*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M320 - Drug-induced systemic lupus erythematosus - as a primary diagnosis code | M320 - Drug-induced systemic lupus erythematosus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.07 | |
| Readmission Rate (%) | 28.63 | |
| Unplanned Readmission Rate (%) | 21.74 | |
| 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 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 11,608 | |
| Total Hospitalizations with ICD M320 - Drug-induced systemic lupus erythematosus | 53 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD M320 - Drug-induced systemic lupus erythematosus in DRG | 52.48 | |
| Avg LOS at DRG | 8.22 | |
| Avg LOS with ICD M320 - Drug-induced systemic lupus erythematosus | 10.49 | |
| Readmission Rate at DRG | 31.98 | |
| Readmission Rate with ICD M320 - Drug-induced systemic lupus erythematosus | 34.78 | |
| Unplanned Readmission Rate at DRG | 20.53 | |
| Unplanned Readmission Rate with ICD M320 - Drug-induced systemic lupus erythematosus | 23.91 | |
| Total Medicare payments at DRG | $206,660,882 | |
| Total Medicare payments with ICD M320 - Drug-induced systemic lupus erythematosus | $886,549 | |
| Total Medicare payment per Day at DRG | $2,166 | |
| Total Medicare payment per Day with ICD M320 - Drug-induced systemic lupus erythematosus | $1,595 | |
| Total Medicare payment per Hospitalization at DRG | $17,803 | |
| Total Medicare payment per Hospitalization with ICD M320 - Drug-induced systemic lupus erythematosus | $16,727 | |
| Total Medicare Charges at DRG | $902,384,310 | |
| Total Medicare Charges with ICD M320 - Drug-induced systemic lupus erythematosus | $3,873,333 | |
| Avg Charges at DRG | $77,738 | |
| Avg Charges with ICD M320 - Drug-induced systemic lupus erythematosus | $73,082 | |
| Mortality Rate at DRG | 5.53 | |
| Mortality Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | |
| SNF Discharge Rate at DRG | 19.03 | |
| SNF Discharge Rate with ICD M320 - Drug-induced systemic lupus erythematosus | 26.42 | |
| Home Discharge Rate at DRG | 38.57 | |
| Home Discharge Rate with ICD M320 - Drug-induced systemic lupus erythematosus | 35.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,608 | ||||
| Total Hospitalizations with ICD M320 - Drug-induced systemic lupus erythematosus | 64 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M320 - Drug-induced systemic lupus erythematosus in DRG | 7.37 | ||||
| Avg LOS at DRG | 8.22 | ||||
| Avg LOS with ICD M320 - Drug-induced systemic lupus erythematosus | 10.72 | ||||
| Readmission Rate at DRG | 31.98 | ||||
| Readmission Rate with ICD M320 - Drug-induced systemic lupus erythematosus | 37.5 | ||||
| Unplanned Readmission Rate at DRG | 20.53 | ||||
| Unplanned Readmission Rate with ICD M320 - Drug-induced systemic lupus erythematosus | 23.21 | ||||
| Total Medicare payments at DRG | $206,660,882 | ||||
| Total Medicare payments with ICD M320 - Drug-induced systemic lupus erythematosus | $1,092,957 | ||||
| Total Medicare payment per Day at DRG | $2,166 | ||||
| Total Medicare payment per Day with ICD M320 - Drug-induced systemic lupus erythematosus | $1,593 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,803 | ||||
| Total Medicare payment per Hospitalization with ICD M320 - Drug-induced systemic lupus erythematosus | $17,077 | ||||
| Total Medicare Charges at DRG | $902,384,310 | ||||
| Total Medicare Charges with ICD M320 - Drug-induced systemic lupus erythematosus | $4,770,114 | ||||
| Avg Charges at DRG | $77,738 | ||||
| Avg Charges with ICD M320 - Drug-induced systemic lupus erythematosus | $74,533 | ||||
| Mortality Rate at DRG | 5.53 | ||||
| Mortality Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 19.03 | ||||
| SNF Discharge Rate with ICD M320 - Drug-induced systemic lupus erythematosus | 21.88 | ||||
| Home Discharge Rate at DRG | 38.57 | ||||
| Home Discharge Rate with ICD M320 - Drug-induced systemic lupus erythematosus | 37.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD M320 - Drug-induced systemic lupus erythematosus | 20 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD M320 - Drug-induced systemic lupus erythematosus in DRG | 2.3 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD M320 - Drug-induced systemic lupus erythematosus | 2.35 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD M320 - Drug-induced systemic lupus erythematosus | $257,310 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD M320 - Drug-induced systemic lupus erythematosus | $5,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD M320 - Drug-induced systemic lupus erythematosus | $12,866 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD M320 - Drug-induced systemic lupus erythematosus | $1,341,045 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD M320 - Drug-induced systemic lupus erythematosus | $67,052 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD M320 - Drug-induced systemic lupus erythematosus | 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||
| Total Hospitalizations with ICD M320 - Drug-induced systemic lupus erythematosus | 11 | ||
| DRG Share of Total Hospitalizations | 1.35 | ||
| % of Total ICD M320 - Drug-induced systemic lupus erythematosus in DRG | 1.27 | ||
| Avg LOS at DRG | 5.27 | ||
| Avg LOS with ICD M320 - Drug-induced systemic lupus erythematosus | 6.09 | ||
| Readmission Rate at DRG | 21.6 | ||
| Readmission Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | ||
| Unplanned Readmission Rate at DRG | 15.91 | ||
| Unplanned Readmission Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | ||
| Total Medicare payments at DRG | $3,812,834,208 | ||
| Total Medicare payments with ICD M320 - Drug-induced systemic lupus erythematosus | $93,378 | ||
| Total Medicare payment per Day at DRG | $1,632 | ||
| Total Medicare payment per Day with ICD M320 - Drug-induced systemic lupus erythematosus | $1,394 | ||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||
| Total Medicare payment per Hospitalization with ICD M320 - Drug-induced systemic lupus erythematosus | $8,489 | ||
| Total Medicare Charges at DRG | $18,110,468,211 | ||
| Total Medicare Charges with ICD M320 - Drug-induced systemic lupus erythematosus | $574,716 | ||
| Avg Charges at DRG | $40,846 | ||
| Avg Charges with ICD M320 - Drug-induced systemic lupus erythematosus | $52,247 | ||
| Mortality Rate at DRG | 3.59 | ||
| Mortality Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | ||
| SNF Discharge Rate at DRG | 22.57 | ||
| SNF Discharge Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA | ||
| Home Discharge Rate at DRG | 40.95 | ||
| Home Discharge Rate with ICD M320 - Drug-induced systemic lupus erythematosus | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 15 |