*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z781 - Physical restraint status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.39 | |
| 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 885: PSYCHOSES | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z781 - Physical restraint status | 22,328 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z781 - Physical restraint status in DRG | 9.56 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z781 - Physical restraint status | 8.12 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z781 - Physical restraint status | 28.6 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z781 - Physical restraint status | 17.61 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z781 - Physical restraint status | $297,047,912 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z781 - Physical restraint status | $1,638 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z781 - Physical restraint status | $13,304 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z781 - Physical restraint status | $1,924,424,270 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z781 - Physical restraint status | $86,189 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z781 - Physical restraint status | 21.13 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z781 - Physical restraint status | 31.18 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z781 - Physical restraint status | 12.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD Z781 - Physical restraint status | 5,166 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD Z781 - Physical restraint status in DRG | 2.21 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD Z781 - Physical restraint status | 18.61 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD Z781 - Physical restraint status | 39.12 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD Z781 - Physical restraint status | 16.05 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD Z781 - Physical restraint status | $224,380,245 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD Z781 - Physical restraint status | $2,334 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD Z781 - Physical restraint status | $43,434 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD Z781 - Physical restraint status | $1,044,070,743 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD Z781 - Physical restraint status | $202,104 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD Z781 - Physical restraint status | 25.45 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD Z781 - Physical restraint status | 28.98 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD Z781 - Physical restraint status | 7.14 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z781 - Physical restraint status | 3,434 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z781 - Physical restraint status in DRG | 1.47 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z781 - Physical restraint status | 15.17 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z781 - Physical restraint status | 25.57 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z781 - Physical restraint status | 12.82 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z781 - Physical restraint status | $46,770,851 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z781 - Physical restraint status | $898 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z781 - Physical restraint status | $13,620 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z781 - Physical restraint status | $188,035,703 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z781 - Physical restraint status | $54,757 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z781 - Physical restraint status | 1.31 | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z781 - Physical restraint status | 41.23 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z781 - Physical restraint status | 17.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,478 | ||||
| Total Hospitalizations with ICD Z781 - Physical restraint status | 2,622 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD Z781 - Physical restraint status in DRG | 1.12 | ||||
| Avg LOS at DRG | 25.29 | ||||
| Avg LOS with ICD Z781 - Physical restraint status | 23.12 | ||||
| Readmission Rate at DRG | 74.5 | ||||
| Readmission Rate with ICD Z781 - Physical restraint status | 76.53 | ||||
| Unplanned Readmission Rate at DRG | 8.79 | ||||
| Unplanned Readmission Rate with ICD Z781 - Physical restraint status | 7.22 | ||||
| Total Medicare payments at DRG | $3,386,848,549 | ||||
| Total Medicare payments with ICD Z781 - Physical restraint status | $191,699,447 | ||||
| Total Medicare payment per Day at DRG | $2,945 | ||||
| Total Medicare payment per Day with ICD Z781 - Physical restraint status | $3,162 | ||||
| Total Medicare payment per Hospitalization at DRG | $74,472 | ||||
| Total Medicare payment per Hospitalization with ICD Z781 - Physical restraint status | $73,112 | ||||
| Total Medicare Charges at DRG | $15,882,518,852 | ||||
| Total Medicare Charges with ICD Z781 - Physical restraint status | $823,083,304 | ||||
| Avg Charges at DRG | $349,235 | ||||
| Avg Charges with ICD Z781 - Physical restraint status | $313,914 | ||||
| Mortality Rate at DRG | 13.7 | ||||
| Mortality Rate with ICD Z781 - Physical restraint status | 8.62 | ||||
| SNF Discharge Rate at DRG | 17.77 | ||||
| SNF Discharge Rate with ICD Z781 - Physical restraint status | 17.85 | ||||
| Home Discharge Rate at DRG | 1.95 | ||||
| Home Discharge Rate with ICD Z781 - Physical restraint status | 1.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 S GREENE STREET | BALTIMORE | MD | 21201 | 3,340 |
| ST. VINCENT HOSPITAL & HEALTH SERVICES | 2001 W 86TH ST | INDIANAPOLIS | IN | 46260 | 1,725 |
| NORTH CAROLINA BAPTIST HOSPITAL | MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 1,504 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSEPH S. COSELLI | 6770 BERTNER ST | HOUSTON | TX | 77030 | 143 |
| Dr. EZINNE UGOCHI NWOTITE | 1925 PACIFIC AVE | ATLANTIC CITY | NJ | 08401 | 139 |
| Dr. DEBORAH MCCOLLUM | 7305 B WALLACE BLVD. | AMARILLO | TX | 79106 | 126 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GADSON JOHN JOHNSON | 701 SANTA MONICA BLVD | SANTA MONICA | CA | 90401 | 206 |
| Dr. HASSAN M. ALKHOULI | 7955 WESTMINSTER BLVD | WESTMINSTER | CA | 92683 | 166 |
| Dr. FARIBORZ SHAMS | 515 S BEACH BLVD | ANAHEIM | CA | 92804 | 159 |