*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K716 - Toxic liver disease with hepatitis, not elsewhere classified - as a primary diagnosis code | K716 - Toxic liver disease with hepatitis, not elsewhere classified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.1 | |
| Readmission Rate (%) | 23.8 | |
| Unplanned Readmission Rate (%) | 15.95 | |
| 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 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||
| Total Hospitalizations with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 176 | ||
| DRG Share of Total Hospitalizations | 0.17 | ||
| % of Total ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified in DRG | 54.15 | ||
| Avg LOS at DRG | 4.07 | ||
| Avg LOS with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 4.15 | ||
| Readmission Rate at DRG | 34.07 | ||
| Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 20.24 | ||
| Unplanned Readmission Rate at DRG | 26.53 | ||
| Unplanned Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 16.07 | ||
| Total Medicare payments at DRG | $353,726,509 | ||
| Total Medicare payments with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $1,123,700 | ||
| Total Medicare payment per Day at DRG | $1,519 | ||
| Total Medicare payment per Day with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $1,539 | ||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||
| Total Medicare payment per Hospitalization with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $6,385 | ||
| Total Medicare Charges at DRG | $1,770,659,000 | ||
| Total Medicare Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $5,637,486 | ||
| Avg Charges at DRG | $30,969 | ||
| Avg Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $32,031 | ||
| Mortality Rate at DRG | 1.12 | ||
| Mortality Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | ||
| SNF Discharge Rate at DRG | 15.97 | ||
| SNF Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 8.52 | ||
| Home Discharge Rate at DRG | 50.7 | ||
| Home Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 68.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 204 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified in DRG | 15.5 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 4.25 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 19.27 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 15.63 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $1,302,515 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $1,504 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $6,385 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $6,769,614 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $33,184 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 9.8 | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | ||||
| Total Hospitalizations with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 48 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified in DRG | 3.65 | ||||
| Avg LOS at DRG | 2.93 | ||||
| Avg LOS with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 4.33 | ||||
| Readmission Rate at DRG | 33.86 | ||||
| Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 27.27 | ||||
| Unplanned Readmission Rate at DRG | 10.34 | ||||
| Unplanned Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $313,351,773 | ||||
| Total Medicare payments with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $224,915 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $1,081 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $4,686 | ||||
| Total Medicare Charges at DRG | $1,750,048,705 | ||||
| Total Medicare Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $1,547,257 | ||||
| Avg Charges at DRG | $24,392 | ||||
| Avg Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $32,235 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 51.88 | ||||
| Home Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 56.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 19 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 5.63 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $106,405 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $994 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $5,600 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $563,647 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $29,666 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | |||
| Total Hospitalizations with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 11 | |||
| DRG Share of Total Hospitalizations | 0.7 | |||
| % of Total ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified in DRG | 0.84 | |||
| Avg LOS at DRG | 7.29 | |||
| Avg LOS with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | 12.91 | |||
| Readmission Rate at DRG | 25.54 | |||
| Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | |||
| Unplanned Readmission Rate at DRG | 18.36 | |||
| Unplanned Readmission Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | |||
| Total Medicare payments at DRG | $2,801,759,007 | |||
| Total Medicare payments with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $234,098 | |||
| Total Medicare payment per Day at DRG | $1,661 | |||
| Total Medicare payment per Day with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $1,649 | |||
| Total Medicare payment per Hospitalization at DRG | $12,107 | |||
| Total Medicare payment per Hospitalization with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $21,282 | |||
| Total Medicare Charges at DRG | $13,366,030,360 | |||
| Total Medicare Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $1,812,451 | |||
| Avg Charges at DRG | $57,759 | |||
| Avg Charges with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | $164,768 | |||
| Mortality Rate at DRG | 7.21 | |||
| Mortality Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | |||
| SNF Discharge Rate at DRG | 32.47 | |||
| SNF Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA | |||
| Home Discharge Rate at DRG | 20.84 | |||
| Home Discharge Rate with ICD K716 - Toxic liver disease with hepatitis, not elsewhere classified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 12 |