*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z741 - Need for assistance with personal care - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 9.83 | |
| 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 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z741 - Need for assistance with personal care | 1,829 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z741 - Need for assistance with personal care in DRG | 13.67 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z741 - Need for assistance with personal care | 14.22 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z741 - Need for assistance with personal care | 11.23 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z741 - Need for assistance with personal care | 8.3 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z741 - Need for assistance with personal care | $38,531,712 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z741 - Need for assistance with personal care | $1,482 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z741 - Need for assistance with personal care | $21,067 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z741 - Need for assistance with personal care | $87,342,607 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z741 - Need for assistance with personal care | $47,754 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z741 - Need for assistance with personal care | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z741 - Need for assistance with personal care | 21.49 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z741 - Need for assistance with personal care | 29.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD Z741 - Need for assistance with personal care | 451 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z741 - Need for assistance with personal care in DRG | 3.37 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD Z741 - Need for assistance with personal care | 14.76 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD Z741 - Need for assistance with personal care | 18.6 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD Z741 - Need for assistance with personal care | 15.63 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD Z741 - Need for assistance with personal care | $9,815,370 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD Z741 - Need for assistance with personal care | $1,475 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD Z741 - Need for assistance with personal care | $21,764 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD Z741 - Need for assistance with personal care | $22,044,089 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD Z741 - Need for assistance with personal care | $48,878 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD Z741 - Need for assistance with personal care | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD Z741 - Need for assistance with personal care | 23.28 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD Z741 - Need for assistance with personal care | 21.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 950: AFTERCARE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD Z741 - Need for assistance with personal care | 301 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD Z741 - Need for assistance with personal care in DRG | 2.25 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD Z741 - Need for assistance with personal care | 10.87 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD Z741 - Need for assistance with personal care | 9.78 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD Z741 - Need for assistance with personal care | 5.8 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD Z741 - Need for assistance with personal care | $4,904,261 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD Z741 - Need for assistance with personal care | $1,499 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD Z741 - Need for assistance with personal care | $16,293 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD Z741 - Need for assistance with personal care | $7,857,675 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD Z741 - Need for assistance with personal care | $26,105 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD Z741 - Need for assistance with personal care | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD Z741 - Need for assistance with personal care | 15.28 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD Z741 - Need for assistance with personal care | 29.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 51,757 | ||||
| Total Hospitalizations with ICD Z741 - Need for assistance with personal care | 156 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD Z741 - Need for assistance with personal care in DRG | 1.17 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD Z741 - Need for assistance with personal care | 10.11 | ||||
| Readmission Rate at DRG | 17.16 | ||||
| Readmission Rate with ICD Z741 - Need for assistance with personal care | NA | ||||
| Unplanned Readmission Rate at DRG | 9.0 | ||||
| Unplanned Readmission Rate with ICD Z741 - Need for assistance with personal care | NA | ||||
| Total Medicare payments at DRG | $332,400,259 | ||||
| Total Medicare payments with ICD Z741 - Need for assistance with personal care | $2,220,947 | ||||
| Total Medicare payment per Day at DRG | $1,455 | ||||
| Total Medicare payment per Day with ICD Z741 - Need for assistance with personal care | $1,408 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,422 | ||||
| Total Medicare payment per Hospitalization with ICD Z741 - Need for assistance with personal care | $14,237 | ||||
| Total Medicare Charges at DRG | $1,234,809,519 | ||||
| Total Medicare Charges with ICD Z741 - Need for assistance with personal care | $3,189,229 | ||||
| Avg Charges at DRG | $23,858 | ||||
| Avg Charges with ICD Z741 - Need for assistance with personal care | $20,444 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z741 - Need for assistance with personal care | NA | ||||
| SNF Discharge Rate at DRG | 25.37 | ||||
| SNF Discharge Rate with ICD Z741 - Need for assistance with personal care | 11.54 | ||||
| Home Discharge Rate at DRG | 42.31 | ||||
| Home Discharge Rate with ICD Z741 - Need for assistance with personal care | 46.79 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KESSLER INSTITUTE FOR REHABILITATION | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 1,275 |
| HEALTH REHABILITATION HOSPITAL OF ROUND ROCK | 1400 HESTERS CROSSING RD | ROUND ROCK | TX | 78681 | 1,252 |
| BAYLOR INSTITUTE FOR REHABILITATION - DALLAS | 909 N WASHINGTON AVE | DALLAS | TX | 76132 | 1,181 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TIM SHOWN | 4901 E JOHNSON AVE | JONESBORO | AR | 72401 | 113 |
| Dr. DENISE LI LUE | 1959 NE PACIFIC ST | SEATTLE | WA | 98195 | 41 |
| Dr. RICHARD B SHARP | 5002 COWHORN CREEK RD | TEXARKANA | TX | 75503 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD B SHARP | 5002 COWHORN CREEK RD | TEXARKANA | TX | 75503 | 638 |
| Dr. OCTAVIO VELA | 4502 MEDICAL DR | SAN ANTONIO | TX | 78229 | 614 |
| Dr. WILLIAM DAVID ROGENMOSER | 3444 MASONIC DR | ALEXANDRIA | LA | 71303 | 448 |