*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z66 - Do not resuscitate - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.12 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z66 - Do not resuscitate | 508,441 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z66 - Do not resuscitate in DRG | 13.55 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z66 - Do not resuscitate | 5.83 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z66 - Do not resuscitate | 17.23 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z66 - Do not resuscitate | 12.8 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z66 - Do not resuscitate | $6,037,615,419 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z66 - Do not resuscitate | $2,037 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z66 - Do not resuscitate | $11,875 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z66 - Do not resuscitate | $28,480,523,176 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z66 - Do not resuscitate | $56,015 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z66 - Do not resuscitate | 27.54 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z66 - Do not resuscitate | 27.82 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z66 - Do not resuscitate | 9.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD Z66 - Do not resuscitate | 76,158 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD Z66 - Do not resuscitate in DRG | 2.03 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD Z66 - Do not resuscitate | 6.8 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD Z66 - Do not resuscitate | 17.21 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD Z66 - Do not resuscitate | 13.03 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD Z66 - Do not resuscitate | $911,633,623 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD Z66 - Do not resuscitate | $1,762 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD Z66 - Do not resuscitate | $11,970 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD Z66 - Do not resuscitate | $4,070,646,498 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD Z66 - Do not resuscitate | $53,450 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD Z66 - Do not resuscitate | 15.45 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD Z66 - Do not resuscitate | 33.61 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD Z66 - Do not resuscitate | 8.75 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH 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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z66 - Do not resuscitate | 58,730 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z66 - Do not resuscitate in DRG | 1.56 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z66 - Do not resuscitate | 4.32 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z66 - Do not resuscitate | 20.22 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z66 - Do not resuscitate | 16.03 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z66 - Do not resuscitate | $373,278,595 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z66 - Do not resuscitate | $1,472 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z66 - Do not resuscitate | $6,356 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z66 - Do not resuscitate | $1,633,597,869 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z66 - Do not resuscitate | $27,815 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z66 - Do not resuscitate | 4.08 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z66 - Do not resuscitate | 27.43 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z66 - Do not resuscitate | 26.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 250,159 | ||||
| Total Hospitalizations with ICD Z66 - Do not resuscitate | 52,781 | ||||
| DRG Share of Total Hospitalizations | 0.76 | ||||
| % of Total ICD Z66 - Do not resuscitate in DRG | 1.41 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD Z66 - Do not resuscitate | 5.55 | ||||
| Readmission Rate at DRG | 27.88 | ||||
| Readmission Rate with ICD Z66 - Do not resuscitate | 19.77 | ||||
| Unplanned Readmission Rate at DRG | 19.94 | ||||
| Unplanned Readmission Rate with ICD Z66 - Do not resuscitate | 15.01 | ||||
| Total Medicare payments at DRG | $2,661,443,545 | ||||
| Total Medicare payments with ICD Z66 - Do not resuscitate | $565,564,974 | ||||
| Total Medicare payment per Day at DRG | $1,946 | ||||
| Total Medicare payment per Day with ICD Z66 - Do not resuscitate | $1,932 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,639 | ||||
| Total Medicare payment per Hospitalization with ICD Z66 - Do not resuscitate | $10,715 | ||||
| Total Medicare Charges at DRG | $13,270,497,724 | ||||
| Total Medicare Charges with ICD Z66 - Do not resuscitate | $2,530,144,167 | ||||
| Avg Charges at DRG | $53,048 | ||||
| Avg Charges with ICD Z66 - Do not resuscitate | $47,937 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z66 - Do not resuscitate | NA | ||||
| SNF Discharge Rate at DRG | 21.63 | ||||
| SNF Discharge Rate with ICD Z66 - Do not resuscitate | 33.2 | ||||
| Home Discharge Rate at DRG | 34.87 | ||||
| Home Discharge Rate with ICD Z66 - Do not resuscitate | 16.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 9,683 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 9,682 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 9,362 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL T SERLE | 30 MEMORIAL DR | PINEHURST | NC | 28374 | 353 |
| Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 342 |
| Dr. SUNIL N LALLA | 14171 METROPOLIS AVE | FORT MYERS | FL | 33912 | 317 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 855 |
| Dr. KENNETH WAYNE DONOVAN | 365 MONTAUK AVE | NEW LONDON | CT | 06320 | 787 |
| Dr. TAE J LEE | 101 HEART DRIVE | GREENVILLE | NC | 27834 | 703 |