*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| I5084 - End stage heart failure - as a primary diagnosis code | I5084 - End stage heart failure - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.73 | |
| Readmission Rate (%) | 28.78 | |
| Unplanned Readmission Rate (%) | 11.89 | |
| 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 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD I5084 - End stage heart failure | 95 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I5084 - End stage heart failure in DRG | 30.25 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I5084 - End stage heart failure | 4.97 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I5084 - End stage heart failure | 20.34 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I5084 - End stage heart failure | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I5084 - End stage heart failure | $1,051,418 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I5084 - End stage heart failure | $2,228 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I5084 - End stage heart failure | $11,068 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I5084 - End stage heart failure | $2,900,522 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I5084 - End stage heart failure | $30,532 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I5084 - End stage heart failure | 31.58 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I5084 - End stage heart failure | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I5084 - End stage heart failure | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH 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 | 1,013,774 | ||||
| Total Hospitalizations with ICD I5084 - End stage heart failure | 4,852 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD I5084 - End stage heart failure in DRG | 29.92 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD I5084 - End stage heart failure | 6.8 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD I5084 - End stage heart failure | 25.53 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD I5084 - End stage heart failure | 19.64 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD I5084 - End stage heart failure | $50,639,459 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD I5084 - End stage heart failure | $1,535 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD I5084 - End stage heart failure | $10,437 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD I5084 - End stage heart failure | $256,545,668 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD I5084 - End stage heart failure | $52,874 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD I5084 - End stage heart failure | 13.05 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD I5084 - End stage heart failure | 14.16 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD I5084 - End stage heart failure | 20.03 |
*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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD I5084 - End stage heart failure | 538 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD I5084 - End stage heart failure in DRG | 3.32 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD I5084 - End stage heart failure | 7.46 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD I5084 - End stage heart failure | 23.09 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD I5084 - End stage heart failure | 15.47 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD I5084 - End stage heart failure | $6,512,492 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD I5084 - End stage heart failure | $1,624 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD I5084 - End stage heart failure | $12,105 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD I5084 - End stage heart failure | $35,314,293 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD I5084 - End stage heart failure | $65,640 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD I5084 - End stage heart failure | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD I5084 - End stage heart failure | 17.1 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD I5084 - End stage heart failure | 21.56 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 149,454 | ||||
| Total Hospitalizations with ICD I5084 - End stage heart failure | 213 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD I5084 - End stage heart failure in DRG | 1.31 | ||||
| Avg LOS at DRG | 2.91 | ||||
| Avg LOS with ICD I5084 - End stage heart failure | 3.4 | ||||
| Readmission Rate at DRG | 19.06 | ||||
| Readmission Rate with ICD I5084 - End stage heart failure | 22.02 | ||||
| Unplanned Readmission Rate at DRG | 13.94 | ||||
| Unplanned Readmission Rate with ICD I5084 - End stage heart failure | 16.07 | ||||
| Total Medicare payments at DRG | $634,267,172 | ||||
| Total Medicare payments with ICD I5084 - End stage heart failure | $1,032,516 | ||||
| Total Medicare payment per Day at DRG | $1,460 | ||||
| Total Medicare payment per Day with ICD I5084 - End stage heart failure | $1,426 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,244 | ||||
| Total Medicare payment per Hospitalization with ICD I5084 - End stage heart failure | $4,847 | ||||
| Total Medicare Charges at DRG | $3,009,861,593 | ||||
| Total Medicare Charges with ICD I5084 - End stage heart failure | $4,132,446 | ||||
| Avg Charges at DRG | $20,139 | ||||
| Avg Charges with ICD I5084 - End stage heart failure | $19,401 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD I5084 - End stage heart failure | 10.8 | ||||
| SNF Discharge Rate at DRG | 10.57 | ||||
| SNF Discharge Rate with ICD I5084 - End stage heart failure | 9.39 | ||||
| Home Discharge Rate at DRG | 58.05 | ||||
| Home Discharge Rate with ICD I5084 - End stage heart failure | 33.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD I5084 - End stage heart failure | 154 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD I5084 - End stage heart failure in DRG | 0.95 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD I5084 - End stage heart failure | 7.83 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD I5084 - End stage heart failure | 35.43 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD I5084 - End stage heart failure | 22.83 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD I5084 - End stage heart failure | $2,126,063 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD I5084 - End stage heart failure | $1,763 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD I5084 - End stage heart failure | $13,806 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD I5084 - End stage heart failure | $13,474,740 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD I5084 - End stage heart failure | $87,498 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD I5084 - End stage heart failure | 9.74 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD I5084 - End stage heart failure | 22.08 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD I5084 - End stage heart failure | 30.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEDSTAR WASHINGTON HOSPITAL CENTER | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 410 |
| COOPER UNIVERSITY HEALTH CARE | 1 COOPER PLZ | CAMDEN | NJ | 08103 | 172 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 150 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAMER S. NAJJAR | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 38 |
| Dr. AJAY KADAKKAL | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 29 |
| Dr. FAROOQ HAMEED SHEIKH | 110 IRVING ST NW STE 1E12 | WASHINGTON | DC | 20010 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AJAY KADAKKAL | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 56 |
| Dr. SAMER S. NAJJAR | 110 IRVING ST NW | WASHINGTON | DC | 20010 | 49 |
| Dr. MARIA ESPERANZA RODRIGO | 110 IRVING ST NW # 2A38 | WASHINGTON | DC | 20010 | 49 |