*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R092 - Respiratory arrest - as a primary diagnosis code | R092 - Respiratory arrest - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.64 | |
| Readmission Rate (%) | 36.26 | |
| Unplanned Readmission Rate (%) | 15.03 | |
| 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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD R092 - Respiratory arrest | 276 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD R092 - Respiratory arrest in DRG | 44.16 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD R092 - Respiratory arrest | 3.48 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD R092 - Respiratory arrest | 30.09 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD R092 - Respiratory arrest | 16.81 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD R092 - Respiratory arrest | $3,747,228 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD R092 - Respiratory arrest | $3,899 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD R092 - Respiratory arrest | $13,577 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD R092 - Respiratory arrest | $13,412,870 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD R092 - Respiratory arrest | $48,597 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD R092 - Respiratory arrest | 53.26 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD R092 - Respiratory arrest | 11.59 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD R092 - Respiratory arrest | 14.13 |
*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 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R092 - Respiratory arrest | 1,718 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R092 - Respiratory arrest in DRG | 12.41 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R092 - Respiratory arrest | 5.69 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R092 - Respiratory arrest | 31.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R092 - Respiratory arrest | 18.97 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R092 - Respiratory arrest | $20,836,817 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R092 - Respiratory arrest | $2,132 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R092 - Respiratory arrest | $12,129 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R092 - Respiratory arrest | $119,492,597 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R092 - Respiratory arrest | $69,553 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R092 - Respiratory arrest | 61.47 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R092 - Respiratory arrest | 11.58 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R092 - Respiratory arrest | 5.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD R092 - Respiratory arrest | 356 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R092 - Respiratory arrest in DRG | 2.57 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD R092 - Respiratory arrest | 14.68 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD R092 - Respiratory arrest | 49.46 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD R092 - Respiratory arrest | 20.97 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD R092 - Respiratory arrest | $12,858,526 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD R092 - Respiratory arrest | $2,460 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD R092 - Respiratory arrest | $36,119 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD R092 - Respiratory arrest | $75,058,046 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD R092 - Respiratory arrest | $210,837 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD R092 - Respiratory arrest | 43.54 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD R092 - Respiratory arrest | 19.94 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD R092 - Respiratory arrest | 6.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R092 - Respiratory arrest | 217 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R092 - Respiratory arrest in DRG | 1.57 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R092 - Respiratory arrest | 8.51 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R092 - Respiratory arrest | 32.47 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R092 - Respiratory arrest | 19.48 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R092 - Respiratory arrest | $2,671,860 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R092 - Respiratory arrest | $1,447 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R092 - Respiratory arrest | $12,313 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R092 - Respiratory arrest | $15,847,224 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R092 - Respiratory arrest | $73,029 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R092 - Respiratory arrest | 58.99 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R092 - Respiratory arrest | 14.29 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R092 - Respiratory arrest | 5.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 227,705 | ||||
| Total Hospitalizations with ICD R092 - Respiratory arrest | 164 | ||||
| DRG Share of Total Hospitalizations | 0.69 | ||||
| % of Total ICD R092 - Respiratory arrest in DRG | 1.18 | ||||
| Avg LOS at DRG | 4.51 | ||||
| Avg LOS with ICD R092 - Respiratory arrest | 6.18 | ||||
| Readmission Rate at DRG | 24.66 | ||||
| Readmission Rate with ICD R092 - Respiratory arrest | 20.27 | ||||
| Unplanned Readmission Rate at DRG | 18.32 | ||||
| Unplanned Readmission Rate with ICD R092 - Respiratory arrest | NA | ||||
| Total Medicare payments at DRG | $1,725,174,811 | ||||
| Total Medicare payments with ICD R092 - Respiratory arrest | $1,561,132 | ||||
| Total Medicare payment per Day at DRG | $1,678 | ||||
| Total Medicare payment per Day with ICD R092 - Respiratory arrest | $1,541 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,576 | ||||
| Total Medicare payment per Hospitalization with ICD R092 - Respiratory arrest | $9,519 | ||||
| Total Medicare Charges at DRG | $8,683,995,141 | ||||
| Total Medicare Charges with ICD R092 - Respiratory arrest | $11,159,117 | ||||
| Avg Charges at DRG | $38,137 | ||||
| Avg Charges with ICD R092 - Respiratory arrest | $68,043 | ||||
| Mortality Rate at DRG | 4.12 | ||||
| Mortality Rate with ICD R092 - Respiratory arrest | 46.34 | ||||
| SNF Discharge Rate at DRG | 17.01 | ||||
| SNF Discharge Rate with ICD R092 - Respiratory arrest | 9.15 | ||||
| Home Discharge Rate at DRG | 48.19 | ||||
| Home Discharge Rate with ICD R092 - Respiratory arrest | 10.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SPARTANBURG MEDICAL CENTER | 101 E WOOD ST | SPARTANBURG | SC | 29303 | 174 |
| DEACONESS HOSPITAL | 600 MARY ST | EVANSVILLE | IN | 47710 | 55 |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL | 620 SKYLINE DR | JACKSON | TN | 38301 | 51 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN DOUGLAS CLARK | 2030 NORTH CHURCH PLACE | SPARTANBURG | SC | 29303 | 14 |