*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| W11XXXA - Fall on and from ladder, initial encounter - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 5.07 | |
| 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 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD W11XXXA - Fall on and from ladder, initial encounter | 45 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD W11XXXA - Fall on and from ladder, initial encounter in DRG | 7.17 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD W11XXXA - Fall on and from ladder, initial encounter | 4.84 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | 37.78 | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD W11XXXA - Fall on and from ladder, initial encounter | $596,766 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD W11XXXA - Fall on and from ladder, initial encounter | $2,737 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD W11XXXA - Fall on and from ladder, initial encounter | $13,261 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD W11XXXA - Fall on and from ladder, initial encounter | $2,289,811 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD W11XXXA - Fall on and from ladder, initial encounter | $50,885 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | 48.89 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD W11XXXA - Fall on and from ladder, 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 184: MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 200: PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 31,240 | ||||
| Total Hospitalizations with ICD W11XXXA - Fall on and from ladder, initial encounter | 25 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD W11XXXA - Fall on and from ladder, initial encounter in DRG | 3.98 | ||||
| Avg LOS at DRG | 3.72 | ||||
| Avg LOS with ICD W11XXXA - Fall on and from ladder, initial encounter | 3.36 | ||||
| Readmission Rate at DRG | 17.85 | ||||
| Readmission Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||||
| Unplanned Readmission Rate at DRG | 9.34 | ||||
| Unplanned Readmission Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||||
| Total Medicare payments at DRG | $190,421,957 | ||||
| Total Medicare payments with ICD W11XXXA - Fall on and from ladder, initial encounter | $149,489 | ||||
| Total Medicare payment per Day at DRG | $1,637 | ||||
| Total Medicare payment per Day with ICD W11XXXA - Fall on and from ladder, initial encounter | $1,780 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,095 | ||||
| Total Medicare payment per Hospitalization with ICD W11XXXA - Fall on and from ladder, initial encounter | $5,980 | ||||
| Total Medicare Charges at DRG | $1,124,715,074 | ||||
| Total Medicare Charges with ICD W11XXXA - Fall on and from ladder, initial encounter | $832,411 | ||||
| Avg Charges at DRG | $36,002 | ||||
| Avg Charges with ICD W11XXXA - Fall on and from ladder, initial encounter | $33,296 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 38.96 | ||||
| SNF Discharge Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 30.83 | ||||
| Home Discharge Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | 52.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) | DRG 183: MAJOR CHEST TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 12,816 | ||
| Total Hospitalizations with ICD W11XXXA - Fall on and from ladder, initial encounter | 16 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD W11XXXA - Fall on and from ladder, initial encounter in DRG | 2.55 | ||
| Avg LOS at DRG | 4.93 | ||
| Avg LOS with ICD W11XXXA - Fall on and from ladder, initial encounter | 4.19 | ||
| Readmission Rate at DRG | 25.56 | ||
| Readmission Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||
| Unplanned Readmission Rate at DRG | 7.63 | ||
| Unplanned Readmission Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||
| Total Medicare payments at DRG | $122,023,158 | ||
| Total Medicare payments with ICD W11XXXA - Fall on and from ladder, initial encounter | $187,841 | ||
| Total Medicare payment per Day at DRG | $1,933 | ||
| Total Medicare payment per Day with ICD W11XXXA - Fall on and from ladder, initial encounter | $2,804 | ||
| Total Medicare payment per Hospitalization at DRG | $9,521 | ||
| Total Medicare payment per Hospitalization with ICD W11XXXA - Fall on and from ladder, initial encounter | $11,740 | ||
| Total Medicare Charges at DRG | $664,585,733 | ||
| Total Medicare Charges with ICD W11XXXA - Fall on and from ladder, initial encounter | $560,321 | ||
| Avg Charges at DRG | $51,856 | ||
| Avg Charges with ICD W11XXXA - Fall on and from ladder, initial encounter | $35,020 | ||
| Mortality Rate at DRG | 3.46 | ||
| Mortality Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||
| SNF Discharge Rate at DRG | 38.76 | ||
| SNF Discharge Rate with ICD W11XXXA - Fall on and from ladder, initial encounter | NA | ||
| Home Discharge Rate at DRG | 21.33 | ||
| Home Discharge Rate with ICD W11XXXA - Fall on and from ladder, 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 | 39 |
| UNIVERSITY OF MISSOURI HEALTH CARE | ONE HOSPITAL DRIVE | COLUMBIA | MO | 65212 | 33 |
| SHARP MEMORIAL HOSPITAL | 7901 FROST ST | SAN DIEGO | CA | 92123 | 29 |