*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z1624 - Resistance to multiple antibiotics - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 19.21 | |
| 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z1624 - Resistance to multiple antibiotics | 9,574 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z1624 - Resistance to multiple antibiotics in DRG | 14.1 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z1624 - Resistance to multiple antibiotics | 4.53 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z1624 - Resistance to multiple antibiotics | 20.47 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z1624 - Resistance to multiple antibiotics | 14.36 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z1624 - Resistance to multiple antibiotics | $50,050,111 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z1624 - Resistance to multiple antibiotics | $1,154 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z1624 - Resistance to multiple antibiotics | $5,228 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z1624 - Resistance to multiple antibiotics | $261,410,091 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z1624 - Resistance to multiple antibiotics | $27,304 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z1624 - Resistance to multiple antibiotics | 0.15 | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z1624 - Resistance to multiple antibiotics | 25.28 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z1624 - Resistance to multiple antibiotics | 36.28 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD Z1624 - Resistance to multiple antibiotics | 1,827 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD Z1624 - Resistance to multiple antibiotics in DRG | 2.69 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD Z1624 - Resistance to multiple antibiotics | 5.18 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD Z1624 - Resistance to multiple antibiotics | 25.81 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD Z1624 - Resistance to multiple antibiotics | 20.39 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD Z1624 - Resistance to multiple antibiotics | $12,528,572 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD Z1624 - Resistance to multiple antibiotics | $1,324 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD Z1624 - Resistance to multiple antibiotics | $6,857 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD Z1624 - Resistance to multiple antibiotics | $61,067,088 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD Z1624 - Resistance to multiple antibiotics | $33,425 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD Z1624 - Resistance to multiple antibiotics | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD Z1624 - Resistance to multiple antibiotics | 27.97 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD Z1624 - Resistance to multiple antibiotics | 29.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z1624 - Resistance to multiple antibiotics | 852 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z1624 - Resistance to multiple antibiotics in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z1624 - Resistance to multiple antibiotics | 5.34 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z1624 - Resistance to multiple antibiotics | 26.94 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z1624 - Resistance to multiple antibiotics | 19.56 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z1624 - Resistance to multiple antibiotics | $5,117,395 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z1624 - Resistance to multiple antibiotics | $1,125 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z1624 - Resistance to multiple antibiotics | $6,006 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z1624 - Resistance to multiple antibiotics | $30,254,374 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z1624 - Resistance to multiple antibiotics | $35,510 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z1624 - Resistance to multiple antibiotics | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z1624 - Resistance to multiple antibiotics | 33.45 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z1624 - Resistance to multiple antibiotics | 30.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z1624 - Resistance to multiple antibiotics | 695 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z1624 - Resistance to multiple antibiotics in DRG | 1.02 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z1624 - Resistance to multiple antibiotics | 5.74 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z1624 - Resistance to multiple antibiotics | 23.41 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z1624 - Resistance to multiple antibiotics | 15.11 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z1624 - Resistance to multiple antibiotics | $4,424,717 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z1624 - Resistance to multiple antibiotics | $1,110 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z1624 - Resistance to multiple antibiotics | $6,366 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z1624 - Resistance to multiple antibiotics | $22,288,419 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z1624 - Resistance to multiple antibiotics | $32,070 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z1624 - Resistance to multiple antibiotics | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z1624 - Resistance to multiple antibiotics | 23.45 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z1624 - Resistance to multiple antibiotics | 35.54 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY HOSPITAL AT STONY BROOK | NICOLLS RD | STONY BROOK | NY | 11794 | 436 |
| LAKELAND REGIONAL MEDICAL CENTER | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 375 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 374 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BENSON YU HUANG | 1710 E SAUNDERS ST | LAREDO | TX | 78041 | 32 |
| Dr. LORENZO R PELLY | 2300 CENTRAL BLVD | BROWNSVILLE | TX | 78520 | 32 |
| Dr. AMIN ELMALAH | 3510 MEDICAL PARK DR. | MONROE | LA | 71201 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SALMAN S. ALY | 1201 CREEKWAY DRIVE | SUGAR LAND | TX | 77478 | 75 |
| Dr. MOHAMMAD MOUSA | 3418 MEDICAL PARK DR | MONROE | LA | 71203 | 58 |
| Dr. AMIN ELMALAH | 3510 MEDICAL PARK DR. | MONROE | LA | 71201 | 58 |