*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R6521 - Severe sepsis with septic shock - as a primary diagnosis code | R6521 - Severe sepsis with septic shock - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.07 | |
| Readmission Rate (%) | 34.78 | |
| Unplanned Readmission Rate (%) | 16.18 | |
| 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 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 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD R6521 - Severe sepsis with septic shock | 5,414 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R6521 - Severe sepsis with septic shock in DRG | 73.37 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R6521 - Severe sepsis with septic shock | 6.34 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 26.27 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 15.92 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R6521 - Severe sepsis with septic shock | $63,857,985 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R6521 - Severe sepsis with septic shock | $1,860 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R6521 - Severe sepsis with septic shock | $11,795 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R6521 - Severe sepsis with septic shock | $331,346,485 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R6521 - Severe sepsis with septic shock | $61,202 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R6521 - Severe sepsis with septic shock | 30.85 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 21.15 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 15.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYHEALTH HOSPITAL KENT CAMPUS | 640 SOUTH STATE STREET | DOVER | DE | 19901 | 69 |
| BAPTIST HEALTH HARDIN | 913 N DIXIE AVE | ELIZABETHTOWN | KY | 42701 | 42 |
| WEST TENNESSEE HEALTHCARE DYERSBURG HOSPITAL | 400 E TICKLE ST | DYERSBURG | TN | 38024 | 41 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES P ALSTON | 367 HOSPITAL BLVD | JACKSON | TN | 38305 | 18 |
| Dr. OLUSEGUN V ATEGBOLE | 400 E TICKLE ST | DYERSBURG | TN | 38024 | 16 |
| Dr. AMY FOWLER | 210 BLACK GOLD BLVD | HAZARD | KY | 41701 | 13 |
*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 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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD R6521 - Severe sepsis with septic shock | 413,567 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R6521 - Severe sepsis with septic shock in DRG | 53.07 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R6521 - Severe sepsis with septic shock | 6.69 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 27.64 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 17.49 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R6521 - Severe sepsis with septic shock | $5,165,486,096 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R6521 - Severe sepsis with septic shock | $1,868 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R6521 - Severe sepsis with septic shock | $12,490 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R6521 - Severe sepsis with septic shock | $31,495,113,601 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R6521 - Severe sepsis with septic shock | $76,155 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R6521 - Severe sepsis with septic shock | 29.19 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 23.8 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 14.51 |
*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 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD R6521 - Severe sepsis with septic shock | 14,504 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD R6521 - Severe sepsis with septic shock in DRG | 1.86 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD R6521 - Severe sepsis with septic shock | 28.19 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 79.12 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 7.21 | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD R6521 - Severe sepsis with septic shock | $1,205,173,310 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD R6521 - Severe sepsis with septic shock | $2,947 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD R6521 - Severe sepsis with septic shock | $83,092 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD R6521 - Severe sepsis with septic shock | $6,265,532,787 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD R6521 - Severe sepsis with septic shock | $431,987 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD R6521 - Severe sepsis with septic shock | 20.09 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 15.3 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 0.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD R6521 - Severe sepsis with septic shock | 5,532 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD R6521 - Severe sepsis with septic shock in DRG | 0.71 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD R6521 - Severe sepsis with septic shock | 20.83 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 45.05 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 19.16 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD R6521 - Severe sepsis with septic shock | $253,021,018 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD R6521 - Severe sepsis with septic shock | $2,196 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD R6521 - Severe sepsis with septic shock | $45,738 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD R6521 - Severe sepsis with septic shock | $1,488,158,797 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD R6521 - Severe sepsis with septic shock | $269,009 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD R6521 - Severe sepsis with septic shock | 45.68 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 18.13 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 5.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 974: HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,335 | ||||
| Total Hospitalizations with ICD R6521 - Severe sepsis with septic shock | 3,072 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD R6521 - Severe sepsis with septic shock in DRG | 0.39 | ||||
| Avg LOS at DRG | 12.91 | ||||
| Avg LOS with ICD R6521 - Severe sepsis with septic shock | 24.11 | ||||
| Readmission Rate at DRG | 32.17 | ||||
| Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 41.59 | ||||
| Unplanned Readmission Rate at DRG | 19.76 | ||||
| Unplanned Readmission Rate with ICD R6521 - Severe sepsis with septic shock | 17.07 | ||||
| Total Medicare payments at DRG | $2,324,349,241 | ||||
| Total Medicare payments with ICD R6521 - Severe sepsis with septic shock | $146,254,830 | ||||
| Total Medicare payment per Day at DRG | $2,187 | ||||
| Total Medicare payment per Day with ICD R6521 - Severe sepsis with septic shock | $1,975 | ||||
| Total Medicare payment per Hospitalization at DRG | $28,230 | ||||
| Total Medicare payment per Hospitalization with ICD R6521 - Severe sepsis with septic shock | $47,609 | ||||
| Total Medicare Charges at DRG | $11,401,334,817 | ||||
| Total Medicare Charges with ICD R6521 - Severe sepsis with septic shock | $995,036,101 | ||||
| Avg Charges at DRG | $138,475 | ||||
| Avg Charges with ICD R6521 - Severe sepsis with septic shock | $323,905 | ||||
| Mortality Rate at DRG | 10.6 | ||||
| Mortality Rate with ICD R6521 - Severe sepsis with septic shock | 54.04 | ||||
| SNF Discharge Rate at DRG | 21.62 | ||||
| SNF Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 14.49 | ||||
| Home Discharge Rate at DRG | 30.12 | ||||
| Home Discharge Rate with ICD R6521 - Severe sepsis with septic shock | 4.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,576 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 2,203 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 2,049 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 261 |
| Dr. BENSON YU HUANG | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 232 |
| Dr. ELEFTHERIOS ZISIS | 55 HATHAWAY LN | ESSEX FELLS | NJ | 07021 | 143 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 472 |
| Dr. HAMIDREZA MOGHADDAM | 16919 N BAY RD | SUNNY ISLES BEACH | FL | 33160 | 241 |
| Dr. LORENZO R PELLY | 2300 CENTRAL BLVD | BROWNSVILLE | TX | 78520 | 221 |