*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I301 - Infective pericarditis - as a primary diagnosis code | I301 - Infective pericarditis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.64 | |
| Readmission Rate (%) | 26.57 | |
| Unplanned Readmission Rate (%) | 17.01 | |
| 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 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,802 | ||||
| Total Hospitalizations with ICD I301 - Infective pericarditis | 562 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD I301 - Infective pericarditis in DRG | 35.52 | ||||
| Avg LOS at DRG | 3.64 | ||||
| Avg LOS with ICD I301 - Infective pericarditis | 3.78 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD I301 - Infective pericarditis | 23.93 | ||||
| Unplanned Readmission Rate at DRG | 15.06 | ||||
| Unplanned Readmission Rate with ICD I301 - Infective pericarditis | 16.88 | ||||
| Total Medicare payments at DRG | $412,252,033 | ||||
| Total Medicare payments with ICD I301 - Infective pericarditis | $3,581,112 | ||||
| Total Medicare payment per Day at DRG | $1,719 | ||||
| Total Medicare payment per Day with ICD I301 - Infective pericarditis | $1,685 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,265 | ||||
| Total Medicare payment per Hospitalization with ICD I301 - Infective pericarditis | $6,372 | ||||
| Total Medicare Charges at DRG | $2,144,361,929 | ||||
| Total Medicare Charges with ICD I301 - Infective pericarditis | $21,571,598 | ||||
| Avg Charges at DRG | $32,588 | ||||
| Avg Charges with ICD I301 - Infective pericarditis | $38,384 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I301 - Infective pericarditis | NA | ||||
| SNF Discharge Rate at DRG | 12.49 | ||||
| SNF Discharge Rate with ICD I301 - Infective pericarditis | 4.63 | ||||
| Home Discharge Rate at DRG | 54.54 | ||||
| Home Discharge Rate with ICD I301 - Infective pericarditis | 77.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 38,274 | ||
| Total Hospitalizations with ICD I301 - Infective pericarditis | 57 | ||
| DRG Share of Total Hospitalizations | 0.12 | ||
| % of Total ICD I301 - Infective pericarditis in DRG | 3.6 | ||
| Avg LOS at DRG | 5.64 | ||
| Avg LOS with ICD I301 - Infective pericarditis | 7.65 | ||
| Readmission Rate at DRG | 23.87 | ||
| Readmission Rate with ICD I301 - Infective pericarditis | 31.48 | ||
| Unplanned Readmission Rate at DRG | 12.97 | ||
| Unplanned Readmission Rate with ICD I301 - Infective pericarditis | 20.37 | ||
| Total Medicare payments at DRG | $829,251,141 | ||
| Total Medicare payments with ICD I301 - Infective pericarditis | $1,220,021 | ||
| Total Medicare payment per Day at DRG | $3,840 | ||
| Total Medicare payment per Day with ICD I301 - Infective pericarditis | $2,798 | ||
| Total Medicare payment per Hospitalization at DRG | $21,666 | ||
| Total Medicare payment per Hospitalization with ICD I301 - Infective pericarditis | $21,404 | ||
| Total Medicare Charges at DRG | $4,499,731,580 | ||
| Total Medicare Charges with ICD I301 - Infective pericarditis | $6,436,805 | ||
| Avg Charges at DRG | $117,566 | ||
| Avg Charges with ICD I301 - Infective pericarditis | $112,926 | ||
| Mortality Rate at DRG | 2.17 | ||
| Mortality Rate with ICD I301 - Infective pericarditis | NA | ||
| SNF Discharge Rate at DRG | 16.12 | ||
| SNF Discharge Rate with ICD I301 - Infective pericarditis | NA | ||
| Home Discharge Rate at DRG | 50.94 | ||
| Home Discharge Rate with ICD I301 - Infective pericarditis | 56.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 12 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,802 | ||||
| Total Hospitalizations with ICD I301 - Infective pericarditis | 609 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD I301 - Infective pericarditis in DRG | 22.03 | ||||
| Avg LOS at DRG | 3.64 | ||||
| Avg LOS with ICD I301 - Infective pericarditis | 3.86 | ||||
| Readmission Rate at DRG | 22.8 | ||||
| Readmission Rate with ICD I301 - Infective pericarditis | 23.12 | ||||
| Unplanned Readmission Rate at DRG | 15.06 | ||||
| Unplanned Readmission Rate with ICD I301 - Infective pericarditis | 16.1 | ||||
| Total Medicare payments at DRG | $412,252,033 | ||||
| Total Medicare payments with ICD I301 - Infective pericarditis | $3,876,033 | ||||
| Total Medicare payment per Day at DRG | $1,719 | ||||
| Total Medicare payment per Day with ICD I301 - Infective pericarditis | $1,651 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,265 | ||||
| Total Medicare payment per Hospitalization with ICD I301 - Infective pericarditis | $6,365 | ||||
| Total Medicare Charges at DRG | $2,144,361,929 | ||||
