*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter - as a primary diagnosis code | S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.92 | |
| Readmission Rate (%) | 22.8 | |
| Unplanned Readmission Rate (%) | 10.25 | |
| 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 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 369 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter in DRG | 47.92 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 3.21 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 20.4 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 11.49 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $2,611,104 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $2,203 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $7,076 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $12,831,323 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $34,773 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 24.39 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 50.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HENNEPIN COUNTY MEDICAL CENTER | 701 PARK AVE, P1-FINANCE | MINNEAPOLIS | MN | 55415 | 16 |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 EAST MEDICAL CENTER DRIVE | ANN ARBOR | MI | 48109 | 13 |
| NATIVIDAD MEDICAL CENTER | 1441 CONSTITUTION BLVD | SALINAS | CA | 93906 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 403 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter in DRG | 11.17 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 3.28 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 21.0 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 11.02 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $2,868,343 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $2,168 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $7,117 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $14,405,838 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $35,746 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 25.56 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 48.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,093 | ||||
| Total Hospitalizations with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 132 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter in DRG | 3.66 | ||||
| Avg LOS at DRG | 7.34 | ||||
| Avg LOS with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 7.14 | ||||
| Readmission Rate at DRG | 31.48 | ||||
| Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 34.43 | ||||
| Unplanned Readmission Rate at DRG | 10.31 | ||||
| Unplanned Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 9.84 | ||||
| Total Medicare payments at DRG | $428,344,616 | ||||
| Total Medicare payments with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $3,679,041 | ||||
| Total Medicare payment per Day at DRG | $3,416 | ||||
| Total Medicare payment per Day with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $3,901 | ||||
| Total Medicare payment per Hospitalization at DRG | $25,060 | ||||
| Total Medicare payment per Hospitalization with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $27,872 | ||||
| Total Medicare Charges at DRG | $2,017,756,556 | ||||
| Total Medicare Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $18,538,894 | ||||
| Avg Charges at DRG | $118,046 | ||||
| Avg Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $140,446 | ||||
| Mortality Rate at DRG | 4.81 | ||||
| Mortality Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 62.52 | ||||
| SNF Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 54.55 | ||||
| Home Discharge Rate at DRG | 2.65 | ||||
| Home Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, 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 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 965: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,080 | ||||
| Total Hospitalizations with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 83 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter in DRG | 2.3 | ||||
| Avg LOS at DRG | 7.67 | ||||
| Avg LOS with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 6.99 | ||||
| Readmission Rate at DRG | 32.12 | ||||
| Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 26.39 | ||||
| Unplanned Readmission Rate at DRG | 11.67 | ||||
| Unplanned Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| Total Medicare payments at DRG | $153,438,187 | ||||
| Total Medicare payments with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $1,445,306 | ||||
| Total Medicare payment per Day at DRG | $2,475 | ||||
| Total Medicare payment per Day with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $2,492 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,990 | ||||
| Total Medicare payment per Hospitalization with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $17,413 | ||||
| Total Medicare Charges at DRG | $755,223,950 | ||||
| Total Medicare Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $6,597,599 | ||||
| Avg Charges at DRG | $93,468 | ||||
| Avg Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $79,489 | ||||
| Mortality Rate at DRG | 26.42 | ||||
| Mortality Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 31.27 | ||||
| SNF Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 27.71 | ||||
| Home Discharge Rate at DRG | 8.44 | ||||
| Home Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 28.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 243: PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,855 | ||||
| Total Hospitalizations with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 44 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter in DRG | 1.22 | ||||
| Avg LOS at DRG | 4.7 | ||||
| Avg LOS with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 6.02 | ||||
| Readmission Rate at DRG | 20.92 | ||||
| Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 36.36 | ||||
| Unplanned Readmission Rate at DRG | 7.19 | ||||
| Unplanned Readmission Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| Total Medicare payments at DRG | $781,452,176 | ||||
| Total Medicare payments with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $627,562 | ||||
| Total Medicare payment per Day at DRG | $2,822 | ||||
| Total Medicare payment per Day with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $2,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,278 | ||||
| Total Medicare payment per Hospitalization with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $14,263 | ||||
| Total Medicare Charges at DRG | $4,305,521,120 | ||||
| Total Medicare Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $4,307,193 | ||||
| Avg Charges at DRG | $73,155 | ||||
| Avg Charges with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | $97,891 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 51.36 | ||||
| SNF Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | 38.64 | ||||
| Home Discharge Rate at DRG | 17.49 | ||||
| Home Discharge Rate with ICD S069X1A - Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HENNEPIN COUNTY MEDICAL CENTER | 701 PARK AVE, P1-FINANCE | MINNEAPOLIS | MN | 55415 | 54 |
| UF HEALTH JACKSONVILLE | 655 W 8TH ST | JACKSONVILLE | FL | 32209 | 33 |
| VANDERBILT UNIVERSITY MEDICAL CENTER | 1211 MEDICAL CENTER DRIVE | NASHVILLE | TN | 37232 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FRANK CARL NASTANSKI | 999 N TUSTIN AVE | SANTA ANA | CA | 92705 | 15 |
| Dr. MICHAEL D MCGONIGAL | 640 JACKSON ST | SAINT PAUL | MN | 55101 | 12 |