*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.35 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 677 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism in DRG | 6.5 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 2.36 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 11.33 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 4.29 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $7,784,419 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $4,874 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $11,498 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $40,079,274 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $59,201 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 18.76 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 35.16 |
*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 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 812: RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 198 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism in DRG | 1.9 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 3.28 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 14.74 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 9.47 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $906,582 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $1,397 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $4,579 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $4,279,028 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $21,611 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 73.23 |
*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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 148 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism in DRG | 1.42 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 3.77 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 28.99 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 19.57 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $886,536 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $1,589 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $5,990 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $3,198,576 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $21,612 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 12.84 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 48.65 |
*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 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 129 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism in DRG | 1.24 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 5.57 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 22.41 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 18.97 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $1,299,142 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $1,809 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $10,071 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $6,171,650 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | $47,842 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 19.38 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z862 - Personal history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism | 40.31 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CROSSRIDGE COMMUNITY HOSPITAL | 310 FALLS BLVD S | WYNNE | AR | 72396 | 160 |
| WEST VIRGINIA UNIVERSITY HOSPITALS | 1 MEDICAL CENTER DRIVE | MORGANTOWN | WV | 26506 | 112 |
| LADY OF THE SEA GENERAL HOSPITAL | 200 WEST 134TH PLACE | CUT OFF | LA | 70345 | 100 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLARD GENE BURKS | 710 FALLS BLVD S | WYNNE | AR | 72396 | 129 |
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 81 |
| Dr. AMY LYNN ROHLFING | 325 SPRING ST | RED BUD | IL | 62278 | 75 |