*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z938 - Other artificial opening status - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 21.42 | |
| 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z938 - Other artificial opening status | 69 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z938 - Other artificial opening status in DRG | 6.48 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z938 - Other artificial opening status | 6.65 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z938 - Other artificial opening status | 38.6 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z938 - Other artificial opening status | 21.05 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z938 - Other artificial opening status | $838,839 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z938 - Other artificial opening status | $1,828 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z938 - Other artificial opening status | $12,157 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z938 - Other artificial opening status | $4,103,152 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z938 - Other artificial opening status | $59,466 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z938 - Other artificial opening status | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z938 - Other artificial opening status | 24.64 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z938 - Other artificial opening status | 21.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z938 - Other artificial opening status | 25 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z938 - Other artificial opening status in DRG | 2.35 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z938 - Other artificial opening status | 4.56 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z938 - Other artificial opening status | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z938 - Other artificial opening status | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z938 - Other artificial opening status | $190,330 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z938 - Other artificial opening status | $1,670 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z938 - Other artificial opening status | $7,613 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z938 - Other artificial opening status | $790,188 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z938 - Other artificial opening status | $31,608 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z938 - Other artificial opening status | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z938 - Other artificial opening status | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z938 - Other artificial opening status | 44.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,227 | ||||
| Total Hospitalizations with ICD Z938 - Other artificial opening status | 17 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD Z938 - Other artificial opening status in DRG | 1.6 | ||||
| Avg LOS at DRG | 8.02 | ||||
| Avg LOS with ICD Z938 - Other artificial opening status | 6.82 | ||||
| Readmission Rate at DRG | 30.44 | ||||
| Readmission Rate with ICD Z938 - Other artificial opening status | NA | ||||
| Unplanned Readmission Rate at DRG | 20.14 | ||||
| Unplanned Readmission Rate with ICD Z938 - Other artificial opening status | NA | ||||
| Total Medicare payments at DRG | $641,315,623 | ||||
| Total Medicare payments with ICD Z938 - Other artificial opening status | $216,920 | ||||
| Total Medicare payment per Day at DRG | $1,808 | ||||
| Total Medicare payment per Day with ICD Z938 - Other artificial opening status | $1,870 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,501 | ||||
| Total Medicare payment per Hospitalization with ICD Z938 - Other artificial opening status | $12,760 | ||||
| Total Medicare Charges at DRG | $3,055,824,019 | ||||
| Total Medicare Charges with ICD Z938 - Other artificial opening status | $1,081,944 | ||||
| Avg Charges at DRG | $69,094 | ||||
| Avg Charges with ICD Z938 - Other artificial opening status | $63,644 | ||||
| Mortality Rate at DRG | 3.89 | ||||
| Mortality Rate with ICD Z938 - Other artificial opening status | NA | ||||
| SNF Discharge Rate at DRG | 16.17 | ||||
| SNF Discharge Rate with ICD Z938 - Other artificial opening status | NA | ||||
| Home Discharge Rate at DRG | 45.86 | ||||
| Home Discharge Rate with ICD Z938 - Other artificial opening status | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | |||
| Total Hospitalizations with ICD Z938 - Other artificial opening status | 12 | |||
| DRG Share of Total Hospitalizations | 1.64 | |||
| % of Total ICD Z938 - Other artificial opening status in DRG | 1.13 | |||
| Avg LOS at DRG | 6.42 | |||
| Avg LOS with ICD Z938 - Other artificial opening status | 12.83 | |||
| Readmission Rate at DRG | 26.55 | |||
| Readmission Rate with ICD Z938 - Other artificial opening status | NA | |||
| Unplanned Readmission Rate at DRG | 20.01 | |||
| Unplanned Readmission Rate with ICD Z938 - Other artificial opening status | NA | |||
| Total Medicare payments at DRG | $5,267,842,463 | |||
| Total Medicare payments with ICD Z938 - Other artificial opening status | $259,801 | |||
| Total Medicare payment per Day at DRG | $1,520 | |||
| Total Medicare payment per Day with ICD Z938 - Other artificial opening status | $1,687 | |||
| Total Medicare payment per Hospitalization at DRG | $9,762 | |||
| Total Medicare payment per Hospitalization with ICD Z938 - Other artificial opening status | $21,650 | |||
| Total Medicare Charges at DRG | $25,503,568,329 | |||
| Total Medicare Charges with ICD Z938 - Other artificial opening status | $1,547,361 | |||
| Avg Charges at DRG | $47,260 | |||
| Avg Charges with ICD Z938 - Other artificial opening status | $128,947 | |||
| Mortality Rate at DRG | 5.62 | |||
| Mortality Rate with ICD Z938 - Other artificial opening status | NA | |||
| SNF Discharge Rate at DRG | 19.26 | |||
| SNF Discharge Rate with ICD Z938 - Other artificial opening status | NA | |||
| Home Discharge Rate at DRG | 39.65 | |||
| Home Discharge Rate with ICD Z938 - Other artificial opening status | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF YORK | 1850 NORMANDIE DR | YORK | PA | 17404 | 35 |
| ACUITY SPECIALTY HOSPITAL OF NEW JERSEY | 1925 PACIFIC AVE | ATLANTIC CITY | NJ | 08401 | 35 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF LAS VEGAS | 1250 S VALLEY VIEW BLVD | LAS VEGAS | NV | 89102 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EZINNE UGOCHI NWOTITE | 1925 PACIFIC AVE | ATLANTIC CITY | NJ | 08401 | 33 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EZINNE UGOCHI NWOTITE | 1925 PACIFIC AVE | ATLANTIC CITY | NJ | 08401 | 34 |
| Dr. BRUCE SICILIA | 1881 LOUCKS ROAD | YORK | PA | 17404 | 16 |
| Dr. DANIEL CARMINE DEFALCIS | 1850 NORMANDIE DR | YORK | PA | 17408 | 12 |