*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J17 - Pneumonia in diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.64 | |
| 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 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD J17 - Pneumonia in diseases classified elsewhere | 122 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD J17 - Pneumonia in diseases classified elsewhere in DRG | 18.37 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD J17 - Pneumonia in diseases classified elsewhere | 8.62 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD J17 - Pneumonia in diseases classified elsewhere | 27.37 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD J17 - Pneumonia in diseases classified elsewhere | 20.0 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD J17 - Pneumonia in diseases classified elsewhere | $1,720,871 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD J17 - Pneumonia in diseases classified elsewhere | $1,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD J17 - Pneumonia in diseases classified elsewhere | $14,106 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD J17 - Pneumonia in diseases classified elsewhere | $10,828,426 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD J17 - Pneumonia in diseases classified elsewhere | $88,758 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD J17 - Pneumonia in diseases classified elsewhere | 18.03 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD J17 - Pneumonia in diseases classified elsewhere | 18.03 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD J17 - Pneumonia in diseases classified elsewhere | 36.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD J17 - Pneumonia in diseases classified elsewhere | 21 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J17 - Pneumonia in diseases classified elsewhere in DRG | 3.16 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J17 - Pneumonia in diseases classified elsewhere | 7.24 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J17 - Pneumonia in diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J17 - Pneumonia in diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J17 - Pneumonia in diseases classified elsewhere | $182,010 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J17 - Pneumonia in diseases classified elsewhere | $1,197 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J17 - Pneumonia in diseases classified elsewhere | $8,667 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J17 - Pneumonia in diseases classified elsewhere | $967,896 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J17 - Pneumonia in diseases classified elsewhere | $46,090 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J17 - Pneumonia in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J17 - Pneumonia in diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J17 - Pneumonia in diseases classified elsewhere | 57.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 99,217 | |
| Total Hospitalizations with ICD J17 - Pneumonia in diseases classified elsewhere | 13 | |
| DRG Share of Total Hospitalizations | 0.3 | |
| % of Total ICD J17 - Pneumonia in diseases classified elsewhere in DRG | 1.96 | |
| Avg LOS at DRG | 14.88 | |
| Avg LOS with ICD J17 - Pneumonia in diseases classified elsewhere | 13.69 | |
| Readmission Rate at DRG | 41.65 | |
| Readmission Rate with ICD J17 - Pneumonia in diseases classified elsewhere | NA | |
| Unplanned Readmission Rate at DRG | 18.54 | |
| Unplanned Readmission Rate with ICD J17 - Pneumonia in diseases classified elsewhere | NA | |
| Total Medicare payments at DRG | $4,073,197,631 | |
| Total Medicare payments with ICD J17 - Pneumonia in diseases classified elsewhere | $495,850 | |
| Total Medicare payment per Day at DRG | $2,758 | |
| Total Medicare payment per Day with ICD J17 - Pneumonia in diseases classified elsewhere | $2,786 | |
| Total Medicare payment per Hospitalization at DRG | $41,053 | |
| Total Medicare payment per Hospitalization with ICD J17 - Pneumonia in diseases classified elsewhere | $38,142 | |
| Total Medicare Charges at DRG | $20,258,140,795 | |
| Total Medicare Charges with ICD J17 - Pneumonia in diseases classified elsewhere | $2,498,726 | |
| Avg Charges at DRG | $204,180 | |
| Avg Charges with ICD J17 - Pneumonia in diseases classified elsewhere | $192,210 | |
| Mortality Rate at DRG | 35.07 | |
| Mortality Rate with ICD J17 - Pneumonia in diseases classified elsewhere | NA | |
| SNF Discharge Rate at DRG | 25.76 | |
| SNF Discharge Rate with ICD J17 - Pneumonia in diseases classified elsewhere | NA | |
| Home Discharge Rate at DRG | 4.34 | |
| Home Discharge Rate with ICD J17 - Pneumonia in diseases classified elsewhere | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 24 |
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 15 |
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 14 |