*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z048 - Encounter for examination and observation for other specified reasons - as a primary diagnosis code | Z048 - Encounter for examination and observation for other specified reasons - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.22 | |
| Readmission Rate (%) | 23.19 | |
| 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 951: OTHER FACTORS INFLUENCING HEALTH STATUS | |
|---|---|
| Total Hospitalizations at DRG | 4,475 |
| Total Hospitalizations with ICD Z048 - Encounter for examination and observation for other specified reasons | 34 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD Z048 - Encounter for examination and observation for other specified reasons in DRG | 94.44 |
| Avg LOS at DRG | 6.46 |
| Avg LOS with ICD Z048 - Encounter for examination and observation for other specified reasons | 2.88 |
| Readmission Rate at DRG | 21.75 |
| Readmission Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | NA |
| Unplanned Readmission Rate at DRG | 13.67 |
| Unplanned Readmission Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | NA |
| Total Medicare payments at DRG | $24,331,342 |
| Total Medicare payments with ICD Z048 - Encounter for examination and observation for other specified reasons | $161,500 |
| Total Medicare payment per Day at DRG | $842 |
| Total Medicare payment per Day with ICD Z048 - Encounter for examination and observation for other specified reasons | $1,648 |
| Total Medicare payment per Hospitalization at DRG | $5,437 |
| Total Medicare payment per Hospitalization with ICD Z048 - Encounter for examination and observation for other specified reasons | $4,750 |
| Total Medicare Charges at DRG | $86,404,017 |
| Total Medicare Charges with ICD Z048 - Encounter for examination and observation for other specified reasons | $946,159 |
| Avg Charges at DRG | $19,308 |
| Avg Charges with ICD Z048 - Encounter for examination and observation for other specified reasons | $27,828 |
| Mortality Rate at DRG | 26.77 |
| Mortality Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | NA |
| SNF Discharge Rate at DRG | 8.09 |
| SNF Discharge Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | NA |
| Home Discharge Rate at DRG | 40.13 |
| Home Discharge Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | 64.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 951: OTHER FACTORS INFLUENCING HEALTH STATUS | |
|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | |
| Total Hospitalizations with ICD Z048 - Encounter for examination and observation for other specified reasons | 96 | |
| DRG Share of Total Hospitalizations | 3.35 | |
| % of Total ICD Z048 - Encounter for examination and observation for other specified reasons in DRG | 26.37 | |
| Avg LOS at DRG | 11.86 | |
| Avg LOS with ICD Z048 - Encounter for examination and observation for other specified reasons | 13.71 | |
| Readmission Rate at DRG | 27.58 | |
| Readmission Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | 21.18 | |
| Unplanned Readmission Rate at DRG | 13.34 | |
| Unplanned Readmission Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | NA | |
| Total Medicare payments at DRG | $9,312,828,663 | |
| Total Medicare payments with ICD Z048 - Encounter for examination and observation for other specified reasons | $1,177,341 | |
| Total Medicare payment per Day at DRG | $713 | |
| Total Medicare payment per Day with ICD Z048 - Encounter for examination and observation for other specified reasons | $895 | |
| Total Medicare payment per Hospitalization at DRG | $8,460 | |
| Total Medicare payment per Hospitalization with ICD Z048 - Encounter for examination and observation for other specified reasons | $12,264 | |
| Total Medicare Charges at DRG | $32,341,464,302 | |
| Total Medicare Charges with ICD Z048 - Encounter for examination and observation for other specified reasons | $2,101,661 | |
| Avg Charges at DRG | $29,378 | |
| Avg Charges with ICD Z048 - Encounter for examination and observation for other specified reasons | $21,892 | |
| Mortality Rate at DRG | 0.04 | |
| Mortality Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | NA | |
| SNF Discharge Rate at DRG | 5.83 | |
| SNF Discharge Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | NA | |
| Home Discharge Rate at DRG | 79.47 | |
| Home Discharge Rate with ICD Z048 - Encounter for examination and observation for other specified reasons | 93.75 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ALASKA PSYCHIATRIC INSTITUTE | 3700 PIPER ST | ANCHORAGE | AK | 99508 | 64 |
| UNIVERSITY OF KANSAS HOSPITAL | 4000 Cambridge St. | KANSAS CITY | KS | 66160 | 30 |
| BEHAVIORAL CENTER OF MICHIGAN | 4050 E 12 MILE RD | WARREN | MI | 48092 | 12 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E785 | Hyperlipidemia, unspecified |