*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor - as a primary diagnosis code | O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 2.83 | |
| Readmission Rate (%) | 3.38 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 767: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,462 | ||||
| Total Hospitalizations with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | 241 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor in DRG | 51.06 | ||||
| Avg LOS at DRG | 2.35 | ||||
| Avg LOS with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | 2.3 | ||||
| Readmission Rate at DRG | 3.32 | ||||
| Readmission Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | NA | ||||
| Unplanned Readmission Rate at DRG | 1.68 | ||||
| Unplanned Readmission Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | NA | ||||
| Total Medicare payments at DRG | $60,864,039 | ||||
| Total Medicare payments with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $895,431 | ||||
| Total Medicare payment per Day at DRG | $1,677 | ||||
| Total Medicare payment per Day with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $1,616 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,936 | ||||
| Total Medicare payment per Hospitalization with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $3,715 | ||||
| Total Medicare Charges at DRG | $237,547,190 | ||||
| Total Medicare Charges with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $3,941,710 | ||||
| Avg Charges at DRG | $15,363 | ||||
| Avg Charges with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $16,356 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | NA | ||||
| Home Discharge Rate at DRG | 96.92 | ||||
| Home Discharge Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | 97.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 767: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,462 | ||||
| Total Hospitalizations with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | 297 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor in DRG | 44.07 | ||||
| Avg LOS at DRG | 2.35 | ||||
| Avg LOS with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | 2.31 | ||||
| Readmission Rate at DRG | 3.32 | ||||
| Readmission Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | NA | ||||
| Unplanned Readmission Rate at DRG | 1.68 | ||||
| Unplanned Readmission Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | NA | ||||
| Total Medicare payments at DRG | $60,864,039 | ||||
| Total Medicare payments with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $1,134,996 | ||||
| Total Medicare payment per Day at DRG | $1,677 | ||||
| Total Medicare payment per Day with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,936 | ||||
| Total Medicare payment per Hospitalization with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $3,822 | ||||
| Total Medicare Charges at DRG | $237,547,190 | ||||
| Total Medicare Charges with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $4,806,231 | ||||
| Avg Charges at DRG | $15,363 | ||||
| Avg Charges with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | $16,183 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | NA | ||||
| Home Discharge Rate at DRG | 96.92 | ||||
| Home Discharge Rate with ICD O4292 - Full-term premature rupture of membranes, unspecified as to length of time between rupture and onset of labor | 96.97 |