*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter - as a primary diagnosis code | M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.59 | |
| Readmission Rate (%) | 27.05 | |
| Unplanned Readmission Rate (%) | 9.23 | |
| 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 87 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter in DRG | 24.23 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 5.08 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 27.06 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $1,166,628 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $2,639 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $13,410 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $7,575,490 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $87,075 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 67.82 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 19 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter in DRG | 5.29 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 4.0 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $404,099 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $5,317 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $21,268 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $2,773,671 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $145,983 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 216 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter in DRG | 23.89 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 5.16 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 24.64 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 6.76 | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $2,993,823 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $2,687 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $13,860 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $20,556,070 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $95,167 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 67.59 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 45 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter in DRG | 4.98 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 4.89 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $1,163,726 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $5,290 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $25,861 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $7,844,286 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $174,317 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 37.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 534: FRACTURES OF FEMUR WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 16 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter in DRG | 1.77 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 7.94 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $196,860 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $1,550 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $12,304 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $787,455 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $49,216 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 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 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 55,395 | |||
| Total Hospitalizations with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 12 | |||
| DRG Share of Total Hospitalizations | 0.17 | |||
| % of Total ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter in DRG | 1.33 | |||
| Avg LOS at DRG | 2.48 | |||
| Avg LOS with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | 3.67 | |||
| Readmission Rate at DRG | 10.12 | |||
| Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | |||
| Unplanned Readmission Rate at DRG | 3.88 | |||
| Unplanned Readmission Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | |||
| Total Medicare payments at DRG | $919,481,919 | |||
| Total Medicare payments with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $204,431 | |||
| Total Medicare payment per Day at DRG | $6,689 | |||
| Total Medicare payment per Day with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $4,646 | |||
| Total Medicare payment per Hospitalization at DRG | $16,599 | |||
| Total Medicare payment per Hospitalization with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $17,036 | |||
| Total Medicare Charges at DRG | $4,627,801,183 | |||
| Total Medicare Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $1,292,195 | |||
| Avg Charges at DRG | $83,542 | |||
| Avg Charges with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | $107,683 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 18.76 | |||
| SNF Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA | |||
| Home Discharge Rate at DRG | 33.3 | |||
| Home Discharge Rate with ICD M978XXA - Periprosthetic fracture around other internal prosthetic joint, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LAKE CHARLES MEMORIAL HEALTH SYSTEM | 1701 OAK PARK BLVD | LAKE CHARLES | LA | 70601 | 19 |