*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K717 - Toxic liver disease with fibrosis and cirrhosis of liver - as a primary diagnosis code | K717 - Toxic liver disease with fibrosis and cirrhosis of liver - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.21 | |
| Readmission Rate (%) | 30.79 | |
| Unplanned Readmission Rate (%) | 23.67 | |
| 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 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 56,884 | |
| Total Hospitalizations with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 90 | |
| DRG Share of Total Hospitalizations | 0.17 | |
| % of Total ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver in DRG | 45.69 | |
| Avg LOS at DRG | 6.43 | |
| Avg LOS with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 7.3 | |
| Readmission Rate at DRG | 37.66 | |
| Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 26.09 | |
| Unplanned Readmission Rate at DRG | 28.76 | |
| Unplanned Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 18.84 | |
| Total Medicare payments at DRG | $726,233,427 | |
| Total Medicare payments with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $1,208,259 | |
| Total Medicare payment per Day at DRG | $1,987 | |
| Total Medicare payment per Day with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $1,839 | |
| Total Medicare payment per Hospitalization at DRG | $12,767 | |
| Total Medicare payment per Hospitalization with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $13,425 | |
| Total Medicare Charges at DRG | $3,363,541,067 | |
| Total Medicare Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $6,027,394 | |
| Avg Charges at DRG | $59,130 | |
| Avg Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $66,971 | |
| Mortality Rate at DRG | 9.48 | |
| Mortality Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | |
| SNF Discharge Rate at DRG | 18.8 | |
| SNF Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 16.67 | |
| Home Discharge Rate at DRG | 33.97 | |
| Home Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 40.0 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 184 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver in DRG | 15.17 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 4.15 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 39.53 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 30.23 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $1,128,274 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $1,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $6,132 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $5,721,246 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $31,094 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 19.02 | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 47.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE 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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 21 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver in DRG | 1.73 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 9.9 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $297,150 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $14,150 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $1,275,625 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $60,744 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 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 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,515 | ||||
| Total Hospitalizations with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 16 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver in DRG | 1.32 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 5.56 | ||||
| Readmission Rate at DRG | 35.39 | ||||
| Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| Unplanned Readmission Rate at DRG | 28.09 | ||||
| Unplanned Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| Total Medicare payments at DRG | $218,331,747 | ||||
| Total Medicare payments with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $95,592 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $1,074 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,326 | ||||
| Total Medicare payment per Hospitalization with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $5,975 | ||||
| Total Medicare Charges at DRG | $1,184,008,123 | ||||
| Total Medicare Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $560,763 | ||||
| Avg Charges at DRG | $34,304 | ||||
| Avg Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $35,048 | ||||
| Mortality Rate at DRG | 0.79 | ||||
| Mortality Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| SNF Discharge Rate at DRG | 14.95 | ||||
| SNF Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| Home Discharge Rate at DRG | 56.13 | ||||
| Home Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 11 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver in DRG | 0.91 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | 4.09 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $63,077 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $1,402 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $5,734 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $322,269 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | $29,297 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD K717 - Toxic liver disease with fibrosis and cirrhosis of liver | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DOCTORS HOSPITAL AT RENAISSANCE | 5501 S MCCOLL RD | EDINBURG | TX | 78539 | 16 |
| MILTON S. HERSHEY MEDICAL CENTER | 500 UNIVERSITY DR | HERSHEY | PA | 17033 | 15 |
| GLENDALE ADVENTIST MEDICAL CENTER | 1509 WILSON TER | GLENDALE | CA | 91206 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | R188 | Other ascites |
| 2 | K766 | Portal hypertension |