*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| J9504 - Tracheo-esophageal fistula following tracheostomy - as a primary diagnosis code | J9504 - Tracheo-esophageal fistula following tracheostomy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 14.48 | |
| Readmission Rate (%) | 39.44 | |
| Unplanned Readmission Rate (%) | 18.99 | |
| 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,500 | ||||
| Total Hospitalizations with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 59 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J9504 - Tracheo-esophageal fistula following tracheostomy in DRG | 19.87 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 4.68 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 42.59 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 27.78 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $391,816 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $1,420 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $6,641 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $2,349,702 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $39,825 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 40.68 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 49,331 |
| Total Hospitalizations with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 24 |
| DRG Share of Total Hospitalizations | 0.15 |
| % of Total ICD J9504 - Tracheo-esophageal fistula following tracheostomy in DRG | 8.08 |
| Avg LOS at DRG | 5.76 |
| Avg LOS with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 14.79 |
| Readmission Rate at DRG | 13.39 |
| Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA |
| Unplanned Readmission Rate at DRG | 8.11 |
| Unplanned Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA |
| Total Medicare payments at DRG | $830,506,314 |
| Total Medicare payments with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $551,814 |
| Total Medicare payment per Day at DRG | $2,922 |
| Total Medicare payment per Day with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $1,554 |
| Total Medicare payment per Hospitalization at DRG | $16,835 |
| Total Medicare payment per Hospitalization with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $22,992 |
| Total Medicare Charges at DRG | $4,394,247,481 |
| Total Medicare Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $3,689,306 |
| Avg Charges at DRG | $89,077 |
| Avg Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $153,721 |
| Mortality Rate at DRG | 0.32 |
| Mortality Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA |
| SNF Discharge Rate at DRG | 6.7 |
| SNF Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA |
| Home Discharge Rate at DRG | 62.23 |
| Home Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 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 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 35,500 | ||||
| Total Hospitalizations with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 76 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD J9504 - Tracheo-esophageal fistula following tracheostomy in DRG | 7.12 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 4.38 | ||||
| Readmission Rate at DRG | 18.12 | ||||
| Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 45.07 | ||||
| Unplanned Readmission Rate at DRG | 12.31 | ||||
| Unplanned Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 28.17 | ||||
| Total Medicare payments at DRG | $186,659,137 | ||||
| Total Medicare payments with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $513,561 | ||||
| Total Medicare payment per Day at DRG | $1,763 | ||||
| Total Medicare payment per Day with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,258 | ||||
| Total Medicare payment per Hospitalization with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $6,757 | ||||
| Total Medicare Charges at DRG | $1,018,696,754 | ||||
| Total Medicare Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $3,043,861 | ||||
| Avg Charges at DRG | $28,696 | ||||
| Avg Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $40,051 | ||||
| Mortality Rate at DRG | 0.69 | ||||
| Mortality Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| SNF Discharge Rate at DRG | 17.76 | ||||
| SNF Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Home Discharge Rate at DRG | 54.9 | ||||
| Home Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 40.79 |
*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 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 44 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J9504 - Tracheo-esophageal fistula following tracheostomy in DRG | 4.12 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 37.23 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 57.69 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $5,350,532 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $3,267 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $121,603 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $23,455,022 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $533,069 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 27.27 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 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 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 011: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 49,331 | ||||
| Total Hospitalizations with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 32 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD J9504 - Tracheo-esophageal fistula following tracheostomy in DRG | 3.0 | ||||
| Avg LOS at DRG | 5.76 | ||||
| Avg LOS with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 14.06 | ||||
| Readmission Rate at DRG | 13.39 | ||||
| Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Unplanned Readmission Rate at DRG | 8.11 | ||||
| Unplanned Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Total Medicare payments at DRG | $830,506,314 | ||||
| Total Medicare payments with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $723,350 | ||||
| Total Medicare payment per Day at DRG | $2,922 | ||||
| Total Medicare payment per Day with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $1,607 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,835 | ||||
| Total Medicare payment per Hospitalization with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $22,605 | ||||
| Total Medicare Charges at DRG | $4,394,247,481 | ||||
| Total Medicare Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $5,136,007 | ||||
| Avg Charges at DRG | $89,077 | ||||
| Avg Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $160,500 | ||||
| Mortality Rate at DRG | 0.32 | ||||
| Mortality Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| SNF Discharge Rate at DRG | 6.7 | ||||
| SNF Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Home Discharge Rate at DRG | 62.23 | ||||
| Home Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 34.38 |
*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 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 26 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD J9504 - Tracheo-esophageal fistula following tracheostomy in DRG | 2.43 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | 21.04 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $496,113 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $907 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $19,081 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $3,290,592 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | $126,561 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD J9504 - Tracheo-esophageal fistula following tracheostomy | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LOYOLA UNIVERSITY MEDICAL CENTER | 2160 S 1ST AVE | MAYWOOD | IL | 60153 | 12 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 11 |
| COOPER UNIVERSITY HEALTH CARE | 1 COOPER PLZ | CAMDEN | NJ | 08103 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z8521 | Personal history of malignant neoplasm of larynx |
| 2 | E039 | Hypothyroidism, unspecified |
| 3 | Z87891 | Personal history of nicotine dependence |
| 4 | K219 | Gastro-esophageal reflux disease without esophagitis |