*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
M3213 - Lung involvement in systemic lupus erythematosus - as a primary diagnosis code | M3213 - Lung involvement in systemic lupus erythematosus - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 7.48 | |
Readmission Rate (%) | 30.42 | |
Unplanned Readmission Rate (%) | 23.93 | |
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) | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 11,608 | ||||
Total Hospitalizations with ICD M3213 - Lung involvement in systemic lupus erythematosus | 299 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD M3213 - Lung involvement in systemic lupus erythematosus in DRG | 58.74 | ||||
Avg LOS at DRG | 8.22 | ||||
Avg LOS with ICD M3213 - Lung involvement in systemic lupus erythematosus | 7.01 | ||||
Readmission Rate at DRG | 31.98 | ||||
Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 34.19 | ||||
Unplanned Readmission Rate at DRG | 20.53 | ||||
Unplanned Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 26.47 | ||||
Total Medicare payments at DRG | $206,660,882 | ||||
Total Medicare payments with ICD M3213 - Lung involvement in systemic lupus erythematosus | $4,598,907 | ||||
Total Medicare payment per Day at DRG | $2,166 | ||||
Total Medicare payment per Day with ICD M3213 - Lung involvement in systemic lupus erythematosus | $2,194 | ||||
Total Medicare payment per Hospitalization at DRG | $17,803 | ||||
Total Medicare payment per Hospitalization with ICD M3213 - Lung involvement in systemic lupus erythematosus | $15,381 | ||||
Total Medicare Charges at DRG | $902,384,310 | ||||
Total Medicare Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $19,180,346 | ||||
Avg Charges at DRG | $77,738 | ||||
Avg Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $64,148 | ||||
Mortality Rate at DRG | 5.53 | ||||
Mortality Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
SNF Discharge Rate at DRG | 19.03 | ||||
SNF Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 8.7 | ||||
Home Discharge Rate at DRG | 38.57 | ||||
Home Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 55.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 545: CONNECTIVE TISSUE DISORDERS 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 11,608 | ||||
Total Hospitalizations with ICD M3213 - Lung involvement in systemic lupus erythematosus | 361 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD M3213 - Lung involvement in systemic lupus erythematosus in DRG | 15.26 | ||||
Avg LOS at DRG | 8.22 | ||||
Avg LOS with ICD M3213 - Lung involvement in systemic lupus erythematosus | 7.12 | ||||
Readmission Rate at DRG | 31.98 | ||||
Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 34.65 | ||||
Unplanned Readmission Rate at DRG | 20.53 | ||||
Unplanned Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 26.75 | ||||
Total Medicare payments at DRG | $206,660,882 | ||||
Total Medicare payments with ICD M3213 - Lung involvement in systemic lupus erythematosus | $5,648,075 | ||||
Total Medicare payment per Day at DRG | $2,166 | ||||
Total Medicare payment per Day with ICD M3213 - Lung involvement in systemic lupus erythematosus | $2,197 | ||||
Total Medicare payment per Hospitalization at DRG | $17,803 | ||||
Total Medicare payment per Hospitalization with ICD M3213 - Lung involvement in systemic lupus erythematosus | $15,646 | ||||
Total Medicare Charges at DRG | $902,384,310 | ||||
Total Medicare Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $23,754,253 | ||||
Avg Charges at DRG | $77,738 | ||||
Avg Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $65,801 | ||||
Mortality Rate at DRG | 5.53 | ||||
Mortality Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
SNF Discharge Rate at DRG | 19.03 | ||||
SNF Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 8.59 | ||||
Home Discharge Rate at DRG | 38.57 | ||||
Home Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 57.06 |
*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 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 443,386 | ||||
Total Hospitalizations with ICD M3213 - Lung involvement in systemic lupus erythematosus | 72 | ||||
DRG Share of Total Hospitalizations | 1.35 | ||||
% of Total ICD M3213 - Lung involvement in systemic lupus erythematosus in DRG | 3.04 | ||||
Avg LOS at DRG | 5.27 | ||||
Avg LOS with ICD M3213 - Lung involvement in systemic lupus erythematosus | 5.78 | ||||
Readmission Rate at DRG | 21.6 | ||||
Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 22.73 | ||||
Unplanned Readmission Rate at DRG | 15.91 | ||||
Unplanned Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 18.18 | ||||
Total Medicare payments at DRG | $3,812,834,208 | ||||
