*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z524 - Kidney donor - as a primary diagnosis code | Z524 - Kidney donor - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.49 | |
| Readmission Rate (%) | 21.55 | |
| 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 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 10,602 |
| Total Hospitalizations with ICD Z524 - Kidney donor | 32 |
| DRG Share of Total Hospitalizations | 0.03 |
| % of Total ICD Z524 - Kidney donor in DRG | 68.09 |
| Avg LOS at DRG | 2.45 |
| Avg LOS with ICD Z524 - Kidney donor | 2.31 |
| Readmission Rate at DRG | 9.27 |
| Readmission Rate with ICD Z524 - Kidney donor | NA |
| Unplanned Readmission Rate at DRG | 6.46 |
| Unplanned Readmission Rate with ICD Z524 - Kidney donor | NA |
| Total Medicare payments at DRG | $88,686,549 |
| Total Medicare payments with ICD Z524 - Kidney donor | $297,702 |
| Total Medicare payment per Day at DRG | $3,416 |
| Total Medicare payment per Day with ICD Z524 - Kidney donor | $4,023 |
| Total Medicare payment per Hospitalization at DRG | $8,365 |
| Total Medicare payment per Hospitalization with ICD Z524 - Kidney donor | $9,303 |
| Total Medicare Charges at DRG | $567,139,560 |
| Total Medicare Charges with ICD Z524 - Kidney donor | $2,097,398 |
| Avg Charges at DRG | $53,494 |
| Avg Charges with ICD Z524 - Kidney donor | $65,544 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD Z524 - Kidney donor | NA |
| SNF Discharge Rate at DRG | 4.05 |
| SNF Discharge Rate with ICD Z524 - Kidney donor | NA |
| Home Discharge Rate at DRG | 85.04 |
| Home Discharge Rate with ICD Z524 - Kidney donor | 100.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 652: KIDNEY TRANSPLANT | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z524 - Kidney donor | 90 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z524 - Kidney donor in DRG | 8.84 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z524 - Kidney donor | 2.12 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z524 - Kidney donor | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z524 - Kidney donor | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z524 - Kidney donor | $1,089,409 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z524 - Kidney donor | $5,704 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z524 - Kidney donor | $12,105 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z524 - Kidney donor | $5,177,272 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z524 - Kidney donor | $57,525 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z524 - Kidney donor | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z524 - Kidney donor | 17.78 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z524 - Kidney donor | 38.89 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z524 - Kidney donor | 19 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z524 - Kidney donor in DRG | 1.87 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z524 - Kidney donor | 4.05 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z524 - Kidney donor | NA | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z524 - Kidney donor | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z524 - Kidney donor | $147,324 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z524 - Kidney donor | $1,913 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z524 - Kidney donor | $7,754 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z524 - Kidney donor | $746,878 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z524 - Kidney donor | $39,309 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z524 - Kidney donor | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z524 - Kidney donor | NA | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z524 - Kidney donor | 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z524 - Kidney donor | 14 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z524 - Kidney donor in DRG | 1.38 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z524 - Kidney donor | 3.79 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z524 - Kidney donor | NA | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z524 - Kidney donor | NA | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z524 - Kidney donor | $91,875 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z524 - Kidney donor | $1,733 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z524 - Kidney donor | $6,563 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z524 - Kidney donor | $415,152 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z524 - Kidney donor | $29,654 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z524 - Kidney donor | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z524 - Kidney donor | NA | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z524 - Kidney donor | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 11 |