*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction - as a primary diagnosis code | R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.37 | |
| Readmission Rate (%) | 26.99 | |
| Unplanned Readmission Rate (%) | 14.74 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | |
| Total Hospitalizations with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 190 | |
| DRG Share of Total Hospitalizations | 5.5 | |
| % of Total ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction in DRG | 54.76 | |
| Avg LOS at DRG | 6.34 | |
| Avg LOS with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 5.64 | |
| Readmission Rate at DRG | 24.2 | |
| Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 23.31 | |
| Unplanned Readmission Rate at DRG | 16.78 | |
| Unplanned Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 15.95 | |
| Total Medicare payments at DRG | $21,288,214,047 | |
| Total Medicare payments with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $2,115,264 | |
| Total Medicare payment per Day at DRG | $1,857 | |
| Total Medicare payment per Day with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $1,975 | |
| Total Medicare payment per Hospitalization at DRG | $11,772 | |
| Total Medicare payment per Hospitalization with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $11,133 | |
| Total Medicare Charges at DRG | $107,155,481,388 | |
| Total Medicare Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $9,303,615 | |
| Avg Charges at DRG | $59,254 | |
| Avg Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $48,966 | |
| Mortality Rate at DRG | 12.11 | |
| Mortality Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 9.47 | |
| SNF Discharge Rate at DRG | 27.18 | |
| SNF Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 25.26 | |
| Home Discharge Rate at DRG | 25.81 | |
| Home Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 30.53 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 2,109 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction in DRG | 9.74 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 4.68 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 25.09 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 18.27 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $19,813,568 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $2,009 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $9,395 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $81,277,975 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $38,539 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 5.07 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 23.85 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 41.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 607 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction in DRG | 2.8 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 4.34 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 25.67 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 21.36 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $4,675,429 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $1,774 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $7,703 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $23,581,472 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $38,849 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 3.13 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 13.84 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 52.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 437 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction in DRG | 2.02 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 4.38 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 29.34 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 15.05 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $4,288,078 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $2,238 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $9,813 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $19,196,793 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $43,929 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 3.2 | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 13.5 | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 56.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 388: G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 59,073 | ||||
| Total Hospitalizations with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 334 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction in DRG | 1.54 | ||||
| Avg LOS at DRG | 6.4 | ||||
| Avg LOS with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 4.68 | ||||
| Readmission Rate at DRG | 25.83 | ||||
| Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 20.07 | ||||
| Unplanned Readmission Rate at DRG | 19.22 | ||||
| Unplanned Readmission Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 14.05 | ||||
| Total Medicare payments at DRG | $600,865,928 | ||||
| Total Medicare payments with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $3,392,782 | ||||
| Total Medicare payment per Day at DRG | $1,589 | ||||
| Total Medicare payment per Day with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $2,171 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,172 | ||||
| Total Medicare payment per Hospitalization with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $10,158 | ||||
| Total Medicare Charges at DRG | $2,875,007,973 | ||||
| Total Medicare Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $12,861,409 | ||||
| Avg Charges at DRG | $48,669 | ||||
| Avg Charges with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | $38,507 | ||||
| Mortality Rate at DRG | 6.54 | ||||
| Mortality Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 6.59 | ||||
| SNF Discharge Rate at DRG | 20.67 | ||||
| SNF Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 11.38 | ||||
| Home Discharge Rate at DRG | 39.03 | ||||
| Home Discharge Rate with ICD R6511 - Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction | 60.78 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 2,472 |
| GARDEN CITY HOSPITAL | 6245 INKSTER RD | GARDEN CITY | MI | 48135 | 404 |
| SAINT CLARE'S DENVILLE HOSPITAL | 25 POCONO RD | DENVILLE | NJ | 07834 | 324 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 187 |
| Dr. LOVE N DALAL | 2809 OLIVE HWY | OROVILLE | CA | 95966 | 122 |
| Dr. NATHANIEL HOWARD | 2721 OLIVE HWY | OROVILLE | CA | 95966 | 63 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. REX DUANE WILSON | 2175 ROSALINE AVE | REDDING | CA | 96001 | 235 |
| Dr. NHIA KASH VANG | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 212 |
| Dr. HANH KATELYN NGUYEN | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 211 |