*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium - as a primary diagnosis code | O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.26 | |
| Readmission Rate (%) | 16.88 | |
| Unplanned Readmission Rate (%) | 6.83 | |
| 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 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,099 | ||||
| Total Hospitalizations with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 229 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium in DRG | 48.52 | ||||
| Avg LOS at DRG | 4.47 | ||||
| Avg LOS with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 2.86 | ||||
| Readmission Rate at DRG | 43.98 | ||||
| Readmission Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 35.61 | ||||
| Unplanned Readmission Rate at DRG | 17.28 | ||||
| Unplanned Readmission Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 12.2 | ||||
| Total Medicare payments at DRG | $55,622,860 | ||||
| Total Medicare payments with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $1,521,247 | ||||
| Total Medicare payment per Day at DRG | $1,368 | ||||
| Total Medicare payment per Day with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $2,323 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,113 | ||||
| Total Medicare payment per Hospitalization with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $6,643 | ||||
| Total Medicare Charges at DRG | $228,602,464 | ||||
| Total Medicare Charges with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $5,456,512 | ||||
| Avg Charges at DRG | $25,124 | ||||
| Avg Charges with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $23,828 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||||
| SNF Discharge Rate at DRG | 0.21 | ||||
| SNF Discharge Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||||
| Home Discharge Rate at DRG | 84.04 | ||||
| Home Discharge Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 87.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | DRG 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,344 | ||||
| Total Hospitalizations with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 1,351 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium in DRG | 27.0 | ||||
| Avg LOS at DRG | 4.6 | ||||
| Avg LOS with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 5.59 | ||||
| Readmission Rate at DRG | 6.9 | ||||
| Readmission Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 8.54 | ||||
| Unplanned Readmission Rate at DRG | 4.28 | ||||
| Unplanned Readmission Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 5.69 | ||||
| Total Medicare payments at DRG | $91,873,813 | ||||
| Total Medicare payments with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $12,004,849 | ||||
| Total Medicare payment per Day at DRG | $1,762 | ||||
| Total Medicare payment per Day with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $1,589 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,099 | ||||
| Total Medicare payment per Hospitalization with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $8,886 | ||||
| Total Medicare Charges at DRG | $402,467,616 | ||||
| Total Medicare Charges with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $59,241,518 | ||||
| Avg Charges at DRG | $35,478 | ||||
| Avg Charges with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $43,850 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||||
| Home Discharge Rate at DRG | 94.84 | ||||
| Home Discharge Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 93.93 |
*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 | DRG 767: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C | DRG 778: THREATENED ABORTION | DRG 769: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | DRG 770: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,657 | ||||
| Total Hospitalizations with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 183 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium in DRG | 3.66 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 4.42 | ||||
| Readmission Rate at DRG | 14.04 | ||||
| Readmission Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 16.28 | ||||
| Unplanned Readmission Rate at DRG | 8.75 | ||||
| Unplanned Readmission Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 9.88 | ||||
| Total Medicare payments at DRG | $9,813,540 | ||||
| Total Medicare payments with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $1,141,623 | ||||
| Total Medicare payment per Day at DRG | $1,534 | ||||
| Total Medicare payment per Day with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $1,411 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $6,238 | ||||
| Total Medicare Charges at DRG | $41,245,618 | ||||
| Total Medicare Charges with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $5,420,351 | ||||
| Avg Charges at DRG | $24,892 | ||||
| Avg Charges with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $29,619 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||||
| Home Discharge Rate at DRG | 84.13 | ||||
| Home Discharge Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 83.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 779: ABORTION WITHOUT D&C | DRG 780: FALSE LABOR | DRG 768: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C | |
|---|---|---|---|
| Total Hospitalizations at DRG | 246 | ||
| Total Hospitalizations with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 16 | ||
| DRG Share of Total Hospitalizations | 0.0 | ||
| % of Total ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium in DRG | 0.32 | ||
| Avg LOS at DRG | 2.18 | ||
| Avg LOS with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 1.56 | ||
| Readmission Rate at DRG | 16.59 | ||
| Readmission Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||
| Unplanned Readmission Rate at DRG | 9.61 | ||
| Unplanned Readmission Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||
| Total Medicare payments at DRG | $995,506 | ||
| Total Medicare payments with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $59,077 | ||
| Total Medicare payment per Day at DRG | $1,857 | ||
| Total Medicare payment per Day with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $2,363 | ||
| Total Medicare payment per Hospitalization at DRG | $4,047 | ||
| Total Medicare payment per Hospitalization with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $3,692 | ||
| Total Medicare Charges at DRG | $5,487,412 | ||
| Total Medicare Charges with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $277,698 | ||
| Avg Charges at DRG | $22,307 | ||
| Avg Charges with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | $17,356 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||
| SNF Discharge Rate at DRG | NA | ||
| SNF Discharge Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | NA | ||
| Home Discharge Rate at DRG | 90.65 | ||
| Home Discharge Rate with ICD O9989 - Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium | 93.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 90 |
| UPMC MAGEE - WOMENS HOSPITAL | 300 HALKET ST | PITTSBURGH | PA | 15213 | 84 |
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 63 |