*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z9911 - Dependence on respirator [ventilator] status - as a primary diagnosis code | Z9911 - Dependence on respirator [ventilator] status - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 19.99 | |
| Readmission Rate (%) | 47.02 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 951: OTHER FACTORS INFLUENCING HEALTH STATUS | |
|---|---|
| Total Hospitalizations at DRG | 4,475 |
| Total Hospitalizations with ICD Z9911 - Dependence on respirator [ventilator] status | 18 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD Z9911 - Dependence on respirator [ventilator] status in DRG | 94.74 |
| Avg LOS at DRG | 6.46 |
| Avg LOS with ICD Z9911 - Dependence on respirator [ventilator] status | 16.28 |
| Readmission Rate at DRG | 21.75 |
| Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | NA |
| Unplanned Readmission Rate at DRG | 13.67 |
| Unplanned Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | NA |
| Total Medicare payments at DRG | $24,331,342 |
| Total Medicare payments with ICD Z9911 - Dependence on respirator [ventilator] status | $311,974 |
| Total Medicare payment per Day at DRG | $842 |
| Total Medicare payment per Day with ICD Z9911 - Dependence on respirator [ventilator] status | $1,065 |
| Total Medicare payment per Hospitalization at DRG | $5,437 |
| Total Medicare payment per Hospitalization with ICD Z9911 - Dependence on respirator [ventilator] status | $17,332 |
| Total Medicare Charges at DRG | $86,404,017 |
| Total Medicare Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $1,631,623 |
| Avg Charges at DRG | $19,308 |
| Avg Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $90,646 |
| Mortality Rate at DRG | 26.77 |
| Mortality Rate with ICD Z9911 - Dependence on respirator [ventilator] status | NA |
| SNF Discharge Rate at DRG | 8.09 |
| SNF Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] status | NA |
| Home Discharge Rate at DRG | 40.13 |
| Home Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 004: TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD Z9911 - Dependence on respirator [ventilator] status | 27,179 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD Z9911 - Dependence on respirator [ventilator] status in DRG | 20.94 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD Z9911 - Dependence on respirator [ventilator] status | 28.54 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 41.95 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 26.19 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD Z9911 - Dependence on respirator [ventilator] status | $1,495,260,975 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD Z9911 - Dependence on respirator [ventilator] status | $1,928 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD Z9911 - Dependence on respirator [ventilator] status | $55,015 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $6,968,987,010 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $256,411 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 21.4 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 40.11 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 3.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 48,449 | ||||
| Total Hospitalizations with ICD Z9911 - Dependence on respirator [ventilator] status | 8,750 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD Z9911 - Dependence on respirator [ventilator] status in DRG | 6.74 | ||||
| Avg LOS at DRG | 29.97 | ||||
| Avg LOS with ICD Z9911 - Dependence on respirator [ventilator] status | 34.0 | ||||
| Readmission Rate at DRG | 76.3 | ||||
| Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 79.11 | ||||
| Unplanned Readmission Rate at DRG | 6.46 | ||||
| Unplanned Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 6.52 | ||||
| Total Medicare payments at DRG | $6,190,071,785 | ||||
| Total Medicare payments with ICD Z9911 - Dependence on respirator [ventilator] status | $1,169,678,491 | ||||
| Total Medicare payment per Day at DRG | $4,263 | ||||
| Total Medicare payment per Day with ICD Z9911 - Dependence on respirator [ventilator] status | $3,931 | ||||
| Total Medicare payment per Hospitalization at DRG | $127,765 | ||||
| Total Medicare payment per Hospitalization with ICD Z9911 - Dependence on respirator [ventilator] status | $133,678 | ||||
| Total Medicare Charges at DRG | $28,754,600,069 | ||||
| Total Medicare Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $5,734,800,435 | ||||
| Avg Charges at DRG | $593,502 | ||||
| Avg Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $655,406 | ||||
| Mortality Rate at DRG | 20.61 | ||||
| Mortality Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 18.11 | ||||
| SNF Discharge Rate at DRG | 12.46 | ||||
| SNF Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 12.42 | ||||
| Home Discharge Rate at DRG | 2.36 | ||||
| Home Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 1.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD Z9911 - Dependence on respirator [ventilator] status | 1,429 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD Z9911 - Dependence on respirator [ventilator] status in DRG | 1.1 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD Z9911 - Dependence on respirator [ventilator] status | 8.25 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 38.47 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 28.51 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD Z9911 - Dependence on respirator [ventilator] status | $16,550,335 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD Z9911 - Dependence on respirator [ventilator] status | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD Z9911 - Dependence on respirator [ventilator] status | $11,582 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $152,574,780 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $106,770 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 7.84 | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 41.22 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 10.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 100: SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 77,444 | ||||
| Total Hospitalizations with ICD Z9911 - Dependence on respirator [ventilator] status | 918 | ||||
| DRG Share of Total Hospitalizations | 0.24 | ||||
| % of Total ICD Z9911 - Dependence on respirator [ventilator] status in DRG | 0.71 | ||||
| Avg LOS at DRG | 6.72 | ||||
| Avg LOS with ICD Z9911 - Dependence on respirator [ventilator] status | 9.44 | ||||
| Readmission Rate at DRG | 28.36 | ||||
| Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 40.63 | ||||
| Unplanned Readmission Rate at DRG | 20.29 | ||||
| Unplanned Readmission Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 27.63 | ||||
| Total Medicare payments at DRG | $929,345,247 | ||||
| Total Medicare payments with ICD Z9911 - Dependence on respirator [ventilator] status | $14,266,815 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD Z9911 - Dependence on respirator [ventilator] status | $1,646 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,000 | ||||
| Total Medicare payment per Hospitalization with ICD Z9911 - Dependence on respirator [ventilator] status | $15,541 | ||||
| Total Medicare Charges at DRG | $4,453,573,782 | ||||
| Total Medicare Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $111,297,457 | ||||
| Avg Charges at DRG | $57,507 | ||||
| Avg Charges with ICD Z9911 - Dependence on respirator [ventilator] status | $121,239 | ||||
| Mortality Rate at DRG | 5.64 | ||||
| Mortality Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 9.26 | ||||
| SNF Discharge Rate at DRG | 22.62 | ||||
| SNF Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 49.67 | ||||
| Home Discharge Rate at DRG | 38.94 | ||||
| Home Discharge Rate with ICD Z9911 - Dependence on respirator [ventilator] status | 8.82 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THOMAS JEFFERSON UNIVERSITY HOSPITAL | 111 S 11TH ST | PHILADELPHIA | PA | 19107 | 598 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 566 |
| HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA | 3400 SPRUCE ST | PHILADELPHIA | PA | 19104 | 560 |
| 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 | 359 |
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 223 |
| Dr. SMITHA NARASIMHASWAMY | 600 RIVER AVE | LAKEWOOD | NJ | 08701 | 180 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM F GRELLA | 224 HAMBURG TPKE | WAYNE | NJ | 07470 | 250 |
| Dr. SMITHA NARASIMHASWAMY | 600 RIVER AVE | LAKEWOOD | NJ | 08701 | 201 |
| Dr. BRIAN K LANG | 145 W 23RD ST | ERIE | PA | 16502 | 167 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z930 | Tracheostomy status |