*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.12 | |
| 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 22,478 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection in DRG | 7.89 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 5.91 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 27.53 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 20.69 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $251,881,882 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $1,895 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $11,206 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $1,120,333,558 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $49,841 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 8.07 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 29.77 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 26.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 5,488 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection in DRG | 1.93 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 5.24 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 31.01 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 25.09 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $46,227,781 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $1,608 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $8,423 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $214,874,087 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $39,153 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 3.86 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 22.61 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 37.96 |
*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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 4,007 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection in DRG | 1.41 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 10.08 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 32.54 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 18.08 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $30,887,814 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $764 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $7,708 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $117,667,842 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $29,366 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 6.91 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 76.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 3,377 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection in DRG | 1.18 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 3.99 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 21.54 | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 15.72 | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $20,326,974 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $1,508 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $6,019 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $88,950,480 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | $26,340 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 0.53 | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 19.63 | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD Z8614 - Personal history of Methicillin resistant Staphylococcus aureus infection | 48.68 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 1,947 |
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 1,327 |
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS ST | CHARLESTON | WV | 25301 | 1,255 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 123 |
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 115 |
| Dr. VIPUL MODY | 185 ROSEBERRY ST | PHILLIPSBURG | NJ | 08865 | 77 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 158 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 129 |
| Dr. SHANDAL S EMANUEL | 155 NASHVILLE COMMONS DR | NASHVILLE | NC | 27856 | 115 |