*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z209 - Contact with and (suspected) exposure to unspecified communicable disease - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 9.55 | |
| 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 885: PSYCHOSES | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | 39 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease in DRG | 10.54 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | 4.72 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $444,617 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $2,416 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $11,400 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $1,450,487 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $37,192 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | NA | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | |||
| Total Hospitalizations with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | 15 | |||
| DRG Share of Total Hospitalizations | 3.08 | |||
| % of Total ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease in DRG | 4.05 | |||
| Avg LOS at DRG | 5.34 | |||
| Avg LOS with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | 3.67 | |||
| Readmission Rate at DRG | 28.25 | |||
| Readmission Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | NA | |||
| Unplanned Readmission Rate at DRG | 21.93 | |||
| Unplanned Readmission Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | NA | |||
| Total Medicare payments at DRG | $9,469,067,156 | |||
| Total Medicare payments with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $121,302 | |||
| Total Medicare payment per Day at DRG | $1,751 | |||
| Total Medicare payment per Day with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $2,205 | |||
| Total Medicare payment per Hospitalization at DRG | $9,340 | |||
| Total Medicare payment per Hospitalization with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $8,087 | |||
| Total Medicare Charges at DRG | $43,343,716,813 | |||
| Total Medicare Charges with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $423,571 | |||
| Avg Charges at DRG | $42,755 | |||
| Avg Charges with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | $28,238 | |||
| Mortality Rate at DRG | 3.72 | |||
| Mortality Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | NA | |||
| SNF Discharge Rate at DRG | 20.84 | |||
| SNF Discharge Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | NA | |||
| Home Discharge Rate at DRG | 37.68 | |||
| Home Discharge Rate with ICD Z209 - Contact with and (suspected) exposure to unspecified communicable disease | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LIMA MEMORIAL HEALTH SYSTEM | 1001 BELLEFONTAINE AVE | LIMA | OH | 45804 | 38 |
| VERMILION BEHAVIORAL HEALTH SYSTEMS | 2520 N. UNIVERSITY AVE | LAFAYETTE | LA | 70507 | 21 |
| ADENA REGIONAL MEDICAL CENTER | 272 HOSPITAL RD | CHILLICOTHE | OH | 45601 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NICOLE DICKENS | 114 REPRESENTATIVE ROW | LAFAYETTE | LA | 70508 | 11 |