Total Medicare payments with ICD M3213 - Lung involvement in systemic lupus erythematosus | $673,058 | ||||
Total Medicare payment per Day at DRG | $1,632 | ||||
Total Medicare payment per Day with ICD M3213 - Lung involvement in systemic lupus erythematosus | $1,618 | ||||
Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
Total Medicare payment per Hospitalization with ICD M3213 - Lung involvement in systemic lupus erythematosus | $9,348 | ||||
Total Medicare Charges at DRG | $18,110,468,211 | ||||
Total Medicare Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $3,514,209 | ||||
Avg Charges at DRG | $40,846 | ||||
Avg Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $48,808 | ||||
Mortality Rate at DRG | 3.59 | ||||
Mortality Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
SNF Discharge Rate at DRG | 22.57 | ||||
SNF Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 16.67 | ||||
Home Discharge Rate at DRG | 40.95 | ||||
Home Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 59.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 24,541 | ||||
Total Hospitalizations with ICD M3213 - Lung involvement in systemic lupus erythematosus | 36 | ||||
DRG Share of Total Hospitalizations | 0.07 | ||||
% of Total ICD M3213 - Lung involvement in systemic lupus erythematosus in DRG | 1.52 | ||||
Avg LOS at DRG | 6.23 | ||||
Avg LOS with ICD M3213 - Lung involvement in systemic lupus erythematosus | 5.94 | ||||
Readmission Rate at DRG | 26.09 | ||||
Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
Unplanned Readmission Rate at DRG | 18.36 | ||||
Unplanned Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
Total Medicare payments at DRG | $258,475,425 | ||||
Total Medicare payments with ICD M3213 - Lung involvement in systemic lupus erythematosus | $386,328 | ||||
Total Medicare payment per Day at DRG | $1,691 | ||||
Total Medicare payment per Day with ICD M3213 - Lung involvement in systemic lupus erythematosus | $1,805 | ||||
Total Medicare payment per Hospitalization at DRG | $10,532 | ||||
Total Medicare payment per Hospitalization with ICD M3213 - Lung involvement in systemic lupus erythematosus | $10,731 | ||||
Total Medicare Charges at DRG | $1,253,316,626 | ||||
Total Medicare Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $2,018,679 | ||||
Avg Charges at DRG | $51,070 | ||||
Avg Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $56,074 | ||||
Mortality Rate at DRG | 8.32 | ||||
Mortality Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
SNF Discharge Rate at DRG | 14.24 | ||||
SNF Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
Home Discharge Rate at DRG | 38.58 | ||||
Home Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 58.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 33,583 | ||||
Total Hospitalizations with ICD M3213 - Lung involvement in systemic lupus erythematosus | 25 | ||||
DRG Share of Total Hospitalizations | 0.1 | ||||
% of Total ICD M3213 - Lung involvement in systemic lupus erythematosus in DRG | 1.06 | ||||
Avg LOS at DRG | 11.44 | ||||
Avg LOS with ICD M3213 - Lung involvement in systemic lupus erythematosus | 9.52 | ||||
Readmission Rate at DRG | 33.65 | ||||
Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
Unplanned Readmission Rate at DRG | 21.15 | ||||
Unplanned Readmission Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
Total Medicare payments at DRG | $802,022,870 | ||||
Total Medicare payments with ICD M3213 - Lung involvement in systemic lupus erythematosus | $621,658 | ||||
Total Medicare payment per Day at DRG | $2,088 | ||||
Total Medicare payment per Day with ICD M3213 - Lung involvement in systemic lupus erythematosus | $2,612 | ||||
Total Medicare payment per Hospitalization at DRG | $23,882 | ||||
Total Medicare payment per Hospitalization with ICD M3213 - Lung involvement in systemic lupus erythematosus | $24,866 | ||||
Total Medicare Charges at DRG | $3,957,485,422 | ||||
Total Medicare Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $2,525,151 | ||||
Avg Charges at DRG | $117,842 | ||||
Avg Charges with ICD M3213 - Lung involvement in systemic lupus erythematosus | $101,006 | ||||
Mortality Rate at DRG | 8.73 | ||||
Mortality Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
SNF Discharge Rate at DRG | 24.87 | ||||
SNF Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | NA | ||||
Home Discharge Rate at DRG | 28.69 | ||||
Home Discharge Rate with ICD M3213 - Lung involvement in systemic lupus erythematosus | 72.0 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
RUSH UNIVERSITY MEDICAL CENTER | 1653 W CONGRESS PKWY | CHICAGO | IL | 60612 | 23 |
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 22 |
UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 18 |