*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J940 - Chylous effusion - as a primary diagnosis code | J940 - Chylous effusion - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 13.51 | |
| Readmission Rate (%) | 32.27 | |
| Unplanned Readmission Rate (%) | 21.25 | |
| 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 186: PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,602 | ||||
| Total Hospitalizations with ICD J940 - Chylous effusion | 130 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD J940 - Chylous effusion in DRG | 31.55 | ||||
| Avg LOS at DRG | 5.81 | ||||
| Avg LOS with ICD J940 - Chylous effusion | 9.54 | ||||
| Readmission Rate at DRG | 32.29 | ||||
| Readmission Rate with ICD J940 - Chylous effusion | 44.04 | ||||
| Unplanned Readmission Rate at DRG | 23.93 | ||||
| Unplanned Readmission Rate with ICD J940 - Chylous effusion | 34.86 | ||||
| Total Medicare payments at DRG | $334,298,246 | ||||
| Total Medicare payments with ICD J940 - Chylous effusion | $1,652,054 | ||||
| Total Medicare payment per Day at DRG | $1,713 | ||||
| Total Medicare payment per Day with ICD J940 - Chylous effusion | $1,332 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,949 | ||||
| Total Medicare payment per Hospitalization with ICD J940 - Chylous effusion | $12,708 | ||||
| Total Medicare Charges at DRG | $1,633,515,935 | ||||
| Total Medicare Charges with ICD J940 - Chylous effusion | $9,300,440 | ||||
| Avg Charges at DRG | $48,614 | ||||
| Avg Charges with ICD J940 - Chylous effusion | $71,542 | ||||
| Mortality Rate at DRG | 3.24 | ||||
| Mortality Rate with ICD J940 - Chylous effusion | NA | ||||
| SNF Discharge Rate at DRG | 19.31 | ||||
| SNF Discharge Rate with ICD J940 - Chylous effusion | 21.54 | ||||
| Home Discharge Rate at DRG | 40.36 | ||||
| Home Discharge Rate with ICD J940 - Chylous effusion | 27.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 5,484 | |
| Total Hospitalizations with ICD J940 - Chylous effusion | 18 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD J940 - Chylous effusion in DRG | 4.37 | |
| Avg LOS at DRG | 2.96 | |
| Avg LOS with ICD J940 - Chylous effusion | 4.33 | |
| Readmission Rate at DRG | 24.76 | |
| Readmission Rate with ICD J940 - Chylous effusion | NA | |
| Unplanned Readmission Rate at DRG | 15.47 | |
| Unplanned Readmission Rate with ICD J940 - Chylous effusion | NA | |
| Total Medicare payments at DRG | $26,022,628 | |
| Total Medicare payments with ICD J940 - Chylous effusion | $80,147 | |
| Total Medicare payment per Day at DRG | $1,605 | |
| Total Medicare payment per Day with ICD J940 - Chylous effusion | $1,028 | |
| Total Medicare payment per Hospitalization at DRG | $4,745 | |
| Total Medicare payment per Hospitalization with ICD J940 - Chylous effusion | $4,453 | |
| Total Medicare Charges at DRG | $138,332,375 | |
| Total Medicare Charges with ICD J940 - Chylous effusion | $732,578 | |
| Avg Charges at DRG | $25,225 | |
| Avg Charges with ICD J940 - Chylous effusion | $40,699 | |
| Mortality Rate at DRG | 0.6 | |
| Mortality Rate with ICD J940 - Chylous effusion | NA | |
| SNF Discharge Rate at DRG | 8.44 | |
| SNF Discharge Rate with ICD J940 - Chylous effusion | NA | |
| Home Discharge Rate at DRG | 62.89 | |
| Home Discharge Rate with ICD J940 - Chylous effusion | 61.11 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 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 186: PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 187: PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 33,602 | ||||
| Total Hospitalizations with ICD J940 - Chylous effusion | 133 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD J940 - Chylous effusion in DRG | 9.6 | ||||
| Avg LOS at DRG | 5.81 | ||||
| Avg LOS with ICD J940 - Chylous effusion | 9.83 | ||||
| Readmission Rate at DRG | 32.29 | ||||
| Readmission Rate with ICD J940 - Chylous effusion | 45.54 | ||||
| Unplanned Readmission Rate at DRG | 23.93 | ||||
| Unplanned Readmission Rate with ICD J940 - Chylous effusion | 34.82 | ||||
| Total Medicare payments at DRG | $334,298,246 | ||||
| Total Medicare payments with ICD J940 - Chylous effusion | $1,695,375 | ||||
| Total Medicare payment per Day at DRG | $1,713 | ||||
| Total Medicare payment per Day with ICD J940 - Chylous effusion | $1,297 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,949 | ||||
| Total Medicare payment per Hospitalization with ICD J940 - Chylous effusion | $12,747 | ||||
| Total Medicare Charges at DRG | $1,633,515,935 | ||||
| Total Medicare Charges with ICD J940 - Chylous effusion | $9,806,848 | ||||
| Avg Charges at DRG | $48,614 | ||||
| Avg Charges with ICD J940 - Chylous effusion | $73,736 | ||||
