*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z604 - Social exclusion and rejection - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.13 | |
| 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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 881: DEPRESSIVE NEUROSES | 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 Z604 - Social exclusion and rejection | 1,432 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z604 - Social exclusion and rejection in DRG | 50.03 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z604 - Social exclusion and rejection | 12.24 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z604 - Social exclusion and rejection | 22.93 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z604 - Social exclusion and rejection | 13.19 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z604 - Social exclusion and rejection | $14,305,993 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z604 - Social exclusion and rejection | $816 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z604 - Social exclusion and rejection | $9,990 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z604 - Social exclusion and rejection | $50,171,054 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z604 - Social exclusion and rejection | $35,036 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z604 - Social exclusion and rejection | 4.61 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z604 - Social exclusion and rejection | 80.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD Z604 - Social exclusion and rejection | 47 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD Z604 - Social exclusion and rejection in DRG | 1.64 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD Z604 - Social exclusion and rejection | 17.94 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD Z604 - Social exclusion and rejection | $596,604 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD Z604 - Social exclusion and rejection | $708 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD Z604 - Social exclusion and rejection | $12,694 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD Z604 - Social exclusion and rejection | $2,658,605 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD Z604 - Social exclusion and rejection | $56,566 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD Z604 - Social exclusion and rejection | 36.17 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD Z604 - Social exclusion and rejection | 27.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 71,748 | ||||
| Total Hospitalizations with ICD Z604 - Social exclusion and rejection | 24 | ||||
| DRG Share of Total Hospitalizations | 0.22 | ||||
| % of Total ICD Z604 - Social exclusion and rejection in DRG | 0.84 | ||||
| Avg LOS at DRG | 2.93 | ||||
| Avg LOS with ICD Z604 - Social exclusion and rejection | 5.71 | ||||
| Readmission Rate at DRG | 33.86 | ||||
| Readmission Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| Unplanned Readmission Rate at DRG | 10.34 | ||||
| Unplanned Readmission Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| Total Medicare payments at DRG | $313,351,773 | ||||
| Total Medicare payments with ICD Z604 - Social exclusion and rejection | $119,284 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD Z604 - Social exclusion and rejection | $871 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,367 | ||||
| Total Medicare payment per Hospitalization with ICD Z604 - Social exclusion and rejection | $4,970 | ||||
| Total Medicare Charges at DRG | $1,750,048,705 | ||||
| Total Medicare Charges with ICD Z604 - Social exclusion and rejection | $696,836 | ||||
| Avg Charges at DRG | $24,392 | ||||
| Avg Charges with ICD Z604 - Social exclusion and rejection | $29,035 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| SNF Discharge Rate at DRG | 7.61 | ||||
| SNF Discharge Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| Home Discharge Rate at DRG | 51.88 | ||||
| Home Discharge Rate with ICD Z604 - Social exclusion and rejection | 45.83 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z604 - Social exclusion and rejection | 18 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z604 - Social exclusion and rejection in DRG | 0.63 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z604 - Social exclusion and rejection | 8.72 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z604 - Social exclusion and rejection | $210,005 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z604 - Social exclusion and rejection | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z604 - Social exclusion and rejection | $11,667 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z604 - Social exclusion and rejection | $942,903 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z604 - Social exclusion and rejection | $52,384 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z604 - Social exclusion and rejection | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z604 - Social exclusion and rejection | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CRENSHAW COMMUNITY HOSPITAL | 101 HOSPITAL CIR | LUVERNE | AL | 36049 | 123 |
| RICHMOND UNIVERSITY MEDICAL CENTER | 355 BARD AVE | STATEN ISLAND | NY | 10310 | 92 |
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 86 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 100 |
| Dr. JULIE ELIZABETH TEATER | 1670 UPHAM DR | COLUMBUS | OH | 43210 | 42 |
| Dr. KIRK ANTHONY CARRUTHERS | 1670 UPHAM DR | COLUMBUS | OH | 43210 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SAEED A SHAH | 5906 CARMICHAEL PLACE | MONTGOMERY | AL | 36117 | 125 |
| Dr. KIRK ANTHONY CARRUTHERS | 1670 UPHAM DR | COLUMBUS | OH | 43210 | 44 |
| Dr. FRED JOHN VONSTIEFF | 2481 PACHECO ST | CONCORD | CA | 94520 | 40 |