*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter - as a primary diagnosis code | T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.91 | |
| Readmission Rate (%) | 25.61 | |
| 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 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 101,548 |
| Total Hospitalizations with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 12 |
| DRG Share of Total Hospitalizations | 0.31 |
| % of Total ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter in DRG | 85.71 |
| Avg LOS at DRG | 4.68 |
| Avg LOS with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 4.92 |
| Readmission Rate at DRG | 32.74 |
| Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | NA |
| Unplanned Readmission Rate at DRG | 13.79 |
| Unplanned Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | NA |
| Total Medicare payments at DRG | $922,969,291 |
| Total Medicare payments with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $119,993 |
| Total Medicare payment per Day at DRG | $1,941 |
| Total Medicare payment per Day with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $2,034 |
| Total Medicare payment per Hospitalization at DRG | $9,089 |
| Total Medicare payment per Hospitalization with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $9,999 |
| Total Medicare Charges at DRG | $4,727,523,206 |
| Total Medicare Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $427,193 |
| Avg Charges at DRG | $46,555 |
| Avg Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $35,599 |
| Mortality Rate at DRG | 2.95 |
| Mortality Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | NA |
| SNF Discharge Rate at DRG | 13.87 |
| SNF Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | NA |
| Home Discharge Rate at DRG | 43.04 |
| Home Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, 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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 499 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter in DRG | 8.32 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 2.9 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 20.54 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 15.35 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $2,113,385 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $1,461 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $4,235 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $11,795,178 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $23,638 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 21.24 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 55.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 391: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 198 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter in DRG | 3.3 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 5.97 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 28.0 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 22.29 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $1,962,863 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $1,661 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $9,913 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $9,012,496 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $45,518 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 7.07 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 23.23 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 31.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 312: SYNCOPE AND COLLAPSE | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 243,742 | ||||
| Total Hospitalizations with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 78 | ||||
| DRG Share of Total Hospitalizations | 0.74 | ||||
| % of Total ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter in DRG | 1.3 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 3.49 | ||||
| Readmission Rate at DRG | 16.31 | ||||
| Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 20.27 | ||||
| Unplanned Readmission Rate at DRG | 11.3 | ||||
| Unplanned Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 16.22 | ||||
| Total Medicare payments at DRG | $1,150,233,161 | ||||
| Total Medicare payments with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $385,509 | ||||
| Total Medicare payment per Day at DRG | $1,663 | ||||
| Total Medicare payment per Day with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $1,417 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,719 | ||||
| Total Medicare payment per Hospitalization with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $4,942 | ||||
| Total Medicare Charges at DRG | $6,931,408,244 | ||||
| Total Medicare Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $2,232,930 | ||||
| Avg Charges at DRG | $28,437 | ||||
| Avg Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $28,627 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 18.06 | ||||
| SNF Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 19.23 | ||||
| Home Discharge Rate at DRG | 53.49 | ||||
| Home Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 48.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH 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) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 61 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter in DRG | 1.02 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 12.66 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 60.34 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 22.41 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $2,062,257 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $2,671 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $33,807 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $9,341,314 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | $153,136 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | 31.15 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD T503X5A - Adverse effect of electrolytic, caloric and water-balance agents, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 51 |
| SHARP GROSSMONT HOSPITAL | 5555 GROSSMONT CENTER DR | LA MESA | CA | 91942 | 33 |
| BAPTIST ST. ANTHONY'S HOSPITAL | 1600 WALLACE BLVD | AMARILLO | TX | 79106 | 29 |