*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J218 - Acute bronchiolitis due to other specified organisms - as a primary diagnosis code | J218 - Acute bronchiolitis due to other specified organisms - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.23 | |
| Readmission Rate (%) | 21.72 | |
| Unplanned Readmission Rate (%) | 10.93 | |
| 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 J218 - Acute bronchiolitis due to other specified organisms | 212 | |
| DRG Share of Total Hospitalizations | 0.37 | |
| % of Total ICD J218 - Acute bronchiolitis due to other specified organisms in DRG | 84.13 | |
| Avg LOS at DRG | 3.68 | |
| Avg LOS with ICD J218 - Acute bronchiolitis due to other specified organisms | 4.43 | |
| Readmission Rate at DRG | 16.52 | |
| Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 16.27 | |
| Unplanned Readmission Rate at DRG | 13.07 | |
| Unplanned Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 11.48 | |
| Total Medicare payments at DRG | $659,875,657 | |
| Total Medicare payments with ICD J218 - Acute bronchiolitis due to other specified organisms | $1,504,007 | |
| Total Medicare payment per Day at DRG | $1,493 | |
| Total Medicare payment per Day with ICD J218 - Acute bronchiolitis due to other specified organisms | $1,602 | |
| Total Medicare payment per Hospitalization at DRG | $5,498 | |
| Total Medicare payment per Hospitalization with ICD J218 - Acute bronchiolitis due to other specified organisms | $7,094 | |
| Total Medicare Charges at DRG | $3,598,009,636 | |
| Total Medicare Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $8,535,378 | |
| Avg Charges at DRG | $29,977 | |
| Avg Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $40,261 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | |
| SNF Discharge Rate at DRG | 10.98 | |
| SNF Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 7.08 | |
| Home Discharge Rate at DRG | 64.98 | |
| Home Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 68.4 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 J218 - Acute bronchiolitis due to other specified organisms | 272 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD J218 - Acute bronchiolitis due to other specified organisms in DRG | 18.92 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD J218 - Acute bronchiolitis due to other specified organisms | 4.54 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 16.92 | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 12.41 | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD J218 - Acute bronchiolitis due to other specified organisms | $1,890,884 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD J218 - Acute bronchiolitis due to other specified organisms | $1,531 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD J218 - Acute bronchiolitis due to other specified organisms | $6,952 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $11,081,041 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $40,739 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 8.46 | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 67.65 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 203: BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD J218 - Acute bronchiolitis due to other specified organisms | 65 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD J218 - Acute bronchiolitis due to other specified organisms in DRG | 4.52 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD J218 - Acute bronchiolitis due to other specified organisms | 6.48 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 29.03 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 22.58 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD J218 - Acute bronchiolitis due to other specified organisms | $630,193 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD J218 - Acute bronchiolitis due to other specified organisms | $1,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD J218 - Acute bronchiolitis due to other specified organisms | $9,695 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $3,568,982 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $54,907 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 50.77 |
*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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J218 - Acute bronchiolitis due to other specified organisms | 29 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J218 - Acute bronchiolitis due to other specified organisms in DRG | 2.02 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J218 - Acute bronchiolitis due to other specified organisms | 8.07 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J218 - Acute bronchiolitis due to other specified organisms | $406,424 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J218 - Acute bronchiolitis due to other specified organisms | $1,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J218 - Acute bronchiolitis due to other specified organisms | $14,015 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $2,026,862 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $69,892 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,636 | ||||
| Total Hospitalizations with ICD J218 - Acute bronchiolitis due to other specified organisms | 17 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J218 - Acute bronchiolitis due to other specified organisms in DRG | 1.18 | ||||
| Avg LOS at DRG | 5.73 | ||||
| Avg LOS with ICD J218 - Acute bronchiolitis due to other specified organisms | 5.41 | ||||
| Readmission Rate at DRG | 21.72 | ||||
| Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| Unplanned Readmission Rate at DRG | 14.08 | ||||
| Unplanned Readmission Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| Total Medicare payments at DRG | $448,734,039 | ||||
| Total Medicare payments with ICD J218 - Acute bronchiolitis due to other specified organisms | $174,675 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD J218 - Acute bronchiolitis due to other specified organisms | $1,899 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,248 | ||||
| Total Medicare payment per Hospitalization with ICD J218 - Acute bronchiolitis due to other specified organisms | $10,275 | ||||
| Total Medicare Charges at DRG | $2,388,208,589 | ||||
| Total Medicare Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $853,754 | ||||
| Avg Charges at DRG | $65,187 | ||||
| Avg Charges with ICD J218 - Acute bronchiolitis due to other specified organisms | $50,221 | ||||
| Mortality Rate at DRG | 0.77 | ||||
| Mortality Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| SNF Discharge Rate at DRG | 10.73 | ||||
| SNF Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | NA | ||||
| Home Discharge Rate at DRG | 59.85 | ||||
| Home Discharge Rate with ICD J218 - Acute bronchiolitis due to other specified organisms | 94.12 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 19 |
| MORRISTOWN MEDICAL CENTER | 100 MADISON AVE | MORRISTOWN | NJ | 07960 | 18 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 16 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 2 | Z87891 | Personal history of nicotine dependence |