*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9359 - Other cystostomy status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 19.11 | |
| 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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z9359 - Other cystostomy status | 1,076 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z9359 - Other cystostomy status in DRG | 12.17 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z9359 - Other cystostomy status | 6.06 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z9359 - Other cystostomy status | 32.28 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z9359 - Other cystostomy status | 24.89 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z9359 - Other cystostomy status | $12,288,681 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z9359 - Other cystostomy status | $1,884 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z9359 - Other cystostomy status | $11,421 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z9359 - Other cystostomy status | $54,579,884 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z9359 - Other cystostomy status | $50,725 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z9359 - Other cystostomy status | 6.41 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z9359 - Other cystostomy status | 33.55 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z9359 - Other cystostomy status | 16.45 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD Z9359 - Other cystostomy status | 224 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z9359 - Other cystostomy status in DRG | 2.53 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD Z9359 - Other cystostomy status | 4.83 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD Z9359 - Other cystostomy status | 26.79 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD Z9359 - Other cystostomy status | 21.53 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD Z9359 - Other cystostomy status | $1,570,633 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD Z9359 - Other cystostomy status | $1,453 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD Z9359 - Other cystostomy status | $7,012 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD Z9359 - Other cystostomy status | $7,728,604 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD Z9359 - Other cystostomy status | $34,503 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD Z9359 - Other cystostomy status | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD Z9359 - Other cystostomy status | 27.68 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD Z9359 - Other cystostomy status | 26.34 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD Z9359 - Other cystostomy status | 116 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD Z9359 - Other cystostomy status in DRG | 1.31 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD Z9359 - Other cystostomy status | 5.17 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD Z9359 - Other cystostomy status | 18.42 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD Z9359 - Other cystostomy status | 12.28 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD Z9359 - Other cystostomy status | $992,441 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD Z9359 - Other cystostomy status | $1,654 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD Z9359 - Other cystostomy status | $8,556 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD Z9359 - Other cystostomy status | $3,915,022 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD Z9359 - Other cystostomy status | $33,750 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD Z9359 - Other cystostomy status | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD Z9359 - Other cystostomy status | 24.14 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD Z9359 - Other cystostomy status | 25.86 |
*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 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z9359 - Other cystostomy status | 85 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z9359 - Other cystostomy status in DRG | 0.96 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z9359 - Other cystostomy status | 3.87 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z9359 - Other cystostomy status | 24.39 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z9359 - Other cystostomy status | 21.95 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z9359 - Other cystostomy status | $442,992 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z9359 - Other cystostomy status | $1,346 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z9359 - Other cystostomy status | $5,212 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z9359 - Other cystostomy status | $2,139,755 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z9359 - Other cystostomy status | $25,174 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z9359 - Other cystostomy status | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z9359 - Other cystostomy status | 23.53 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z9359 - Other cystostomy status | 43.53 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 85 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 57 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 48 |