*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M358 - Other specified systemic involvement of connective tissue - as a primary diagnosis code | M358 - Other specified systemic involvement of connective tissue - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.6 | |
| Readmission Rate (%) | 26.69 | |
| Unplanned Readmission Rate (%) | 15.49 | |
| 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 M358 - Other specified systemic involvement of connective tissue | 41 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD M358 - Other specified systemic involvement of connective tissue in DRG | 50.62 | |
| Avg LOS at DRG | 8.22 | |
| Avg LOS with ICD M358 - Other specified systemic involvement of connective tissue | 10.02 | |
| Readmission Rate at DRG | 31.98 | |
| Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | |
| Unplanned Readmission Rate at DRG | 20.53 | |
| Unplanned Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | |
| Total Medicare payments at DRG | $206,660,882 | |
| Total Medicare payments with ICD M358 - Other specified systemic involvement of connective tissue | $827,748 | |
| Total Medicare payment per Day at DRG | $2,166 | |
| Total Medicare payment per Day with ICD M358 - Other specified systemic involvement of connective tissue | $2,014 | |
| Total Medicare payment per Hospitalization at DRG | $17,803 | |
| Total Medicare payment per Hospitalization with ICD M358 - Other specified systemic involvement of connective tissue | $20,189 | |
| Total Medicare Charges at DRG | $902,384,310 | |
| Total Medicare Charges with ICD M358 - Other specified systemic involvement of connective tissue | $4,129,418 | |
| Avg Charges at DRG | $77,738 | |
| Avg Charges with ICD M358 - Other specified systemic involvement of connective tissue | $100,718 | |
| Mortality Rate at DRG | 5.53 | |
| Mortality Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | |
| SNF Discharge Rate at DRG | 19.03 | |
| SNF Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | |
| Home Discharge Rate at DRG | 38.57 | |
| Home Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | 48.78 |
*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 545: CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 546: CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD M358 - Other specified systemic involvement of connective tissue | 99 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD M358 - Other specified systemic involvement of connective tissue in DRG | 5.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD M358 - Other specified systemic involvement of connective tissue | 7.79 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | 23.86 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | 17.05 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD M358 - Other specified systemic involvement of connective tissue | $1,231,789 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD M358 - Other specified systemic involvement of connective tissue | $1,598 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD M358 - Other specified systemic involvement of connective tissue | $12,442 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD M358 - Other specified systemic involvement of connective tissue | $7,746,265 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD M358 - Other specified systemic involvement of connective tissue | $78,245 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | 23.23 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | 38.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 196: INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD M358 - Other specified systemic involvement of connective tissue | 35 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD M358 - Other specified systemic involvement of connective tissue in DRG | 2.09 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD M358 - Other specified systemic involvement of connective tissue | 5.14 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD M358 - Other specified systemic involvement of connective tissue | $258,472 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD M358 - Other specified systemic involvement of connective tissue | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD M358 - Other specified systemic involvement of connective tissue | $7,385 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD M358 - Other specified systemic involvement of connective tissue | $1,508,904 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD M358 - Other specified systemic involvement of connective tissue | $43,112 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | 51.43 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD M358 - Other specified systemic involvement of connective tissue | 25 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD M358 - Other specified systemic involvement of connective tissue in DRG | 1.49 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD M358 - Other specified systemic involvement of connective tissue | 5.68 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD M358 - Other specified systemic involvement of connective tissue | $202,623 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD M358 - Other specified systemic involvement of connective tissue | $1,427 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD M358 - Other specified systemic involvement of connective tissue | $8,105 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD M358 - Other specified systemic involvement of connective tissue | $985,504 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD M358 - Other specified systemic involvement of connective tissue | $39,420 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | 44.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 197: INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 813: COAGULATION DISORDERS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,026 | ||||
| Total Hospitalizations with ICD M358 - Other specified systemic involvement of connective tissue | 18 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD M358 - Other specified systemic involvement of connective tissue in DRG | 1.07 | ||||
| Avg LOS at DRG | 3.68 | ||||
| Avg LOS with ICD M358 - Other specified systemic involvement of connective tissue | 4.11 | ||||
| Readmission Rate at DRG | 16.52 | ||||
| Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| Unplanned Readmission Rate at DRG | 13.07 | ||||
| Unplanned Readmission Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| Total Medicare payments at DRG | $659,875,657 | ||||
| Total Medicare payments with ICD M358 - Other specified systemic involvement of connective tissue | $113,635 | ||||
| Total Medicare payment per Day at DRG | $1,493 | ||||
| Total Medicare payment per Day with ICD M358 - Other specified systemic involvement of connective tissue | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,498 | ||||
| Total Medicare payment per Hospitalization with ICD M358 - Other specified systemic involvement of connective tissue | $6,313 | ||||
| Total Medicare Charges at DRG | $3,598,009,636 | ||||
| Total Medicare Charges with ICD M358 - Other specified systemic involvement of connective tissue | $766,763 | ||||
| Avg Charges at DRG | $29,977 | ||||
| Avg Charges with ICD M358 - Other specified systemic involvement of connective tissue | $42,598 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| SNF Discharge Rate at DRG | 10.98 | ||||
| SNF Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | NA | ||||
| Home Discharge Rate at DRG | 64.98 | ||||
| Home Discharge Rate with ICD M358 - Other specified systemic involvement of connective tissue | 66.67 |
| 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 | 28 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 19 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 18 |