*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R6520 - Severe sepsis without septic shock - as a primary diagnosis code | R6520 - Severe sepsis without septic shock - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.79 | |
| Readmission Rate (%) | 25.59 | |
| Unplanned Readmission Rate (%) | 16.2 | |
| 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) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R6520 - Severe sepsis without septic shock | 3,073 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R6520 - Severe sepsis without septic shock in DRG | 67.39 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R6520 - Severe sepsis without septic shock | 6.44 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 25.11 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 16.22 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R6520 - Severe sepsis without septic shock | $35,271,942 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R6520 - Severe sepsis without septic shock | $1,782 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R6520 - Severe sepsis without septic shock | $11,478 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R6520 - Severe sepsis without septic shock | $157,908,574 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R6520 - Severe sepsis without septic shock | $51,386 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R6520 - Severe sepsis without septic shock | 12.89 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 26.75 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 23.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|
| Total Hospitalizations at DRG | 45,478 | |
| Total Hospitalizations with ICD R6520 - Severe sepsis without septic shock | 17 | |
| DRG Share of Total Hospitalizations | 0.14 | |
| % of Total ICD R6520 - Severe sepsis without septic shock in DRG | 0.37 | |
| Avg LOS at DRG | 25.29 | |
| Avg LOS with ICD R6520 - Severe sepsis without septic shock | 20.82 | |
| Readmission Rate at DRG | 74.5 | |
| Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 85.71 | |
| Unplanned Readmission Rate at DRG | 8.79 | |
| Unplanned Readmission Rate with ICD R6520 - Severe sepsis without septic shock | NA | |
| Total Medicare payments at DRG | $3,386,848,549 | |
| Total Medicare payments with ICD R6520 - Severe sepsis without septic shock | $1,322,123 | |
| Total Medicare payment per Day at DRG | $2,945 | |
| Total Medicare payment per Day with ICD R6520 - Severe sepsis without septic shock | $3,735 | |
| Total Medicare payment per Hospitalization at DRG | $74,472 | |
| Total Medicare payment per Hospitalization with ICD R6520 - Severe sepsis without septic shock | $77,772 | |
| Total Medicare Charges at DRG | $15,882,518,852 | |
| Total Medicare Charges with ICD R6520 - Severe sepsis without septic shock | $6,782,849 | |
| Avg Charges at DRG | $349,235 | |
| Avg Charges with ICD R6520 - Severe sepsis without septic shock | $398,991 | |
| Mortality Rate at DRG | 13.7 | |
| Mortality Rate with ICD R6520 - Severe sepsis without septic shock | NA | |
| SNF Discharge Rate at DRG | 17.77 | |
| SNF Discharge Rate with ICD R6520 - Severe sepsis without septic shock | NA | |
| Home Discharge Rate at DRG | 1.95 | |
| Home Discharge Rate with ICD R6520 - Severe sepsis without septic shock | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 53 |
| UNIVERSITY OF KANSAS HOSPITAL | 4000 Cambridge St. | KANSAS CITY | KS | 66160 | 40 |
| BAYHEALTH HOSPITAL KENT CAMPUS | 640 SOUTH STATE STREET | DOVER | DE | 19901 | 40 |
*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) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R6520 - Severe sepsis without septic shock | 374,550 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R6520 - Severe sepsis without septic shock in DRG | 59.96 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R6520 - Severe sepsis without septic shock | 6.39 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 23.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 16.43 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R6520 - Severe sepsis without septic shock | $4,400,985,043 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R6520 - Severe sepsis without septic shock | $1,838 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R6520 - Severe sepsis without septic shock | $11,750 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R6520 - Severe sepsis without septic shock | $22,407,911,910 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R6520 - Severe sepsis without septic shock | $59,826 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R6520 - Severe sepsis without septic shock | 10.08 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 29.1 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 24.2 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD R6520 - Severe sepsis without septic shock | 9,065 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD R6520 - Severe sepsis without septic shock in DRG | 1.45 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD R6520 - Severe sepsis without septic shock | 7.78 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 24.26 | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 13.47 | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD R6520 - Severe sepsis without septic shock | $137,932,245 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD R6520 - Severe sepsis without septic shock | $1,955 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD R6520 - Severe sepsis without septic shock | $15,216 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD R6520 - Severe sepsis without septic shock | $764,659,019 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD R6520 - Severe sepsis without septic shock | $84,353 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD R6520 - Severe sepsis without septic shock | 0.87 | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 29.09 | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 32.27 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 106,782 | ||||
| Total Hospitalizations with ICD R6520 - Severe sepsis without septic shock | 2,264 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD R6520 - Severe sepsis without septic shock in DRG | 0.36 | ||||
| Avg LOS at DRG | 13.16 | ||||
| Avg LOS with ICD R6520 - Severe sepsis without septic shock | 18.35 | ||||
| Readmission Rate at DRG | 30.28 | ||||
| Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 42.55 | ||||
| Unplanned Readmission Rate at DRG | 15.8 | ||||
| Unplanned Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 17.09 | ||||
| Total Medicare payments at DRG | $3,545,118,598 | ||||
| Total Medicare payments with ICD R6520 - Severe sepsis without septic shock | $90,934,735 | ||||
| Total Medicare payment per Day at DRG | $2,523 | ||||
| Total Medicare payment per Day with ICD R6520 - Severe sepsis without septic shock | $2,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,200 | ||||
| Total Medicare payment per Hospitalization with ICD R6520 - Severe sepsis without septic shock | $40,166 | ||||
| Total Medicare Charges at DRG | $16,714,197,313 | ||||
| Total Medicare Charges with ICD R6520 - Severe sepsis without septic shock | $547,590,736 | ||||
| Avg Charges at DRG | $156,526 | ||||
| Avg Charges with ICD R6520 - Severe sepsis without septic shock | $241,869 | ||||
| Mortality Rate at DRG | 9.42 | ||||
| Mortality Rate with ICD R6520 - Severe sepsis without septic shock | 18.24 | ||||
| SNF Discharge Rate at DRG | 28.14 | ||||
| SNF Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 28.53 | ||||
| Home Discharge Rate at DRG | 22.53 | ||||
| Home Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 7.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R6520 - Severe sepsis without septic shock | 1,826 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R6520 - Severe sepsis without septic shock in DRG | 0.29 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R6520 - Severe sepsis without septic shock | 7.19 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 22.18 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R6520 - Severe sepsis without septic shock | 13.93 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R6520 - Severe sepsis without septic shock | $18,446,518 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R6520 - Severe sepsis without septic shock | $1,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R6520 - Severe sepsis without septic shock | $10,102 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R6520 - Severe sepsis without septic shock | $102,150,944 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R6520 - Severe sepsis without septic shock | $55,942 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R6520 - Severe sepsis without septic shock | 15.01 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 21.25 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R6520 - Severe sepsis without septic shock | 27.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 2,107 |
| JEFFERSON STRATFORD HOSPITAL | 18 E LAUREL RD | STRATFORD | NJ | 08084 | 1,871 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 1,740 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HANY M HABASHY | 1325 EASTMORELAND AVE | MEMPHIS | TN | 38104 | 110 |
| Dr. ROXANA ELENA LAZARESCU | 5645 MAIN ST | FLUSHING | NY | 11355 | 105 |
| Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 101 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 324 |
| Dr. MATTHEW COLFLESH | 4232 MALL DRIVE | STEUBENVILLE | OH | 43952 | 228 |
| Dr. LEE T WIMBERLY | 50 MEDICAL PARK DR E | BIRMINGHAM | AL | 35235 | 212 |