*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter - as a primary diagnosis code | T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.91 | |
| Readmission Rate (%) | 24.2 | |
| 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 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 71,748 | |
| Total Hospitalizations with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 43 | |
| DRG Share of Total Hospitalizations | 0.22 | |
| % of Total ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter in DRG | 61.43 | |
| Avg LOS at DRG | 2.93 | |
| Avg LOS with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 2.93 | |
| Readmission Rate at DRG | 33.86 | |
| Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | NA | |
| Unplanned Readmission Rate at DRG | 10.34 | |
| Unplanned Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | NA | |
| Total Medicare payments at DRG | $313,351,773 | |
| Total Medicare payments with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $178,098 | |
| Total Medicare payment per Day at DRG | $1,489 | |
| Total Medicare payment per Day with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $1,413 | |
| Total Medicare payment per Hospitalization at DRG | $4,367 | |
| Total Medicare payment per Hospitalization with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $4,142 | |
| Total Medicare Charges at DRG | $1,750,048,705 | |
| Total Medicare Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $827,219 | |
| Avg Charges at DRG | $24,392 | |
| Avg Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $19,238 | |
| Mortality Rate at DRG | 0.22 | |
| Mortality Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | NA | |
| SNF Discharge Rate at DRG | 7.61 | |
| SNF Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | NA | |
| Home Discharge Rate at DRG | 51.88 | |
| Home Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 53.49 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 2,676 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter in DRG | 11.07 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 8.18 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 24.8 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 17.22 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $33,725,791 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $12,603 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $181,621,789 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $67,871 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 3.7 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 31.95 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 29.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,754 | ||||
| Total Hospitalizations with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 503 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter in DRG | 2.08 | ||||
| Avg LOS at DRG | 3.82 | ||||
| Avg LOS with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 3.48 | ||||
| Readmission Rate at DRG | 19.14 | ||||
| Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 17.23 | ||||
| Unplanned Readmission Rate at DRG | 13.41 | ||||
| Unplanned Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 12.61 | ||||
| Total Medicare payments at DRG | $103,585,947 | ||||
| Total Medicare payments with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $2,593,073 | ||||
| Total Medicare payment per Day at DRG | $1,373 | ||||
| Total Medicare payment per Day with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $1,483 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,244 | ||||
| Total Medicare payment per Hospitalization with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $5,155 | ||||
| Total Medicare Charges at DRG | $499,706,458 | ||||
| Total Medicare Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $12,092,745 | ||||
| Avg Charges at DRG | $25,296 | ||||
| Avg Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $24,041 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 14.6 | ||||
| SNF Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 19.68 | ||||
| Home Discharge Rate at DRG | 57.87 | ||||
| Home Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 51.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 389 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter in DRG | 1.61 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 8.76 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 27.59 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 18.1 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $4,294,268 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $1,260 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $11,039 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $24,404,835 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $62,737 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 5.4 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 34.7 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 20.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 915: ALLERGIC REACTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 288 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter in DRG | 1.19 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 10.04 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 21.97 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $4,067,767 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $1,407 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $14,124 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $20,941,925 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | $72,715 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 31.94 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD T361X5A - Adverse effect of cephalosporins and other beta-lactam antibiotics, initial encounter | 27.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 124 |
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 116 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 102 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | N390 | Urinary tract infection, site not specified |