*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| O903 - Peripartum cardiomyopathy - as a primary diagnosis code | O903 - Peripartum cardiomyopathy - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.21 | |
| Readmission Rate (%) | 33.25 | |
| Unplanned Readmission Rate (%) | 15.13 | |
| 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 776: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | |
|---|---|
| Total Hospitalizations at DRG | 1,657 |
| Total Hospitalizations with ICD O903 - Peripartum cardiomyopathy | 107 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD O903 - Peripartum cardiomyopathy in DRG | 80.45 |
| Avg LOS at DRG | 3.86 |
| Avg LOS with ICD O903 - Peripartum cardiomyopathy | 3.74 |
| Readmission Rate at DRG | 14.04 |
| Readmission Rate with ICD O903 - Peripartum cardiomyopathy | 22.58 |
| Unplanned Readmission Rate at DRG | 8.75 |
| Unplanned Readmission Rate with ICD O903 - Peripartum cardiomyopathy | 17.2 |
| Total Medicare payments at DRG | $9,813,540 |
| Total Medicare payments with ICD O903 - Peripartum cardiomyopathy | $584,461 |
| Total Medicare payment per Day at DRG | $1,534 |
| Total Medicare payment per Day with ICD O903 - Peripartum cardiomyopathy | $1,461 |
| Total Medicare payment per Hospitalization at DRG | $5,922 |
| Total Medicare payment per Hospitalization with ICD O903 - Peripartum cardiomyopathy | $5,462 |
| Total Medicare Charges at DRG | $41,245,618 |
| Total Medicare Charges with ICD O903 - Peripartum cardiomyopathy | $4,705,389 |
| Avg Charges at DRG | $24,892 |
| Avg Charges with ICD O903 - Peripartum cardiomyopathy | $43,976 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD O903 - Peripartum cardiomyopathy | NA |
| SNF Discharge Rate at DRG | NA |
| SNF Discharge Rate with ICD O903 - Peripartum cardiomyopathy | NA |
| Home Discharge Rate at DRG | 84.13 |
| Home Discharge Rate with ICD O903 - Peripartum cardiomyopathy | 75.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 776: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | DRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD O903 - Peripartum cardiomyopathy | 189 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD O903 - Peripartum cardiomyopathy in DRG | 19.87 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD O903 - Peripartum cardiomyopathy | 5.0 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD O903 - Peripartum cardiomyopathy | 31.25 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD O903 - Peripartum cardiomyopathy | 26.25 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD O903 - Peripartum cardiomyopathy | $1,851,663 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD O903 - Peripartum cardiomyopathy | $1,959 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD O903 - Peripartum cardiomyopathy | $9,797 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD O903 - Peripartum cardiomyopathy | $6,628,616 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD O903 - Peripartum cardiomyopathy | $35,072 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD O903 - Peripartum cardiomyopathy | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD O903 - Peripartum cardiomyopathy | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD O903 - Peripartum cardiomyopathy | 68.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 001: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,277 | ||||
| Total Hospitalizations with ICD O903 - Peripartum cardiomyopathy | 33 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD O903 - Peripartum cardiomyopathy in DRG | 3.47 | ||||
| Avg LOS at DRG | 34.54 | ||||
| Avg LOS with ICD O903 - Peripartum cardiomyopathy | 39.03 | ||||
| Readmission Rate at DRG | 45.96 | ||||
| Readmission Rate with ICD O903 - Peripartum cardiomyopathy | 35.48 | ||||
| Unplanned Readmission Rate at DRG | 8.81 | ||||
| Unplanned Readmission Rate with ICD O903 - Peripartum cardiomyopathy | NA | ||||
| Total Medicare payments at DRG | $1,394,438,033 | ||||
| Total Medicare payments with ICD O903 - Peripartum cardiomyopathy | $8,476,730 | ||||
| Total Medicare payment per Day at DRG | $6,431 | ||||
| Total Medicare payment per Day with ICD O903 - Peripartum cardiomyopathy | $6,581 | ||||
| Total Medicare payment per Hospitalization at DRG | $222,150 | ||||
