*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I288 - Other diseases of pulmonary vessels - as a primary diagnosis code | I288 - Other diseases of pulmonary vessels - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.27 | |
| Readmission Rate (%) | 29.69 | |
| Unplanned Readmission Rate (%) | 18.09 | |
| 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I288 - Other diseases of pulmonary vessels | 107 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I288 - Other diseases of pulmonary vessels in DRG | 48.42 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I288 - Other diseases of pulmonary vessels | 8.28 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | 39.77 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | 23.86 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I288 - Other diseases of pulmonary vessels | $1,693,495 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I288 - Other diseases of pulmonary vessels | $1,911 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I288 - Other diseases of pulmonary vessels | $15,827 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I288 - Other diseases of pulmonary vessels | $9,915,562 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I288 - Other diseases of pulmonary vessels | $92,669 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | 14.95 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | 46.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 138,345 | ||||
| Total Hospitalizations with ICD I288 - Other diseases of pulmonary vessels | 124 | ||||
| DRG Share of Total Hospitalizations | 0.42 | ||||
| % of Total ICD I288 - Other diseases of pulmonary vessels in DRG | 4.8 | ||||
| Avg LOS at DRG | 6.92 | ||||
| Avg LOS with ICD I288 - Other diseases of pulmonary vessels | 8.38 | ||||
| Readmission Rate at DRG | 32.2 | ||||
| Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | 36.63 | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | 21.78 | ||||
| Total Medicare payments at DRG | $1,845,581,658 | ||||
| Total Medicare payments with ICD I288 - Other diseases of pulmonary vessels | $1,952,228 | ||||
| Total Medicare payment per Day at DRG | $1,929 | ||||
| Total Medicare payment per Day with ICD I288 - Other diseases of pulmonary vessels | $1,879 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,340 | ||||
| Total Medicare payment per Hospitalization with ICD I288 - Other diseases of pulmonary vessels | $15,744 | ||||
| Total Medicare Charges at DRG | $9,021,459,592 | ||||
| Total Medicare Charges with ICD I288 - Other diseases of pulmonary vessels | $11,331,468 | ||||
| Avg Charges at DRG | $65,210 | ||||
| Avg Charges with ICD I288 - Other diseases of pulmonary vessels | $91,383 | ||||
| Mortality Rate at DRG | 5.29 | ||||
| Mortality Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | 14.52 | ||||
| Home Discharge Rate at DRG | 39.78 | ||||
| Home Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | 45.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD I288 - Other diseases of pulmonary vessels | 81 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD I288 - Other diseases of pulmonary vessels in DRG | 3.14 | ||||
| Avg LOS at DRG | 6.45 | ||||
| Avg LOS with ICD I288 - Other diseases of pulmonary vessels | 6.78 | ||||
| Readmission Rate at DRG | 26.69 | ||||
| Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | 23.21 | ||||
| Unplanned Readmission Rate at DRG | 20.8 | ||||
| Unplanned Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| Total Medicare payments at DRG | $651,389,136 | ||||
| Total Medicare payments with ICD I288 - Other diseases of pulmonary vessels | $880,824 | ||||
| Total Medicare payment per Day at DRG | $1,767 | ||||
| Total Medicare payment per Day with ICD I288 - Other diseases of pulmonary vessels | $1,604 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,393 | ||||
| Total Medicare payment per Hospitalization with ICD I288 - Other diseases of pulmonary vessels | $10,874 | ||||
| Total Medicare Charges at DRG | $3,285,887,644 | ||||
| Total Medicare Charges with ICD I288 - Other diseases of pulmonary vessels | $5,750,607 | ||||
| Avg Charges at DRG | $57,471 | ||||
| Avg Charges with ICD I288 - Other diseases of pulmonary vessels | $70,995 | ||||
| Mortality Rate at DRG | 12.27 | ||||
| Mortality Rate with ICD I288 - Other diseases of pulmonary vessels | 18.52 | ||||
| SNF Discharge Rate at DRG | 12.94 | ||||
| SNF Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| Home Discharge Rate at DRG | 28.03 | ||||
| Home Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | 24.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,449 | ||||
| Total Hospitalizations with ICD I288 - Other diseases of pulmonary vessels | 46 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD I288 - Other diseases of pulmonary vessels in DRG | 1.78 | ||||
| Avg LOS at DRG | 10.01 | ||||
| Avg LOS with ICD I288 - Other diseases of pulmonary vessels | 11.7 | ||||
| Readmission Rate at DRG | 31.36 | ||||
| Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | 42.5 | ||||
| Unplanned Readmission Rate at DRG | 20.04 | ||||
| Unplanned Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | 30.0 | ||||
| Total Medicare payments at DRG | $793,793,345 | ||||
| Total Medicare payments with ICD I288 - Other diseases of pulmonary vessels | $1,075,448 | ||||
| Total Medicare payment per Day at DRG | $2,118 | ||||
| Total Medicare payment per Day with ICD I288 - Other diseases of pulmonary vessels | $1,999 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,197 | ||||
| Total Medicare payment per Hospitalization with ICD I288 - Other diseases of pulmonary vessels | $23,379 | ||||
| Total Medicare Charges at DRG | $3,956,370,459 | ||||
| Total Medicare Charges with ICD I288 - Other diseases of pulmonary vessels | $6,174,933 | ||||
| Avg Charges at DRG | $105,647 | ||||
| Avg Charges with ICD I288 - Other diseases of pulmonary vessels | $134,238 | ||||
| Mortality Rate at DRG | 5.33 | ||||
| Mortality Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| SNF Discharge Rate at DRG | 23.77 | ||||
| SNF Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| Home Discharge Rate at DRG | 33.21 | ||||
| Home Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | 52.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,802 | ||||
| Total Hospitalizations with ICD I288 - Other diseases of pulmonary vessels | 40 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD I288 - Other diseases of pulmonary vessels in DRG | 1.55 | ||||
| Avg LOS at DRG | 3.64 | ||||
| Avg LOS with ICD I288 - Other diseases of pulmonary vessels | 4.88 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| Unplanned Readmission Rate at DRG | 15.06 | ||||
| Unplanned Readmission Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| Total Medicare payments at DRG | $412,252,033 | ||||
| Total Medicare payments with ICD I288 - Other diseases of pulmonary vessels | $279,725 | ||||
| Total Medicare payment per Day at DRG | $1,719 | ||||
| Total Medicare payment per Day with ICD I288 - Other diseases of pulmonary vessels | $1,434 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,265 | ||||
| Total Medicare payment per Hospitalization with ICD I288 - Other diseases of pulmonary vessels | $6,993 | ||||
| Total Medicare Charges at DRG | $2,144,361,929 | ||||
| Total Medicare Charges with ICD I288 - Other diseases of pulmonary vessels | $1,824,203 | ||||
| Avg Charges at DRG | $32,588 | ||||
| Avg Charges with ICD I288 - Other diseases of pulmonary vessels | $45,605 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| SNF Discharge Rate at DRG | 12.49 | ||||
| SNF Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | NA | ||||
| Home Discharge Rate at DRG | 54.54 | ||||
| Home Discharge Rate with ICD I288 - Other diseases of pulmonary vessels | 50.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 30 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 24 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 23 |