*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z515 - Encounter for palliative care - as a primary diagnosis code | Z515 - Encounter for palliative care - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.21 | |
| Readmission Rate (%) | 11.98 | |
| Unplanned Readmission Rate (%) | 2.93 | |
| 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 | |
|---|---|
| Total Hospitalizations at DRG | 4,475 |
| Total Hospitalizations with ICD Z515 - Encounter for palliative care | 1,420 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD Z515 - Encounter for palliative care in DRG | 99.65 |
| Avg LOS at DRG | 6.46 |
| Avg LOS with ICD Z515 - Encounter for palliative care | 2.19 |
| Readmission Rate at DRG | 21.75 |
| Readmission Rate with ICD Z515 - Encounter for palliative care | 3.67 |
| Unplanned Readmission Rate at DRG | 13.67 |
| Unplanned Readmission Rate with ICD Z515 - Encounter for palliative care | 2.93 |
| Total Medicare payments at DRG | $24,331,342 |
| Total Medicare payments with ICD Z515 - Encounter for palliative care | $7,932,319 |
| Total Medicare payment per Day at DRG | $842 |
| Total Medicare payment per Day with ICD Z515 - Encounter for palliative care | $2,554 |
| Total Medicare payment per Hospitalization at DRG | $5,437 |
| Total Medicare payment per Hospitalization with ICD Z515 - Encounter for palliative care | $5,586 |
| Total Medicare Charges at DRG | $86,404,017 |
| Total Medicare Charges with ICD Z515 - Encounter for palliative care | $21,845,617 |
| Avg Charges at DRG | $19,308 |
| Avg Charges with ICD Z515 - Encounter for palliative care | $15,384 |
| Mortality Rate at DRG | 26.77 |
| Mortality Rate with ICD Z515 - Encounter for palliative care | 67.25 |
| SNF Discharge Rate at DRG | 8.09 |
| SNF Discharge Rate with ICD Z515 - Encounter for palliative care | 4.65 |
| Home Discharge Rate at DRG | 40.13 |
| Home Discharge Rate with ICD Z515 - Encounter for palliative care | 1.97 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 22 |
| NOVANT HEALTH FORSYTH MEDICAL CENTER | 3333 SILAS CREEK PKWY | WINSTON SALEM | NC | 27103 | 22 |
| STATEN ISLAND UNIVERSITY HOSPITAL | 475 SEAVIEW AVE | STATEN ISLAND | NY | 10305 | 20 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z515 - Encounter for palliative care | 224,806 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z515 - Encounter for palliative care in DRG | 17.3 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z515 - Encounter for palliative care | 5.89 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z515 - Encounter for palliative care | 9.05 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z515 - Encounter for palliative care | 6.67 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z515 - Encounter for palliative care | $2,753,206,694 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z515 - Encounter for palliative care | $2,078 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z515 - Encounter for palliative care | $12,247 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z515 - Encounter for palliative care | $13,625,650,025 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z515 - Encounter for palliative care | $60,611 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z515 - Encounter for palliative care | 42.68 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z515 - Encounter for palliative care | 12.34 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z515 - Encounter for palliative care | 2.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z515 - Encounter for palliative care | 30,159 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z515 - Encounter for palliative care in DRG | 2.32 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z515 - Encounter for palliative care | 6.61 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z515 - Encounter for palliative care | 9.64 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z515 - Encounter for palliative care | 7.38 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z515 - Encounter for palliative care | $305,743,238 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z515 - Encounter for palliative care | $1,534 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z515 - Encounter for palliative care | $10,138 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z515 - Encounter for palliative care | $1,529,358,481 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z515 - Encounter for palliative care | $50,710 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z515 - Encounter for palliative care | 26.2 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z515 - Encounter for palliative care | 16.86 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z515 - Encounter for palliative care | 4.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD Z515 - Encounter for palliative care | 16,672 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD Z515 - Encounter for palliative care in DRG | 1.28 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD Z515 - Encounter for palliative care | 6.13 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD Z515 - Encounter for palliative care | 10.26 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD Z515 - Encounter for palliative care | 7.85 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD Z515 - Encounter for palliative care | $185,423,239 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD Z515 - Encounter for palliative care | $1,814 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD Z515 - Encounter for palliative care | $11,122 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD Z515 - Encounter for palliative care | $908,336,380 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD Z515 - Encounter for palliative care | $54,483 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z515 - Encounter for palliative care | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD Z515 - Encounter for palliative care | 21.02 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD Z515 - Encounter for palliative care | 7.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD Z515 - Encounter for palliative care | 14,692 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD Z515 - Encounter for palliative care in DRG | 1.13 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD Z515 - Encounter for palliative care | 13.39 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD Z515 - Encounter for palliative care | 14.79 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD Z515 - Encounter for palliative care | 7.18 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD Z515 - Encounter for palliative care | $560,309,318 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD Z515 - Encounter for palliative care | $2,848 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD Z515 - Encounter for palliative care | $38,137 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD Z515 - Encounter for palliative care | $2,606,175,067 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD Z515 - Encounter for palliative care | $177,387 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD Z515 - Encounter for palliative care | 67.67 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD Z515 - Encounter for palliative care | 5.85 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD Z515 - Encounter for palliative care | 1.05 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 7,232 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 4,415 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 4,250 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. VIJAY GANATRA | 13770 PLANTATION RD | FORT MYERS | FL | 33912 | 213 |
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 185 |
| Dr. MICHAEL T SERLE | 30 MEMORIAL DR | PINEHURST | NC | 28374 | 157 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TAE J LEE | 101 HEART DRIVE | GREENVILLE | NC | 27834 | 694 |
| Dr. THOMAS D. MOREL | 571 S ALLEN RD | FLAT ROCK | NC | 28731 | 451 |
| Dr. ANDREW ZARETSKY | 1379 54TH ST | BROOKLYN | NY | 11219 | 444 |