*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
I058 - Other rheumatic mitral valve diseases - as a primary diagnosis code | I058 - Other rheumatic mitral valve diseases - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 6.03 | |
Readmission Rate (%) | 26.63 | |
Unplanned Readmission Rate (%) | 17.07 | |
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 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) | |
---|---|---|---|
Total Hospitalizations at DRG | 53,232 | ||
Total Hospitalizations with ICD I058 - Other rheumatic mitral valve diseases | 23 | ||
DRG Share of Total Hospitalizations | 0.16 | ||
% of Total ICD I058 - Other rheumatic mitral valve diseases in DRG | 24.73 | ||
Avg LOS at DRG | 6.67 | ||
Avg LOS with ICD I058 - Other rheumatic mitral valve diseases | 6.57 | ||
Readmission Rate at DRG | 19.14 | ||
Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||
Unplanned Readmission Rate at DRG | 9.02 | ||
Unplanned Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||
Total Medicare payments at DRG | $1,849,514,487 | ||
Total Medicare payments with ICD I058 - Other rheumatic mitral valve diseases | $816,676 | ||
Total Medicare payment per Day at DRG | $5,212 | ||
Total Medicare payment per Day with ICD I058 - Other rheumatic mitral valve diseases | $5,408 | ||
Total Medicare payment per Hospitalization at DRG | $34,744 | ||
Total Medicare payment per Hospitalization with ICD I058 - Other rheumatic mitral valve diseases | $35,508 | ||
Total Medicare Charges at DRG | $9,786,140,365 | ||
Total Medicare Charges with ICD I058 - Other rheumatic mitral valve diseases | $4,102,155 | ||
Avg Charges at DRG | $183,839 | ||
Avg Charges with ICD I058 - Other rheumatic mitral valve diseases | $178,355 | ||
Mortality Rate at DRG | 0.94 | ||
Mortality Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||
SNF Discharge Rate at DRG | 15.26 | ||
SNF Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||
Home Discharge Rate at DRG | 35.21 | ||
Home Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD I058 - Other rheumatic mitral valve diseases | 154 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD I058 - Other rheumatic mitral valve diseases in DRG | 5.94 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD I058 - Other rheumatic mitral valve diseases | 7.98 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | 25.37 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | 15.67 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD I058 - Other rheumatic mitral valve diseases | $1,971,222 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD I058 - Other rheumatic mitral valve diseases | $1,604 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD I058 - Other rheumatic mitral valve diseases | $12,800 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD I058 - Other rheumatic mitral valve diseases | $10,702,304 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD I058 - Other rheumatic mitral valve diseases | $69,495 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD I058 - Other rheumatic mitral valve diseases | 7.14 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | 34.42 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | 19.48 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 53,232 | ||||
Total Hospitalizations with ICD I058 - Other rheumatic mitral valve diseases | 55 | ||||
DRG Share of Total Hospitalizations | 0.16 | ||||
% of Total ICD I058 - Other rheumatic mitral valve diseases in DRG | 2.12 | ||||
Avg LOS at DRG | 6.67 | ||||
Avg LOS with ICD I058 - Other rheumatic mitral valve diseases | 6.51 | ||||
Readmission Rate at DRG | 19.14 | ||||
Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
Unplanned Readmission Rate at DRG | 9.02 | ||||
Unplanned Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
Total Medicare payments at DRG | $1,849,514,487 | ||||
Total Medicare payments with ICD I058 - Other rheumatic mitral valve diseases | $1,902,249 | ||||
Total Medicare payment per Day at DRG | $5,212 | ||||
Total Medicare payment per Day with ICD I058 - Other rheumatic mitral valve diseases | $5,314 | ||||
Total Medicare payment per Hospitalization at DRG | $34,744 | ||||
Total Medicare payment per Hospitalization with ICD I058 - Other rheumatic mitral valve diseases | $34,586 | ||||
