*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z742 - Need for assistance at home and no other household member able to render care - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.38 | |
| 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 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 144,507 | ||||
| Total Hospitalizations with ICD Z742 - Need for assistance at home and no other household member able to render care | 314 | ||||
| DRG Share of Total Hospitalizations | 0.44 | ||||
| % of Total ICD Z742 - Need for assistance at home and no other household member able to render care in DRG | 6.2 | ||||
| Avg LOS at DRG | 11.23 | ||||
| Avg LOS with ICD Z742 - Need for assistance at home and no other household member able to render care | 13.01 | ||||
| Readmission Rate at DRG | 20.52 | ||||
| Readmission Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 16.22 | ||||
| Unplanned Readmission Rate at DRG | 12.21 | ||||
| Unplanned Readmission Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 9.46 | ||||
| Total Medicare payments at DRG | $1,495,371,248 | ||||
| Total Medicare payments with ICD Z742 - Need for assistance at home and no other household member able to render care | $3,306,926 | ||||
| Total Medicare payment per Day at DRG | $922 | ||||
| Total Medicare payment per Day with ICD Z742 - Need for assistance at home and no other household member able to render care | $809 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,348 | ||||
| Total Medicare payment per Hospitalization with ICD Z742 - Need for assistance at home and no other household member able to render care | $10,532 | ||||
| Total Medicare Charges at DRG | $5,107,483,805 | ||||
| Total Medicare Charges with ICD Z742 - Need for assistance at home and no other household member able to render care | $18,587,363 | ||||
| Avg Charges at DRG | $35,344 | ||||
| Avg Charges with ICD Z742 - Need for assistance at home and no other household member able to render care | $59,195 | ||||
| Mortality Rate at DRG | 0.73 | ||||
| Mortality Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | NA | ||||
| SNF Discharge Rate at DRG | 38.43 | ||||
| SNF Discharge Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 52.87 | ||||
| Home Discharge Rate at DRG | 27.81 | ||||
| Home Discharge Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 20.06 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS 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 Z742 - Need for assistance at home and no other household member able to render care | 125 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z742 - Need for assistance at home and no other household member able to render care in DRG | 2.47 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z742 - Need for assistance at home and no other household member able to render care | 19.38 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 25.42 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 14.41 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z742 - Need for assistance at home and no other household member able to render care | $1,715,925 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z742 - Need for assistance at home and no other household member able to render care | $708 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z742 - Need for assistance at home and no other household member able to render care | $13,727 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z742 - Need for assistance at home and no other household member able to render care | $7,071,103 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z742 - Need for assistance at home and no other household member able to render care | $56,569 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 15.2 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 54.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z742 - Need for assistance at home and no other household member able to render care | 94 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z742 - Need for assistance at home and no other household member able to render care in DRG | 1.86 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z742 - Need for assistance at home and no other household member able to render care | 6.17 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 14.44 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z742 - Need for assistance at home and no other household member able to render care | $871,266 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z742 - Need for assistance at home and no other household member able to render care | $1,502 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z742 - Need for assistance at home and no other household member able to render care | $9,269 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z742 - Need for assistance at home and no other household member able to render care | $3,166,642 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z742 - Need for assistance at home and no other household member able to render care | $33,688 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 55.32 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 11.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z742 - Need for assistance at home and no other household member able to render care | 67 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z742 - Need for assistance at home and no other household member able to render care in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z742 - Need for assistance at home and no other household member able to render care | 7.7 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 29.85 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 16.42 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z742 - Need for assistance at home and no other household member able to render care | $371,551 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z742 - Need for assistance at home and no other household member able to render care | $720 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z742 - Need for assistance at home and no other household member able to render care | $5,546 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z742 - Need for assistance at home and no other household member able to render care | $2,671,825 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z742 - Need for assistance at home and no other household member able to render care | $39,878 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 35.82 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z742 - Need for assistance at home and no other household member able to render care | 29.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYSTATE NOBLE HOSPITAL | 115 W SILVER ST | WESTFIELD | MA | 01085 | 185 |
| SCOTT COUNTY HOSPITAL | 201 ALBERT AVE | SCOTT CITY | KS | 67871 | 153 |
| MCLAREN OAKLAND | 50 N PERRY ST | PONTIAC | MI | 48342 | 82 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTIAN E CUPP | 201 ALBERT AVE | SCOTT CITY | KS | 67871 | 67 |
| Dr. ELIZABETH SIGG HINEMAN | 201 ALBERT AVE | SCOTT CITY | KS | 67871 | 43 |
| Dr. MATTHEW LIGHTNER | 201 ALBERT AVE | SCOTT CITY | KS | 67871 | 38 |