*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z602 - Problems related to living alone - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.98 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z602 - Problems related to living alone | 6,023 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z602 - Problems related to living alone in DRG | 6.75 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z602 - Problems related to living alone | 12.62 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z602 - Problems related to living alone | 22.87 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z602 - Problems related to living alone | 9.69 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z602 - Problems related to living alone | $59,024,923 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z602 - Problems related to living alone | $777 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z602 - Problems related to living alone | $9,800 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z602 - Problems related to living alone | $167,676,855 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z602 - Problems related to living alone | $27,839 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z602 - Problems related to living alone | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z602 - Problems related to living alone | 3.79 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z602 - Problems related to living alone | 82.04 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z602 - Problems related to living alone | 1,655 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z602 - Problems related to living alone in DRG | 1.85 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z602 - Problems related to living alone | 3.78 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z602 - Problems related to living alone | 15.61 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z602 - Problems related to living alone | 10.22 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z602 - Problems related to living alone | $8,179,207 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z602 - Problems related to living alone | $1,309 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z602 - Problems related to living alone | $4,942 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z602 - Problems related to living alone | $37,322,396 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z602 - Problems related to living alone | $22,551 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z602 - Problems related to living alone | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z602 - Problems related to living alone | 40.79 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z602 - Problems related to living alone | 25.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Z602 - Problems related to living alone | 1,295 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Z602 - Problems related to living alone in DRG | 1.45 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Z602 - Problems related to living alone | 3.59 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Z602 - Problems related to living alone | 18.17 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Z602 - Problems related to living alone | 11.85 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Z602 - Problems related to living alone | $6,123,020 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Z602 - Problems related to living alone | $1,317 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Z602 - Problems related to living alone | $4,728 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Z602 - Problems related to living alone | $27,877,875 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Z602 - Problems related to living alone | $21,527 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Z602 - Problems related to living alone | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Z602 - Problems related to living alone | 35.68 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Z602 - Problems related to living alone | 31.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z602 - Problems related to living alone | 1,174 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z602 - Problems related to living alone in DRG | 1.31 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z602 - Problems related to living alone | 4.62 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z602 - Problems related to living alone | 24.84 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z602 - Problems related to living alone | 20.37 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z602 - Problems related to living alone | $9,456,357 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z602 - Problems related to living alone | $1,742 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z602 - Problems related to living alone | $8,055 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z602 - Problems related to living alone | $40,042,201 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z602 - Problems related to living alone | $34,107 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z602 - Problems related to living alone | 2.47 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z602 - Problems related to living alone | 19.59 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z602 - Problems related to living alone | 37.22 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MCLAREN MACOMB | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 48043 | 1,989 |
| BERKSHIRE MEDICAL CENTER | 725 NORTH ST | PITTSFIELD | MA | 01201 | 1,640 |
| NUVANCE HEALTH - DANBURY HOSPITAL | 24 HOSPITAL AVE | DANBURY | CT | 06810 | 1,552 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY M MURPHREE | 160 HAROLD FLEMING CT | SPARTANBURG | SC | 29303 | 128 |
| Dr. GREG SMART | 209 THOMPSON AVE | EL DORADO | AR | 71730 | 104 |
| Dr. DAVID I WINGER | WINTHROP-UNIVESITY HOSPITAL | MINEOLA | NY | 11501 | 99 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIMOTHY M MURPHREE | 160 HAROLD FLEMING CT | SPARTANBURG | SC | 29303 | 472 |
| Dr. CLIFFORD A MONDA | 1530 PARKWAY | GREENWOOD | SC | 29646 | 442 |
| Dr. CARL DOUGLAS PORTER | 100 MEDICAL CENTER DR | SPRINGFIELD | OH | 45504 | 379 |