*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I378 - Other nonrheumatic pulmonary valve disorders - as a primary diagnosis code | I378 - Other nonrheumatic pulmonary valve disorders - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.97 | |
| Readmission Rate (%) | 22.87 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD I378 - Other nonrheumatic pulmonary valve disorders | 61 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD I378 - Other nonrheumatic pulmonary valve disorders in DRG | 10.07 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD I378 - Other nonrheumatic pulmonary valve disorders | 9.43 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | 30.43 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD I378 - Other nonrheumatic pulmonary valve disorders | $778,454 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD I378 - Other nonrheumatic pulmonary valve disorders | $1,354 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD I378 - Other nonrheumatic pulmonary valve disorders | $12,762 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD I378 - Other nonrheumatic pulmonary valve disorders | $5,423,935 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD I378 - Other nonrheumatic pulmonary valve disorders | $88,917 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | 27.87 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 443,386 |
| Total Hospitalizations with ICD I378 - Other nonrheumatic pulmonary valve disorders | 12 |
| DRG Share of Total Hospitalizations | 1.35 |
| % of Total ICD I378 - Other nonrheumatic pulmonary valve disorders in DRG | 1.98 |
| Avg LOS at DRG | 5.27 |
| Avg LOS with ICD I378 - Other nonrheumatic pulmonary valve disorders | 5.92 |
| Readmission Rate at DRG | 21.6 |
| Readmission Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | NA |
| Unplanned Readmission Rate at DRG | 15.91 |
| Unplanned Readmission Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | NA |
| Total Medicare payments at DRG | $3,812,834,208 |
| Total Medicare payments with ICD I378 - Other nonrheumatic pulmonary valve disorders | $131,459 |
| Total Medicare payment per Day at DRG | $1,632 |
| Total Medicare payment per Day with ICD I378 - Other nonrheumatic pulmonary valve disorders | $1,852 |
| Total Medicare payment per Hospitalization at DRG | $8,599 |
| Total Medicare payment per Hospitalization with ICD I378 - Other nonrheumatic pulmonary valve disorders | $10,955 |
| Total Medicare Charges at DRG | $18,110,468,211 |
| Total Medicare Charges with ICD I378 - Other nonrheumatic pulmonary valve disorders | $598,810 |
| Avg Charges at DRG | $40,846 |
| Avg Charges with ICD I378 - Other nonrheumatic pulmonary valve disorders | $49,901 |
| Mortality Rate at DRG | 3.59 |
| Mortality Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | NA |
| SNF Discharge Rate at DRG | 22.57 |
| SNF Discharge Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | NA |
| Home Discharge Rate at DRG | 40.95 |
| Home Discharge Rate with ICD I378 - Other nonrheumatic pulmonary valve disorders | NA |