*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
J80 - Acute respiratory distress syndrome - as a primary diagnosis code | J80 - Acute respiratory distress syndrome - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 10.21 | |
Readmission Rate (%) | 31.68 | |
Unplanned Readmission Rate (%) | 14.13 | |
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 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 33,661 | ||||
Total Hospitalizations with ICD J80 - Acute respiratory distress syndrome | 1,354 | ||||
DRG Share of Total Hospitalizations | 0.1 | ||||
% of Total ICD J80 - Acute respiratory distress syndrome in DRG | 53.37 | ||||
Avg LOS at DRG | 2.64 | ||||
Avg LOS with ICD J80 - Acute respiratory distress syndrome | 4.85 | ||||
Readmission Rate at DRG | 19.21 | ||||
Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 23.31 | ||||
Unplanned Readmission Rate at DRG | 13.52 | ||||
Unplanned Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 15.58 | ||||
Total Medicare payments at DRG | $155,156,045 | ||||
Total Medicare payments with ICD J80 - Acute respiratory distress syndrome | $9,056,459 | ||||
Total Medicare payment per Day at DRG | $1,743 | ||||
Total Medicare payment per Day with ICD J80 - Acute respiratory distress syndrome | $1,378 | ||||
Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
Total Medicare payment per Hospitalization with ICD J80 - Acute respiratory distress syndrome | $6,689 | ||||
Total Medicare Charges at DRG | $846,379,800 | ||||
Total Medicare Charges with ICD J80 - Acute respiratory distress syndrome | $38,823,118 | ||||
Avg Charges at DRG | $25,144 | ||||
Avg Charges with ICD J80 - Acute respiratory distress syndrome | $28,673 | ||||
Mortality Rate at DRG | 1.53 | ||||
Mortality Rate with ICD J80 - Acute respiratory distress syndrome | 11.82 | ||||
SNF Discharge Rate at DRG | 8.91 | ||||
SNF Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 13.44 | ||||
Home Discharge Rate at DRG | 63.79 | ||||
Home Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 35.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|
Total Hospitalizations at DRG | 48,449 | |||
Total Hospitalizations with ICD J80 - Acute respiratory distress syndrome | 87 | |||
DRG Share of Total Hospitalizations | 0.15 | |||
% of Total ICD J80 - Acute respiratory distress syndrome in DRG | 3.43 | |||
Avg LOS at DRG | 29.97 | |||
Avg LOS with ICD J80 - Acute respiratory distress syndrome | 25.15 | |||
Readmission Rate at DRG | 76.3 | |||
Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 60.42 | |||
Unplanned Readmission Rate at DRG | 6.46 | |||
Unplanned Readmission Rate with ICD J80 - Acute respiratory distress syndrome | NA | |||
Total Medicare payments at DRG | $6,190,071,785 | |||
Total Medicare payments with ICD J80 - Acute respiratory distress syndrome | $12,363,014 | |||
Total Medicare payment per Day at DRG | $4,263 | |||
Total Medicare payment per Day with ICD J80 - Acute respiratory distress syndrome | $5,650 | |||
Total Medicare payment per Hospitalization at DRG | $127,765 | |||
Total Medicare payment per Hospitalization with ICD J80 - Acute respiratory distress syndrome | $142,104 | |||
Total Medicare Charges at DRG | $28,754,600,069 | |||
Total Medicare Charges with ICD J80 - Acute respiratory distress syndrome | $51,827,316 | |||
Avg Charges at DRG | $593,502 | |||
Avg Charges with ICD J80 - Acute respiratory distress syndrome | $595,716 | |||
Mortality Rate at DRG | 20.61 | |||
Mortality Rate with ICD J80 - Acute respiratory distress syndrome | 32.18 | |||
SNF Discharge Rate at DRG | 12.46 | |||
SNF Discharge Rate with ICD J80 - Acute respiratory distress syndrome | NA | |||
Home Discharge Rate at DRG | 2.36 | |||
