*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter - as a primary diagnosis code | S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.66 | |
| Readmission Rate (%) | 47.24 | |
| Unplanned Readmission Rate (%) | 17.65 | |
| 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 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 16,887 | |
| Total Hospitalizations with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 69 | |
| DRG Share of Total Hospitalizations | 0.05 | |
| % of Total ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter in DRG | 67.65 | |
| Avg LOS at DRG | 6.32 | |
| Avg LOS with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 5.78 | |
| Readmission Rate at DRG | 32.67 | |
| Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 41.67 | |
| Unplanned Readmission Rate at DRG | 12.74 | |
| Unplanned Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | NA | |
| Total Medicare payments at DRG | $261,162,717 | |
| Total Medicare payments with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $1,061,211 | |
| Total Medicare payment per Day at DRG | $2,446 | |
| Total Medicare payment per Day with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $2,660 | |
| Total Medicare payment per Hospitalization at DRG | $15,465 | |
| Total Medicare payment per Hospitalization with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $15,380 | |
| Total Medicare Charges at DRG | $1,308,172,656 | |
| Total Medicare Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $4,374,643 | |
| Avg Charges at DRG | $77,466 | |
| Avg Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $63,401 | |
| Mortality Rate at DRG | 32.04 | |
| Mortality Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 20.29 | |
| SNF Discharge Rate at DRG | 23.53 | |
| SNF Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 23.19 | |
| Home Discharge Rate at DRG | 11.05 | |
| Home Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 24.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES 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 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 16,887 | ||||
| Total Hospitalizations with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 619 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter in DRG | 24.99 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 7.73 | ||||
| Readmission Rate at DRG | 32.67 | ||||
| Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 43.22 | ||||
| Unplanned Readmission Rate at DRG | 12.74 | ||||
| Unplanned Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 11.3 | ||||
| Total Medicare payments at DRG | $261,162,717 | ||||
| Total Medicare payments with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $10,712,958 | ||||
| Total Medicare payment per Day at DRG | $2,446 | ||||
| Total Medicare payment per Day with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $2,240 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,465 | ||||
| Total Medicare payment per Hospitalization with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $17,307 | ||||
| Total Medicare Charges at DRG | $1,308,172,656 | ||||
| Total Medicare Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $65,690,897 | ||||
| Avg Charges at DRG | $77,466 | ||||
| Avg Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $106,124 | ||||
| Mortality Rate at DRG | 32.04 | ||||
| Mortality Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 39.58 | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 18.74 | ||||
| Home Discharge Rate at DRG | 11.05 | ||||
| Home Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 7.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT | DRG 955: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,878 | ||||
| Total Hospitalizations with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 118 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter in DRG | 4.76 | ||||
| Avg LOS at DRG | 5.36 | ||||
| Avg LOS with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 9.12 | ||||
| Readmission Rate at DRG | 31.94 | ||||
| Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 50.0 | ||||
| Unplanned Readmission Rate at DRG | 9.67 | ||||
| Unplanned Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 11.0 | ||||
| Total Medicare payments at DRG | $534,936,298 | ||||
| Total Medicare payments with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $2,858,759 | ||||
| Total Medicare payment per Day at DRG | $3,857 | ||||
| Total Medicare payment per Day with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $2,657 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,671 | ||||
| Total Medicare payment per Hospitalization with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $24,227 | ||||
| Total Medicare Charges at DRG | $2,805,818,289 | ||||
| Total Medicare Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $15,851,556 | ||||
| Avg Charges at DRG | $108,425 | ||||
| Avg Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $134,335 | ||||
| Mortality Rate at DRG | 0.84 | ||||
| Mortality Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 10.17 | ||||
| SNF Discharge Rate at DRG | 15.36 | ||||
| SNF Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 27.12 | ||||
| Home Discharge Rate at DRG | 47.72 | ||||
| Home Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 12.71 |
*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 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 027: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 35 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter in DRG | 1.41 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 21.17 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 84.38 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | NA | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $2,463,839 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $3,325 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $70,395 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $11,778,549 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $336,530 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 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 024: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 10,135 | ||||
| Total Hospitalizations with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 18 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter in DRG | 0.73 | ||||
| Avg LOS at DRG | 5.28 | ||||
| Avg LOS with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | 7.06 | ||||
| Readmission Rate at DRG | 42.25 | ||||
| Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 6.49 | ||||
| Unplanned Readmission Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | NA | ||||
| Total Medicare payments at DRG | $252,659,992 | ||||
| Total Medicare payments with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $539,256 | ||||
| Total Medicare payment per Day at DRG | $4,724 | ||||
| Total Medicare payment per Day with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $4,246 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,929 | ||||
| Total Medicare payment per Hospitalization with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $29,959 | ||||
| Total Medicare Charges at DRG | $1,392,228,545 | ||||
| Total Medicare Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $2,023,599 | ||||
| Avg Charges at DRG | $137,368 | ||||
| Avg Charges with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | $112,422 | ||||
| Mortality Rate at DRG | 3.14 | ||||
| Mortality Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 17.1 | ||||
| SNF Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 28.43 | ||||
| Home Discharge Rate with ICD S061X9A - Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL HERMANN TEXAS MEDICAL CENTER | 6411 FANNIN ST | HOUSTON | TX | 77030 | 39 |
| ERLANGER HEALTH SYSTEM | 975 E THIRD STREET | CHATTANOOGA | TN | 37403 | 31 |
| HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER | 250 E DUNLAP AVE | PHOENIX | AZ | 85020 | 29 |