| Total Medicare payment per Hospitalization with ICD O903 - Peripartum cardiomyopathy | $256,871 | ||||
| Total Medicare Charges at DRG | $6,283,395,142 | ||||
| Total Medicare Charges with ICD O903 - Peripartum cardiomyopathy | $34,779,558 | ||||
| Avg Charges at DRG | $1,001,019 | ||||
| Avg Charges with ICD O903 - Peripartum cardiomyopathy | $1,053,926 | ||||
| Mortality Rate at DRG | 11.95 | ||||
| Mortality Rate with ICD O903 - Peripartum cardiomyopathy | NA | ||||
| SNF Discharge Rate at DRG | 4.09 | ||||
| SNF Discharge Rate with ICD O903 - Peripartum cardiomyopathy | NA | ||||
| Home Discharge Rate at DRG | 22.56 | ||||
| Home Discharge Rate with ICD O903 - Peripartum cardiomyopathy | 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 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,687 | ||||
| Total Hospitalizations with ICD O903 - Peripartum cardiomyopathy | 15 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD O903 - Peripartum cardiomyopathy in DRG | 1.58 | ||||
| Avg LOS at DRG | 3.22 | ||||
| Avg LOS with ICD O903 - Peripartum cardiomyopathy | 5.33 | ||||
| Readmission Rate at DRG | 6.08 | ||||
| Readmission Rate with ICD O903 - Peripartum cardiomyopathy | NA | ||||
| Unplanned Readmission Rate at DRG | 2.85 | ||||
| Unplanned Readmission Rate with ICD O903 - Peripartum cardiomyopathy | NA | ||||
| Total Medicare payments at DRG | $32,034,324 | ||||
| Total Medicare payments with ICD O903 - Peripartum cardiomyopathy | $114,919 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD O903 - Peripartum cardiomyopathy | $1,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,633 | ||||
| Total Medicare payment per Hospitalization with ICD O903 - Peripartum cardiomyopathy | $7,661 | ||||
| Total Medicare Charges at DRG | $120,413,860 | ||||
| Total Medicare Charges with ICD O903 - Peripartum cardiomyopathy | $835,072 | ||||
| Avg Charges at DRG | $21,174 | ||||
| Avg Charges with ICD O903 - Peripartum cardiomyopathy | $55,671 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD O903 - Peripartum cardiomyopathy | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD O903 - Peripartum cardiomyopathy | NA | ||||
| Home Discharge Rate at DRG | 94.97 | ||||
| Home Discharge Rate with ICD O903 - Peripartum cardiomyopathy | 86.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 769: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | |
|---|---|
| Total Hospitalizations at DRG | 314 |
| Total Hospitalizations with ICD O903 - Peripartum cardiomyopathy | 11 |
| DRG Share of Total Hospitalizations | 0.0 |
| % of Total ICD O903 - Peripartum cardiomyopathy in DRG | 1.16 |
| Avg LOS at DRG | 4.64 |
| Avg LOS with ICD O903 - Peripartum cardiomyopathy | 11.73 |
| Readmission Rate at DRG | 14.33 |
| Readmission Rate with ICD O903 - Peripartum cardiomyopathy | NA |
| Unplanned Readmission Rate at DRG | 8.67 |
| Unplanned Readmission Rate with ICD O903 - Peripartum cardiomyopathy | NA |
| Total Medicare payments at DRG | $4,572,388 |
| Total Medicare payments with ICD O903 - Peripartum cardiomyopathy | $292,081 |
| Total Medicare payment per Day at DRG | $3,136 |
| Total Medicare payment per Day with ICD O903 - Peripartum cardiomyopathy | $2,264 |
| Total Medicare payment per Hospitalization at DRG | $14,562 |
| Total Medicare payment per Hospitalization with ICD O903 - Peripartum cardiomyopathy | $26,553 |
| Total Medicare Charges at DRG | $17,924,710 |
| Total Medicare Charges with ICD O903 - Peripartum cardiomyopathy | $2,159,670 |
| Avg Charges at DRG | $57,085 |
| Avg Charges with ICD O903 - Peripartum cardiomyopathy | $196,334 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD O903 - Peripartum cardiomyopathy | NA |
| SNF Discharge Rate at DRG | NA |
| SNF Discharge Rate with ICD O903 - Peripartum cardiomyopathy | NA |
| Home Discharge Rate at DRG | 73.57 |
| Home Discharge Rate with ICD O903 - Peripartum cardiomyopathy | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUFORT MEMORIAL HOSPITAL | 955 RIBAUT RD | BEAUFORT | SC | 29902 | 44 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 18 |
| OCHSNER MEDICAL CENTER | 1516 JEFFERSON HWY | NEW ORLEANS | LA | 70121 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JESSICA MCABEE COLEMAN | 16 KEMMERLIN LN STE A | BEAUFORT | SC | 29907 | 24 |