*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I501 - Left ventricular failure - as a primary diagnosis code | I501 - Left ventricular failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.94 | |
| Readmission Rate (%) | 26.96 | |
| Unplanned Readmission Rate (%) | 17.3 | |
| 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 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I501 - Left ventricular failure | 877 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I501 - Left ventricular failure in DRG | 37.79 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I501 - Left ventricular failure | 4.25 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I501 - Left ventricular failure | 28.19 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I501 - Left ventricular failure | 20.88 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I501 - Left ventricular failure | $7,864,422 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I501 - Left ventricular failure | $2,109 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I501 - Left ventricular failure | $8,967 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I501 - Left ventricular failure | $27,994,603 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I501 - Left ventricular failure | $31,921 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I501 - Left ventricular failure | 6.27 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I501 - Left ventricular failure | 13.8 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I501 - Left ventricular failure | 44.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 114,725 | ||
| Total Hospitalizations with ICD I501 - Left ventricular failure | 29 | ||
| DRG Share of Total Hospitalizations | 0.35 | ||
| % of Total ICD I501 - Left ventricular failure in DRG | 1.25 | ||
| Avg LOS at DRG | 6.91 | ||
| Avg LOS with ICD I501 - Left ventricular failure | 7.1 | ||
| Readmission Rate at DRG | 28.23 | ||
| Readmission Rate with ICD I501 - Left ventricular failure | 48.28 | ||
| Unplanned Readmission Rate at DRG | 17.16 | ||
| Unplanned Readmission Rate with ICD I501 - Left ventricular failure | NA | ||
| Total Medicare payments at DRG | $1,698,418,701 | ||
| Total Medicare payments with ICD I501 - Left ventricular failure | $457,653 | ||
| Total Medicare payment per Day at DRG | $2,144 | ||
| Total Medicare payment per Day with ICD I501 - Left ventricular failure | $2,222 | ||
| Total Medicare payment per Hospitalization at DRG | $14,804 | ||
| Total Medicare payment per Hospitalization with ICD I501 - Left ventricular failure | $15,781 | ||
| Total Medicare Charges at DRG | $9,142,710,160 | ||
| Total Medicare Charges with ICD I501 - Left ventricular failure | $2,370,072 | ||
| Avg Charges at DRG | $79,692 | ||
| Avg Charges with ICD I501 - Left ventricular failure | $81,727 | ||
| Mortality Rate at DRG | 3.27 | ||
| Mortality Rate with ICD I501 - Left ventricular failure | NA | ||
| SNF Discharge Rate at DRG | 10.66 | ||
| SNF Discharge Rate with ICD I501 - Left ventricular failure | NA | ||
| Home Discharge Rate at DRG | 53.35 | ||
| Home Discharge Rate with ICD I501 - Left ventricular failure | 65.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HARDTNER MEDICAL CENTER | 1102 NORTH PINE ROAD | OLLA | LA | 71465 | 36 |
| VAN DIEST MEDICAL CENTER | 2350 HOSPITAL DRIVE | WEBSTER CITY | IA | 50595 | 14 |
| HILTON HEAD REGIONAL HEALTHCARE | 25 HOSPITAL CENTER BLVD | HILTON HEAD ISLAND | SC | 29926 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RIAZ MASUD CHAUDHRY | 11809 HWY 84 W | JENA | LA | 71342 | 18 |
| Dr. SUBHASH C SAHAI | 1610 COLLINS ST | WEBSTER CITY | IA | 50595 | 13 |
| Dr. BRIAN M. SMITH | 106 TRI-STATE DRIVE | SAREPTA | LA | 71071 | 11 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | 1,013,774 | ||||
| Total Hospitalizations with ICD I501 - Left ventricular failure | 6,089 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I501 - Left ventricular failure in DRG | 15.95 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I501 - Left ventricular failure | 5.17 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I501 - Left ventricular failure | 27.92 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I501 - Left ventricular failure | 21.32 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I501 - Left ventricular failure | $57,662,606 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I501 - Left ventricular failure | $1,832 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I501 - Left ventricular failure | $9,470 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I501 - Left ventricular failure | $256,727,900 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I501 - Left ventricular failure | $42,163 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I501 - Left ventricular failure | 5.04 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I501 - Left ventricular failure | 17.16 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I501 - Left ventricular failure | 42.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 246: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 149,454 | ||||
