*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.46 | |
| 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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,475 | ||||
| Total Hospitalizations with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 614 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure in DRG | 6.31 | ||||
| Avg LOS at DRG | 6.46 | ||||
| Avg LOS with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 23.14 | ||||
| Readmission Rate at DRG | 21.75 | ||||
| Readmission Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 12.88 | ||||
| Unplanned Readmission Rate at DRG | 13.67 | ||||
| Unplanned Readmission Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 7.32 | ||||
| Total Medicare payments at DRG | $24,331,342 | ||||
| Total Medicare payments with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $2,685,427 | ||||
| Total Medicare payment per Day at DRG | $842 | ||||
| Total Medicare payment per Day with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $189 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,437 | ||||
| Total Medicare payment per Hospitalization with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $4,374 | ||||
| Total Medicare Charges at DRG | $86,404,017 | ||||
| Total Medicare Charges with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $4,414,830 | ||||
| Avg Charges at DRG | $19,308 | ||||
| Avg Charges with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $7,190 | ||||
| Mortality Rate at DRG | 26.77 | ||||
| Mortality Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 32.25 | ||||
| SNF Discharge Rate at DRG | 8.09 | ||||
| SNF Discharge Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | NA | ||||
| Home Discharge Rate at DRG | 40.13 | ||||
| Home Discharge Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 47.88 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 811: RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 315 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure in DRG | 3.24 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 6.6 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 21.52 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 16.03 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $3,717,438 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $1,787 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $11,801 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $20,813,757 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $66,075 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 16.83 | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 26.98 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 22.22 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 236: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 120 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure in DRG | 1.23 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 7.12 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 26.47 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 24.51 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $1,311,919 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $1,536 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $10,933 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $7,347,762 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $61,231 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 10.83 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 30.83 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 32.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 79 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure in DRG | 0.81 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 5.43 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 28.0 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 22.67 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $588,940 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $1,373 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $7,455 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $3,100,616 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | $39,248 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 13.92 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z531 - Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure | 55.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DUKE UNIVERSITY HOSPITAL | 2301 ERWIN ROAD | DURHAM | NC | 27710 | 164 |
| PENNSYLVANIA HOSPITAL | 800 SPRUCE ST | PHILA | PA | 19107 | 123 |
| ARDEN WOOD | 445 WAWONA STREET | SAN FRANCISCO | CA | 94116 | 112 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID GEORGE NAZARIAN | 800 SPRUCE ST | PHILADELPHIA | PA | 19107 | 14 |
| Dr. DAVID NATHAN FELDMAN | 25 ROCKWOOD PL | ENGLEWOOD | NJ | 07631 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LESLEAH L DE FRISCO | 445 WAWONA ST | SAN FRANCISCO | CA | 94116 | 112 |
| Dr. KATHLEEN GLOVER | 910 BOYLSTON ST | CHESTNUT HILL | MA | 02467 | 73 |
| Dr. CATHERINE FARRELL | 12630 ROTT RD | SAINT LOUIS | MO | 63127 | 71 |