*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M3219 - Other organ or system involvement in systemic lupus erythematosus - as a primary diagnosis code | M3219 - Other organ or system involvement in systemic lupus erythematosus - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.75 | |
| Readmission Rate (%) | 32.18 | |
| Unplanned Readmission Rate (%) | 24.29 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 11,608 | ||
| Total Hospitalizations with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 379 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD M3219 - Other organ or system involvement in systemic lupus erythematosus in DRG | 50.27 | ||
| Avg LOS at DRG | 8.22 | ||
| Avg LOS with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 9.75 | ||
| Readmission Rate at DRG | 31.98 | ||
| Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 44.14 | ||
| Unplanned Readmission Rate at DRG | 20.53 | ||
| Unplanned Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 28.7 | ||
| Total Medicare payments at DRG | $206,660,882 | ||
| Total Medicare payments with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $7,241,978 | ||
| Total Medicare payment per Day at DRG | $2,166 | ||
| Total Medicare payment per Day with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $1,959 | ||
| Total Medicare payment per Hospitalization at DRG | $17,803 | ||
| Total Medicare payment per Hospitalization with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $19,108 | ||
| Total Medicare Charges at DRG | $902,384,310 | ||
| Total Medicare Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $36,180,154 | ||
| Avg Charges at DRG | $77,738 | ||
| Avg Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $95,462 | ||
| Mortality Rate at DRG | 5.53 | ||
| Mortality Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 4.75 | ||
| SNF Discharge Rate at DRG | 19.03 | ||
| SNF Discharge Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 12.4 | ||
| Home Discharge Rate at DRG | 38.57 | ||
| Home Discharge Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 48.28 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 13 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 13 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,608 | ||||
| Total Hospitalizations with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 462 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD M3219 - Other organ or system involvement in systemic lupus erythematosus in DRG | 10.99 | ||||
| Avg LOS at DRG | 8.22 | ||||
| Avg LOS with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 9.83 | ||||
| Readmission Rate at DRG | 31.98 | ||||
| Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 44.3 | ||||
| Unplanned Readmission Rate at DRG | 20.53 | ||||
| Unplanned Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 29.87 | ||||
| Total Medicare payments at DRG | $206,660,882 | ||||
| Total Medicare payments with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $9,190,751 | ||||
| Total Medicare payment per Day at DRG | $2,166 | ||||
| Total Medicare payment per Day with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $2,023 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,803 | ||||
| Total Medicare payment per Hospitalization with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $19,893 | ||||
| Total Medicare Charges at DRG | $902,384,310 | ||||
| Total Medicare Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $44,752,656 | ||||
| Avg Charges at DRG | $77,738 | ||||
| Avg Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $96,867 | ||||
| Mortality Rate at DRG | 5.53 | ||||
| Mortality Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 4.76 | ||||
| SNF Discharge Rate at DRG | 19.03 | ||||
| SNF Discharge Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 11.47 | ||||
| Home Discharge Rate at DRG | 38.57 | ||||
| Home Discharge Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 51.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,338 | ||||
| Total Hospitalizations with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 67 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD M3219 - Other organ or system involvement in systemic lupus erythematosus in DRG | 1.59 | ||||
| Avg LOS at DRG | 4.06 | ||||
| Avg LOS with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 4.13 | ||||
| Readmission Rate at DRG | 16.42 | ||||
| Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | NA | ||||
| Unplanned Readmission Rate at DRG | 10.53 | ||||
| Unplanned Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | NA | ||||
| Total Medicare payments at DRG | $33,066,943 | ||||
| Total Medicare payments with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $454,347 | ||||
| Total Medicare payment per Day at DRG | $1,527 | ||||
| Total Medicare payment per Day with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $1,640 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,195 | ||||
| Total Medicare payment per Hospitalization with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $6,781 | ||||
| Total Medicare Charges at DRG | $146,988,915 | ||||
| Total Medicare Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $2,412,420 | ||||
| Avg Charges at DRG | $27,536 | ||||
| Avg Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $36,006 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 12.05 | ||||
| SNF Discharge Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | NA | ||||
| Home Discharge Rate at DRG | 61.0 | ||||
| Home Discharge Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 70.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 57 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD M3219 - Other organ or system involvement in systemic lupus erythematosus in DRG | 1.36 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 17.35 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 63.04 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 30.43 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $2,413,561 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $2,440 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $42,343 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $14,123,737 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $247,785 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 21.05 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD M3219 - Other organ or system involvement in 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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 46 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD M3219 - Other organ or system involvement in systemic lupus erythematosus in DRG | 1.09 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 4.37 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 32.61 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 23.91 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $289,813 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $1,442 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $6,300 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $1,592,948 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | $34,629 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD M3219 - Other organ or system involvement in systemic lupus erythematosus | 71.74 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 41 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 38 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 31 |