*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z1612 - Extended spectrum beta lactamase (ESBL) resistance - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 19.95 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 12,149 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance in DRG | 17.34 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 7.93 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 30.19 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 21.82 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $153,544,805 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $1,595 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $12,638 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $895,204,726 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $73,685 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 5.58 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 46.84 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 12.22 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 1,365 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance in DRG | 1.95 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 14.79 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 41.18 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 23.21 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $46,806,560 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $2,318 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $34,291 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $230,050,119 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $168,535 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 7.11 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 45.05 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 8.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 737 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance in DRG | 1.05 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 9.49 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 28.92 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 22.46 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $9,817,935 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $1,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $13,321 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $56,314,797 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $76,411 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 7.19 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 42.61 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 9.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 531 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance in DRG | 0.76 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 16.26 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 17.15 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 11.51 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $12,099,862 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $1,401 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $22,787 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $31,668,234 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | $59,639 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 33.15 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z1612 - Extended spectrum beta lactamase (ESBL) resistance | 13.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAPTIST HOSPITAL OF MIAMI | 8900 N KENDALL DR | MIAMI | FL | 33176 | 300 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 299 |
| WASHINGTON HOSPITAL | 2000 MOWRY AVE | FREMONT | CA | 94538 | 297 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EZINNE UGOCHI NWOTITE | 1925 PACIFIC AVE | ATLANTIC CITY | NJ | 08401 | 47 |
| Dr. LAKSHMAN RAO | 518 E H ST | ERWIN | NC | 28339 | 30 |
| Dr. LORENZO R PELLY | 2300 CENTRAL BLVD | BROWNSVILLE | TX | 78520 | 29 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD J HELTON | 108 W OHIO | COALGATE | OK | 74538 | 81 |
| Dr. AHMAD KARKOUTLY | 2300 CENTRAL BLVD | BROWNSVILLE | TX | 78520 | 70 |
| Dr. LEE T WIMBERLY | 50 MEDICAL PARK DR E | BIRMINGHAM | AL | 35235 | 66 |