Home Discharge Rate with ICD J80 - Acute respiratory distress syndrome | NA |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
LIFECARE HOSPITALS OF NORTH CAROLINA | 1051 NOELL LN | ROCKY MOUNT | NC | 27804 | 17 |
ENCOMPASS HEALTH LAKESHORE REHABILITATION HOSPITAL | 3800 RIDGEWAY DR | BIRMINGHAM | AL | 35209 | 16 |
CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 13 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD J80 - Acute respiratory distress syndrome | 7,224 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD J80 - Acute respiratory distress syndrome in DRG | 13.8 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD J80 - Acute respiratory distress syndrome | 6.76 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 26.4 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 15.54 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD J80 - Acute respiratory distress syndrome | $92,370,029 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD J80 - Acute respiratory distress syndrome | $1,890 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD J80 - Acute respiratory distress syndrome | $12,787 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD J80 - Acute respiratory distress syndrome | $555,795,910 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD J80 - Acute respiratory distress syndrome | $76,937 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD J80 - Acute respiratory distress syndrome | 36.34 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 17.79 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 14.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 286,456 | ||||
Total Hospitalizations with ICD J80 - Acute respiratory distress syndrome | 1,957 | ||||
DRG Share of Total Hospitalizations | 0.87 | ||||
% of Total ICD J80 - Acute respiratory distress syndrome in DRG | 3.74 | ||||
Avg LOS at DRG | 3.75 | ||||
Avg LOS with ICD J80 - Acute respiratory distress syndrome | 3.77 | ||||
Readmission Rate at DRG | 22.9 | ||||
Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 22.3 | ||||
Unplanned Readmission Rate at DRG | 18.29 | ||||
Unplanned Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 17.06 | ||||
Total Medicare payments at DRG | $1,641,467,496 | ||||
Total Medicare payments with ICD J80 - Acute respiratory distress syndrome | $11,253,751 | ||||
Total Medicare payment per Day at DRG | $1,526 | ||||
Total Medicare payment per Day with ICD J80 - Acute respiratory distress syndrome | $1,526 | ||||
Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
Total Medicare payment per Hospitalization with ICD J80 - Acute respiratory distress syndrome | $5,751 | ||||
Total Medicare Charges at DRG | $8,050,963,680 | ||||
Total Medicare Charges with ICD J80 - Acute respiratory distress syndrome | $58,372,664 | ||||
Avg Charges at DRG | $28,105 | ||||
Avg Charges with ICD J80 - Acute respiratory distress syndrome | $29,828 | ||||
Mortality Rate at DRG | 0.24 | ||||
Mortality Rate with ICD J80 - Acute respiratory distress syndrome | 0.77 | ||||
SNF Discharge Rate at DRG | 10.84 | ||||
SNF Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 9.2 | ||||
Home Discharge Rate at DRG | 59.73 | ||||
Home Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 63.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 33,661 | ||||
Total Hospitalizations with ICD J80 - Acute respiratory distress syndrome | 1,377 | ||||
DRG Share of Total Hospitalizations | 0.1 | ||||
% of Total ICD J80 - Acute respiratory distress syndrome in DRG | 2.63 | ||||
Avg LOS at DRG | 2.64 | ||||
Avg LOS with ICD J80 - Acute respiratory distress syndrome | 4.87 | ||||
Readmission Rate at DRG | 19.21 | ||||
Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 23.47 | ||||
Unplanned Readmission Rate at DRG | 13.52 | ||||
