*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I091 - Rheumatic diseases of endocardium, valve unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.38 | |
| 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 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 I091 - Rheumatic diseases of endocardium, valve unspecified | 36 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I091 - Rheumatic diseases of endocardium, valve unspecified in DRG | 8.72 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | 5.14 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $307,422 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $1,662 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $8,540 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $1,493,516 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $41,487 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | 33.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 1,522,684 |
| Total Hospitalizations with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | 11 |
| DRG Share of Total Hospitalizations | 4.63 |
| % of Total ICD I091 - Rheumatic diseases of endocardium, valve unspecified in DRG | 2.66 |
| Avg LOS at DRG | 2.52 |
| Avg LOS with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | 3.09 |
| Readmission Rate at DRG | 9.03 |
| Readmission Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | NA |
| Unplanned Readmission Rate at DRG | 3.35 |
| Unplanned Readmission Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | NA |
| Total Medicare payments at DRG | $17,672,828,347 |
| Total Medicare payments with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $126,562 |
| Total Medicare payment per Day at DRG | $4,606 |
| Total Medicare payment per Day with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $3,722 |
| Total Medicare payment per Hospitalization at DRG | $11,606 |
| Total Medicare payment per Hospitalization with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $11,506 |
| Total Medicare Charges at DRG | $91,836,200,128 |
| Total Medicare Charges with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $521,422 |
| Avg Charges at DRG | $60,312 |
| Avg Charges with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | $47,402 |
| Mortality Rate at DRG | 0.05 |
| Mortality Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | NA |
| SNF Discharge Rate at DRG | 23.53 |
| SNF Discharge Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | NA |
| Home Discharge Rate at DRG | 30.67 |
| Home Discharge Rate with ICD I091 - Rheumatic diseases of endocardium, valve unspecified | NA |