*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R230 - Cyanosis - as a primary diagnosis code | R230 - Cyanosis - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.76 | |
| Readmission Rate (%) | 26.99 | |
| 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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 160,950 |
| Total Hospitalizations with ICD R230 - Cyanosis | 41 |
| DRG Share of Total Hospitalizations | 0.49 |
| % of Total ICD R230 - Cyanosis in DRG | 91.11 |
| Avg LOS at DRG | 4.98 |
| Avg LOS with ICD R230 - Cyanosis | 2.49 |
| Readmission Rate at DRG | 20.85 |
| Readmission Rate with ICD R230 - Cyanosis | NA |
| Unplanned Readmission Rate at DRG | 13.4 |
| Unplanned Readmission Rate with ICD R230 - Cyanosis | NA |
| Total Medicare payments at DRG | $1,184,949,733 |
| Total Medicare payments with ICD R230 - Cyanosis | $164,844 |
| Total Medicare payment per Day at DRG | $1,477 |
| Total Medicare payment per Day with ICD R230 - Cyanosis | $1,616 |
| Total Medicare payment per Hospitalization at DRG | $7,362 |
| Total Medicare payment per Hospitalization with ICD R230 - Cyanosis | $4,021 |
| Total Medicare Charges at DRG | $4,222,078,897 |
| Total Medicare Charges with ICD R230 - Cyanosis | $898,165 |
| Avg Charges at DRG | $26,232 |
| Avg Charges with ICD R230 - Cyanosis | $21,906 |
| Mortality Rate at DRG | 0.67 |
| Mortality Rate with ICD R230 - Cyanosis | NA |
| SNF Discharge Rate at DRG | 22.29 |
| SNF Discharge Rate with ICD R230 - Cyanosis | NA |
| Home Discharge Rate at DRG | 35.46 |
| Home Discharge Rate with ICD R230 - Cyanosis | 75.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R230 - Cyanosis | 915 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R230 - Cyanosis in DRG | 12.42 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R230 - Cyanosis | 5.71 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R230 - Cyanosis | 22.31 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R230 - Cyanosis | 14.68 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R230 - Cyanosis | $10,791,001 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R230 - Cyanosis | $2,067 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R230 - Cyanosis | $11,793 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R230 - Cyanosis | $54,719,347 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R230 - Cyanosis | $59,803 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R230 - Cyanosis | 38.91 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R230 - Cyanosis | 19.56 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R230 - Cyanosis | 9.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R230 - Cyanosis | 132 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R230 - Cyanosis in DRG | 1.79 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R230 - Cyanosis | 5.64 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R230 - Cyanosis | 29.06 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R230 - Cyanosis | 23.08 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R230 - Cyanosis | $954,833 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R230 - Cyanosis | $1,282 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R230 - Cyanosis | $7,234 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R230 - Cyanosis | $5,701,286 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R230 - Cyanosis | $43,192 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R230 - Cyanosis | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R230 - Cyanosis | 15.91 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R230 - Cyanosis | 46.21 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD R230 - Cyanosis | 114 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD R230 - Cyanosis in DRG | 1.55 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD R230 - Cyanosis | 6.81 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD R230 - Cyanosis | 23.4 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD R230 - Cyanosis | 19.15 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD R230 - Cyanosis | $1,269,764 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD R230 - Cyanosis | $1,636 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD R230 - Cyanosis | $11,138 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD R230 - Cyanosis | $7,064,164 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD R230 - Cyanosis | $61,966 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD R230 - Cyanosis | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD R230 - Cyanosis | 25.44 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD R230 - Cyanosis | 21.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD R230 - Cyanosis | 89 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD R230 - Cyanosis in DRG | 1.21 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD R230 - Cyanosis | 9.37 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD R230 - Cyanosis | 31.34 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD R230 - Cyanosis | 17.91 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD R230 - Cyanosis | $2,016,652 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD R230 - Cyanosis | $2,418 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD R230 - Cyanosis | $22,659 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD R230 - Cyanosis | $11,429,266 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD R230 - Cyanosis | $128,419 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD R230 - Cyanosis | 16.85 | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD R230 - Cyanosis | 24.72 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD R230 - Cyanosis | 31.46 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 24 |
| KALEIDA HEALTH | 100 HIGH ST | BUFFALO | NY | 14203 | 23 |
| PENINSULA REGIONAL MEDICAL CENTER | 100 E CARROLL ST | SALISBURY | MD | 21801 | 21 |