*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K431 - Incisional hernia with gangrene - as a primary diagnosis code | K431 - Incisional hernia with gangrene - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.97 | |
| Readmission Rate (%) | 28.08 | |
| Unplanned Readmission Rate (%) | 11.72 | |
| 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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD K431 - Incisional hernia with gangrene | 193 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD K431 - Incisional hernia with gangrene in DRG | 37.19 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD K431 - Incisional hernia with gangrene | 11.7 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD K431 - Incisional hernia with gangrene | 33.92 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD K431 - Incisional hernia with gangrene | 15.2 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD K431 - Incisional hernia with gangrene | $6,256,180 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD K431 - Incisional hernia with gangrene | $2,771 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD K431 - Incisional hernia with gangrene | $32,415 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD K431 - Incisional hernia with gangrene | $29,885,208 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD K431 - Incisional hernia with gangrene | $154,846 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD K431 - Incisional hernia with gangrene | 8.81 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD K431 - Incisional hernia with gangrene | 33.16 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD K431 - Incisional hernia with gangrene | 20.73 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 9,495 | ||
| Total Hospitalizations with ICD K431 - Incisional hernia with gangrene | 29 | ||
| DRG Share of Total Hospitalizations | 0.03 | ||
| % of Total ICD K431 - Incisional hernia with gangrene in DRG | 5.59 | ||
| Avg LOS at DRG | 7.78 | ||
| Avg LOS with ICD K431 - Incisional hernia with gangrene | 8.52 | ||
| Readmission Rate at DRG | 22.66 | ||
| Readmission Rate with ICD K431 - Incisional hernia with gangrene | NA | ||
| Unplanned Readmission Rate at DRG | 13.38 | ||
| Unplanned Readmission Rate with ICD K431 - Incisional hernia with gangrene | NA | ||
| Total Medicare payments at DRG | $188,606,305 | ||
| Total Medicare payments with ICD K431 - Incisional hernia with gangrene | $595,484 | ||
| Total Medicare payment per Day at DRG | $2,554 | ||
| Total Medicare payment per Day with ICD K431 - Incisional hernia with gangrene | $2,411 | ||
| Total Medicare payment per Hospitalization at DRG | $19,864 | ||
| Total Medicare payment per Hospitalization with ICD K431 - Incisional hernia with gangrene | $20,534 | ||
| Total Medicare Charges at DRG | $949,185,148 | ||
| Total Medicare Charges with ICD K431 - Incisional hernia with gangrene | $3,587,720 | ||
| Avg Charges at DRG | $99,967 | ||
| Avg Charges with ICD K431 - Incisional hernia with gangrene | $123,714 | ||
| Mortality Rate at DRG | 4.19 | ||
| Mortality Rate with ICD K431 - Incisional hernia with gangrene | NA | ||
| SNF Discharge Rate at DRG | 18.55 | ||
| SNF Discharge Rate with ICD K431 - Incisional hernia with gangrene | NA | ||
| Home Discharge Rate at DRG | 47.96 | ||
| Home Discharge Rate with ICD K431 - Incisional hernia with gangrene | 37.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD K431 - Incisional hernia with gangrene | 239 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD K431 - Incisional hernia with gangrene in DRG | 29.84 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD K431 - Incisional hernia with gangrene | 12.06 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD K431 - Incisional hernia with gangrene | 37.68 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD K431 - Incisional hernia with gangrene | 16.43 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD K431 - Incisional hernia with gangrene | $7,976,507 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD K431 - Incisional hernia with gangrene | $2,768 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD K431 - Incisional hernia with gangrene | $33,375 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD K431 - Incisional hernia with gangrene | $38,743,494 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD K431 - Incisional hernia with gangrene | $162,107 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD K431 - Incisional hernia with gangrene | 10.46 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD K431 - Incisional hernia with gangrene | 29.71 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD K431 - Incisional hernia with gangrene | 19.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 335: PERITONEAL ADHESIOLYSIS 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 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 22,420 | ||||
| Total Hospitalizations with ICD K431 - Incisional hernia with gangrene | 33 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD K431 - Incisional hernia with gangrene in DRG | 4.12 | ||||
| Avg LOS at DRG | 2.88 | ||||
| Avg LOS with ICD K431 - Incisional hernia with gangrene | 2.76 | ||||
| Readmission Rate at DRG | 8.15 | ||||
| Readmission Rate with ICD K431 - Incisional hernia with gangrene | NA | ||||
| Unplanned Readmission Rate at DRG | 5.81 | ||||
| Unplanned Readmission Rate with ICD K431 - Incisional hernia with gangrene | NA | ||||
| Total Medicare payments at DRG | $160,195,461 | ||||
| Total Medicare payments with ICD K431 - Incisional hernia with gangrene | $249,218 | ||||
| Total Medicare payment per Day at DRG | $2,479 | ||||
| Total Medicare payment per Day with ICD K431 - Incisional hernia with gangrene | $2,739 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,145 | ||||
| Total Medicare payment per Hospitalization with ICD K431 - Incisional hernia with gangrene | $7,552 | ||||
| Total Medicare Charges at DRG | $1,024,210,860 | ||||
| Total Medicare Charges with ICD K431 - Incisional hernia with gangrene | $1,674,861 | ||||
| Avg Charges at DRG | $45,683 | ||||
| Avg Charges with ICD K431 - Incisional hernia with gangrene | $50,753 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K431 - Incisional hernia with gangrene | NA | ||||
| SNF Discharge Rate at DRG | 4.89 | ||||
| SNF Discharge Rate with ICD K431 - Incisional hernia with gangrene | NA | ||||
| Home Discharge Rate at DRG | 81.29 | ||||
| Home Discharge Rate with ICD K431 - Incisional hernia with gangrene | 90.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 907: OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 26,121 |
| Total Hospitalizations with ICD K431 - Incisional hernia with gangrene | 11 |
| DRG Share of Total Hospitalizations | 0.08 |
| % of Total ICD K431 - Incisional hernia with gangrene in DRG | 1.37 |
| Avg LOS at DRG | 10.36 |
| Avg LOS with ICD K431 - Incisional hernia with gangrene | 12.0 |
| Readmission Rate at DRG | 32.93 |
| Readmission Rate with ICD K431 - Incisional hernia with gangrene | NA |
| Unplanned Readmission Rate at DRG | 16.39 |
| Unplanned Readmission Rate with ICD K431 - Incisional hernia with gangrene | NA |
| Total Medicare payments at DRG | $736,047,335 |
| Total Medicare payments with ICD K431 - Incisional hernia with gangrene | $436,560 |
| Total Medicare payment per Day at DRG | $2,719 |
| Total Medicare payment per Day with ICD K431 - Incisional hernia with gangrene | $3,307 |
| Total Medicare payment per Hospitalization at DRG | $28,178 |
| Total Medicare payment per Hospitalization with ICD K431 - Incisional hernia with gangrene | $39,687 |
| Total Medicare Charges at DRG | $3,553,256,627 |
| Total Medicare Charges with ICD K431 - Incisional hernia with gangrene | $1,833,031 |
| Avg Charges at DRG | $136,031 |
| Avg Charges with ICD K431 - Incisional hernia with gangrene | $166,639 |
| Mortality Rate at DRG | 5.78 |
| Mortality Rate with ICD K431 - Incisional hernia with gangrene | NA |
| SNF Discharge Rate at DRG | 22.6 |
| SNF Discharge Rate with ICD K431 - Incisional hernia with gangrene | NA |
| Home Discharge Rate at DRG | 32.22 |
| Home Discharge Rate with ICD K431 - Incisional hernia with gangrene | NA |