*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z91410 - Personal history of adult physical and sexual abuse - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 10.35 | |
| 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 885: PSYCHOSES | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 881: DEPRESSIVE NEUROSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z91410 - Personal history of adult physical and sexual abuse | 20,330 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z91410 - Personal history of adult physical and sexual abuse in DRG | 63.1 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z91410 - Personal history of adult physical and sexual abuse | 10.26 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 24.49 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 9.76 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z91410 - Personal history of adult physical and sexual abuse | $152,332,363 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z91410 - Personal history of adult physical and sexual abuse | $730 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z91410 - Personal history of adult physical and sexual abuse | $7,493 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z91410 - Personal history of adult physical and sexual abuse | $478,115,769 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z91410 - Personal history of adult physical and sexual abuse | $23,518 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 1.33 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 89.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,877 | ||||
| Total Hospitalizations with ICD Z91410 - Personal history of adult physical and sexual abuse | 388 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD Z91410 - Personal history of adult physical and sexual abuse in DRG | 1.2 | ||||
| Avg LOS at DRG | 10.96 | ||||
| Avg LOS with ICD Z91410 - Personal history of adult physical and sexual abuse | 9.35 | ||||
| Readmission Rate at DRG | 28.43 | ||||
| Readmission Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 24.93 | ||||
| Unplanned Readmission Rate at DRG | 14.51 | ||||
| Unplanned Readmission Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 12.47 | ||||
| Total Medicare payments at DRG | $93,155,245 | ||||
| Total Medicare payments with ICD Z91410 - Personal history of adult physical and sexual abuse | $3,075,608 | ||||
| Total Medicare payment per Day at DRG | $716 | ||||
| Total Medicare payment per Day with ICD Z91410 - Personal history of adult physical and sexual abuse | $848 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,843 | ||||
| Total Medicare payment per Hospitalization with ICD Z91410 - Personal history of adult physical and sexual abuse | $7,927 | ||||
| Total Medicare Charges at DRG | $342,825,145 | ||||
| Total Medicare Charges with ICD Z91410 - Personal history of adult physical and sexual abuse | $9,902,277 | ||||
| Avg Charges at DRG | $28,865 | ||||
| Avg Charges with ICD Z91410 - Personal history of adult physical and sexual abuse | $25,521 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | NA | ||||
| SNF Discharge Rate at DRG | 4.85 | ||||
| SNF Discharge Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | NA | ||||
| Home Discharge Rate at DRG | 81.17 | ||||
| Home Discharge Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 89.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 781: OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,548 | ||||
| Total Hospitalizations with ICD Z91410 - Personal history of adult physical and sexual abuse | 222 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z91410 - Personal history of adult physical and sexual abuse in DRG | 0.69 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z91410 - Personal history of adult physical and sexual abuse | 5.54 | ||||
| Readmission Rate at DRG | 32.74 | ||||
| Readmission Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 45.41 | ||||
| Unplanned Readmission Rate at DRG | 13.79 | ||||
| Unplanned Readmission Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 9.69 | ||||
| Total Medicare payments at DRG | $922,969,291 | ||||
| Total Medicare payments with ICD Z91410 - Personal history of adult physical and sexual abuse | $1,927,346 | ||||
| Total Medicare payment per Day at DRG | $1,941 | ||||
| Total Medicare payment per Day with ICD Z91410 - Personal history of adult physical and sexual abuse | $1,567 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,089 | ||||
| Total Medicare payment per Hospitalization with ICD Z91410 - Personal history of adult physical and sexual abuse | $8,682 | ||||
| Total Medicare Charges at DRG | $4,727,523,206 | ||||
| Total Medicare Charges with ICD Z91410 - Personal history of adult physical and sexual abuse | $8,447,407 | ||||
| Avg Charges at DRG | $46,555 | ||||
| Avg Charges with ICD Z91410 - Personal history of adult physical and sexual abuse | $38,051 | ||||
| Mortality Rate at DRG | 2.95 | ||||
| Mortality Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | NA | ||||
| SNF Discharge Rate at DRG | 13.87 | ||||
| SNF Discharge Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | NA | ||||
| Home Discharge Rate at DRG | 43.04 | ||||
| Home Discharge Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 41.44 |
*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 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 775: VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z91410 - Personal history of adult physical and sexual abuse | 136 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z91410 - Personal history of adult physical and sexual abuse in DRG | 0.42 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z91410 - Personal history of adult physical and sexual abuse | 5.74 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 19.51 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z91410 - Personal history of adult physical and sexual abuse | $1,603,709 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z91410 - Personal history of adult physical and sexual abuse | $2,056 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z91410 - Personal history of adult physical and sexual abuse | $11,792 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z91410 - Personal history of adult physical and sexual abuse | $6,689,794 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z91410 - Personal history of adult physical and sexual abuse | $49,190 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 17.65 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z91410 - Personal history of adult physical and sexual abuse | 45.59 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 1,354 |
| ST. VINCENT'S HOSPITAL WESTCHESTER | 275 NORTH ST | HARRISON | NY | 10528 | 429 |
| SPRING MOUNTAIN TREATMENT CENTER | 7000 SPRING MOUNTAIN RD | LAS VEGAS | NV | 89117 | 367 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 845 |
| Dr. JONATHAN MICHAEL SNIPES | 67 PRESIDENT ST | CHARLESTON | SC | 29425 | 52 |
| Dr. SEAN ANTHONY PONCE | 3802 S 700 E | SALT LAKE CITY | UT | 84106 | 44 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 1,210 |
| Dr. JAMES DARIN DRURY | 401 OLD ALBANY RD | THOMASVILLE | GA | 31792 | 140 |
| Dr. IRWIN GELMAN | 275 NORTH ST | HARRISON | NY | 10528 | 138 |