*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction - as a primary diagnosis code | R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.07 | |
| Readmission Rate (%) | 24.62 | |
| Unplanned Readmission Rate (%) | 13.99 | |
| 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | |||
| Total Hospitalizations with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 2,098 | |||
| DRG Share of Total Hospitalizations | 1.52 | |||
| % of Total ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction in DRG | 61.96 | |||
| Avg LOS at DRG | 4.34 | |||
| Avg LOS with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 3.25 | |||
| Readmission Rate at DRG | 17.57 | |||
| Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 17.31 | |||
| Unplanned Readmission Rate at DRG | 12.56 | |||
| Unplanned Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 11.98 | |||
| Total Medicare payments at DRG | $3,254,711,780 | |||
| Total Medicare payments with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $12,996,568 | |||
| Total Medicare payment per Day at DRG | $1,504 | |||
| Total Medicare payment per Day with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $1,908 | |||
| Total Medicare payment per Hospitalization at DRG | $6,521 | |||
| Total Medicare payment per Hospitalization with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $6,195 | |||
| Total Medicare Charges at DRG | $16,863,396,143 | |||
| Total Medicare Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $51,304,598 | |||
| Avg Charges at DRG | $33,785 | |||
| Avg Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $24,454 | |||
| Mortality Rate at DRG | 1.33 | |||
| Mortality Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 0.62 | |||
| SNF Discharge Rate at DRG | 19.89 | |||
| SNF Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 15.06 | |||
| Home Discharge Rate at DRG | 49.27 | |||
| Home Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 56.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| READING HOSPITAL | 420 S 5TH AVE | WEST READING | PA | 19611 | 24 |
| PENINSULA REGIONAL MEDICAL CENTER | 100 E CARROLL ST | SALISBURY | MD | 21801 | 17 |
| VIDANT MEDICAL CENTER | 2100 STANTONSBURG RD | GREENVILLE | NC | 27834 | 14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 6,164 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction in DRG | 3.65 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 5.19 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 24.04 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 19.14 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $51,199,580 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $1,602 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $8,306 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $263,073,337 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $42,679 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 4.01 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 16.16 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 46.93 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 286,456 | ||||
| Total Hospitalizations with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 3,593 | ||||
| DRG Share of Total Hospitalizations | 0.87 | ||||
| % of Total ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction in DRG | 2.13 | ||||
| Avg LOS at DRG | 3.75 | ||||
| Avg LOS with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 3.28 | ||||
| Readmission Rate at DRG | 22.9 | ||||
| Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 20.2 | ||||
| Unplanned Readmission Rate at DRG | 18.29 | ||||
| Unplanned Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 16.89 | ||||
| Total Medicare payments at DRG | $1,641,467,496 | ||||
| Total Medicare payments with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $19,647,736 | ||||
| Total Medicare payment per Day at DRG | $1,526 | ||||
| Total Medicare payment per Day with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $1,665 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,730 | ||||
| Total Medicare payment per Hospitalization with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $5,468 | ||||
| Total Medicare Charges at DRG | $8,050,963,680 | ||||
| Total Medicare Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $95,292,009 | ||||
| Avg Charges at DRG | $28,105 | ||||
| Avg Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $26,522 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | NA | ||||
| SNF Discharge Rate at DRG | 10.84 | ||||
| SNF Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 8.46 | ||||
| Home Discharge Rate at DRG | 59.73 | ||||
| Home Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 65.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 864: FEVER | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 85,343 | ||||
| Total Hospitalizations with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 2,529 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction in DRG | 1.5 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 4.66 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 17.46 | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 13.56 | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $13,382,077 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $1,134 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $5,291 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $88,841,899 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $35,129 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 5.5 | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 76.08 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 2,044 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction in DRG | 1.21 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 3.91 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 17.67 | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 14.03 | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $12,602,749 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $1,576 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $6,166 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $78,690,542 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | $38,498 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 1.86 | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 17.81 | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD R6510 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction | 57.78 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 2,053 |
| CENTRA VIRGINIA BAPTIST HOSPITAL | 3300 RIVERMONT AVE | LYNCHBURG | VA | 24503 | 1,851 |
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 1,034 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID G CABLE | 5668 E STATE ST | ROCKFORD | IL | 61108 | 261 |
| Dr. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 193 |
| Dr. ALLAN S STEWART | 177 FORT WASHINGTON AVE | NEW YORK | NY | 10032 | 127 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID G CABLE | 5668 E STATE ST | ROCKFORD | IL | 61108 | 252 |
| Dr. GURBIR SINGH ATWAL | 825 DELBON AVE | TURLOCK | CA | 95382 | 237 |
| Dr. DAVID ADAMS | 1190 5TH AVE | NEW YORK | NY | 10029 | 196 |