*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K588 - Other irritable bowel syndrome - as a primary diagnosis code | K588 - Other irritable bowel syndrome - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.81 | |
| Readmission Rate (%) | 19.92 | |
| Unplanned Readmission Rate (%) | 18.84 | |
| 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 522,791 | |
| Total Hospitalizations with ICD K588 - Other irritable bowel syndrome | 59 | |
| DRG Share of Total Hospitalizations | 1.59 | |
| % of Total ICD K588 - Other irritable bowel syndrome in DRG | 79.73 | |
| Avg LOS at DRG | 3.14 | |
| Avg LOS with ICD K588 - Other irritable bowel syndrome | 2.68 | |
| Readmission Rate at DRG | 17.1 | |
| Readmission Rate with ICD K588 - Other irritable bowel syndrome | 21.05 | |
| Unplanned Readmission Rate at DRG | 12.62 | |
| Unplanned Readmission Rate with ICD K588 - Other irritable bowel syndrome | NA | |
| Total Medicare payments at DRG | $2,290,151,156 | |
| Total Medicare payments with ICD K588 - Other irritable bowel syndrome | $260,756 | |
| Total Medicare payment per Day at DRG | $1,394 | |
| Total Medicare payment per Day with ICD K588 - Other irritable bowel syndrome | $1,650 | |
| Total Medicare payment per Hospitalization at DRG | $4,381 | |
| Total Medicare payment per Hospitalization with ICD K588 - Other irritable bowel syndrome | $4,420 | |
| Total Medicare Charges at DRG | $13,619,287,561 | |
| Total Medicare Charges with ICD K588 - Other irritable bowel syndrome | $1,559,247 | |
| Avg Charges at DRG | $26,051 | |
| Avg Charges with ICD K588 - Other irritable bowel syndrome | $26,428 | |
| Mortality Rate at DRG | 0.18 | |
| Mortality Rate with ICD K588 - Other irritable bowel syndrome | NA | |
| SNF Discharge Rate at DRG | 8.57 | |
| SNF Discharge Rate with ICD K588 - Other irritable bowel syndrome | NA | |
| Home Discharge Rate at DRG | 72.49 | |
| Home Discharge Rate with ICD K588 - Other irritable bowel syndrome | 79.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD K588 - Other irritable bowel syndrome | 133 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD K588 - Other irritable bowel syndrome in DRG | 12.05 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD K588 - Other irritable bowel syndrome | 3.02 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD K588 - Other irritable bowel syndrome | 17.05 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD K588 - Other irritable bowel syndrome | 13.18 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD K588 - Other irritable bowel syndrome | $613,940 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD K588 - Other irritable bowel syndrome | $1,527 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD K588 - Other irritable bowel syndrome | $4,616 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD K588 - Other irritable bowel syndrome | $3,471,593 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD K588 - Other irritable bowel syndrome | $26,102 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD K588 - Other irritable bowel syndrome | 82.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD K588 - Other irritable bowel syndrome | 21 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD K588 - Other irritable bowel syndrome in DRG | 1.9 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD K588 - Other irritable bowel syndrome | 11.86 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD K588 - Other irritable bowel syndrome | $365,165 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD K588 - Other irritable bowel syndrome | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD K588 - Other irritable bowel syndrome | $17,389 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD K588 - Other irritable bowel syndrome | $761,818 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD K588 - Other irritable bowel syndrome | $36,277 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD K588 - Other irritable bowel syndrome | 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD K588 - Other irritable bowel syndrome | 16 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD K588 - Other irritable bowel syndrome in DRG | 1.45 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD K588 - Other irritable bowel syndrome | 8.56 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD K588 - Other irritable bowel syndrome | $210,968 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD K588 - Other irritable bowel syndrome | $1,540 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD K588 - Other irritable bowel syndrome | $13,186 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD K588 - Other irritable bowel syndrome | $924,850 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD K588 - Other irritable bowel syndrome | $57,803 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD K588 - Other irritable bowel syndrome | NA | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD K588 - Other irritable bowel syndrome | 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | |||
| Total Hospitalizations with ICD K588 - Other irritable bowel syndrome | 14 | |||
| DRG Share of Total Hospitalizations | 1.44 | |||
| % of Total ICD K588 - Other irritable bowel syndrome in DRG | 1.27 | |||
| Avg LOS at DRG | 3.53 | |||
| Avg LOS with ICD K588 - Other irritable bowel syndrome | 5.21 | |||
| Readmission Rate at DRG | 18.03 | |||
| Readmission Rate with ICD K588 - Other irritable bowel syndrome | NA | |||
| Unplanned Readmission Rate at DRG | 12.55 | |||
| Unplanned Readmission Rate with ICD K588 - Other irritable bowel syndrome | NA | |||
| Total Medicare payments at DRG | $2,312,733,090 | |||
| Total Medicare payments with ICD K588 - Other irritable bowel syndrome | $89,516 | |||
| Total Medicare payment per Day at DRG | $1,380 | |||
| Total Medicare payment per Day with ICD K588 - Other irritable bowel syndrome | $1,226 | |||
| Total Medicare payment per Hospitalization at DRG | $4,876 | |||
| Total Medicare payment per Hospitalization with ICD K588 - Other irritable bowel syndrome | $6,394 | |||
| Total Medicare Charges at DRG | $11,559,952,314 | |||
| Total Medicare Charges with ICD K588 - Other irritable bowel syndrome | $394,682 | |||
| Avg Charges at DRG | $24,372 | |||
| Avg Charges with ICD K588 - Other irritable bowel syndrome | $28,192 | |||
| Mortality Rate at DRG | 0.22 | |||
| Mortality Rate with ICD K588 - Other irritable bowel syndrome | NA | |||
| SNF Discharge Rate at DRG | 25.96 | |||
| SNF Discharge Rate with ICD K588 - Other irritable bowel syndrome | NA | |||
| Home Discharge Rate at DRG | 43.58 | |||
| Home Discharge Rate with ICD K588 - Other irritable bowel syndrome | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. JOHN'S RIVERSIDE HOSPITAL | 967 N BROADWAY | YONKERS | NY | 10701 | 23 |
| HEALTHSOUTH NITTANY VALLEY REHABILITATION HOSPITAL | 550 W COLLEGE AVE | PLEASANT GAP | PA | 16823 | 18 |
| MIDHUDSON REGIONAL HOSPITAL | 241 NORTH RD | POUGHKEEPSIE | NY | 12601 | 13 |