*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.92 | |
| 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 189 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere in DRG | 8.59 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 7.59 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 31.45 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 20.13 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $1,972,756 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $1,375 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $10,438 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $11,584,559 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $61,294 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 8.47 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 12.7 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 30.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 535,322 | ||||
| Total Hospitalizations with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 71 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere in DRG | 3.23 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 6.25 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 19.4 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 16.42 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $610,426 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $1,375 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $8,598 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $3,316,775 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $46,715 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 46.48 |
*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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 43 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere in DRG | 1.96 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 7.72 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $546,560 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $1,646 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $12,711 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $2,991,230 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $69,563 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 25.58 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 34.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 27 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere in DRG | 1.23 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 17.96 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | NA | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $1,257,200 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $2,592 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $46,563 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $5,499,371 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | $203,680 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 55.56 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | NA | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD J8417 - Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RONALD REAGAN UCLA MEDICAL CENTER | 757 WESTWOOD PLZ | LOS ANGELES | CA | 90095 | 26 |
| MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER | 7503 SURRATTS RD | CLINTON | MD | 20735 | 21 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 17 |