*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z3A38 - 38 weeks gestation of pregnancy - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 2.63 | |
| 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 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 774: VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES | DRG 767: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,462 | ||||
| Total Hospitalizations with ICD Z3A38 - 38 weeks gestation of pregnancy | 2,997 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD Z3A38 - 38 weeks gestation of pregnancy in DRG | 39.91 | ||||
| Avg LOS at DRG | 2.35 | ||||
| Avg LOS with ICD Z3A38 - 38 weeks gestation of pregnancy | 2.21 | ||||
| Readmission Rate at DRG | 3.32 | ||||
| Readmission Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | 2.92 | ||||
| Unplanned Readmission Rate at DRG | 1.68 | ||||
| Unplanned Readmission Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | 1.65 | ||||
| Total Medicare payments at DRG | $60,864,039 | ||||
| Total Medicare payments with ICD Z3A38 - 38 weeks gestation of pregnancy | $11,268,558 | ||||
| Total Medicare payment per Day at DRG | $1,677 | ||||
| Total Medicare payment per Day with ICD Z3A38 - 38 weeks gestation of pregnancy | $1,702 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,936 | ||||
| Total Medicare payment per Hospitalization with ICD Z3A38 - 38 weeks gestation of pregnancy | $3,760 | ||||
| Total Medicare Charges at DRG | $237,547,190 | ||||
| Total Medicare Charges with ICD Z3A38 - 38 weeks gestation of pregnancy | $43,606,069 | ||||
| Avg Charges at DRG | $15,363 | ||||
| Avg Charges with ICD Z3A38 - 38 weeks gestation of pregnancy | $14,550 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | NA | ||||
| SNF Discharge Rate at DRG | NA | ||||
| SNF Discharge Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | NA | ||||
| Home Discharge Rate at DRG | 96.92 | ||||
| Home Discharge Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | 97.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | DRG 780: FALSE LABOR | DRG 768: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C | DRG 776: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE | DRG 782: OTHER ANTEPARTUM DIAGNOSES WITHOUT MEDICAL COMPLICATIONS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,099 | ||||
| Total Hospitalizations with ICD Z3A38 - 38 weeks gestation of pregnancy | 101 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD Z3A38 - 38 weeks gestation of pregnancy in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.47 | ||||
| Avg LOS with ICD Z3A38 - 38 weeks gestation of pregnancy | 2.31 | ||||
| Readmission Rate at DRG | 43.98 | ||||
| Readmission Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | 87.06 | ||||
| Unplanned Readmission Rate at DRG | 17.28 | ||||
| Unplanned Readmission Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | NA | ||||
| Total Medicare payments at DRG | $55,622,860 | ||||
| Total Medicare payments with ICD Z3A38 - 38 weeks gestation of pregnancy | $457,228 | ||||
| Total Medicare payment per Day at DRG | $1,368 | ||||
| Total Medicare payment per Day with ICD Z3A38 - 38 weeks gestation of pregnancy | $1,962 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,113 | ||||
| Total Medicare payment per Hospitalization with ICD Z3A38 - 38 weeks gestation of pregnancy | $4,527 | ||||
| Total Medicare Charges at DRG | $228,602,464 | ||||
| Total Medicare Charges with ICD Z3A38 - 38 weeks gestation of pregnancy | $1,309,718 | ||||
| Avg Charges at DRG | $25,124 | ||||
| Avg Charges with ICD Z3A38 - 38 weeks gestation of pregnancy | $12,968 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | NA | ||||
| SNF Discharge Rate at DRG | 0.21 | ||||
| SNF Discharge Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | NA | ||||
| Home Discharge Rate at DRG | 84.04 | ||||
| Home Discharge Rate with ICD Z3A38 - 38 weeks gestation of pregnancy | 80.2 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYSTATE MEDICAL CENTER | 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | 36 |
| UAMS MEDICAL CENTER | 4301 W MARKHAM ST | LITTLE ROCK | AR | 72205 | 29 |
| DMC HARPER UNIVERSITY HOSPITAL | 3990 JOHN R ST | DETROIT | MI | 48201 | 27 |