*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R278 - Other lack of coordination - as a primary diagnosis code | R278 - Other lack of coordination - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.1 | |
| Readmission Rate (%) | 23.85 | |
| Unplanned Readmission Rate (%) | 9.02 | |
| 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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||
| Total Hospitalizations with ICD R278 - Other lack of coordination | 338 | ||
| DRG Share of Total Hospitalizations | 0.37 | ||
| % of Total ICD R278 - Other lack of coordination in DRG | 46.75 | ||
| Avg LOS at DRG | 7.61 | ||
| Avg LOS with ICD R278 - Other lack of coordination | 4.8 | ||
| Readmission Rate at DRG | 21.31 | ||
| Readmission Rate with ICD R278 - Other lack of coordination | 15.63 | ||
| Unplanned Readmission Rate at DRG | 14.13 | ||
| Unplanned Readmission Rate with ICD R278 - Other lack of coordination | 9.38 | ||
| Total Medicare payments at DRG | $1,397,885,220 | ||
| Total Medicare payments with ICD R278 - Other lack of coordination | $2,729,500 | ||
| Total Medicare payment per Day at DRG | $1,497 | ||
| Total Medicare payment per Day with ICD R278 - Other lack of coordination | $1,681 | ||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||
| Total Medicare payment per Hospitalization with ICD R278 - Other lack of coordination | $8,075 | ||
| Total Medicare Charges at DRG | $4,175,290,309 | ||
| Total Medicare Charges with ICD R278 - Other lack of coordination | $10,177,532 | ||
| Avg Charges at DRG | $34,020 | ||
| Avg Charges with ICD R278 - Other lack of coordination | $30,111 | ||
| Mortality Rate at DRG | 0.28 | ||
| Mortality Rate with ICD R278 - Other lack of coordination | NA | ||
| SNF Discharge Rate at DRG | 21.64 | ||
| SNF Discharge Rate with ICD R278 - Other lack of coordination | 19.23 | ||
| Home Discharge Rate at DRG | 28.06 | ||
| Home Discharge Rate with ICD R278 - Other lack of coordination | 41.42 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ASCENSION PROVIDENCE HOSPITAL - SOUTHFIELD CAMPUS | 16001 W 9 MILE RD | SOUTHFIELD | MI | 48075 | 17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R278 - Other lack of coordination | 6,500 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R278 - Other lack of coordination in DRG | 16.05 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R278 - Other lack of coordination | 13.36 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R278 - Other lack of coordination | 10.93 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R278 - Other lack of coordination | 7.91 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R278 - Other lack of coordination | $129,808,863 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R278 - Other lack of coordination | $1,494 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R278 - Other lack of coordination | $19,971 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R278 - Other lack of coordination | $307,472,116 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R278 - Other lack of coordination | $47,303 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R278 - Other lack of coordination | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R278 - Other lack of coordination | 17.34 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R278 - Other lack of coordination | 35.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 124,702 | ||||
| Total Hospitalizations with ICD R278 - Other lack of coordination | 1,686 | ||||
| DRG Share of Total Hospitalizations | 0.38 | ||||
| % of Total ICD R278 - Other lack of coordination in DRG | 4.16 | ||||
| Avg LOS at DRG | 2.62 | ||||
| Avg LOS with ICD R278 - Other lack of coordination | 3.07 | ||||
| Readmission Rate at DRG | 21.95 | ||||
| Readmission Rate with ICD R278 - Other lack of coordination | 31.92 | ||||
| Unplanned Readmission Rate at DRG | 5.89 | ||||
| Unplanned Readmission Rate with ICD R278 - Other lack of coordination | 4.17 | ||||
| Total Medicare payments at DRG | $558,197,116 | ||||
| Total Medicare payments with ICD R278 - Other lack of coordination | $8,562,668 | ||||
| Total Medicare payment per Day at DRG | $1,710 | ||||
| Total Medicare payment per Day with ICD R278 - Other lack of coordination | $1,653 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,476 | ||||
| Total Medicare payment per Hospitalization with ICD R278 - Other lack of coordination | $5,079 | ||||
| Total Medicare Charges at DRG | $3,580,078,202 | ||||
| Total Medicare Charges with ICD R278 - Other lack of coordination | $51,428,989 | ||||