| Mortality Rate at DRG | 3.24 | ||||
| Mortality Rate with ICD J940 - Chylous effusion | NA | ||||
| SNF Discharge Rate at DRG | 19.31 | ||||
| SNF Discharge Rate with ICD J940 - Chylous effusion | 21.8 | ||||
| Home Discharge Rate at DRG | 40.36 | ||||
| Home Discharge Rate with ICD J940 - Chylous effusion | 27.07 |
*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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD J940 - Chylous effusion | 39 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD J940 - Chylous effusion in DRG | 2.81 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD J940 - Chylous effusion | 15.95 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD J940 - Chylous effusion | 37.93 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD J940 - Chylous effusion | NA | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD J940 - Chylous effusion | $1,163,062 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD J940 - Chylous effusion | $1,870 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD J940 - Chylous effusion | $29,822 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD J940 - Chylous effusion | $5,836,472 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD J940 - Chylous effusion | $149,653 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD J940 - Chylous effusion | NA | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD J940 - Chylous effusion | NA | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD J940 - Chylous effusion | 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 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 823: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,646 | ||||
| Total Hospitalizations with ICD J940 - Chylous effusion | 28 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD J940 - Chylous effusion in DRG | 2.02 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD J940 - Chylous effusion | 7.46 | ||||
| Readmission Rate at DRG | 36.28 | ||||
| Readmission Rate with ICD J940 - Chylous effusion | NA | ||||
| Unplanned Readmission Rate at DRG | 22.95 | ||||
| Unplanned Readmission Rate with ICD J940 - Chylous effusion | NA | ||||
| Total Medicare payments at DRG | $299,718,477 | ||||
| Total Medicare payments with ICD J940 - Chylous effusion | $282,558 | ||||
| Total Medicare payment per Day at DRG | $2,062 | ||||
| Total Medicare payment per Day with ICD J940 - Chylous effusion | $1,352 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,687 | ||||
| Total Medicare payment per Hospitalization with ICD J940 - Chylous effusion | $10,091 | ||||
| Total Medicare Charges at DRG | $1,432,739,779 | ||||
| Total Medicare Charges with ICD J940 - Chylous effusion | $1,976,461 | ||||
| Avg Charges at DRG | $55,866 | ||||
| Avg Charges with ICD J940 - Chylous effusion | $70,588 | ||||
| Mortality Rate at DRG | 2.6 | ||||
| Mortality Rate with ICD J940 - Chylous effusion | NA | ||||
| SNF Discharge Rate at DRG | 13.23 | ||||
| SNF Discharge Rate with ICD J940 - Chylous effusion | NA | ||||
| Home Discharge Rate at DRG | 49.84 | ||||
| Home Discharge Rate with ICD J940 - Chylous effusion | 57.14 |
*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 188: PLEURAL EFFUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD J940 - Chylous effusion | 21 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J940 - Chylous effusion in DRG | 1.52 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J940 - Chylous effusion | 12.05 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J940 - Chylous effusion | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J940 - Chylous effusion | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J940 - Chylous effusion | $349,455 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J940 - Chylous effusion | $1,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J940 - Chylous effusion | $16,641 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J940 - Chylous effusion | $2,219,589 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J940 - Chylous effusion | $105,695 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J940 - Chylous effusion | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J940 - Chylous effusion | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J940 - Chylous effusion | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 24 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 21 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 17 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I898 | Other specified noninfective disorders of lymphatic vessels and lymph nodes |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |
| 3 | E785 | Hyperlipidemia, unspecified |