*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T402X6A - Underdosing of other opioids, initial encounter - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.88 | |
| 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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD T402X6A - Underdosing of other opioids, initial encounter | 132 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD T402X6A - Underdosing of other opioids, initial encounter in DRG | 15.46 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD T402X6A - Underdosing of other opioids, initial encounter | 3.14 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | 22.05 | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | 14.96 | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD T402X6A - Underdosing of other opioids, initial encounter | $607,452 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD T402X6A - Underdosing of other opioids, initial encounter | $1,464 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD T402X6A - Underdosing of other opioids, initial encounter | $4,602 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD T402X6A - Underdosing of other opioids, initial encounter | $3,081,425 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD T402X6A - Underdosing of other opioids, initial encounter | $23,344 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | 14.39 | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | 64.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD T402X6A - Underdosing of other opioids, initial encounter | 35 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD T402X6A - Underdosing of other opioids, initial encounter in DRG | 4.1 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD T402X6A - Underdosing of other opioids, initial encounter | 2.74 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD T402X6A - Underdosing of other opioids, initial encounter | $143,951 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD T402X6A - Underdosing of other opioids, initial encounter | $1,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD T402X6A - Underdosing of other opioids, initial encounter | $4,113 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD T402X6A - Underdosing of other opioids, initial encounter | $742,824 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD T402X6A - Underdosing of other opioids, initial encounter | $21,224 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | 85.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||
| Total Hospitalizations with ICD T402X6A - Underdosing of other opioids, initial encounter | 12 | ||
| DRG Share of Total Hospitalizations | 1.64 | ||
| % of Total ICD T402X6A - Underdosing of other opioids, initial encounter in DRG | 1.41 | ||
| Avg LOS at DRG | 6.42 | ||
| Avg LOS with ICD T402X6A - Underdosing of other opioids, initial encounter | 7.67 | ||
| Readmission Rate at DRG | 26.55 | ||
| Readmission Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA | ||
| Unplanned Readmission Rate at DRG | 20.01 | ||
| Unplanned Readmission Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA | ||
| Total Medicare payments at DRG | $5,267,842,463 | ||
| Total Medicare payments with ICD T402X6A - Underdosing of other opioids, initial encounter | $90,530 | ||
| Total Medicare payment per Day at DRG | $1,520 | ||
| Total Medicare payment per Day with ICD T402X6A - Underdosing of other opioids, initial encounter | $984 | ||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||
| Total Medicare payment per Hospitalization with ICD T402X6A - Underdosing of other opioids, initial encounter | $7,544 | ||
| Total Medicare Charges at DRG | $25,503,568,329 | ||
| Total Medicare Charges with ICD T402X6A - Underdosing of other opioids, initial encounter | $466,134 | ||
| Avg Charges at DRG | $47,260 | ||
| Avg Charges with ICD T402X6A - Underdosing of other opioids, initial encounter | $38,845 | ||
| Mortality Rate at DRG | 5.62 | ||
| Mortality Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA | ||
| SNF Discharge Rate at DRG | 19.26 | ||
| SNF Discharge Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA | ||
| Home Discharge Rate at DRG | 39.65 | ||
| Home Discharge Rate with ICD T402X6A - Underdosing of other opioids, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEDICAL COLLEGE VIRGINIA HOSPITAL | 1250 E MARSHALL ST | RICHMOND | VA | 23298 | 16 |