*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z969 - Presence of functional implant, unspecified - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.78 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z969 - Presence of functional implant, unspecified | 135 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z969 - Presence of functional implant, unspecified in DRG | 4.96 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z969 - Presence of functional implant, unspecified | 2.53 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z969 - Presence of functional implant, unspecified | 12.31 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z969 - Presence of functional implant, unspecified | $1,554,201 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z969 - Presence of functional implant, unspecified | $4,558 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z969 - Presence of functional implant, unspecified | $11,513 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z969 - Presence of functional implant, unspecified | $9,302,858 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z969 - Presence of functional implant, unspecified | $68,910 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z969 - Presence of functional implant, unspecified | 27.41 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z969 - Presence of functional implant, unspecified | 33.33 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z969 - Presence of functional implant, unspecified | 66 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z969 - Presence of functional implant, unspecified in DRG | 2.42 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z969 - Presence of functional implant, unspecified | 9.06 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z969 - Presence of functional implant, unspecified | 37.29 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z969 - Presence of functional implant, unspecified | 20.34 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z969 - Presence of functional implant, unspecified | $454,887 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z969 - Presence of functional implant, unspecified | $761 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z969 - Presence of functional implant, unspecified | $6,892 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z969 - Presence of functional implant, unspecified | $1,604,509 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z969 - Presence of functional implant, unspecified | $24,311 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z969 - Presence of functional implant, unspecified | 75.76 |
*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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD Z969 - Presence of functional implant, unspecified | 36 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD Z969 - Presence of functional implant, unspecified in DRG | 1.32 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD Z969 - Presence of functional implant, unspecified | 4.19 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD Z969 - Presence of functional implant, unspecified | $254,520 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD Z969 - Presence of functional implant, unspecified | $1,686 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD Z969 - Presence of functional implant, unspecified | $7,070 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD Z969 - Presence of functional implant, unspecified | $1,366,349 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD Z969 - Presence of functional implant, unspecified | $37,954 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD Z969 - Presence of functional implant, unspecified | 44.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 352,097 | ||||
| Total Hospitalizations with ICD Z969 - Presence of functional implant, unspecified | 30 | ||||
| DRG Share of Total Hospitalizations | 1.07 | ||||
| % of Total ICD Z969 - Presence of functional implant, unspecified in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.96 | ||||
| Avg LOS with ICD Z969 - Presence of functional implant, unspecified | 5.1 | ||||
| Readmission Rate at DRG | 35.38 | ||||
| Readmission Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 7.63 | ||||
| Unplanned Readmission Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,360,891,966 | ||||
| Total Medicare payments with ICD Z969 - Presence of functional implant, unspecified | $246,464 | ||||
| Total Medicare payment per Day at DRG | $1,693 | ||||
| Total Medicare payment per Day with ICD Z969 - Presence of functional implant, unspecified | $1,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,705 | ||||
| Total Medicare payment per Hospitalization with ICD Z969 - Presence of functional implant, unspecified | $8,215 | ||||
| Total Medicare Charges at DRG | $13,014,640,264 | ||||
| Total Medicare Charges with ICD Z969 - Presence of functional implant, unspecified | $1,047,602 | ||||
| Avg Charges at DRG | $36,963 | ||||
| Avg Charges with ICD Z969 - Presence of functional implant, unspecified | $34,920 | ||||
| Mortality Rate at DRG | 1.54 | ||||
| Mortality Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 24.0 | ||||
| SNF Discharge Rate with ICD Z969 - Presence of functional implant, unspecified | NA | ||||
| Home Discharge Rate at DRG | 26.62 | ||||
| Home Discharge Rate with ICD Z969 - Presence of functional implant, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SISKIN HOSPITAL FOR PHYSICAL REHABILITATION | 1 SISKIN PLZ | CHATTANOOGA | TN | 37403 | 23 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 21 |
| EISENHOWER MEDICAL CENTER | 39000 BOB HOPE DR | RANCHO MIRAGE | CA | 92270 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NANCY K MCDONOUGH | 7810 5 MILE RD | CINCINNATI | OH | 45230 | 19 |
| Dr. MATTHEW JONES | 2327 PHILLIPS AVE | BERKLEY | MI | 48072 | 17 |
| Dr. STEPHAN F ESELGROTH | 3601 TVC | NASHVILLE | TN | 37232 | 16 |