*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I051 - Rheumatic mitral insufficiency - as a primary diagnosis code | I051 - Rheumatic mitral insufficiency - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.36 | |
| Readmission Rate (%) | 25.54 | |
| Unplanned Readmission Rate (%) | 11.95 | |
| 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 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION 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 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 53,232 | ||||
| Total Hospitalizations with ICD I051 - Rheumatic mitral insufficiency | 165 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD I051 - Rheumatic mitral insufficiency in DRG | 33.74 | ||||
| Avg LOS at DRG | 6.67 | ||||
| Avg LOS with ICD I051 - Rheumatic mitral insufficiency | 7.58 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | 20.13 | ||||
| Unplanned Readmission Rate at DRG | 9.02 | ||||
| Unplanned Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | 11.95 | ||||
| Total Medicare payments at DRG | $1,849,514,487 | ||||
| Total Medicare payments with ICD I051 - Rheumatic mitral insufficiency | $5,791,260 | ||||
| Total Medicare payment per Day at DRG | $5,212 | ||||
| Total Medicare payment per Day with ICD I051 - Rheumatic mitral insufficiency | $4,633 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
| Total Medicare payment per Hospitalization with ICD I051 - Rheumatic mitral insufficiency | $35,099 | ||||
| Total Medicare Charges at DRG | $9,786,140,365 | ||||
| Total Medicare Charges with ICD I051 - Rheumatic mitral insufficiency | $30,432,658 | ||||
| Avg Charges at DRG | $183,839 | ||||
| Avg Charges with ICD I051 - Rheumatic mitral insufficiency | $184,440 | ||||
| Mortality Rate at DRG | 0.94 | ||||
| Mortality Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 15.26 | ||||
| SNF Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | 20.0 | ||||
| Home Discharge Rate at DRG | 35.21 | ||||
| Home Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | 38.79 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,553 | |||
| Total Hospitalizations with ICD I051 - Rheumatic mitral insufficiency | 17 | |||
| DRG Share of Total Hospitalizations | 0.03 | |||
| % of Total ICD I051 - Rheumatic mitral insufficiency in DRG | 3.48 | |||
| Avg LOS at DRG | 4.81 | |||
| Avg LOS with ICD I051 - Rheumatic mitral insufficiency | 5.47 | |||
| Readmission Rate at DRG | 13.7 | |||
| Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | NA | |||
| Unplanned Readmission Rate at DRG | 7.06 | |||
| Unplanned Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | NA | |||
| Total Medicare payments at DRG | $283,442,253 | |||
| Total Medicare payments with ICD I051 - Rheumatic mitral insufficiency | $540,470 | |||
| Total Medicare payment per Day at DRG | $6,168 | |||
| Total Medicare payment per Day with ICD I051 - Rheumatic mitral insufficiency | $5,812 | |||
| Total Medicare payment per Hospitalization at DRG | $29,670 | |||
| Total Medicare payment per Hospitalization with ICD I051 - Rheumatic mitral insufficiency | $31,792 | |||
| Total Medicare Charges at DRG | $1,472,209,042 | |||
| Total Medicare Charges with ICD I051 - Rheumatic mitral insufficiency | $2,247,399 | |||
| Avg Charges at DRG | $154,110 | |||
| Avg Charges with ICD I051 - Rheumatic mitral insufficiency | $132,200 | |||
| Mortality Rate at DRG | 0.62 | |||
| Mortality Rate with ICD I051 - Rheumatic mitral insufficiency | NA | |||
| SNF Discharge Rate at DRG | 8.75 | |||
| SNF Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | NA | |||
| Home Discharge Rate at DRG | 50.74 | |||
| Home Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I051 - Rheumatic mitral insufficiency | 257 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I051 - Rheumatic mitral insufficiency in DRG | 8.02 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I051 - Rheumatic mitral insufficiency | 5.61 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | 27.83 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | 21.3 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I051 - Rheumatic mitral insufficiency | $2,518,169 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I051 - Rheumatic mitral insufficiency | $1,746 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I051 - Rheumatic mitral insufficiency | $9,798 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I051 - Rheumatic mitral insufficiency | $10,690,061 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I051 - Rheumatic mitral insufficiency | $41,596 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | 16.73 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | 38.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD I051 - Rheumatic mitral insufficiency | 85 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD I051 - Rheumatic mitral insufficiency in DRG | 2.65 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD I051 - Rheumatic mitral insufficiency | 3.92 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | 23.46 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | 19.75 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD I051 - Rheumatic mitral insufficiency | $613,626 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD I051 - Rheumatic mitral insufficiency | $1,843 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD I051 - Rheumatic mitral insufficiency | $7,219 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD I051 - Rheumatic mitral insufficiency | $2,441,079 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD I051 - Rheumatic mitral insufficiency | $28,719 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | 64.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||||
| Total Hospitalizations with ICD I051 - Rheumatic mitral insufficiency | 66 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD I051 - Rheumatic mitral insufficiency in DRG | 2.06 | ||||
| Avg LOS at DRG | 6.91 | ||||
| Avg LOS with ICD I051 - Rheumatic mitral insufficiency | 7.0 | ||||
| Readmission Rate at DRG | 28.23 | ||||
| Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | 36.36 | ||||
| Unplanned Readmission Rate at DRG | 17.16 | ||||
| Unplanned Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| Total Medicare payments at DRG | $1,698,418,701 | ||||
| Total Medicare payments with ICD I051 - Rheumatic mitral insufficiency | $962,714 | ||||
| Total Medicare payment per Day at DRG | $2,144 | ||||
| Total Medicare payment per Day with ICD I051 - Rheumatic mitral insufficiency | $2,084 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||||
| Total Medicare payment per Hospitalization with ICD I051 - Rheumatic mitral insufficiency | $14,587 | ||||
| Total Medicare Charges at DRG | $9,142,710,160 | ||||
| Total Medicare Charges with ICD I051 - Rheumatic mitral insufficiency | $5,004,068 | ||||
| Avg Charges at DRG | $79,692 | ||||
| Avg Charges with ICD I051 - Rheumatic mitral insufficiency | $75,819 | ||||
| Mortality Rate at DRG | 3.27 | ||||
| Mortality Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 10.66 | ||||
| SNF Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| Home Discharge Rate at DRG | 53.35 | ||||
| Home Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | 51.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD I051 - Rheumatic mitral insufficiency | 34 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD I051 - Rheumatic mitral insufficiency in DRG | 1.06 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD I051 - Rheumatic mitral insufficiency | 3.18 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD I051 - Rheumatic mitral insufficiency | $242,193 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD I051 - Rheumatic mitral insufficiency | $2,243 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD I051 - Rheumatic mitral insufficiency | $7,123 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD I051 - Rheumatic mitral insufficiency | $1,074,165 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD I051 - Rheumatic mitral insufficiency | $31,593 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD I051 - Rheumatic mitral insufficiency | 58.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| INTEGRIS BAPTIST MEDICAL CENTER | 3300 NW EXPRESSWAY ST | OKLAHOMA CITY | OK | 73112 | 49 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 47 |
| SSM HEALTH DEPAUL HOSPITAL ST. LOUIS | 12303 DE PAUL DR | BRIDGETON | MO | 63044 | 40 |