*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z438 - Encounter for attention to other artificial openings - as a primary diagnosis code | Z438 - Encounter for attention to other artificial openings - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 16.16 | |
| Readmission Rate (%) | 26.74 | |
| 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 | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 4,475 | |
| Total Hospitalizations with ICD Z438 - Encounter for attention to other artificial openings | 24 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD Z438 - Encounter for attention to other artificial openings in DRG | 42.11 | |
| Avg LOS at DRG | 6.46 | |
| Avg LOS with ICD Z438 - Encounter for attention to other artificial openings | 4.42 | |
| Readmission Rate at DRG | 21.75 | |
| Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | |
| Unplanned Readmission Rate at DRG | 13.67 | |
| Unplanned Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | |
| Total Medicare payments at DRG | $24,331,342 | |
| Total Medicare payments with ICD Z438 - Encounter for attention to other artificial openings | $269,723 | |
| Total Medicare payment per Day at DRG | $842 | |
| Total Medicare payment per Day with ICD Z438 - Encounter for attention to other artificial openings | $2,545 | |
| Total Medicare payment per Hospitalization at DRG | $5,437 | |
| Total Medicare payment per Hospitalization with ICD Z438 - Encounter for attention to other artificial openings | $11,238 | |
| Total Medicare Charges at DRG | $86,404,017 | |
| Total Medicare Charges with ICD Z438 - Encounter for attention to other artificial openings | $607,083 | |
| Avg Charges at DRG | $19,308 | |
| Avg Charges with ICD Z438 - Encounter for attention to other artificial openings | $25,295 | |
| Mortality Rate at DRG | 26.77 | |
| Mortality Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | |
| SNF Discharge Rate at DRG | 8.09 | |
| SNF Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | |
| Home Discharge Rate at DRG | 40.13 | |
| Home Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 951: OTHER FACTORS INFLUENCING HEALTH STATUS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 120,351 | ||||
| Total Hospitalizations with ICD Z438 - Encounter for attention to other artificial openings | 55 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z438 - Encounter for attention to other artificial openings in DRG | 6.47 | ||||
| Avg LOS at DRG | 12.45 | ||||
| Avg LOS with ICD Z438 - Encounter for attention to other artificial openings | 16.45 | ||||
| Readmission Rate at DRG | 17.61 | ||||
| Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 12.6 | ||||
| Unplanned Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Total Medicare payments at DRG | $2,245,410,425 | ||||
| Total Medicare payments with ICD Z438 - Encounter for attention to other artificial openings | $1,172,536 | ||||
| Total Medicare payment per Day at DRG | $1,499 | ||||
| Total Medicare payment per Day with ICD Z438 - Encounter for attention to other artificial openings | $1,296 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,657 | ||||
| Total Medicare payment per Hospitalization with ICD Z438 - Encounter for attention to other artificial openings | $21,319 | ||||
| Total Medicare Charges at DRG | $5,810,478,166 | ||||
| Total Medicare Charges with ICD Z438 - Encounter for attention to other artificial openings | $3,495,714 | ||||
| Avg Charges at DRG | $48,279 | ||||
| Avg Charges with ICD Z438 - Encounter for attention to other artificial openings | $63,558 | ||||
| Mortality Rate at DRG | 0.55 | ||||
| Mortality Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| SNF Discharge Rate at DRG | 14.77 | ||||
| SNF Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | 27.27 | ||||
| Home Discharge Rate at DRG | 22.27 | ||||
| Home Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | 30.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 940: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,827 | ||||
| Total Hospitalizations with ICD Z438 - Encounter for attention to other artificial openings | 22 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD Z438 - Encounter for attention to other artificial openings in DRG | 2.59 | ||||
| Avg LOS at DRG | 8.58 | ||||
| Avg LOS with ICD Z438 - Encounter for attention to other artificial openings | 22.5 | ||||
| Readmission Rate at DRG | 27.62 | ||||
| Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Unplanned Readmission Rate at DRG | 15.85 | ||||
| Unplanned Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Total Medicare payments at DRG | $555,779,802 | ||||
| Total Medicare payments with ICD Z438 - Encounter for attention to other artificial openings | $745,459 | ||||
| Total Medicare payment per Day at DRG | $1,668 | ||||
