*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J210 - Acute bronchiolitis due to respiratory syncytial virus - as a primary diagnosis code | J210 - Acute bronchiolitis due to respiratory syncytial virus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.72 | |
| Readmission Rate (%) | 19.48 | |
| Unplanned Readmission Rate (%) | 11.86 | |
| 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 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | |||
| Total Hospitalizations with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 1,055 | |||
| DRG Share of Total Hospitalizations | 0.37 | |||
| % of Total ICD J210 - Acute bronchiolitis due to respiratory syncytial virus in DRG | 85.63 | |||
| Avg LOS at DRG | 3.68 | |||
| Avg LOS with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 4.58 | |||
| Readmission Rate at DRG | 16.52 | |||
| Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 16.04 | |||
| Unplanned Readmission Rate at DRG | 13.07 | |||
| Unplanned Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 12.46 | |||
| Total Medicare payments at DRG | $659,875,657 | |||
| Total Medicare payments with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $7,010,573 | |||
| Total Medicare payment per Day at DRG | $1,493 | |||
| Total Medicare payment per Day with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $1,451 | |||
| Total Medicare payment per Hospitalization at DRG | $5,498 | |||
| Total Medicare payment per Hospitalization with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $6,645 | |||
| Total Medicare Charges at DRG | $3,598,009,636 | |||
| Total Medicare Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $39,335,956 | |||
| Avg Charges at DRG | $29,977 | |||
| Avg Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $37,285 | |||
| Mortality Rate at DRG | 0.22 | |||
| Mortality Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | NA | |||
| SNF Discharge Rate at DRG | 10.98 | |||
| SNF Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 17.73 | |||
| Home Discharge Rate at DRG | 64.98 | |||
| Home Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 54.03 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 30 |
| JOHNS HOPKINS MEDICINE - SUBURBAN HOSPITAL | 8600 OLD GEORGETOWN RD | BETHESDA | MD | 20814 | 20 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 1,190 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J210 - Acute bronchiolitis due to respiratory syncytial virus in DRG | 22.31 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 4.65 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 15.61 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 12.35 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $7,796,120 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $1,409 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $6,551 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $44,505,345 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $37,399 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 17.39 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 54.54 |
*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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 283 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J210 - Acute bronchiolitis due to respiratory syncytial virus in DRG | 5.31 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 7.59 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 23.25 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 16.24 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $2,871,155 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $1,337 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $10,145 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $18,429,144 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $65,121 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 30.39 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 28.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 85 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J210 - Acute bronchiolitis due to respiratory syncytial virus in DRG | 1.59 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 8.53 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 18.42 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | NA | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $1,148,718 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $1,584 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $13,514 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $6,330,275 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $74,474 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 29.41 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 22.35 |
*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 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 47 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD J210 - Acute bronchiolitis due to respiratory syncytial virus in DRG | 0.88 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 7.19 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | NA | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | NA | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $512,613 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $1,517 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $10,907 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $3,103,718 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | $66,037 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 38.3 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD J210 - Acute bronchiolitis due to respiratory syncytial virus | 25.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 58 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 55 |
| BAPTIST HEALTH LOUISVILLE | 4000 KRESGE WAY | LOUISVILLE | KY | 40207 | 48 |