*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z978 - Presence of other specified devices - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 15.61 | |
| 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 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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z978 - Presence of other specified devices | 430 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z978 - Presence of other specified devices in DRG | 5.58 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z978 - Presence of other specified devices | 6.55 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z978 - Presence of other specified devices | 31.62 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z978 - Presence of other specified devices | 21.65 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z978 - Presence of other specified devices | $5,336,974 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z978 - Presence of other specified devices | $1,895 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z978 - Presence of other specified devices | $12,412 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z978 - Presence of other specified devices | $23,540,973 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z978 - Presence of other specified devices | $54,746 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z978 - Presence of other specified devices | 9.53 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z978 - Presence of other specified devices | 24.65 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z978 - Presence of other specified devices | 25.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD Z978 - Presence of other specified devices | 142 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD Z978 - Presence of other specified devices in DRG | 1.84 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD Z978 - Presence of other specified devices | 3.63 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD Z978 - Presence of other specified devices | 17.52 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD Z978 - Presence of other specified devices | NA | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD Z978 - Presence of other specified devices | $3,420,376 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD Z978 - Presence of other specified devices | $6,642 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD Z978 - Presence of other specified devices | $24,087 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD Z978 - Presence of other specified devices | $18,505,306 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD Z978 - Presence of other specified devices | $130,319 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD Z978 - Presence of other specified devices | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD Z978 - Presence of other specified devices | 16.9 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD Z978 - Presence of other specified devices | 47.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD Z978 - Presence of other specified devices | 115 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD Z978 - Presence of other specified devices in DRG | 1.49 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD Z978 - Presence of other specified devices | 9.53 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD Z978 - Presence of other specified devices | 19.79 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD Z978 - Presence of other specified devices | 15.63 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD Z978 - Presence of other specified devices | $1,525,709 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD Z978 - Presence of other specified devices | $1,392 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD Z978 - Presence of other specified devices | $13,267 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD Z978 - Presence of other specified devices | $6,707,251 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD Z978 - Presence of other specified devices | $58,324 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD Z978 - Presence of other specified devices | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD Z978 - Presence of other specified devices | 17.39 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD Z978 - Presence of other specified devices | 32.17 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z978 - Presence of other specified devices | 81 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z978 - Presence of other specified devices in DRG | 1.05 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z978 - Presence of other specified devices | 19.38 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z978 - Presence of other specified devices | 22.08 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z978 - Presence of other specified devices | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z978 - Presence of other specified devices | $745,679 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z978 - Presence of other specified devices | $475 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z978 - Presence of other specified devices | $9,206 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z978 - Presence of other specified devices | $2,818,697 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z978 - Presence of other specified devices | $34,799 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z978 - Presence of other specified devices | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z978 - Presence of other specified devices | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z978 - Presence of other specified devices | 80.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. FRANCIS HOSPITAL ROSLYN | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 84 |
| SPAULDING REHABILITATION HOSPITAL CAPE COD | 311 SERVICE RD | E SANDWICH | MA | 02537 | 77 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 71 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DEREK B PURCELL | 2446 RESEARCH PKWY | COLORADO SPRINGS | CO | 80920 | 16 |
| Dr. BRETT J. GILBERT | 3100 DURALEIGH RD | RALEIGH | NC | 27612 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANN MARIE S THOMAS | 125 NASHUA ST | BOSTON | MA | 02114 | 27 |
| Dr. SHERRI A TUPPER | 311 SERVICE RD | E SANDWICH | MA | 02537 | 27 |
| Dr. RICHARD A SHLOFMITZ | 100 PORT WASHINGTON BLVD | ROSLYN | NY | 11576 | 17 |