| Total Medicare payment per Day with ICD Z438 - Encounter for attention to other artificial openings | $1,506 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
| Total Medicare payment per Hospitalization with ICD Z438 - Encounter for attention to other artificial openings | $33,885 | ||||
| Total Medicare Charges at DRG | $2,652,789,227 | ||||
| Total Medicare Charges with ICD Z438 - Encounter for attention to other artificial openings | $2,349,288 | ||||
| Avg Charges at DRG | $68,323 | ||||
| Avg Charges with ICD Z438 - Encounter for attention to other artificial openings | $106,786 | ||||
| Mortality Rate at DRG | 3.06 | ||||
| Mortality Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| SNF Discharge Rate at DRG | 20.78 | ||||
| SNF Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Home Discharge Rate at DRG | 32.02 | ||||
| Home Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 122,730 | ||||
| Total Hospitalizations with ICD Z438 - Encounter for attention to other artificial openings | 16 | ||||
| DRG Share of Total Hospitalizations | 0.37 | ||||
| % of Total ICD Z438 - Encounter for attention to other artificial openings in DRG | 1.88 | ||||
| Avg LOS at DRG | 7.61 | ||||
| Avg LOS with ICD Z438 - Encounter for attention to other artificial openings | 14.88 | ||||
| Readmission Rate at DRG | 21.31 | ||||
| Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Total Medicare payments at DRG | $1,397,885,220 | ||||
| Total Medicare payments with ICD Z438 - Encounter for attention to other artificial openings | $302,970 | ||||
| Total Medicare payment per Day at DRG | $1,497 | ||||
| Total Medicare payment per Day with ICD Z438 - Encounter for attention to other artificial openings | $1,273 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,390 | ||||
| Total Medicare payment per Hospitalization with ICD Z438 - Encounter for attention to other artificial openings | $18,936 | ||||
| Total Medicare Charges at DRG | $4,175,290,309 | ||||
| Total Medicare Charges with ICD Z438 - Encounter for attention to other artificial openings | $559,696 | ||||
| Avg Charges at DRG | $34,020 | ||||
| Avg Charges with ICD Z438 - Encounter for attention to other artificial openings | $34,981 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| SNF Discharge Rate at DRG | 21.64 | ||||
| SNF Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Home Discharge Rate at DRG | 28.06 | ||||
| Home Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 939: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,405 | ||||
| Total Hospitalizations with ICD Z438 - Encounter for attention to other artificial openings | 13 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD Z438 - Encounter for attention to other artificial openings in DRG | 1.53 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD Z438 - Encounter for attention to other artificial openings | 21.54 | ||||
| Readmission Rate at DRG | 24.55 | ||||
| Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Unplanned Readmission Rate at DRG | 16.71 | ||||
| Unplanned Readmission Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Total Medicare payments at DRG | $413,772,388 | ||||
| Total Medicare payments with ICD Z438 - Encounter for attention to other artificial openings | $346,120 | ||||
| Total Medicare payment per Day at DRG | $1,899 | ||||
| Total Medicare payment per Day with ICD Z438 - Encounter for attention to other artificial openings | $1,236 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,774 | ||||
| Total Medicare payment per Hospitalization with ICD Z438 - Encounter for attention to other artificial openings | $26,625 | ||||
| Total Medicare Charges at DRG | $2,091,472,966 | ||||
| Total Medicare Charges with ICD Z438 - Encounter for attention to other artificial openings | $1,116,386 | ||||
| Avg Charges at DRG | $54,458 | ||||
| Avg Charges with ICD Z438 - Encounter for attention to other artificial openings | $85,876 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | NA | ||||
| Home Discharge Rate at DRG | 47.16 | ||||
| Home Discharge Rate with ICD Z438 - Encounter for attention to other artificial openings | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MADONNA REHABILITATION SYSTEMS | 17500 BURKE ST | OMAHA | NE | 68118 | 34 |
| ADVANCED CARE OF SOUTHERN NEW MEXICO | 4451 EAST LOHMAN AVENUE | LAS CRUCES | NM | 88011 | 26 |
| UTAH VALLEY SPECIALTY HOSPITAL | 306 RIVER BEND LN | PROVO | UT | 84604 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TALA'AT AL-SHUQAIRAT | 555 W SR 164 NORTH | SALEM | UT | 84653 | 15 |
| Dr. AZHAR ZAHIR | 3865 E LOHMAN AVE | LAS CRUCES | NM | 88011 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TALA'AT AL-SHUQAIRAT | 555 W SR 164 NORTH | SALEM | UT | 84653 | 14 |
| Dr. AZHAR ZAHIR | 3865 E LOHMAN AVE | LAS CRUCES | NM | 88011 | 14 |
| Dr. SUSAN C OHNOUTKA | 5401 SOUTH ST | LINCOLN | NE | 68506 | 14 |