*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z915 - Personal history of self-harm - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.78 | |
| 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 881: DEPRESSIVE NEUROSES | DRG 918: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z915 - Personal history of self-harm | 78,270 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z915 - Personal history of self-harm in DRG | 59.72 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z915 - Personal history of self-harm | 10.11 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z915 - Personal history of self-harm | 28.37 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z915 - Personal history of self-harm | 13.31 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z915 - Personal history of self-harm | $597,369,760 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z915 - Personal history of self-harm | $755 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z915 - Personal history of self-harm | $7,632 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z915 - Personal history of self-harm | $2,141,964,758 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z915 - Personal history of self-harm | $27,366 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z915 - Personal history of self-harm | 0.02 | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z915 - Personal history of self-harm | 2.31 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z915 - Personal history of self-harm | 86.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | DRG 882: NEUROSES EXCEPT DEPRESSIVE | DRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,726 | ||||
| Total Hospitalizations with ICD Z915 - Personal history of self-harm | 3,132 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD Z915 - Personal history of self-harm in DRG | 2.39 | ||||
| Avg LOS at DRG | 12.1 | ||||
| Avg LOS with ICD Z915 - Personal history of self-harm | 10.93 | ||||
| Readmission Rate at DRG | 22.75 | ||||
| Readmission Rate with ICD Z915 - Personal history of self-harm | 27.1 | ||||
| Unplanned Readmission Rate at DRG | 8.4 | ||||
| Unplanned Readmission Rate with ICD Z915 - Personal history of self-harm | 8.19 | ||||
| Total Medicare payments at DRG | $426,733,948 | ||||
| Total Medicare payments with ICD Z915 - Personal history of self-harm | $28,199,806 | ||||
| Total Medicare payment per Day at DRG | $789 | ||||
| Total Medicare payment per Day with ICD Z915 - Personal history of self-harm | $824 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,541 | ||||
| Total Medicare payment per Hospitalization with ICD Z915 - Personal history of self-harm | $9,004 | ||||
| Total Medicare Charges at DRG | $1,040,774,746 | ||||
| Total Medicare Charges with ICD Z915 - Personal history of self-harm | $65,771,519 | ||||
| Avg Charges at DRG | $23,270 | ||||
| Avg Charges with ICD Z915 - Personal history of self-harm | $21,000 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD Z915 - Personal history of self-harm | NA | ||||
| SNF Discharge Rate at DRG | 0.24 | ||||
| SNF Discharge Rate with ICD Z915 - Personal history of self-harm | NA | ||||
| Home Discharge Rate at DRG | 92.46 | ||||
| Home Discharge Rate with ICD Z915 - Personal history of self-harm | 92.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,840 | ||||
| Total Hospitalizations with ICD Z915 - Personal history of self-harm | 969 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD Z915 - Personal history of self-harm in DRG | 0.74 | ||||
| Avg LOS at DRG | 5.38 | ||||
| Avg LOS with ICD Z915 - Personal history of self-harm | 5.88 | ||||
| Readmission Rate at DRG | 22.47 | ||||
| Readmission Rate with ICD Z915 - Personal history of self-harm | 30.62 | ||||
| Unplanned Readmission Rate at DRG | 12.18 | ||||
| Unplanned Readmission Rate with ICD Z915 - Personal history of self-harm | 13.25 | ||||
| Total Medicare payments at DRG | $193,767,073 | ||||
| Total Medicare payments with ICD Z915 - Personal history of self-harm | $5,343,106 | ||||
| Total Medicare payment per Day at DRG | $1,033 | ||||
| Total Medicare payment per Day with ICD Z915 - Personal history of self-harm | $938 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,562 | ||||
| Total Medicare payment per Hospitalization with ICD Z915 - Personal history of self-harm | $5,514 | ||||
| Total Medicare Charges at DRG | $895,692,673 | ||||
| Total Medicare Charges with ICD Z915 - Personal history of self-harm | $21,630,120 | ||||
| Avg Charges at DRG | $25,709 | ||||
| Avg Charges with ICD Z915 - Personal history of self-harm | $22,322 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD Z915 - Personal history of self-harm | NA | ||||
| SNF Discharge Rate at DRG | 12.88 | ||||
| SNF Discharge Rate with ICD Z915 - Personal history of self-harm | 4.23 | ||||
| Home Discharge Rate at DRG | 62.18 | ||||
| Home Discharge Rate with ICD Z915 - Personal history of self-harm | 74.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD Z915 - Personal history of self-harm | 480 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD Z915 - Personal history of self-harm in DRG | 0.37 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD Z915 - Personal history of self-harm | 4.3 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD Z915 - Personal history of self-harm | 42.83 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD Z915 - Personal history of self-harm | 18.1 | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD Z915 - Personal history of self-harm | $2,463,045 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD Z915 - Personal history of self-harm | $1,193 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD Z915 - Personal history of self-harm | $5,131 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD Z915 - Personal history of self-harm | $11,504,866 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD Z915 - Personal history of self-harm | $23,968 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD Z915 - Personal history of self-harm | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD Z915 - Personal history of self-harm | 14.17 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD Z915 - Personal history of self-harm | 45.63 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| TURNING POINT HOSPITAL | 3015 VETERANS PKWY S | MOULTRIE | GA | 31788 | 1,561 |
| ADCARE HOSPITAL OF WORCESTER | 107 LINCOLN ST | WORCESTER | MA | 01605 | 984 |
| SOUTHCOAST BEHAVIORAL HEALTH HOSPITAL | 581 FAUNCE CORNER RD | DARTMOUTH | MA | 02747 | 811 |
| 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 | 1,149 |
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 300 |
| Dr. MOHAMMAD ALHABBAL | 119 BELMONT ST | WORCESTER | MA | 01605 | 274 |
| 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 | 1,272 |
| Dr. BABAK B. MIRIN | 3500 COMANCHE RD NE | ALBUQUERQUE | NM | 87107 | 430 |
| Dr. KEVIN BERNSTEIN | 7010 SMOKE RANCH RD STE 120 | LAS VEGAS | NV | 89128 | 340 |