*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z0389 - Encounter for observation for other suspected diseases and conditions ruled out - as a primary diagnosis code | Z0389 - Encounter for observation for other suspected diseases and conditions ruled out - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 13.64 | |
| Readmission Rate (%) | 19.06 | |
| Unplanned Readmission Rate (%) | 13.65 | |
| 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 951: OTHER FACTORS INFLUENCING HEALTH STATUS | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 4,475 | ||
| Total Hospitalizations with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 1,057 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out in DRG | 96.27 | ||
| Avg LOS at DRG | 6.46 | ||
| Avg LOS with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 2.65 | ||
| Readmission Rate at DRG | 21.75 | ||
| Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 20.66 | ||
| Unplanned Readmission Rate at DRG | 13.67 | ||
| Unplanned Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 13.6 | ||
| Total Medicare payments at DRG | $24,331,342 | ||
| Total Medicare payments with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $5,759,976 | ||
| Total Medicare payment per Day at DRG | $842 | ||
| Total Medicare payment per Day with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $2,059 | ||
| Total Medicare payment per Hospitalization at DRG | $5,437 | ||
| Total Medicare payment per Hospitalization with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $5,449 | ||
| Total Medicare Charges at DRG | $86,404,017 | ||
| Total Medicare Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $22,614,142 | ||
| Avg Charges at DRG | $19,308 | ||
| Avg Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $21,395 | ||
| Mortality Rate at DRG | 26.77 | ||
| Mortality Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||
| SNF Discharge Rate at DRG | 8.09 | ||
| SNF Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 14.95 | ||
| Home Discharge Rate at DRG | 40.13 | ||
| Home Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 60.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| STATEN ISLAND UNIVERSITY HOSPITAL | 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 30 |
| SUMMA HEALTH SYSTEM | 525 E MARKET ST | AKRON | OH | 44304 | 17 |
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VAHID GHIASIAN | 501 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 951: OTHER FACTORS INFLUENCING HEALTH STATUS | DRG 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,475 | ||||
| Total Hospitalizations with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 1,057 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out in DRG | 28.12 | ||||
| Avg LOS at DRG | 6.46 | ||||
| Avg LOS with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 2.65 | ||||
| Readmission Rate at DRG | 21.75 | ||||
| Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 20.66 | ||||
| Unplanned Readmission Rate at DRG | 13.67 | ||||
| Unplanned Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 13.6 | ||||
| Total Medicare payments at DRG | $24,331,342 | ||||
| Total Medicare payments with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $5,759,976 | ||||
| Total Medicare payment per Day at DRG | $842 | ||||
| Total Medicare payment per Day with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $2,059 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,437 | ||||
| Total Medicare payment per Hospitalization with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $5,449 | ||||
| Total Medicare Charges at DRG | $86,404,017 | ||||
| Total Medicare Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $22,614,142 | ||||
| Avg Charges at DRG | $19,308 | ||||
| Avg Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $21,395 | ||||
| Mortality Rate at DRG | 26.77 | ||||
| Mortality Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| SNF Discharge Rate at DRG | 8.09 | ||||
| SNF Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 14.95 | ||||
| Home Discharge Rate at DRG | 40.13 | ||||
| Home Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 60.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 313: CHEST PAIN | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 180,138 | ||||
| Total Hospitalizations with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 60 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out in DRG | 1.6 | ||||
| Avg LOS at DRG | 1.91 | ||||
| Avg LOS with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 2.13 | ||||
| Readmission Rate at DRG | 16.98 | ||||
| Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| Unplanned Readmission Rate at DRG | 12.86 | ||||
| Unplanned Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| Total Medicare payments at DRG | $645,443,207 | ||||
| Total Medicare payments with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $174,975 | ||||
| Total Medicare payment per Day at DRG | $1,876 | ||||
| Total Medicare payment per Day with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $1,367 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,583 | ||||
| Total Medicare payment per Hospitalization with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $2,916 | ||||
| Total Medicare Charges at DRG | $4,502,159,305 | ||||
| Total Medicare Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $743,747 | ||||
| Avg Charges at DRG | $24,993 | ||||
| Avg Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $12,396 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| SNF Discharge Rate at DRG | 7.73 | ||||
| SNF Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| Home Discharge Rate at DRG | 72.82 | ||||
| Home Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 88.33 |
*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 312: SYNCOPE AND COLLAPSE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 167,575 | ||||
| Total Hospitalizations with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 24 | ||||
| DRG Share of Total Hospitalizations | 0.51 | ||||
| % of Total ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out in DRG | 0.64 | ||||
| Avg LOS at DRG | 5.54 | ||||
| Avg LOS with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 16.58 | ||||
| Readmission Rate at DRG | 28.6 | ||||
| Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| Unplanned Readmission Rate at DRG | 14.22 | ||||
| Unplanned Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| Total Medicare payments at DRG | $830,329,176 | ||||
| Total Medicare payments with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $169,722 | ||||
| Total Medicare payment per Day at DRG | $895 | ||||
| Total Medicare payment per Day with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $426 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,955 | ||||
| Total Medicare payment per Hospitalization with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $7,072 | ||||
| Total Medicare Charges at DRG | $3,314,158,261 | ||||
| Total Medicare Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $506,397 | ||||
| Avg Charges at DRG | $19,777 | ||||
| Avg Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $21,100 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| SNF Discharge Rate at DRG | 5.67 | ||||
| SNF Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| Home Discharge Rate at DRG | 80.01 | ||||
| Home Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 79.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 881: DEPRESSIVE NEUROSES | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 21 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out in DRG | 0.56 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 3.0 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $98,708 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $1,567 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $4,700 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $487,362 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | $23,208 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z0389 - Encounter for observation for other suspected diseases and conditions ruled out | 52.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEHAVIORAL HEALTHCARE CENTER AT COLUMBIA | 1400 ROSEWOOD DR | COLUMBIA | TN | 38401 | 611 |
| NORTH TEXAS STATE HOSPITAL - WITCHITA FALLS | 6515 KEMP BLVD | WICHITA FALLS | TX | 76308 | 339 |
| ST. LUKE'S REHABILITATION INSTITUTE | 711 S COWLEY ST | SPOKANE | WA | 99202 | 124 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KEVIN J PIDGEON | 18300 ROSCOE BLVD | NORTHRIDGE | CA | 91325 | 19 |
| Dr. MARK R VARGA | 715 S COWLEY ST | SPOKANE | WA | 99202 | 18 |
| Dr. PATRICE N STEVENSON | 820 N CHELAN AVE | WENATCHEE | WA | 98801 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RODNEY A. POLING | 1402 ROSEWOOD DRIVE | COLUMBIA | TN | 38401 | 611 |
| Dr. OLAYEMI FANIRAN | 5323 HARRY HINES BLVD | DALLAS | TX | 75390 | 130 |
| Dr. HOUSAM I HADDAD | 187 WOLFORD AVE | LIBERTY | KY | 42539 | 69 |