*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N738 - Other specified female pelvic inflammatory diseases - as a primary diagnosis code | N738 - Other specified female pelvic inflammatory diseases - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.7 | |
| Readmission Rate (%) | 26.8 | |
| Unplanned Readmission Rate (%) | 15.0 | |
| 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 758: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 759: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 757: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 4,502 | ||
| Total Hospitalizations with ICD N738 - Other specified female pelvic inflammatory diseases | 76 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD N738 - Other specified female pelvic inflammatory diseases in DRG | 50.33 | ||
| Avg LOS at DRG | 4.81 | ||
| Avg LOS with ICD N738 - Other specified female pelvic inflammatory diseases | 6.11 | ||
| Readmission Rate at DRG | 24.27 | ||
| Readmission Rate with ICD N738 - Other specified female pelvic inflammatory diseases | 27.94 | ||
| Unplanned Readmission Rate at DRG | 17.71 | ||
| Unplanned Readmission Rate with ICD N738 - Other specified female pelvic inflammatory diseases | 19.12 | ||
| Total Medicare payments at DRG | $31,635,710 | ||
| Total Medicare payments with ICD N738 - Other specified female pelvic inflammatory diseases | $563,193 | ||
| Total Medicare payment per Day at DRG | $1,460 | ||
| Total Medicare payment per Day with ICD N738 - Other specified female pelvic inflammatory diseases | $1,214 | ||
| Total Medicare payment per Hospitalization at DRG | $7,027 | ||
| Total Medicare payment per Hospitalization with ICD N738 - Other specified female pelvic inflammatory diseases | $7,410 | ||
| Total Medicare Charges at DRG | $147,805,474 | ||
| Total Medicare Charges with ICD N738 - Other specified female pelvic inflammatory diseases | $3,235,168 | ||
| Avg Charges at DRG | $32,831 | ||
| Avg Charges with ICD N738 - Other specified female pelvic inflammatory diseases | $42,568 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | ||
| SNF Discharge Rate at DRG | 22.46 | ||
| SNF Discharge Rate with ICD N738 - Other specified female pelvic inflammatory diseases | 17.11 | ||
| Home Discharge Rate at DRG | 46.42 | ||
| Home Discharge Rate with ICD N738 - Other specified female pelvic inflammatory diseases | 43.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 758: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,901 | ||||
| Total Hospitalizations with ICD N738 - Other specified female pelvic inflammatory diseases | 96 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD N738 - Other specified female pelvic inflammatory diseases in DRG | 10.3 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD N738 - Other specified female pelvic inflammatory diseases | 5.35 | ||||
| Readmission Rate at DRG | 19.01 | ||||
| Readmission Rate with ICD N738 - Other specified female pelvic inflammatory diseases | 15.56 | ||||
| Unplanned Readmission Rate at DRG | 10.66 | ||||
| Unplanned Readmission Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | ||||
| Total Medicare payments at DRG | $261,134,385 | ||||
| Total Medicare payments with ICD N738 - Other specified female pelvic inflammatory diseases | $792,361 | ||||
| Total Medicare payment per Day at DRG | $1,463 | ||||
| Total Medicare payment per Day with ICD N738 - Other specified female pelvic inflammatory diseases | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,077 | ||||
| Total Medicare payment per Hospitalization with ICD N738 - Other specified female pelvic inflammatory diseases | $8,254 | ||||
| Total Medicare Charges at DRG | $1,223,076,070 | ||||
| Total Medicare Charges with ICD N738 - Other specified female pelvic inflammatory diseases | $3,748,860 | ||||
| Avg Charges at DRG | $33,145 | ||||
| Avg Charges with ICD N738 - Other specified female pelvic inflammatory diseases | $39,051 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | ||||
| SNF Discharge Rate at DRG | 15.3 | ||||
