*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K7201 - Acute and subacute hepatic failure with coma - as a primary diagnosis code | K7201 - Acute and subacute hepatic failure with coma - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.04 | |
| Readmission Rate (%) | 38.09 | |
| Unplanned Readmission Rate (%) | 31.63 | |
| 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 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | |||
| Total Hospitalizations with ICD K7201 - Acute and subacute hepatic failure with coma | 1,099 | |||
| DRG Share of Total Hospitalizations | 0.17 | |||
| % of Total ICD K7201 - Acute and subacute hepatic failure with coma in DRG | 92.28 | |||
| Avg LOS at DRG | 6.43 | |||
| Avg LOS with ICD K7201 - Acute and subacute hepatic failure with coma | 5.93 | |||
| Readmission Rate at DRG | 37.66 | |||
| Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 41.7 | |||
| Unplanned Readmission Rate at DRG | 28.76 | |||
| Unplanned Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 31.76 | |||
| Total Medicare payments at DRG | $726,233,427 | |||
| Total Medicare payments with ICD K7201 - Acute and subacute hepatic failure with coma | $14,102,955 | |||
| Total Medicare payment per Day at DRG | $1,987 | |||
| Total Medicare payment per Day with ICD K7201 - Acute and subacute hepatic failure with coma | $2,164 | |||
| Total Medicare payment per Hospitalization at DRG | $12,767 | |||
| Total Medicare payment per Hospitalization with ICD K7201 - Acute and subacute hepatic failure with coma | $12,833 | |||
| Total Medicare Charges at DRG | $3,363,541,067 | |||
| Total Medicare Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $65,126,903 | |||
| Avg Charges at DRG | $59,130 | |||
| Avg Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $59,260 | |||
| Mortality Rate at DRG | 9.48 | |||
| Mortality Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 23.38 | |||
| SNF Discharge Rate at DRG | 18.8 | |||
| SNF Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 15.1 | |||
| Home Discharge Rate at DRG | 33.97 | |||
| Home Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 23.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 18 |
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE | DALLAS | TX | 75246 | 12 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,884 | ||||
| Total Hospitalizations with ICD K7201 - Acute and subacute hepatic failure with coma | 1,181 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K7201 - Acute and subacute hepatic failure with coma in DRG | 18.61 | ||||
| Avg LOS at DRG | 6.43 | ||||
| Avg LOS with ICD K7201 - Acute and subacute hepatic failure with coma | 6.18 | ||||
| Readmission Rate at DRG | 37.66 | ||||
| Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 41.3 | ||||
| Unplanned Readmission Rate at DRG | 28.76 | ||||
| Unplanned Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 31.54 | ||||
| Total Medicare payments at DRG | $726,233,427 | ||||
| Total Medicare payments with ICD K7201 - Acute and subacute hepatic failure with coma | $15,639,479 | ||||
| Total Medicare payment per Day at DRG | $1,987 | ||||
| Total Medicare payment per Day with ICD K7201 - Acute and subacute hepatic failure with coma | $2,144 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,767 | ||||
| Total Medicare payment per Hospitalization with ICD K7201 - Acute and subacute hepatic failure with coma | $13,243 | ||||
| Total Medicare Charges at DRG | $3,363,541,067 | ||||
| Total Medicare Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $75,607,308 | ||||
| Avg Charges at DRG | $59,130 | ||||
| Avg Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $64,020 | ||||
| Mortality Rate at DRG | 9.48 | ||||
| Mortality Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 24.89 | ||||
| SNF Discharge Rate at DRG | 18.8 | ||||
| SNF Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 14.31 | ||||
| Home Discharge Rate at DRG | 33.97 | ||||
| Home Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 22.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 296: CARDIAC ARREST, UNEXPLAINED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS 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 | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD K7201 - Acute and subacute hepatic failure with coma | 243 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD K7201 - Acute and subacute hepatic failure with coma in DRG | 3.83 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD K7201 - Acute and subacute hepatic failure with coma | 11.19 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 27.45 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | NA | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD K7201 - Acute and subacute hepatic failure with coma | $9,058,786 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD K7201 - Acute and subacute hepatic failure with coma | $3,333 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD K7201 - Acute and subacute hepatic failure with coma | $37,279 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $37,991,957 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $156,346 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 76.54 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | NA | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD K7201 - Acute and subacute hepatic failure with coma | 142 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD K7201 - Acute and subacute hepatic failure with coma in DRG | 2.24 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD K7201 - Acute and subacute hepatic failure with coma | 10.38 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 34.48 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 18.97 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD K7201 - Acute and subacute hepatic failure with coma | $5,621,508 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD K7201 - Acute and subacute hepatic failure with coma | $3,814 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD K7201 - Acute and subacute hepatic failure with coma | $39,588 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $26,998,400 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $190,130 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 54.23 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | NA | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 11.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,596 | ||||
| Total Hospitalizations with ICD K7201 - Acute and subacute hepatic failure with coma | 78 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K7201 - Acute and subacute hepatic failure with coma in DRG | 1.23 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD K7201 - Acute and subacute hepatic failure with coma | 8.69 | ||||
| Readmission Rate at DRG | 35.54 | ||||
| Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 27.96 | ||||
| Unplanned Readmission Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 29.17 | ||||
| Total Medicare payments at DRG | $491,148,810 | ||||
| Total Medicare payments with ICD K7201 - Acute and subacute hepatic failure with coma | $1,157,726 | ||||
| Total Medicare payment per Day at DRG | $1,916 | ||||
| Total Medicare payment per Day with ICD K7201 - Acute and subacute hepatic failure with coma | $1,708 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,098 | ||||
| Total Medicare payment per Hospitalization with ICD K7201 - Acute and subacute hepatic failure with coma | $14,843 | ||||
| Total Medicare Charges at DRG | $2,425,808,073 | ||||
| Total Medicare Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $6,876,609 | ||||
| Avg Charges at DRG | $59,755 | ||||
| Avg Charges with ICD K7201 - Acute and subacute hepatic failure with coma | $88,162 | ||||
| Mortality Rate at DRG | 7.58 | ||||
| Mortality Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 33.33 | ||||
| SNF Discharge Rate at DRG | 16.9 | ||||
| SNF Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 14.1 | ||||
| Home Discharge Rate at DRG | 42.12 | ||||
| Home Discharge Rate with ICD K7201 - Acute and subacute hepatic failure with coma | 19.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 39 |
| MEDICAL COLLEGE VIRGINIA HOSPITAL | 1250 E MARSHALL ST | RICHMOND | VA | 23298 | 37 |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN | 710 CENTER ST | COLUMBUS | GA | 31901 | 36 |