*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] - as a primary diagnosis code | J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.57 | |
| Readmission Rate (%) | 21.6 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 49,331 | |
| Total Hospitalizations with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 38 | |
| DRG Share of Total Hospitalizations | 0.15 | |
| % of Total ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] in DRG | 46.34 | |
| Avg LOS at DRG | 5.76 | |
| Avg LOS with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 6.08 | |
| Readmission Rate at DRG | 13.39 | |
| Readmission Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | |
| Unplanned Readmission Rate at DRG | 8.11 | |
| Unplanned Readmission Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | |
| Total Medicare payments at DRG | $830,506,314 | |
| Total Medicare payments with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $630,473 | |
| Total Medicare payment per Day at DRG | $2,922 | |
| Total Medicare payment per Day with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $2,729 | |
| Total Medicare payment per Hospitalization at DRG | $16,835 | |
| Total Medicare payment per Hospitalization with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $16,591 | |
| Total Medicare Charges at DRG | $4,394,247,481 | |
| Total Medicare Charges with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $2,680,642 | |
| Avg Charges at DRG | $89,077 | |
| Avg Charges with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $70,543 | |
| Mortality Rate at DRG | 0.32 | |
| Mortality Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | |
| SNF Discharge Rate at DRG | 6.7 | |
| SNF Discharge Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | |
| Home Discharge Rate at DRG | 62.23 | |
| Home Discharge Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 73.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 73 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] in DRG | 8.35 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 7.63 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $1,277,319 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $2,293 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $17,498 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $5,786,744 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $79,270 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 67.12 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 25 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] in DRG | 2.86 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 6.68 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $268,141 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $1,606 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $10,726 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $1,129,582 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $45,183 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 48.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | |||
| Total Hospitalizations with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 14 | |||
| DRG Share of Total Hospitalizations | 0.25 | |||
| % of Total ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] in DRG | 1.6 | |||
| Avg LOS at DRG | 12.91 | |||
| Avg LOS with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | 9.5 | |||
| Readmission Rate at DRG | 32.17 | |||
| Readmission Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | |||
| Unplanned Readmission Rate at DRG | 19.76 | |||
| Unplanned Readmission Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | |||
| Total Medicare payments at DRG | $2,324,349,241 | |||
| Total Medicare payments with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $285,819 | |||
| Total Medicare payment per Day at DRG | $2,187 | |||
| Total Medicare payment per Day with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $2,149 | |||
| Total Medicare payment per Hospitalization at DRG | $28,230 | |||
| Total Medicare payment per Hospitalization with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $20,416 | |||
| Total Medicare Charges at DRG | $11,401,334,817 | |||
| Total Medicare Charges with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $1,038,595 | |||
| Avg Charges at DRG | $138,475 | |||
| Avg Charges with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | $74,185 | |||
| Mortality Rate at DRG | 10.6 | |||
| Mortality Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | |||
| SNF Discharge Rate at DRG | 21.62 | |||
| SNF Discharge Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA | |||
| Home Discharge Rate at DRG | 30.12 | |||
| Home Discharge Rate with ICD J430 - Unilateral pulmonary emphysema [MacLeod's syndrome] | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 12 |