*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I089 - Rheumatic multiple valve disease, unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.19 | |
| 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 291: HEART FAILURE AND SHOCK 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) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I089 - Rheumatic multiple valve disease, unspecified | 103 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I089 - Rheumatic multiple valve disease, unspecified in DRG | 11.16 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I089 - Rheumatic multiple valve disease, unspecified | 5.58 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | 18.68 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | 16.48 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I089 - Rheumatic multiple valve disease, unspecified | $997,901 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I089 - Rheumatic multiple valve disease, unspecified | $1,735 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I089 - Rheumatic multiple valve disease, unspecified | $9,688 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I089 - Rheumatic multiple valve disease, unspecified | $5,480,684 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I089 - Rheumatic multiple valve disease, unspecified | $53,211 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | 21.36 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | 33.98 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I089 - Rheumatic multiple valve disease, unspecified | 19 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I089 - Rheumatic multiple valve disease, unspecified in DRG | 2.06 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I089 - Rheumatic multiple valve disease, unspecified | 4.74 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I089 - Rheumatic multiple valve disease, unspecified | $212,775 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I089 - Rheumatic multiple valve disease, unspecified | $2,364 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I089 - Rheumatic multiple valve disease, unspecified | $11,199 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I089 - Rheumatic multiple valve disease, unspecified | $721,229 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I089 - Rheumatic multiple valve disease, unspecified | $37,959 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | |||
| Total Hospitalizations with ICD I089 - Rheumatic multiple valve disease, unspecified | 13 | |||
| DRG Share of Total Hospitalizations | 1.11 | |||
| % of Total ICD I089 - Rheumatic multiple valve disease, unspecified in DRG | 1.41 | |||
| Avg LOS at DRG | 5.91 | |||
| Avg LOS with ICD I089 - Rheumatic multiple valve disease, unspecified | 3.62 | |||
| Readmission Rate at DRG | 27.73 | |||
| Readmission Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA | |||
| Unplanned Readmission Rate at DRG | 20.3 | |||
| Unplanned Readmission Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA | |||
| Total Medicare payments at DRG | $3,552,910,533 | |||
| Total Medicare payments with ICD I089 - Rheumatic multiple valve disease, unspecified | $108,702 | |||
| Total Medicare payment per Day at DRG | $1,646 | |||
| Total Medicare payment per Day with ICD I089 - Rheumatic multiple valve disease, unspecified | $2,313 | |||
| Total Medicare payment per Hospitalization at DRG | $9,731 | |||
| Total Medicare payment per Hospitalization with ICD I089 - Rheumatic multiple valve disease, unspecified | $8,362 | |||
| Total Medicare Charges at DRG | $16,860,985,198 | |||
| Total Medicare Charges with ICD I089 - Rheumatic multiple valve disease, unspecified | $470,609 | |||
| Avg Charges at DRG | $46,179 | |||
| Avg Charges with ICD I089 - Rheumatic multiple valve disease, unspecified | $36,201 | |||
| Mortality Rate at DRG | 5.06 | |||
| Mortality Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA | |||
| SNF Discharge Rate at DRG | 28.7 | |||
| SNF Discharge Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA | |||
| Home Discharge Rate at DRG | 32.16 | |||
| Home Discharge Rate with ICD I089 - Rheumatic multiple valve disease, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTHCREST MEDICAL CENTER | 100 NORTHCREST DR | SPRINGFIELD | TN | 37172 | 19 |
| GEORGE WASHINGTON UNIV HOSPITAL | 901 23RD ST NW | WASHINGTON | DC | 20037 | 19 |
| LEHIGH VALLEY HOSPITAL - HAZLETON | 700 E BROAD ST | HAZLETON | PA | 18201 | 15 |