*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture - as a primary diagnosis code | S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.99 | |
| Readmission Rate (%) | 25.29 | |
| Unplanned Readmission Rate (%) | 8.51 | |
| 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 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | |||
| Total Hospitalizations with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 357 | |||
| DRG Share of Total Hospitalizations | 0.07 | |||
| % of Total ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture in DRG | 54.92 | |||
| Avg LOS at DRG | 4.81 | |||
| Avg LOS with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 2.94 | |||
| Readmission Rate at DRG | 21.07 | |||
| Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 16.27 | |||
| Unplanned Readmission Rate at DRG | 11.02 | |||
| Unplanned Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 9.64 | |||
| Total Medicare payments at DRG | $163,590,689 | |||
| Total Medicare payments with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $2,130,582 | |||
| Total Medicare payment per Day at DRG | $1,438 | |||
| Total Medicare payment per Day with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $2,031 | |||
| Total Medicare payment per Hospitalization at DRG | $6,913 | |||
| Total Medicare payment per Hospitalization with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $5,968 | |||
| Total Medicare Charges at DRG | $779,108,044 | |||
| Total Medicare Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $12,498,367 | |||
| Avg Charges at DRG | $32,925 | |||
| Avg Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $35,009 | |||
| Mortality Rate at DRG | 0.29 | |||
| Mortality Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | NA | |||
| SNF Discharge Rate at DRG | 39.56 | |||
| SNF Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 29.41 | |||
| Home Discharge Rate at DRG | 25.13 | |||
| Home Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 38.94 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,663 | ||||
| Total Hospitalizations with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 372 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture in DRG | 9.67 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 2.97 | ||||
| Readmission Rate at DRG | 21.07 | ||||
| Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 15.85 | ||||
| Unplanned Readmission Rate at DRG | 11.02 | ||||
| Unplanned Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 9.51 | ||||
| Total Medicare payments at DRG | $163,590,689 | ||||
| Total Medicare payments with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $2,211,537 | ||||
| Total Medicare payment per Day at DRG | $1,438 | ||||
| Total Medicare payment per Day with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $2,003 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,913 | ||||
| Total Medicare payment per Hospitalization with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $5,945 | ||||
| Total Medicare Charges at DRG | $779,108,044 | ||||
| Total Medicare Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $13,078,201 | ||||
| Avg Charges at DRG | $32,925 | ||||
| Avg Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $35,156 | ||||
| Mortality Rate at DRG | 0.29 | ||||
| Mortality Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 39.56 | ||||
| SNF Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 29.84 | ||||
| Home Discharge Rate at DRG | 25.13 | ||||
| Home Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 38.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 084: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 131: CRANIAL AND FACIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/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 | 19,415 | ||||
| Total Hospitalizations with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 159 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture in DRG | 4.14 | ||||
| Avg LOS at DRG | 4.33 | ||||
| Avg LOS with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 4.86 | ||||
| Readmission Rate at DRG | 27.41 | ||||
| Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 23.4 | ||||
| Unplanned Readmission Rate at DRG | 11.53 | ||||
| Unplanned Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 9.93 | ||||
| Total Medicare payments at DRG | $170,996,169 | ||||
| Total Medicare payments with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $1,473,714 | ||||
| Total Medicare payment per Day at DRG | $2,034 | ||||
| Total Medicare payment per Day with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $1,906 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,807 | ||||
| Total Medicare payment per Hospitalization with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $9,269 | ||||
| Total Medicare Charges at DRG | $900,861,807 | ||||
| Total Medicare Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $9,356,452 | ||||
| Avg Charges at DRG | $46,400 | ||||
| Avg Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $58,846 | ||||
| Mortality Rate at DRG | 5.22 | ||||
| Mortality Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 29.13 | ||||
| SNF Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 30.82 | ||||
| Home Discharge Rate at DRG | 28.24 | ||||
| Home Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 27.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 158: DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,816 | ||||
| Total Hospitalizations with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 89 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture in DRG | 2.31 | ||||
| Avg LOS at DRG | 4.93 | ||||
| Avg LOS with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 4.49 | ||||
| Readmission Rate at DRG | 25.56 | ||||
| Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 27.4 | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $122,023,158 | ||||
| Total Medicare payments with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $821,305 | ||||
| Total Medicare payment per Day at DRG | $1,933 | ||||
| Total Medicare payment per Day with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $2,053 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,521 | ||||
| Total Medicare payment per Hospitalization with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $9,228 | ||||
| Total Medicare Charges at DRG | $664,585,733 | ||||
| Total Medicare Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $5,498,163 | ||||
| Avg Charges at DRG | $51,856 | ||||
| Avg Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $61,777 | ||||
| Mortality Rate at DRG | 3.46 | ||||
| Mortality Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 38.76 | ||||
| SNF Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 30.34 | ||||
| Home Discharge Rate at DRG | 21.33 | ||||
| Home Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 31.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 157: DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,726 | ||||
| Total Hospitalizations with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 56 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture in DRG | 1.46 | ||||
| Avg LOS at DRG | 6.02 | ||||
| Avg LOS with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 4.41 | ||||
| Readmission Rate at DRG | 24.11 | ||||
| Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | NA | ||||
| Unplanned Readmission Rate at DRG | 15.58 | ||||
| Unplanned Readmission Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | NA | ||||
| Total Medicare payments at DRG | $64,185,772 | ||||
| Total Medicare payments with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $571,525 | ||||
| Total Medicare payment per Day at DRG | $1,861 | ||||
| Total Medicare payment per Day with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $2,314 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,210 | ||||
| Total Medicare payment per Hospitalization with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $10,206 | ||||
| Total Medicare Charges at DRG | $310,029,076 | ||||
| Total Medicare Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $2,701,260 | ||||
| Avg Charges at DRG | $54,144 | ||||
| Avg Charges with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | $48,237 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | NA | ||||
| SNF Discharge Rate at DRG | 21.2 | ||||
| SNF Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 32.14 | ||||
| Home Discharge Rate at DRG | 44.04 | ||||
| Home Discharge Rate with ICD S0281XA - Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture | 28.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | 3635 VISTA AVE | SAINT LOUIS | MO | 63110 | 22 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 21 |
| UW MEDICINE HARBORVIEW MEDICAL CENTER | 325 9TH AVE | SEATTLE | WA | 98104 | 21 |