*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I061 - Rheumatic aortic insufficiency - as a primary diagnosis code | I061 - Rheumatic aortic insufficiency - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.67 | |
| Readmission Rate (%) | 21.3 | |
| 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 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 49,301 |
| Total Hospitalizations with ICD I061 - Rheumatic aortic insufficiency | 13 |
| DRG Share of Total Hospitalizations | 0.15 |
| % of Total ICD I061 - Rheumatic aortic insufficiency in DRG | 40.63 |
| Avg LOS at DRG | 10.92 |
| Avg LOS with ICD I061 - Rheumatic aortic insufficiency | 10.69 |
| Readmission Rate at DRG | 32.06 |
| Readmission Rate with ICD I061 - Rheumatic aortic insufficiency | NA |
| Unplanned Readmission Rate at DRG | 12.13 |
| Unplanned Readmission Rate with ICD I061 - Rheumatic aortic insufficiency | NA |
| Total Medicare payments at DRG | $2,755,788,420 |
| Total Medicare payments with ICD I061 - Rheumatic aortic insufficiency | $691,194 |
| Total Medicare payment per Day at DRG | $5,120 |
| Total Medicare payment per Day with ICD I061 - Rheumatic aortic insufficiency | $4,973 |
| Total Medicare payment per Hospitalization at DRG | $55,897 |
| Total Medicare payment per Hospitalization with ICD I061 - Rheumatic aortic insufficiency | $53,169 |
| Total Medicare Charges at DRG | $13,454,609,626 |
| Total Medicare Charges with ICD I061 - Rheumatic aortic insufficiency | $2,817,284 |
| Avg Charges at DRG | $272,907 |
| Avg Charges with ICD I061 - Rheumatic aortic insufficiency | $216,714 |
| Mortality Rate at DRG | 7.09 |
| Mortality Rate with ICD I061 - Rheumatic aortic insufficiency | NA |
| SNF Discharge Rate at DRG | 21.99 |
| SNF Discharge Rate with ICD I061 - Rheumatic aortic insufficiency | NA |
| Home Discharge Rate at DRG | 21.9 |
| Home Discharge Rate with ICD I061 - Rheumatic aortic 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I061 - Rheumatic aortic insufficiency | 39 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I061 - Rheumatic aortic insufficiency in DRG | 6.34 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I061 - Rheumatic aortic insufficiency | 4.46 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I061 - Rheumatic aortic insufficiency | 31.43 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I061 - Rheumatic aortic insufficiency | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I061 - Rheumatic aortic insufficiency | $355,403 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I061 - Rheumatic aortic insufficiency | $2,043 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I061 - Rheumatic aortic insufficiency | $9,113 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I061 - Rheumatic aortic insufficiency | $1,443,398 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I061 - Rheumatic aortic insufficiency | $37,010 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I061 - Rheumatic aortic insufficiency | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I061 - Rheumatic aortic insufficiency | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I061 - Rheumatic aortic insufficiency | 43.59 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 221,460 | |||
| Total Hospitalizations with ICD I061 - Rheumatic aortic insufficiency | 15 | |||
| DRG Share of Total Hospitalizations | 0.67 | |||
| % of Total ICD I061 - Rheumatic aortic insufficiency in DRG | 2.44 | |||
| Avg LOS at DRG | 2.1 | |||
| Avg LOS with ICD I061 - Rheumatic aortic insufficiency | 3.13 | |||
| Readmission Rate at DRG | 11.15 | |||
| Readmission Rate with ICD I061 - Rheumatic aortic insufficiency | NA | |||
| Unplanned Readmission Rate at DRG | 7.88 | |||
| Unplanned Readmission Rate with ICD I061 - Rheumatic aortic insufficiency | NA | |||
| Total Medicare payments at DRG | $635,922,710 | |||
| Total Medicare payments with ICD I061 - Rheumatic aortic insufficiency | $62,040 | |||
| Total Medicare payment per Day at DRG | $1,367 | |||
| Total Medicare payment per Day with ICD I061 - Rheumatic aortic insufficiency | $1,320 | |||
| Total Medicare payment per Hospitalization at DRG | $2,872 | |||
| Total Medicare payment per Hospitalization with ICD I061 - Rheumatic aortic insufficiency | $4,136 | |||
| Total Medicare Charges at DRG | $4,179,979,444 | |||
| Total Medicare Charges with ICD I061 - Rheumatic aortic insufficiency | $331,998 | |||
| Avg Charges at DRG | $18,875 | |||
| Avg Charges with ICD I061 - Rheumatic aortic insufficiency | $22,133 | |||
| Mortality Rate at DRG | 0.21 | |||
| Mortality Rate with ICD I061 - Rheumatic aortic insufficiency | NA | |||
| SNF Discharge Rate at DRG | 4.01 | |||
| SNF Discharge Rate with ICD I061 - Rheumatic aortic insufficiency | NA | |||
| Home Discharge Rate at DRG | 82.23 | |||
| Home Discharge Rate with ICD I061 - Rheumatic aortic insufficiency | 86.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEDSTAR GOOD SAMARITAN HOSPITAL | 5601 LOCH RAVEN BLVD | BALTIMORE | MD | 21239 | 55 |
| INTEGRIS BAPTIST MEDICAL CENTER | 3300 NW EXPRESSWAY ST | OKLAHOMA CITY | OK | 73112 | 12 |
| ST. BERNARDS HEALTHCARE | 225 E JACKSON AVE | JONESBORO | AR | 72401 | 11 |