*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R296 - Repeated falls - as a primary diagnosis code | R296 - Repeated falls - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.73 | |
| Readmission Rate (%) | 23.09 | |
| Unplanned Readmission Rate (%) | 12.13 | |
| 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) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | |||
| Total Hospitalizations with ICD R296 - Repeated falls | 2,806 | |||
| DRG Share of Total Hospitalizations | 0.37 | |||
| % of Total ICD R296 - Repeated falls in DRG | 58.02 | |||
| Avg LOS at DRG | 7.61 | |||
| Avg LOS with ICD R296 - Repeated falls | 4.43 | |||
| Readmission Rate at DRG | 21.31 | |||
| Readmission Rate with ICD R296 - Repeated falls | 21.62 | |||
| Unplanned Readmission Rate at DRG | 14.13 | |||
| Unplanned Readmission Rate with ICD R296 - Repeated falls | 12.23 | |||
| Total Medicare payments at DRG | $1,397,885,220 | |||
| Total Medicare payments with ICD R296 - Repeated falls | $18,923,696 | |||
| Total Medicare payment per Day at DRG | $1,497 | |||
| Total Medicare payment per Day with ICD R296 - Repeated falls | $1,523 | |||
| Total Medicare payment per Hospitalization at DRG | $11,390 | |||
| Total Medicare payment per Hospitalization with ICD R296 - Repeated falls | $6,744 | |||
| Total Medicare Charges at DRG | $4,175,290,309 | |||
| Total Medicare Charges with ICD R296 - Repeated falls | $76,656,204 | |||
| Avg Charges at DRG | $34,020 | |||
| Avg Charges with ICD R296 - Repeated falls | $27,319 | |||
| Mortality Rate at DRG | 0.28 | |||
| Mortality Rate with ICD R296 - Repeated falls | NA | |||
| SNF Discharge Rate at DRG | 21.64 | |||
| SNF Discharge Rate with ICD R296 - Repeated falls | 51.5 | |||
| Home Discharge Rate at DRG | 28.06 | |||
| Home Discharge Rate with ICD R296 - Repeated falls | 14.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 78 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF AUSTIN | 330 W. BEN WHITE BLVD. | AUSTIN | TX | 78704 | 59 |
| ST. LUKE'S UNIVERSITY HOSPITAL - BETHLEHEM CAMPUS | 801 OSTRUM ST | BETHLEHEM | PA | 18015 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LUCIAN P. BEDNARZ | 5 MORGAN HWY | SCRANTON | PA | 18508 | 35 |
| Dr. MARK D BOGAR | 1215 RED RIVER ST | AUSTIN | TX | 78701 | 28 |
| Dr. POONAM MEHTA MANASA | 3568 SHORELINE CIR | PALM HARBOR | FL | 34684 | 19 |
*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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R296 - Repeated falls | 17,104 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R296 - Repeated falls in DRG | 3.91 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R296 - Repeated falls | 6.03 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R296 - Repeated falls | 22.55 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R296 - Repeated falls | 15.01 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R296 - Repeated falls | $190,166,266 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R296 - Repeated falls | $1,845 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R296 - Repeated falls | $11,118 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R296 - Repeated falls | $877,359,655 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R296 - Repeated falls | $51,296 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R296 - Repeated falls | 10.16 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R296 - Repeated falls | 41.46 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R296 - Repeated falls | 12.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD R296 - Repeated falls | 9,993 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD R296 - Repeated falls in DRG | 2.28 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD R296 - Repeated falls | 4.98 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD R296 - Repeated falls | 21.57 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD R296 - Repeated falls | 9.9 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD R296 - Repeated falls | $69,924,909 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD R296 - Repeated falls | $1,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD R296 - Repeated falls | $6,997 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD R296 - Repeated falls | $319,729,868 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD R296 - Repeated falls | $31,995 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD R296 - Repeated falls | 0.25 | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD R296 - Repeated falls | 49.47 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD R296 - Repeated falls | 13.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD R296 - Repeated falls | 8,506 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD R296 - Repeated falls in DRG | 1.94 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD R296 - Repeated falls | 4.71 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD R296 - Repeated falls | 19.99 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD R296 - Repeated falls | 13.36 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD R296 - Repeated falls | $54,784,906 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD R296 - Repeated falls | $1,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD R296 - Repeated falls | $6,441 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD R296 - Repeated falls | $267,395,775 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD R296 - Repeated falls | $31,436 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD R296 - Repeated falls | 0.88 | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD R296 - Repeated falls | 56.27 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD R296 - Repeated falls | 12.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R296 - Repeated falls | 5,423 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R296 - Repeated falls in DRG | 1.24 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R296 - Repeated falls | 4.72 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R296 - Repeated falls | 19.19 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R296 - Repeated falls | 12.1 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R296 - Repeated falls | $35,352,348 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R296 - Repeated falls | $1,382 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R296 - Repeated falls | $6,519 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R296 - Repeated falls | $186,067,795 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R296 - Repeated falls | $34,311 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R296 - Repeated falls | 1.36 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R296 - Repeated falls | 42.47 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R296 - Repeated falls | 21.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,721 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 1,493 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,491 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,319 |
| Dr. SURESH NAYAK | 7575 5 MILE RD | CINCINNATI | OH | 45230 | 119 |
| Dr. AUSTON JEROD MYERS | 8700 BEVERLY BLVD | WEST HOLLYWOOD | CA | 90048 | 96 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID MARK GORDON | 28455 HAGGERTY RD | NOVI | MI | 48377 | 1,322 |
| Dr. TRAVIS W HIRD | 1501 RIVER POINTE DR | CONROE | TX | 77304 | 488 |
| Dr. EUGENE VICTOR HUDMAN | 6250 REGIONAL PLZ | ABILENE | TX | 79606 | 396 |