*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R99 - Ill-defined and unknown cause of mortality - as a primary diagnosis code | R99 - Ill-defined and unknown cause of mortality - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.08 | |
| Readmission Rate (%) | 21.74 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 951: OTHER FACTORS INFLUENCING HEALTH STATUS | |
|---|---|
| Total Hospitalizations at DRG | 4,475 |
| Total Hospitalizations with ICD R99 - Ill-defined and unknown cause of mortality | 36 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD R99 - Ill-defined and unknown cause of mortality in DRG | 97.3 |
| Avg LOS at DRG | 6.46 |
| Avg LOS with ICD R99 - Ill-defined and unknown cause of mortality | 2.5 |
| Readmission Rate at DRG | 21.75 |
| Readmission Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA |
| Unplanned Readmission Rate at DRG | 13.67 |
| Unplanned Readmission Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA |
| Total Medicare payments at DRG | $24,331,342 |
| Total Medicare payments with ICD R99 - Ill-defined and unknown cause of mortality | $178,146 |
| Total Medicare payment per Day at DRG | $842 |
| Total Medicare payment per Day with ICD R99 - Ill-defined and unknown cause of mortality | $1,979 |
| Total Medicare payment per Hospitalization at DRG | $5,437 |
| Total Medicare payment per Hospitalization with ICD R99 - Ill-defined and unknown cause of mortality | $4,949 |
| Total Medicare Charges at DRG | $86,404,017 |
| Total Medicare Charges with ICD R99 - Ill-defined and unknown cause of mortality | $460,739 |
| Avg Charges at DRG | $19,308 |
| Avg Charges with ICD R99 - Ill-defined and unknown cause of mortality | $12,798 |
| Mortality Rate at DRG | 26.77 |
| Mortality Rate with ICD R99 - Ill-defined and unknown cause of mortality | 75.0 |
| SNF Discharge Rate at DRG | 8.09 |
| SNF Discharge Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA |
| Home Discharge Rate at DRG | 40.13 |
| Home Discharge Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA |
*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 951: OTHER FACTORS INFLUENCING HEALTH STATUS | DRG 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R99 - Ill-defined and unknown cause of mortality | 49 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R99 - Ill-defined and unknown cause of mortality in DRG | 8.64 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R99 - Ill-defined and unknown cause of mortality | 4.49 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R99 - Ill-defined and unknown cause of mortality | $580,828 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R99 - Ill-defined and unknown cause of mortality | $2,640 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R99 - Ill-defined and unknown cause of mortality | $11,854 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R99 - Ill-defined and unknown cause of mortality | $3,153,614 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R99 - Ill-defined and unknown cause of mortality | $64,359 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R99 - Ill-defined and unknown cause of mortality | 93.88 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 296: CARDIAC ARREST, UNEXPLAINED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | |||
| Total Hospitalizations with ICD R99 - Ill-defined and unknown cause of mortality | 14 | |||
| DRG Share of Total Hospitalizations | 3.08 | |||
| % of Total ICD R99 - Ill-defined and unknown cause of mortality in DRG | 2.47 | |||
| Avg LOS at DRG | 5.34 | |||
| Avg LOS with ICD R99 - Ill-defined and unknown cause of mortality | 3.86 | |||
| Readmission Rate at DRG | 28.25 | |||
| Readmission Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA | |||
| Unplanned Readmission Rate at DRG | 21.93 | |||
| Unplanned Readmission Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA | |||
| Total Medicare payments at DRG | $9,469,067,156 | |||
| Total Medicare payments with ICD R99 - Ill-defined and unknown cause of mortality | $129,234 | |||
| Total Medicare payment per Day at DRG | $1,751 | |||
| Total Medicare payment per Day with ICD R99 - Ill-defined and unknown cause of mortality | $2,393 | |||
| Total Medicare payment per Hospitalization at DRG | $9,340 | |||
| Total Medicare payment per Hospitalization with ICD R99 - Ill-defined and unknown cause of mortality | $9,231 | |||
| Total Medicare Charges at DRG | $43,343,716,813 | |||
| Total Medicare Charges with ICD R99 - Ill-defined and unknown cause of mortality | $502,331 | |||
| Avg Charges at DRG | $42,755 | |||
| Avg Charges with ICD R99 - Ill-defined and unknown cause of mortality | $35,881 | |||
| Mortality Rate at DRG | 3.72 | |||
| Mortality Rate with ICD R99 - Ill-defined and unknown cause of mortality | 78.57 | |||
| SNF Discharge Rate at DRG | 20.84 | |||
| SNF Discharge Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA | |||
| Home Discharge Rate at DRG | 37.68 | |||
| Home Discharge Rate with ICD R99 - Ill-defined and unknown cause of mortality | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 31 |
| SENTARA HALIFAX REGIONAL HOSPITAL | 2204 WILBORN AVE | SOUTH BOSTON | VA | 24592 | 26 |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 12 |