| Total Medicare Charges with ICD I301 - Infective pericarditis | $23,872,245 | ||||
| Avg Charges at DRG | $32,588 | ||||
| Avg Charges with ICD I301 - Infective pericarditis | $39,199 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD I301 - Infective pericarditis | NA | ||||
| SNF Discharge Rate at DRG | 12.49 | ||||
| SNF Discharge Rate with ICD I301 - Infective pericarditis | 4.6 | ||||
| Home Discharge Rate at DRG | 54.54 | ||||
| Home Discharge Rate with ICD I301 - Infective pericarditis | 77.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD I301 - Infective pericarditis | 114 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD I301 - Infective pericarditis in DRG | 4.12 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD I301 - Infective pericarditis | 17.48 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD I301 - Infective pericarditis | 48.94 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD I301 - Infective pericarditis | 22.34 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD I301 - Infective pericarditis | $5,227,171 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD I301 - Infective pericarditis | $2,623 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD I301 - Infective pericarditis | $45,852 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD I301 - Infective pericarditis | $32,157,145 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD I301 - Infective pericarditis | $282,080 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD I301 - Infective pericarditis | 12.28 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD I301 - Infective pericarditis | 25.44 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD I301 - Infective pericarditis | 9.65 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I301 - Infective pericarditis | 34 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I301 - Infective pericarditis in DRG | 1.23 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I301 - Infective pericarditis | 6.85 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I301 - Infective pericarditis | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I301 - Infective pericarditis | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I301 - Infective pericarditis | $432,108 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I301 - Infective pericarditis | $1,855 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I301 - Infective pericarditis | $12,709 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I301 - Infective pericarditis | $2,569,437 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I301 - Infective pericarditis | $75,572 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I301 - Infective pericarditis | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I301 - Infective pericarditis | NA | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I301 - Infective pericarditis | 52.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 150,404 | ||||
| Total Hospitalizations with ICD I301 - Infective pericarditis | 21 | ||||
| DRG Share of Total Hospitalizations | 0.46 | ||||
| % of Total ICD I301 - Infective pericarditis in DRG | 0.76 | ||||
| Avg LOS at DRG | 3.31 | ||||
| Avg LOS with ICD I301 - Infective pericarditis | 4.0 | ||||
| Readmission Rate at DRG | 20.72 | ||||
| Readmission Rate with ICD I301 - Infective pericarditis | NA | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD I301 - Infective pericarditis | NA | ||||
| Total Medicare payments at DRG | $938,855,823 | ||||
| Total Medicare payments with ICD I301 - Infective pericarditis | $135,788 | ||||
| Total Medicare payment per Day at DRG | $1,886 | ||||
| Total Medicare payment per Day with ICD I301 - Infective pericarditis | $1,617 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,242 | ||||
| Total Medicare payment per Hospitalization with ICD I301 - Infective pericarditis | $6,466 | ||||
| Total Medicare Charges at DRG | $5,236,903,865 | ||||
| Total Medicare Charges with ICD I301 - Infective pericarditis | $1,255,803 | ||||
| Avg Charges at DRG | $34,819 | ||||
| Avg Charges with ICD I301 - Infective pericarditis | $59,800 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I301 - Infective pericarditis | NA | ||||
| SNF Discharge Rate at DRG | 13.12 | ||||
| SNF Discharge Rate with ICD I301 - Infective pericarditis | NA | ||||
| Home Discharge Rate at DRG | 52.08 | ||||
| Home Discharge Rate with ICD I301 - Infective pericarditis | 61.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 19 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 16 |
| INOVA FAIRFAX HOSPITAL | 3300 GALLOWS RD | FALLS CHURCH | VA | 22042 | 14 |