*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I2690 - Septic pulmonary embolism without acute cor pulmonale - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.98 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 288: ACUTE AND SUBACUTE ENDOCARDITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 1,334 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I2690 - Septic pulmonary embolism without acute cor pulmonale in DRG | 23.93 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 11.66 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 36.15 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 17.64 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $19,191,579 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $1,234 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $14,386 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $133,843,081 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $100,332 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 12.07 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 20.61 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 19.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 260: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH 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 | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 178 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD I2690 - Septic pulmonary embolism without acute cor pulmonale in DRG | 3.19 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 18.56 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 58.44 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 14.29 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $8,521,973 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $2,579 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $47,876 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $47,070,752 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $264,442 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 48.88 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 12.36 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 70 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD I2690 - Septic pulmonary embolism without acute cor pulmonale in DRG | 1.26 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 11.03 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 30.36 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 23.21 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $1,030,966 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $1,335 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $14,728 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $5,951,860 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $85,027 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 24.29 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 24.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES 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 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 55 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD I2690 - Septic pulmonary embolism without acute cor pulmonale in DRG | 0.99 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 17.75 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 52.27 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 38.64 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $1,914,496 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $1,962 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $34,809 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $10,481,769 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | $190,578 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | NA | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 20.0 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD I2690 - Septic pulmonary embolism without acute cor pulmonale | 34.55 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 31 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 28 |
| UK HEALTHCARE - ALBERT B. CHANDLER HOSPITAL | 800 ROSE ST | LEXINGTON | KY | 40536 | 28 |