*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R0603 - Acute respiratory distress - as a primary diagnosis code | R0603 - Acute respiratory distress - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.59 | |
| Readmission Rate (%) | 24.23 | |
| Unplanned Readmission Rate (%) | 14.66 | |
| 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 204: RESPIRATORY SIGNS AND SYMPTOMS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|
| Total Hospitalizations at DRG | 33,661 | |
| Total Hospitalizations with ICD R0603 - Acute respiratory distress | 643 | |
| DRG Share of Total Hospitalizations | 0.1 | |
| % of Total ICD R0603 - Acute respiratory distress in DRG | 88.2 | |
| Avg LOS at DRG | 2.64 | |
| Avg LOS with ICD R0603 - Acute respiratory distress | 2.65 | |
| Readmission Rate at DRG | 19.21 | |
| Readmission Rate with ICD R0603 - Acute respiratory distress | 24.02 | |
| Unplanned Readmission Rate at DRG | 13.52 | |
| Unplanned Readmission Rate with ICD R0603 - Acute respiratory distress | 14.08 | |
| Total Medicare payments at DRG | $155,156,045 | |
| Total Medicare payments with ICD R0603 - Acute respiratory distress | $3,556,465 | |
| Total Medicare payment per Day at DRG | $1,743 | |
| Total Medicare payment per Day with ICD R0603 - Acute respiratory distress | $2,083 | |
| Total Medicare payment per Hospitalization at DRG | $4,609 | |
| Total Medicare payment per Hospitalization with ICD R0603 - Acute respiratory distress | $5,531 | |
| Total Medicare Charges at DRG | $846,379,800 | |
| Total Medicare Charges with ICD R0603 - Acute respiratory distress | $13,329,569 | |
| Avg Charges at DRG | $25,144 | |
| Avg Charges with ICD R0603 - Acute respiratory distress | $20,730 | |
| Mortality Rate at DRG | 1.53 | |
| Mortality Rate with ICD R0603 - Acute respiratory distress | 8.09 | |
| SNF Discharge Rate at DRG | 8.91 | |
| SNF Discharge Rate with ICD R0603 - Acute respiratory distress | 12.91 | |
| Home Discharge Rate at DRG | 63.79 | |
| Home Discharge Rate with ICD R0603 - Acute respiratory distress | 45.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R0603 - Acute respiratory distress | 3,740 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R0603 - Acute respiratory distress in DRG | 10.59 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R0603 - Acute respiratory distress | 5.93 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R0603 - Acute respiratory distress | 22.57 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R0603 - Acute respiratory distress | 16.94 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R0603 - Acute respiratory distress | $44,914,867 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R0603 - Acute respiratory distress | $2,026 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R0603 - Acute respiratory distress | $12,009 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R0603 - Acute respiratory distress | $217,654,622 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R0603 - Acute respiratory distress | $58,196 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R0603 - Acute respiratory distress | 15.51 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R0603 - Acute respiratory distress | 24.81 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R0603 - Acute respiratory distress | 24.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 202: BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 204: RESPIRATORY SIGNS AND SYMPTOMS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD R0603 - Acute respiratory distress | 1,138 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R0603 - Acute respiratory distress in DRG | 3.22 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R0603 - Acute respiratory distress | 3.93 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R0603 - Acute respiratory distress | 24.82 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R0603 - Acute respiratory distress | 18.33 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R0603 - Acute respiratory distress | $7,058,443 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R0603 - Acute respiratory distress | $1,577 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R0603 - Acute respiratory distress | $6,202 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R0603 - Acute respiratory distress | $35,889,481 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R0603 - Acute respiratory distress | $31,537 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R0603 - Acute respiratory distress | 2.2 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R0603 - Acute respiratory distress | 16.87 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R0603 - Acute respiratory distress | 41.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD R0603 - Acute respiratory distress | 595 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R0603 - Acute respiratory distress in DRG | 1.68 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD R0603 - Acute respiratory distress | 5.12 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD R0603 - Acute respiratory distress | 27.81 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD R0603 - Acute respiratory distress | 20.59 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD R0603 - Acute respiratory distress | $6,270,984 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD R0603 - Acute respiratory distress | $2,060 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD R0603 - Acute respiratory distress | $10,539 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD R0603 - Acute respiratory distress | $30,165,808 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD R0603 - Acute respiratory distress | $50,699 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD R0603 - Acute respiratory distress | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD R0603 - Acute respiratory distress | 18.66 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD R0603 - Acute respiratory distress | 35.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 147,017 | ||||
| Total Hospitalizations with ICD R0603 - Acute respiratory distress | 487 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD R0603 - Acute respiratory distress in DRG | 1.38 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD R0603 - Acute respiratory distress | 3.16 | ||||
| Readmission Rate at DRG | 11.06 | ||||
| Readmission Rate with ICD R0603 - Acute respiratory distress | 10.96 | ||||
| Unplanned Readmission Rate at DRG | 7.05 | ||||
| Unplanned Readmission Rate with ICD R0603 - Acute respiratory distress | 7.93 | ||||
| Total Medicare payments at DRG | $662,922,575 | ||||
| Total Medicare payments with ICD R0603 - Acute respiratory distress | $2,208,327 | ||||
| Total Medicare payment per Day at DRG | $1,445 | ||||
| Total Medicare payment per Day with ICD R0603 - Acute respiratory distress | $1,433 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,509 | ||||
| Total Medicare payment per Hospitalization with ICD R0603 - Acute respiratory distress | $4,535 | ||||
| Total Medicare Charges at DRG | $2,893,146,238 | ||||
| Total Medicare Charges with ICD R0603 - Acute respiratory distress | $10,684,466 | ||||
| Avg Charges at DRG | $19,679 | ||||
| Avg Charges with ICD R0603 - Acute respiratory distress | $21,939 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R0603 - Acute respiratory distress | 3.49 | ||||
| SNF Discharge Rate at DRG | 13.03 | ||||
| SNF Discharge Rate with ICD R0603 - Acute respiratory distress | 11.09 | ||||
| Home Discharge Rate at DRG | 62.41 | ||||
| Home Discharge Rate with ICD R0603 - Acute respiratory distress | 58.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 225 |
| LOGAN REGIONAL MEDICAL CENTER | 20 HOSPITAL DR | LOGAN | WV | 25601 | 187 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 143 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PATRICK DECOURCY WALKER | 827 BAYOU GARDENS BLVD | HOUMA | LA | 70364 | 14 |
| Dr. LLOYD C TROMMLER | 1806 E 10TH ST | JEFFERSONVILLE | IN | 47130 | 13 |
| Dr. MIRZA MAQBOOL ASHRAF | 1001 WEST ST | CARTHAGE | NY | 13619 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 52 |
| Dr. RAMA KRISHNA YALAMANCHILI | 2139 AUBURN AVENUE | CINCINNATI | OH | 45219 | 50 |
| Dr. KATHY DIANN HARVEY | 140 STOLLINGS AVE STE 2 | LOGAN | WV | 25601 | 38 |