*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| W07XXXA - Fall from chair, initial encounter - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.04 | |
| 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 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD W07XXXA - Fall from chair, initial encounter | 123 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD W07XXXA - Fall from chair, initial encounter in DRG | 8.27 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD W07XXXA - Fall from chair, initial encounter | 4.81 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD W07XXXA - Fall from chair, initial encounter | 13.56 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD W07XXXA - Fall from chair, initial encounter | $1,599,482 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD W07XXXA - Fall from chair, initial encounter | $2,702 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD W07XXXA - Fall from chair, initial encounter | $13,004 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD W07XXXA - Fall from chair, initial encounter | $6,385,062 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD W07XXXA - Fall from chair, initial encounter | $51,911 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD W07XXXA - Fall from chair, initial encounter | 73.17 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD W07XXXA - Fall from chair, 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 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,488 | ||||
| Total Hospitalizations with ICD W07XXXA - Fall from chair, initial encounter | 46 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD W07XXXA - Fall from chair, initial encounter in DRG | 3.09 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD W07XXXA - Fall from chair, initial encounter | 3.17 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD W07XXXA - Fall from chair, initial encounter | $228,701 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD W07XXXA - Fall from chair, initial encounter | $1,566 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD W07XXXA - Fall from chair, initial encounter | $4,972 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD W07XXXA - Fall from chair, initial encounter | $929,301 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD W07XXXA - Fall from chair, initial encounter | $20,202 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD W07XXXA - Fall from chair, initial encounter | 54.35 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD W07XXXA - Fall from chair, 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 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD W07XXXA - Fall from chair, initial encounter | 26 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD W07XXXA - Fall from chair, initial encounter in DRG | 1.75 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD W07XXXA - Fall from chair, initial encounter | 3.38 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD W07XXXA - Fall from chair, initial encounter | $705,148 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD W07XXXA - Fall from chair, initial encounter | $8,013 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD W07XXXA - Fall from chair, initial encounter | $27,121 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD W07XXXA - Fall from chair, initial encounter | $3,379,098 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD W07XXXA - Fall from chair, initial encounter | $129,965 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD W07XXXA - Fall from chair, 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 469: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,447 | ||||
| Total Hospitalizations with ICD W07XXXA - Fall from chair, initial encounter | 16 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD W07XXXA - Fall from chair, initial encounter in DRG | 1.08 | ||||
| Avg LOS at DRG | 6.32 | ||||
| Avg LOS with ICD W07XXXA - Fall from chair, initial encounter | 7.5 | ||||
| Readmission Rate at DRG | 26.61 | ||||
| Readmission Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 10.75 | ||||
| Unplanned Readmission Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| Total Medicare payments at DRG | $1,636,094,359 | ||||
| Total Medicare payments with ICD W07XXXA - Fall from chair, initial encounter | $425,602 | ||||
| Total Medicare payment per Day at DRG | $3,100 | ||||
| Total Medicare payment per Day with ICD W07XXXA - Fall from chair, initial encounter | $3,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,606 | ||||
| Total Medicare payment per Hospitalization with ICD W07XXXA - Fall from chair, initial encounter | $26,600 | ||||
| Total Medicare Charges at DRG | $7,936,043,941 | ||||
| Total Medicare Charges with ICD W07XXXA - Fall from chair, initial encounter | $1,006,739 | ||||
| Avg Charges at DRG | $95,103 | ||||
| Avg Charges with ICD W07XXXA - Fall from chair, initial encounter | $62,921 | ||||
| Mortality Rate at DRG | 3.79 | ||||
| Mortality Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 52.83 | ||||
| SNF Discharge Rate with ICD W07XXXA - Fall from chair, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 9.28 | ||||
| Home Discharge Rate with ICD W07XXXA - Fall from chair, initial encounter | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NUVANCE HEALTH - DANBURY HOSPITAL | 24 HOSPITAL AVE | DANBURY | CT | 06810 | 69 |
| BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 59 |
| BETH ISRAEL DEACONESS MEDICAL CENTER | 330 BROOKLINE AVE | BOSTON | MA | 02215 | 57 |