*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J211 - Acute bronchiolitis due to human metapneumovirus - as a primary diagnosis code | J211 - Acute bronchiolitis due to human metapneumovirus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.32 | |
| Readmission Rate (%) | 16.0 | |
| Unplanned Readmission Rate (%) | 9.89 | |
| 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 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 120,026 | |
| Total Hospitalizations with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 154 | |
| DRG Share of Total Hospitalizations | 0.37 | |
| % of Total ICD J211 - Acute bronchiolitis due to human metapneumovirus in DRG | 82.35 | |
| Avg LOS at DRG | 3.68 | |
| Avg LOS with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 4.48 | |
| Readmission Rate at DRG | 16.52 | |
| Readmission Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 12.0 | |
| Unplanned Readmission Rate at DRG | 13.07 | |
| Unplanned Readmission Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 10.0 | |
| Total Medicare payments at DRG | $659,875,657 | |
| Total Medicare payments with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $930,192 | |
| Total Medicare payment per Day at DRG | $1,493 | |
| Total Medicare payment per Day with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $1,348 | |
| Total Medicare payment per Hospitalization at DRG | $5,498 | |
| Total Medicare payment per Hospitalization with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $6,040 | |
| Total Medicare Charges at DRG | $3,598,009,636 | |
| Total Medicare Charges with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $6,035,861 | |
| Avg Charges at DRG | $29,977 | |
| Avg Charges with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $39,194 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA | |
| SNF Discharge Rate at DRG | 10.98 | |
| SNF Discharge Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 16.23 | |
| Home Discharge Rate at DRG | 64.98 | |
| Home Discharge Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 54.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 175 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J211 - Acute bronchiolitis due to human metapneumovirus in DRG | 23.09 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 4.42 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 11.18 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 9.41 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $1,049,135 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $1,357 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $5,995 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $6,677,709 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $38,158 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 14.86 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 54.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 39 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J211 - Acute bronchiolitis due to human metapneumovirus in DRG | 5.15 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 5.85 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $348,705 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $1,529 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $8,941 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $1,982,605 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $50,836 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 46.15 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 231,410 |
| Total Hospitalizations with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 11 |
| DRG Share of Total Hospitalizations | 0.7 |
| % of Total ICD J211 - Acute bronchiolitis due to human metapneumovirus in DRG | 1.45 |
| Avg LOS at DRG | 7.29 |
| Avg LOS with ICD J211 - Acute bronchiolitis due to human metapneumovirus | 11.64 |
| Readmission Rate at DRG | 25.54 |
| Readmission Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA |
| Unplanned Readmission Rate at DRG | 18.36 |
| Unplanned Readmission Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA |
| Total Medicare payments at DRG | $2,801,759,007 |
| Total Medicare payments with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $140,895 |
| Total Medicare payment per Day at DRG | $1,661 |
| Total Medicare payment per Day with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $1,101 |
| Total Medicare payment per Hospitalization at DRG | $12,107 |
| Total Medicare payment per Hospitalization with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $12,809 |
| Total Medicare Charges at DRG | $13,366,030,360 |
| Total Medicare Charges with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $1,013,862 |
| Avg Charges at DRG | $57,759 |
| Avg Charges with ICD J211 - Acute bronchiolitis due to human metapneumovirus | $92,169 |
| Mortality Rate at DRG | 7.21 |
| Mortality Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA |
| SNF Discharge Rate at DRG | 32.47 |
| SNF Discharge Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA |
| Home Discharge Rate at DRG | 20.84 |
| Home Discharge Rate with ICD J211 - Acute bronchiolitis due to human metapneumovirus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 16 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E785 | Hyperlipidemia, unspecified |
| 2 | I10 | Essential (primary) hypertension |