*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z91128 - Patient's intentional underdosing of medication regimen for other reason - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.86 | |
| 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 885: PSYCHOSES | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 10,615 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason in DRG | 21.86 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 13.15 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 28.02 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 11.35 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $97,105,940 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $696 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $9,148 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $319,382,452 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $30,088 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 2.29 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 83.58 |
*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 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 856 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason in DRG | 1.76 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 5.97 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 24.86 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 16.16 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $9,983,641 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $1,953 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $11,663 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $43,838,631 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $51,213 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 6.66 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 21.73 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 38.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 305: HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,467 | ||||
| Total Hospitalizations with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 666 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason in DRG | 1.37 | ||||
| Avg LOS at DRG | 2.57 | ||||
| Avg LOS with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 2.47 | ||||
| Readmission Rate at DRG | 13.5 | ||||
| Readmission Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 15.53 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 11.17 | ||||
| Total Medicare payments at DRG | $338,057,015 | ||||
| Total Medicare payments with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $2,498,956 | ||||
| Total Medicare payment per Day at DRG | $1,489 | ||||
| Total Medicare payment per Day with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $1,519 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,821 | ||||
| Total Medicare payment per Hospitalization with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $3,752 | ||||
| Total Medicare Charges at DRG | $2,192,009,826 | ||||
| Total Medicare Charges with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $14,417,626 | ||||
| Avg Charges at DRG | $24,778 | ||||
| Avg Charges with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $21,648 | ||||
| Mortality Rate at DRG | 0.06 | ||||
| Mortality Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | NA | ||||
| SNF Discharge Rate at DRG | 8.62 | ||||
| SNF Discharge Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 6.76 | ||||
| Home Discharge Rate at DRG | 70.18 | ||||
| Home Discharge Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 71.62 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 528 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason in DRG | 1.09 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 3.55 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 22.04 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 14.03 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $3,099,367 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $1,656 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $5,870 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $12,260,445 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | $23,221 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 14.96 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z91128 - Patient's intentional underdosing of medication regimen for other reason | 61.17 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PEACHFORD BEHAVIORAL HEALTH SYSTEM | 2151 PEACHFORD RD | ATLANTA | GA | 30338 | 694 |
| ANCHOR HOSPITAL | 5454 YORKTOWN DRIVE | ATLANTA | GA | 30349 | 480 |
| GRADY MEMORIAL HOSPITAL | 80 JESSE HILL JR DR, SE | ATLANTA | GA | 30303 | 368 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAHANBAKHSH NASSERZARE | 1380 NE MIAMI GARDENS DR | NORTH MIAMI BEACH | FL | 33179 | 199 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 174 |
| Dr. GREGORY STEPHEN SUGALSKI | 30 BERGEN ST | NEWARK | NJ | 07107 | 95 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAHANBAKHSH NASSERZARE | 1380 NE MIAMI GARDENS DR | NORTH MIAMI BEACH | FL | 33179 | 245 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 165 |
| Dr. SHAILESH PATEL | 5454 YORKTOWNE DR | ATLANTA | GA | 30349 | 163 |