*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations - as a primary diagnosis code | J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.85 | |
| Readmission Rate (%) | 13.58 | |
| Unplanned Readmission Rate (%) | 10.31 | |
| 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 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 22,681 | |
| Total Hospitalizations with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 216 | |
| DRG Share of Total Hospitalizations | 0.07 | |
| % of Total ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations in DRG | 73.22 | |
| Avg LOS at DRG | 3.32 | |
| Avg LOS with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 2.96 | |
| Readmission Rate at DRG | 14.18 | |
| Readmission Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 10.8 | |
| Unplanned Readmission Rate at DRG | 9.63 | |
| Unplanned Readmission Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 7.04 | |
| Total Medicare payments at DRG | $111,849,779 | |
| Total Medicare payments with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $938,826 | |
| Total Medicare payment per Day at DRG | $1,485 | |
| Total Medicare payment per Day with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $1,469 | |
| Total Medicare payment per Hospitalization at DRG | $4,931 | |
| Total Medicare payment per Hospitalization with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $4,346 | |
| Total Medicare Charges at DRG | $627,694,196 | |
| Total Medicare Charges with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $4,537,742 | |
| Avg Charges at DRG | $27,675 | |
| Avg Charges with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $21,008 | |
| Mortality Rate at DRG | 0.09 | |
| Mortality Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | NA | |
| SNF Discharge Rate at DRG | 11.69 | |
| SNF Discharge Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 6.94 | |
| Home Discharge Rate at DRG | 67.65 | |
| Home Discharge Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 75.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 866: VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 865: VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,681 | ||||
| Total Hospitalizations with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 220 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations in DRG | 39.15 | ||||
| Avg LOS at DRG | 3.32 | ||||
| Avg LOS with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 2.97 | ||||
| Readmission Rate at DRG | 14.18 | ||||
| Readmission Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 10.6 | ||||
| Unplanned Readmission Rate at DRG | 9.63 | ||||
| Unplanned Readmission Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 6.91 | ||||
| Total Medicare payments at DRG | $111,849,779 | ||||
| Total Medicare payments with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $958,292 | ||||
| Total Medicare payment per Day at DRG | $1,485 | ||||
| Total Medicare payment per Day with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $1,465 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,931 | ||||
| Total Medicare payment per Hospitalization with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $4,356 | ||||
| Total Medicare Charges at DRG | $627,694,196 | ||||
| Total Medicare Charges with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $4,695,731 | ||||
| Avg Charges at DRG | $27,675 | ||||
| Avg Charges with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $21,344 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | NA | ||||
| SNF Discharge Rate at DRG | 11.69 | ||||
| SNF Discharge Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 7.27 | ||||
| Home Discharge Rate at DRG | 67.65 | ||||
| Home Discharge Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 74.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 153: OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | |||
| Total Hospitalizations with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 20 | |||
| DRG Share of Total Hospitalizations | 1.32 | |||
| % of Total ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations in DRG | 3.56 | |||
| Avg LOS at DRG | 3.94 | |||
| Avg LOS with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 3.3 | |||
| Readmission Rate at DRG | 22.76 | |||
| Readmission Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | NA | |||
| Unplanned Readmission Rate at DRG | 16.46 | |||
| Unplanned Readmission Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | NA | |||
| Total Medicare payments at DRG | $2,472,138,198 | |||
| Total Medicare payments with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $107,208 | |||
| Total Medicare payment per Day at DRG | $1,444 | |||
| Total Medicare payment per Day with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $1,624 | |||
| Total Medicare payment per Hospitalization at DRG | $5,693 | |||
| Total Medicare payment per Hospitalization with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $5,360 | |||
| Total Medicare Charges at DRG | $12,478,361,060 | |||
| Total Medicare Charges with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $476,145 | |||
| Avg Charges at DRG | $28,735 | |||
| Avg Charges with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | $23,807 | |||
| Mortality Rate at DRG | 0.91 | |||
| Mortality Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | NA | |||
| SNF Discharge Rate at DRG | 22.02 | |||
| SNF Discharge Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | NA | |||
| Home Discharge Rate at DRG | 46.68 | |||
| Home Discharge Rate with ICD J112 - Influenza due to unidentified influenza virus with gastrointestinal manifestations | 60.0 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E860 | Dehydration |
| 2 | I10 | Essential (primary) hypertension |