*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z593 - Problems related to living in residential institution - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.15 | |
| 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 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z593 - Problems related to living in residential institution | 1,209 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z593 - Problems related to living in residential institution in DRG | 22.51 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z593 - Problems related to living in residential institution | 19.03 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z593 - Problems related to living in residential institution | 24.02 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z593 - Problems related to living in residential institution | 11.7 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z593 - Problems related to living in residential institution | $17,269,500 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z593 - Problems related to living in residential institution | $751 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z593 - Problems related to living in residential institution | $14,284 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z593 - Problems related to living in residential institution | $50,500,542 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z593 - Problems related to living in residential institution | $41,771 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z593 - Problems related to living in residential institution | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z593 - Problems related to living in residential institution | 16.79 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z593 - Problems related to living in residential institution | 47.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD Z593 - Problems related to living in residential institution | 104 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z593 - Problems related to living in residential institution in DRG | 1.94 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD Z593 - Problems related to living in residential institution | 5.41 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD Z593 - Problems related to living in residential institution | 21.88 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD Z593 - Problems related to living in residential institution | 16.67 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD Z593 - Problems related to living in residential institution | $788,841 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD Z593 - Problems related to living in residential institution | $1,401 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD Z593 - Problems related to living in residential institution | $7,585 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD Z593 - Problems related to living in residential institution | $3,456,886 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD Z593 - Problems related to living in residential institution | $33,239 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD Z593 - Problems related to living in residential institution | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD Z593 - Problems related to living in residential institution | 72.12 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD Z593 - Problems related to living in residential institution | 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z593 - Problems related to living in residential institution | 87 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z593 - Problems related to living in residential institution in DRG | 1.62 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z593 - Problems related to living in residential institution | 4.14 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z593 - Problems related to living in residential institution | 13.1 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z593 - Problems related to living in residential institution | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z593 - Problems related to living in residential institution | $480,726 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z593 - Problems related to living in residential institution | $1,335 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z593 - Problems related to living in residential institution | $5,526 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z593 - Problems related to living in residential institution | $2,464,059 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z593 - Problems related to living in residential institution | $28,323 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z593 - Problems related to living in residential institution | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z593 - Problems related to living in residential institution | 60.92 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z593 - Problems related to living in residential institution | 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z593 - Problems related to living in residential institution | 57 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z593 - Problems related to living in residential institution in DRG | 1.06 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z593 - Problems related to living in residential institution | 11.18 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z593 - Problems related to living in residential institution | 45.28 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z593 - Problems related to living in residential institution | 30.19 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z593 - Problems related to living in residential institution | $1,983,037 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z593 - Problems related to living in residential institution | $3,113 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z593 - Problems related to living in residential institution | $34,790 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z593 - Problems related to living in residential institution | $7,035,501 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z593 - Problems related to living in residential institution | $123,430 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z593 - Problems related to living in residential institution | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z593 - Problems related to living in residential institution | 70.18 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z593 - Problems related to living in residential institution | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEW YORK - PRESBYTERIAN/QUEENS | 56-45 MAIN STREET | NEW YORK | NY | 11355 | 465 |
| NUVANCE HEALTH - DANBURY HOSPITAL | 24 HOSPITAL AVE | DANBURY | CT | 06810 | 356 |
| ELMWOOD HILLS HEALTHCARE CENTER | 425 WOODBURY TURNERSVILLE RD | BLACKWOOD | NJ | 08012 | 341 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMY G MCANDREW | 2250 CHAPEL AVE W | CHERRY HILL | NJ | 08002 | 48 |
| Dr. SHAYLA J. EDWARDS | 20 RESEARCH PKWY | OLD SAYBROOK | CT | 06475 | 34 |
| Dr. ADAM D. ZEITLIN | 7161 159TH ST | FLUSHING | NY | 11365 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. AMIT P KURANI | 37 BUCKINGHAM RD | WEST ORANGE | NJ | 07052 | 149 |
| Dr. CHRIS D'AGOSTINO | 1786 MOON LAKE BLVD | HOFFMAN ESTATES | IL | 60194 | 90 |
| Dr. AMY G MCANDREW | 2250 CHAPEL AVE W | CHERRY HILL | NJ | 08002 | 86 |