Unplanned Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 15.68 | ||||
Total Medicare payments at DRG | $155,156,045 | ||||
Total Medicare payments with ICD J80 - Acute respiratory distress syndrome | $9,287,758 | ||||
Total Medicare payment per Day at DRG | $1,743 | ||||
Total Medicare payment per Day with ICD J80 - Acute respiratory distress syndrome | $1,385 | ||||
Total Medicare payment per Hospitalization at DRG | $4,609 | ||||
Total Medicare payment per Hospitalization with ICD J80 - Acute respiratory distress syndrome | $6,745 | ||||
Total Medicare Charges at DRG | $846,379,800 | ||||
Total Medicare Charges with ICD J80 - Acute respiratory distress syndrome | $39,781,801 | ||||
Avg Charges at DRG | $25,144 | ||||
Avg Charges with ICD J80 - Acute respiratory distress syndrome | $28,890 | ||||
Mortality Rate at DRG | 1.53 | ||||
Mortality Rate with ICD J80 - Acute respiratory distress syndrome | 11.62 | ||||
SNF Discharge Rate at DRG | 8.91 | ||||
SNF Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 13.58 | ||||
Home Discharge Rate at DRG | 63.79 | ||||
Home Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 35.44 |
*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 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 120,026 | ||||
Total Hospitalizations with ICD J80 - Acute respiratory distress syndrome | 712 | ||||
DRG Share of Total Hospitalizations | 0.37 | ||||
% of Total ICD J80 - Acute respiratory distress syndrome in DRG | 1.36 | ||||
Avg LOS at DRG | 3.68 | ||||
Avg LOS with ICD J80 - Acute respiratory distress syndrome | 4.0 | ||||
Readmission Rate at DRG | 16.52 | ||||
Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 17.59 | ||||
Unplanned Readmission Rate at DRG | 13.07 | ||||
Unplanned Readmission Rate with ICD J80 - Acute respiratory distress syndrome | 13.95 | ||||
Total Medicare payments at DRG | $659,875,657 | ||||
Total Medicare payments with ICD J80 - Acute respiratory distress syndrome | $4,140,305 | ||||
Total Medicare payment per Day at DRG | $1,493 | ||||
Total Medicare payment per Day with ICD J80 - Acute respiratory distress syndrome | $1,454 | ||||
Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
Total Medicare payment per Hospitalization with ICD J80 - Acute respiratory distress syndrome | $5,815 | ||||
Total Medicare Charges at DRG | $3,598,009,636 | ||||
Total Medicare Charges with ICD J80 - Acute respiratory distress syndrome | $24,279,987 | ||||
Avg Charges at DRG | $29,977 | ||||
Avg Charges with ICD J80 - Acute respiratory distress syndrome | $34,101 | ||||
Mortality Rate at DRG | 0.22 | ||||
Mortality Rate with ICD J80 - Acute respiratory distress syndrome | NA | ||||
SNF Discharge Rate at DRG | 10.98 | ||||
SNF Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 10.11 | ||||
Home Discharge Rate at DRG | 64.98 | ||||
Home Discharge Rate with ICD J80 - Acute respiratory distress syndrome | 66.01 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
TEMPLE UNIVERSITY HOSPITAL | 3401 N BROAD ST | PHILADELPHIA | PA | 19140 | 187 |
MEMORIAL HOSPITAL AT GULFPORT | 4500 13TH ST | GULFPORT | MS | 39501 | 169 |
YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 152 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. PRIYANK DESAI | 901 N WINSTEAD AVE | ROCKY MOUNT | NC | 27804 | 21 |
Dr. ABIY KELIL | 800 GARFIELD AVE | PARKERSBURG | WV | 26101 | 19 |
Dr. RAFIQUL ALAM | 200 MEDICAL CENTER DR | HAZARD | KY | 41701 | 17 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MICHAEL A ROSEMORE | 3004 ALLISON BONNETT MEMORIAL DR | HUEYTOWN | AL | 35023 | 68 |
Dr. HUNG M NGUYEN | 11480 BROOKSHIRE AVE | DOWNEY | CA | 90241 | 64 |
Dr. MARK ANTHONY HERRERA OPERARIO | 412 MAIN STREET | COLUMBIA | LA | 71418 | 63 |