*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z930 - Tracheostomy status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 24.34 | |
| 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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z930 - Tracheostomy status | 20,058 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z930 - Tracheostomy status in DRG | 13.99 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z930 - Tracheostomy status | 6.79 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z930 - Tracheostomy status | 38.18 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z930 - Tracheostomy status | 25.78 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z930 - Tracheostomy status | $233,159,700 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z930 - Tracheostomy status | $1,711 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z930 - Tracheostomy status | $11,624 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z930 - Tracheostomy status | $1,414,348,493 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z930 - Tracheostomy status | $70,513 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z930 - Tracheostomy status | 12.78 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z930 - Tracheostomy status | 35.88 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z930 - Tracheostomy status | 13.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD Z930 - Tracheostomy status | 4,367 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z930 - Tracheostomy status in DRG | 3.05 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD Z930 - Tracheostomy status | 15.87 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD Z930 - Tracheostomy status | 49.59 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD Z930 - Tracheostomy status | 26.37 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD Z930 - Tracheostomy status | $150,276,500 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD Z930 - Tracheostomy status | $2,168 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD Z930 - Tracheostomy status | $34,412 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD Z930 - Tracheostomy status | $920,044,852 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD Z930 - Tracheostomy status | $210,681 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD Z930 - Tracheostomy status | 12.23 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD Z930 - Tracheostomy status | 38.22 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD Z930 - Tracheostomy status | 6.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z930 - Tracheostomy status | 2,118 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z930 - Tracheostomy status in DRG | 1.48 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z930 - Tracheostomy status | 5.79 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z930 - Tracheostomy status | 31.61 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z930 - Tracheostomy status | 24.13 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z930 - Tracheostomy status | $18,416,842 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z930 - Tracheostomy status | $1,501 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z930 - Tracheostomy status | $8,695 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z930 - Tracheostomy status | $105,485,254 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z930 - Tracheostomy status | $49,804 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z930 - Tracheostomy status | 2.69 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z930 - Tracheostomy status | 28.05 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z930 - Tracheostomy status | 29.37 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,057 | ||||
| Total Hospitalizations with ICD Z930 - Tracheostomy status | 1,544 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD Z930 - Tracheostomy status in DRG | 1.08 | ||||
| Avg LOS at DRG | 5.35 | ||||
| Avg LOS with ICD Z930 - Tracheostomy status | 6.04 | ||||
| Readmission Rate at DRG | 21.3 | ||||
| Readmission Rate with ICD Z930 - Tracheostomy status | 33.54 | ||||
| Unplanned Readmission Rate at DRG | 15.67 | ||||
| Unplanned Readmission Rate with ICD Z930 - Tracheostomy status | 24.83 | ||||
| Total Medicare payments at DRG | $920,227,801 | ||||
| Total Medicare payments with ICD Z930 - Tracheostomy status | $13,171,338 | ||||
| Total Medicare payment per Day at DRG | $1,576 | ||||
| Total Medicare payment per Day with ICD Z930 - Tracheostomy status | $1,412 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,438 | ||||
| Total Medicare payment per Hospitalization with ICD Z930 - Tracheostomy status | $8,531 | ||||
| Total Medicare Charges at DRG | $4,179,019,701 | ||||
| Total Medicare Charges with ICD Z930 - Tracheostomy status | $71,699,248 | ||||
| Avg Charges at DRG | $38,320 | ||||
| Avg Charges with ICD Z930 - Tracheostomy status | $46,437 | ||||
| Mortality Rate at DRG | 1.76 | ||||
| Mortality Rate with ICD Z930 - Tracheostomy status | 1.23 | ||||
| SNF Discharge Rate at DRG | 27.6 | ||||
| SNF Discharge Rate with ICD Z930 - Tracheostomy status | 28.56 | ||||
| Home Discharge Rate at DRG | 33.88 | ||||
| Home Discharge Rate with ICD Z930 - Tracheostomy status | 29.34 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 665 |
| NEW YORK - PRESBYTERIAN/QUEENS | 56-45 MAIN STREET | NEW YORK | NY | 11355 | 643 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 593 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 254 |
| Dr. RONALD REISMAN | 8050 TOWNSHIP LINE RD | INDIANAPOLIS | IN | 46260 | 132 |
| Dr. MANJULA KUNDHUR REDDY | 3553 RATHBONE WAY | PLEASANTON | CA | 94588 | 123 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 214 |
| Dr. LORENZO R PELLY | 2300 CENTRAL BLVD | BROWNSVILLE | TX | 78520 | 144 |
| Dr. RONALD REISMAN | 8050 TOWNSHIP LINE RD | INDIANAPOLIS | IN | 46260 | 140 |