| Total Hospitalizations with ICD I501 - Left ventricular failure | 1,144 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD I501 - Left ventricular failure in DRG | 3.0 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD I501 - Left ventricular failure | 2.9 | ||||
| Readmission Rate at DRG | 19.06 | ||||
| Readmission Rate with ICD I501 - Left ventricular failure | 20.23 | ||||
| Unplanned Readmission Rate at DRG | 13.94 | ||||
| Unplanned Readmission Rate with ICD I501 - Left ventricular failure | 13.14 | ||||
| Total Medicare payments at DRG | $634,267,172 | ||||
| Total Medicare payments with ICD I501 - Left ventricular failure | $5,234,914 | ||||
| Total Medicare payment per Day at DRG | $1,460 | ||||
| Total Medicare payment per Day with ICD I501 - Left ventricular failure | $1,578 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,244 | ||||
| Total Medicare payment per Hospitalization with ICD I501 - Left ventricular failure | $4,576 | ||||
| Total Medicare Charges at DRG | $3,009,861,593 | ||||
| Total Medicare Charges with ICD I501 - Left ventricular failure | $19,661,898 | ||||
| Avg Charges at DRG | $20,139 | ||||
| Avg Charges with ICD I501 - Left ventricular failure | $17,187 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD I501 - Left ventricular failure | 1.22 | ||||
| SNF Discharge Rate at DRG | 10.57 | ||||
| SNF Discharge Rate with ICD I501 - Left ventricular failure | 9.0 | ||||
| Home Discharge Rate at DRG | 58.05 | ||||
| Home Discharge Rate with ICD I501 - Left ventricular failure | 60.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD I501 - Left ventricular failure | 576 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD I501 - Left ventricular failure in DRG | 1.51 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD I501 - Left ventricular failure | 5.02 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD I501 - Left ventricular failure | 23.0 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD I501 - Left ventricular failure | 16.18 | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD I501 - Left ventricular failure | $4,616,009 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD I501 - Left ventricular failure | $1,598 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD I501 - Left ventricular failure | $8,014 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD I501 - Left ventricular failure | $24,305,830 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD I501 - Left ventricular failure | $42,198 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD I501 - Left ventricular failure | 5.21 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD I501 - Left ventricular failure | 16.49 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD I501 - Left ventricular failure | 48.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD I501 - Left ventricular failure | 475 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD I501 - Left ventricular failure in DRG | 1.24 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD I501 - Left ventricular failure | 4.57 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD I501 - Left ventricular failure | 22.25 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD I501 - Left ventricular failure | 11.91 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD I501 - Left ventricular failure | $3,475,463 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD I501 - Left ventricular failure | $1,601 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD I501 - Left ventricular failure | $7,317 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD I501 - Left ventricular failure | $12,102,198 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD I501 - Left ventricular failure | $25,478 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD I501 - Left ventricular failure | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD I501 - Left ventricular failure | 16.63 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD I501 - Left ventricular failure | 43.58 |
| 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 | 1,212 |
| UPMC PINNACLE HARRISBURG | 111 S FRONT ST | HARRISBURG | PA | 17101 | 208 |
| UNITED REGIONAL HEALTH CARE SYSTEM | 1600 11TH ST | WICHITA FALLS | TX | 76301 | 184 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN L. GREASON | 200 1ST ST SW | ROCHESTER | MN | 55905 | 137 |
| Dr. MUBASHIR AHMED MUMTAZ | 205 S FRONT STREET | HARRISBURG | PA | 17104 | 132 |
| Dr. JOHN M STULAK | 200 1ST ST SW | ROCHESTER | MN | 55905 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUBASHIR AHMED MUMTAZ | 205 S FRONT STREET | HARRISBURG | PA | 17104 | 130 |
| Dr. KEVIN L. GREASON | 200 1ST ST SW | ROCHESTER | MN | 55905 | 102 |
| Dr. RALPH A STEVENS | 1249 15TH ST | HUNTINGTON | WV | 25701 | 78 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | J9601 | Acute respiratory failure with hypoxia |
| 2 | I10 | Essential (primary) hypertension |
| 3 | E119 | Type 2 diabetes mellitus without complications |
| 4 | D649 | Anemia, unspecified |
| 5 | Z794 | Long term (current) use of insulin |
| 6 | E876 | Hypokalemia |