| Avg Charges at DRG | $28,709 | ||||
| Avg Charges with ICD R278 - Other lack of coordination | $30,504 | ||||
| Mortality Rate at DRG | 1.81 | ||||
| Mortality Rate with ICD R278 - Other lack of coordination | NA | ||||
| SNF Discharge Rate at DRG | 12.67 | ||||
| SNF Discharge Rate with ICD R278 - Other lack of coordination | 11.27 | ||||
| Home Discharge Rate at DRG | 49.98 | ||||
| Home Discharge Rate with ICD R278 - Other lack of coordination | 43.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 069: TRANSIENT ISCHEMIA | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | 160,368 | ||||
| Total Hospitalizations with ICD R278 - Other lack of coordination | 598 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R278 - Other lack of coordination in DRG | 1.48 | ||||
| Avg LOS at DRG | 2.45 | ||||
| Avg LOS with ICD R278 - Other lack of coordination | 3.72 | ||||
| Readmission Rate at DRG | 13.87 | ||||
| Readmission Rate with ICD R278 - Other lack of coordination | 15.29 | ||||
| Unplanned Readmission Rate at DRG | 8.53 | ||||
| Unplanned Readmission Rate with ICD R278 - Other lack of coordination | 8.76 | ||||
| Total Medicare payments at DRG | $659,839,038 | ||||
| Total Medicare payments with ICD R278 - Other lack of coordination | $3,598,497 | ||||
| Total Medicare payment per Day at DRG | $1,681 | ||||
| Total Medicare payment per Day with ICD R278 - Other lack of coordination | $1,617 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,115 | ||||
| Total Medicare payment per Hospitalization with ICD R278 - Other lack of coordination | $6,018 | ||||
| Total Medicare Charges at DRG | $4,799,766,979 | ||||
| Total Medicare Charges with ICD R278 - Other lack of coordination | $17,399,187 | ||||
| Avg Charges at DRG | $29,930 | ||||
| Avg Charges with ICD R278 - Other lack of coordination | $29,096 | ||||
| Mortality Rate at DRG | 0.16 | ||||
| Mortality Rate with ICD R278 - Other lack of coordination | NA | ||||
| SNF Discharge Rate at DRG | 13.4 | ||||
| SNF Discharge Rate with ICD R278 - Other lack of coordination | 11.37 | ||||
| Home Discharge Rate at DRG | 60.91 | ||||
| Home Discharge Rate with ICD R278 - Other lack of coordination | 55.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,950 | ||||
| Total Hospitalizations with ICD R278 - Other lack of coordination | 478 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD R278 - Other lack of coordination in DRG | 1.18 | ||||
| Avg LOS at DRG | 4.98 | ||||
| Avg LOS with ICD R278 - Other lack of coordination | 8.65 | ||||
| Readmission Rate at DRG | 20.85 | ||||
| Readmission Rate with ICD R278 - Other lack of coordination | 17.43 | ||||
| Unplanned Readmission Rate at DRG | 13.4 | ||||
| Unplanned Readmission Rate with ICD R278 - Other lack of coordination | 12.16 | ||||
| Total Medicare payments at DRG | $1,184,949,733 | ||||
| Total Medicare payments with ICD R278 - Other lack of coordination | $5,909,198 | ||||
| Total Medicare payment per Day at DRG | $1,477 | ||||
| Total Medicare payment per Day with ICD R278 - Other lack of coordination | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,362 | ||||
| Total Medicare payment per Hospitalization with ICD R278 - Other lack of coordination | $12,362 | ||||
| Total Medicare Charges at DRG | $4,222,078,897 | ||||
| Total Medicare Charges with ICD R278 - Other lack of coordination | $15,582,400 | ||||
| Avg Charges at DRG | $26,232 | ||||
| Avg Charges with ICD R278 - Other lack of coordination | $32,599 | ||||
| Mortality Rate at DRG | 0.67 | ||||
| Mortality Rate with ICD R278 - Other lack of coordination | NA | ||||
| SNF Discharge Rate at DRG | 22.29 | ||||
| SNF Discharge Rate with ICD R278 - Other lack of coordination | 15.48 | ||||
| Home Discharge Rate at DRG | 35.46 | ||||
| Home Discharge Rate with ICD R278 - Other lack of coordination | 26.99 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 1,381 |
| YUMA REHABILITATION HOSPITAL | 901 W 24TH ST | YUMA | AZ | 85364 | 1,136 |
| ST. LUKE'S REHABILITATION INSTITUTE | 711 S COWLEY ST | SPOKANE | WA | 99202 | 917 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK L CUNNINGHAM | 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 446 |
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 367 |
| Dr. PATRICE N STEVENSON | 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 161 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VERNON BARROS CHAVEZ | 1210 W 24TH ST | YUMA | AZ | 85364 | 496 |
| Dr. RINELY AGUIAR-OLSEN | 2285 S ELKS LN | YUMA | AZ | 85364 | 474 |
| Dr. MARK L CUNNINGHAM | 7601 SOUTHCREST PKWY | SOUTHAVEN | MS | 38671 | 448 |