rheumatic endocarditis | 6.9 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD I011 - Acute rheumatic endocarditis | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD I011 - Acute rheumatic endocarditis | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD I011 - Acute rheumatic endocarditis | $206,549 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD I011 - Acute rheumatic endocarditis | $998 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD I011 - Acute rheumatic endocarditis | $6,885 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD I011 - Acute rheumatic endocarditis | $1,687,217 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD I011 - Acute rheumatic endocarditis | $56,241 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD I011 - Acute rheumatic endocarditis | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD I011 - Acute rheumatic endocarditis | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD I011 - Acute rheumatic endocarditis | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I011 - Acute rheumatic endocarditis | 18 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I011 - Acute rheumatic endocarditis in DRG | 2.09 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I011 - Acute rheumatic endocarditis | 8.44 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I011 - Acute rheumatic endocarditis | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I011 - Acute rheumatic endocarditis | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I011 - Acute rheumatic endocarditis | $222,798 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I011 - Acute rheumatic endocarditis | $1,466 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I011 - Acute rheumatic endocarditis | $12,378 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I011 - Acute rheumatic endocarditis | $1,318,555 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I011 - Acute rheumatic endocarditis | $73,253 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I011 - Acute rheumatic endocarditis | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I011 - Acute rheumatic endocarditis | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I011 - Acute rheumatic endocarditis | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 249,842 |
| Total Hospitalizations with ICD I011 - Acute rheumatic endocarditis | 11 |
| DRG Share of Total Hospitalizations | 0.76 |
| % of Total ICD I011 - Acute rheumatic endocarditis in DRG | 1.28 |
| Avg LOS at DRG | 6.05 |
| Avg LOS with ICD I011 - Acute rheumatic endocarditis | 10.36 |
| Readmission Rate at DRG | 35.06 |
| Readmission Rate with ICD I011 - Acute rheumatic endocarditis | NA |
| Unplanned Readmission Rate at DRG | 11.16 |
| Unplanned Readmission Rate with ICD I011 - Acute rheumatic endocarditis | NA |
| Total Medicare payments at DRG | $2,933,944,169 |
| Total Medicare payments with ICD I011 - Acute rheumatic endocarditis | $145,860 |
| Total Medicare payment per Day at DRG | $1,941 |
| Total Medicare payment per Day with ICD I011 - Acute rheumatic endocarditis | $1,279 |
| Total Medicare payment per Hospitalization at DRG | $11,743 |
| Total Medicare payment per Hospitalization with ICD I011 - Acute rheumatic endocarditis | $13,260 |
| Total Medicare Charges at DRG | $15,164,864,310 |
| Total Medicare Charges with ICD I011 - Acute rheumatic endocarditis | $1,673,813 |
| Avg Charges at DRG | $60,698 |
| Avg Charges with ICD I011 - Acute rheumatic endocarditis | $152,165 |
| Mortality Rate at DRG | 15.95 |
| Mortality Rate with ICD I011 - Acute rheumatic endocarditis | NA |
| SNF Discharge Rate at DRG | 27.24 |
| SNF Discharge Rate with ICD I011 - Acute rheumatic endocarditis | NA |
| Home Discharge Rate at DRG | 12.21 |
| Home Discharge Rate with ICD I011 - Acute rheumatic endocarditis | NA |