*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89219 - Pressure ulcer of right hip, unspecified stage - as a primary diagnosis code | L89219 - Pressure ulcer of right hip, unspecified stage - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.1 | |
| Readmission Rate (%) | 30.59 | |
| Unplanned Readmission Rate (%) | 10.9 | |
| 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 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 38 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89219 - Pressure ulcer of right hip, unspecified stage in DRG | 23.17 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 6.39 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | NA | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | NA | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $256,056 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $1,054 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $6,738 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $1,182,837 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $31,127 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 34.21 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 970 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89219 - Pressure ulcer of right hip, unspecified stage in DRG | 17.71 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 7.17 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 29.45 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 21.1 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $11,901,160 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $1,712 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $12,269 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $62,047,045 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $63,966 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 18.87 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 30.0 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 7.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 113 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L89219 - Pressure ulcer of right hip, unspecified stage in DRG | 2.06 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 6.42 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 22.12 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 13.46 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $886,003 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $1,220 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $7,841 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $4,371,680 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $38,687 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 34.51 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 18.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 87 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89219 - Pressure ulcer of right hip, unspecified stage in DRG | 1.59 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 7.53 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 28.75 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 16.25 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $609,086 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $930 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $7,001 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $3,713,552 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $42,685 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 28.74 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 18.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,679 | ||||
| Total Hospitalizations with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 74 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L89219 - Pressure ulcer of right hip, unspecified stage in DRG | 1.35 | ||||
| Avg LOS at DRG | 16.44 | ||||
| Avg LOS with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 15.04 | ||||
| Readmission Rate at DRG | 31.81 | ||||
| Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 27.69 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 16.92 | ||||
| Total Medicare payments at DRG | $375,327,933 | ||||
| Total Medicare payments with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $1,429,600 | ||||
| Total Medicare payment per Day at DRG | $1,222 | ||||
| Total Medicare payment per Day with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $1,284 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,094 | ||||
| Total Medicare payment per Hospitalization with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $19,319 | ||||
| Total Medicare Charges at DRG | $1,758,411,565 | ||||
| Total Medicare Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $6,591,006 | ||||
| Avg Charges at DRG | $94,138 | ||||
| Avg Charges with ICD L89219 - Pressure ulcer of right hip, unspecified stage | $89,068 | ||||
| Mortality Rate at DRG | 3.82 | ||||
| Mortality Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 36.02 | ||||
| SNF Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | 29.73 | ||||
| Home Discharge Rate at DRG | 13.69 | ||||
| Home Discharge Rate with ICD L89219 - Pressure ulcer of right hip, unspecified stage | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 16 |
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 16 |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | 620 SKYLINE DR | JACKSON | TN | 38301 | 15 |