*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T473X6A - Underdosing of saline and osmotic laxatives, initial encounter - as a primary diagnosis code | T473X6A - Underdosing of saline and osmotic laxatives, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.19 | |
| Readmission Rate (%) | 38.63 | |
| 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 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 835 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter in DRG | 36.46 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 3.37 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 36.5 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 30.8 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $5,023,081 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $1,784 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $6,016 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $19,699,738 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $23,593 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 16.29 | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 49.1 |
*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 434: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 36 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter in DRG | 1.57 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 5.19 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 44.44 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 40.74 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $429,424 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $2,296 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $11,928 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $1,677,123 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $46,587 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 41.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 642: INBORN AND OTHER DISORDERS OF METABOLISM | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 17 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter in DRG | 0.74 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 3.12 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 64.71 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $117,863 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $2,224 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $6,933 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $342,579 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $20,152 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, 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 070: NONSPECIFIC CEREBROVASCULAR DISORDERS 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 | 62,680 | |
| Total Hospitalizations with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 12 | |
| DRG Share of Total Hospitalizations | 0.19 | |
| % of Total ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter in DRG | 0.52 | |
| Avg LOS at DRG | 7.42 | |
| Avg LOS with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | 2.75 | |
| Readmission Rate at DRG | 28.38 | |
| Readmission Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | |
| Unplanned Readmission Rate at DRG | 19.73 | |
| Unplanned Readmission Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | |
| Total Medicare payments at DRG | $784,253,159 | |
| Total Medicare payments with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $105,150 | |
| Total Medicare payment per Day at DRG | $1,686 | |
| Total Medicare payment per Day with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $3,186 | |
| Total Medicare payment per Hospitalization at DRG | $12,512 | |
| Total Medicare payment per Hospitalization with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $8,763 | |
| Total Medicare Charges at DRG | $3,210,257,310 | |
| Total Medicare Charges with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $203,841 | |
| Avg Charges at DRG | $51,217 | |
| Avg Charges with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | $16,987 | |
| Mortality Rate at DRG | 4.21 | |
| Mortality Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | |
| SNF Discharge Rate at DRG | 30.71 | |
| SNF Discharge Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA | |
| Home Discharge Rate at DRG | 21.91 | |
| Home Discharge Rate with ICD T473X6A - Underdosing of saline and osmotic laxatives, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER | 55 LAKE AVENUE | WORCESTER | MA | 01655 | 22 |
| MEDICAL COLLEGE VIRGINIA HOSPITAL | 1250 E MARSHALL ST | RICHMOND | VA | 23298 | 18 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 18 |