*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z597 - Insufficient social insurance and welfare support - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.68 | |
| 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z597 - Insufficient social insurance and welfare support | 148 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z597 - Insufficient social insurance and welfare support in DRG | 24.83 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z597 - Insufficient social insurance and welfare support | 14.2 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z597 - Insufficient social insurance and welfare support | 26.06 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z597 - Insufficient social insurance and welfare support | 15.49 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z597 - Insufficient social insurance and welfare support | $1,783,570 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z597 - Insufficient social insurance and welfare support | $849 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z597 - Insufficient social insurance and welfare support | $12,051 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z597 - Insufficient social insurance and welfare support | $7,233,720 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z597 - Insufficient social insurance and welfare support | $48,876 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z597 - Insufficient social insurance and welfare support | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z597 - Insufficient social insurance and welfare support | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z597 - Insufficient social insurance and welfare support | 84.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 231,812 |
| Total Hospitalizations with ICD Z597 - Insufficient social insurance and welfare support | 11 |
| DRG Share of Total Hospitalizations | 0.71 |
| % of Total ICD Z597 - Insufficient social insurance and welfare support in DRG | 1.85 |
| Avg LOS at DRG | 4.41 |
| Avg LOS with ICD Z597 - Insufficient social insurance and welfare support | 12.09 |
| Readmission Rate at DRG | 29.12 |
| Readmission Rate with ICD Z597 - Insufficient social insurance and welfare support | NA |
| Unplanned Readmission Rate at DRG | 22.82 |
| Unplanned Readmission Rate with ICD Z597 - Insufficient social insurance and welfare support | NA |
| Total Medicare payments at DRG | $1,743,376,418 |
| Total Medicare payments with ICD Z597 - Insufficient social insurance and welfare support | $96,277 |
| Total Medicare payment per Day at DRG | $1,704 |
| Total Medicare payment per Day with ICD Z597 - Insufficient social insurance and welfare support | $724 |
| Total Medicare payment per Hospitalization at DRG | $7,521 |
| Total Medicare payment per Hospitalization with ICD Z597 - Insufficient social insurance and welfare support | $8,752 |
| Total Medicare Charges at DRG | $8,543,867,896 |
| Total Medicare Charges with ICD Z597 - Insufficient social insurance and welfare support | $721,546 |
| Avg Charges at DRG | $36,857 |
| Avg Charges with ICD Z597 - Insufficient social insurance and welfare support | $65,595 |
| Mortality Rate at DRG | 2.89 |
| Mortality Rate with ICD Z597 - Insufficient social insurance and welfare support | NA |
| SNF Discharge Rate at DRG | 22.92 |
| SNF Discharge Rate with ICD Z597 - Insufficient social insurance and welfare support | NA |
| Home Discharge Rate at DRG | 43.02 |
| Home Discharge Rate with ICD Z597 - Insufficient social insurance and welfare support | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. CATHERINE OF SIENA HOSPITAL | 50 ROUTE 25A | SMITHTOWN | NY | 11787 | 23 |
| MELROSEWAKEFIELD HEALTHCARE | 170 GOVERNORS AVE | MEDFORD | MA | 02155 | 14 |
| SHARP MESA VISTA HOSPITAL | 7850 VISTA HILL AVE | SAN DIEGO | CA | 92123 | 12 |