*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R825 - Elevated urine levels of drugs, medicaments and biological substances - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.64 | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 105 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R825 - Elevated urine levels of drugs, medicaments and biological substances in DRG | 9.92 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 10.97 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 31.0 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $851,517 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $739 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $8,110 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $3,482,306 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $33,165 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 72.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 31 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD R825 - Elevated urine levels of drugs, medicaments and biological substances in DRG | 2.93 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 4.03 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $138,186 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $1,105 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $4,458 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $550,421 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $17,756 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 77.42 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 18 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD R825 - Elevated urine levels of drugs, medicaments and biological substances in DRG | 1.7 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 2.61 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $76,305 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $1,624 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $4,239 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $327,219 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $18,179 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 83.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 13 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD R825 - Elevated urine levels of drugs, medicaments and biological substances in DRG | 1.23 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | 3.15 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $63,643 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $1,552 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $4,896 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $310,977 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | $23,921 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD R825 - Elevated urine levels of drugs, medicaments and biological substances | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OWENSBORO HEALTH REGIONAL HOSPITAL | 1201 PLEASANT VALLEY RD | OWENSBORO | KY | 42303 | 22 |
| DECATUR MORGAN HOSPITAL - DECATUR CAMPUS | 1201 7TH ST SE | DECATUR | AL | 35601 | 18 |
| SELF REGIONAL HEALTHCARE | 1325 SPRING ST | GREENWOOD | SC | 29646 | 13 |