Total Medicare Charges at DRG | $9,786,140,365 | ||||
Total Medicare Charges with ICD I058 - Other rheumatic mitral valve diseases | $10,278,789 | ||||
Avg Charges at DRG | $183,839 | ||||
Avg Charges with ICD I058 - Other rheumatic mitral valve diseases | $186,887 | ||||
Mortality Rate at DRG | 0.94 | ||||
Mortality Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
SNF Discharge Rate at DRG | 15.26 | ||||
SNF Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
Home Discharge Rate at DRG | 35.21 | ||||
Home Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | 34.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 250,159 | ||||
Total Hospitalizations with ICD I058 - Other rheumatic mitral valve diseases | 37 | ||||
DRG Share of Total Hospitalizations | 0.76 | ||||
% of Total ICD I058 - Other rheumatic mitral valve diseases in DRG | 1.43 | ||||
Avg LOS at DRG | 5.47 | ||||
Avg LOS with ICD I058 - Other rheumatic mitral valve diseases | 6.65 | ||||
Readmission Rate at DRG | 27.88 | ||||
Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | 39.39 | ||||
Unplanned Readmission Rate at DRG | 19.94 | ||||
Unplanned Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
Total Medicare payments at DRG | $2,661,443,545 | ||||
Total Medicare payments with ICD I058 - Other rheumatic mitral valve diseases | $400,411 | ||||
Total Medicare payment per Day at DRG | $1,946 | ||||
Total Medicare payment per Day with ICD I058 - Other rheumatic mitral valve diseases | $1,628 | ||||
Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
Total Medicare payment per Hospitalization with ICD I058 - Other rheumatic mitral valve diseases | $10,822 | ||||
Total Medicare Charges at DRG | $13,270,497,724 | ||||
Total Medicare Charges with ICD I058 - Other rheumatic mitral valve diseases | $2,363,179 | ||||
Avg Charges at DRG | $53,048 | ||||
Avg Charges with ICD I058 - Other rheumatic mitral valve diseases | $63,870 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
SNF Discharge Rate at DRG | 21.63 | ||||
SNF Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
Home Discharge Rate at DRG | 34.87 | ||||
Home Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | 35.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION 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 313: CHEST PAIN | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 365,119 | ||||
Total Hospitalizations with ICD I058 - Other rheumatic mitral valve diseases | 32 | ||||
DRG Share of Total Hospitalizations | 1.11 | ||||
% of Total ICD I058 - Other rheumatic mitral valve diseases in DRG | 1.23 | ||||
Avg LOS at DRG | 5.91 | ||||
Avg LOS with ICD I058 - Other rheumatic mitral valve diseases | 6.22 | ||||
Readmission Rate at DRG | 27.73 | ||||
Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
Unplanned Readmission Rate at DRG | 20.3 | ||||
Unplanned Readmission Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
Total Medicare payments at DRG | $3,552,910,533 | ||||
Total Medicare payments with ICD I058 - Other rheumatic mitral valve diseases | $351,318 | ||||
Total Medicare payment per Day at DRG | $1,646 | ||||
Total Medicare payment per Day with ICD I058 - Other rheumatic mitral valve diseases | $1,765 | ||||
Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
Total Medicare payment per Hospitalization with ICD I058 - Other rheumatic mitral valve diseases | $10,979 | ||||
Total Medicare Charges at DRG | $16,860,985,198 | ||||
Total Medicare Charges with ICD I058 - Other rheumatic mitral valve diseases | $1,739,161 | ||||
Avg Charges at DRG | $46,179 | ||||
Avg Charges with ICD I058 - Other rheumatic mitral valve diseases | $54,349 | ||||
Mortality Rate at DRG | 5.06 | ||||
Mortality Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
SNF Discharge Rate at DRG | 28.7 | ||||
SNF Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | NA | ||||
Home Discharge Rate at DRG | 32.16 | ||||
Home Discharge Rate with ICD I058 - Other rheumatic mitral valve diseases | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
JAVON BEA HOSPITAL - ROCKTON | 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 25 |
ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 25 |
UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 21 |