| SNF Discharge Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | ||||
| Home Discharge Rate at DRG | 42.16 | ||||
| Home Discharge Rate with ICD N738 - Other specified female pelvic inflammatory diseases | 54.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 759: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,598 | ||||
| Total Hospitalizations with ICD N738 - Other specified female pelvic inflammatory diseases | 37 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD N738 - Other specified female pelvic inflammatory diseases in DRG | 3.97 | ||||
| Avg LOS at DRG | 12.75 | ||||
| Avg LOS with ICD N738 - Other specified female pelvic inflammatory diseases | 15.05 | ||||
| Readmission Rate at DRG | 37.72 | ||||
| Readmission Rate with ICD N738 - Other specified female pelvic inflammatory diseases | 35.29 | ||||
| Unplanned Readmission Rate at DRG | 16.03 | ||||
| Unplanned Readmission Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | ||||
| Total Medicare payments at DRG | $798,278,353 | ||||
| Total Medicare payments with ICD N738 - Other specified female pelvic inflammatory diseases | $1,239,541 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD N738 - Other specified female pelvic inflammatory diseases | $2,225 | ||||
| Total Medicare payment per Hospitalization at DRG | $31,185 | ||||
| Total Medicare payment per Hospitalization with ICD N738 - Other specified female pelvic inflammatory diseases | $33,501 | ||||
| Total Medicare Charges at DRG | $3,604,344,398 | ||||
| Total Medicare Charges with ICD N738 - Other specified female pelvic inflammatory diseases | $6,239,997 | ||||
| Avg Charges at DRG | $140,806 | ||||
| Avg Charges with ICD N738 - Other specified female pelvic inflammatory diseases | $168,649 | ||||
| Mortality Rate at DRG | 4.29 | ||||
| Mortality Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | ||||
| SNF Discharge Rate at DRG | 30.14 | ||||
| SNF Discharge Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | ||||
| Home Discharge Rate at DRG | 15.85 | ||||
| Home Discharge Rate with ICD N738 - Other specified female pelvic inflammatory diseases | 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 757: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,180 | |||
| Total Hospitalizations with ICD N738 - Other specified female pelvic inflammatory diseases | 23 | |||
| DRG Share of Total Hospitalizations | 0.01 | |||
| % of Total ICD N738 - Other specified female pelvic inflammatory diseases in DRG | 2.47 | |||
| Avg LOS at DRG | 7.33 | |||
| Avg LOS with ICD N738 - Other specified female pelvic inflammatory diseases | 9.74 | |||
| Readmission Rate at DRG | 32.11 | |||
| Readmission Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | |||
| Unplanned Readmission Rate at DRG | 25.79 | |||
| Unplanned Readmission Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | |||
| Total Medicare payments at DRG | $33,456,418 | |||
| Total Medicare payments with ICD N738 - Other specified female pelvic inflammatory diseases | $256,499 | |||
| Total Medicare payment per Day at DRG | $1,436 | |||
| Total Medicare payment per Day with ICD N738 - Other specified female pelvic inflammatory diseases | $1,145 | |||
| Total Medicare payment per Hospitalization at DRG | $10,521 | |||
| Total Medicare payment per Hospitalization with ICD N738 - Other specified female pelvic inflammatory diseases | $11,152 | |||
| Total Medicare Charges at DRG | $158,194,599 | |||
| Total Medicare Charges with ICD N738 - Other specified female pelvic inflammatory diseases | $1,637,995 | |||
| Avg Charges at DRG | $49,747 | |||
| Avg Charges with ICD N738 - Other specified female pelvic inflammatory diseases | $71,217 | |||
| Mortality Rate at DRG | 2.55 | |||
| Mortality Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | |||
| SNF Discharge Rate at DRG | 35.82 | |||
| SNF Discharge Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA | |||
| Home Discharge Rate at DRG | 23.3 | |||
| Home Discharge Rate with ICD N738 - Other specified female pelvic inflammatory diseases | NA |