| Heart Attack | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
10 |
90% 1,2 |
84% |
87% |
100% |
| Patients Given Aspirin at Arrival |
78 |
97% 2 |
95% |
93% |
100% |
| Patients Given Aspirin at Discharge |
53 |
92% 2 |
93% |
91% |
100% |
| Patients Given Beta Blocker at Arrival |
74 |
95% 2 |
92% |
89% |
100% |
| Patients Given Beta Blocker at Discharge |
59 |
93% 2 |
95% |
91% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
2 |
50% 1,2 |
91% |
92% |
100% |
| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
107 |
91% 2 |
84% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
300 |
91% 2 |
91% |
86% |
100% |
| Patients Given Discharge Instructions |
198 |
43% 2 |
69% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
36 |
64% 2 |
90% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
39 |
69% 2 |
78% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
180 |
71% 2 |
81% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
92 |
88% |
94% |
93% |
100% |
| Patients Given Oxygenation Assessment |
171 |
99% 2 |
100% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
34 |
79% 2 |
89% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
65 |
92% 2 |
88% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
110 |
92% 2 |
91% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
187 |
82% 2 |
84% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
189 |
97% 2 |
92% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
152 |
80% 2 |
82% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
154 |
85% 2 |
86% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
182 |
69% 2 |
79% |
80% |
97% |
| Diagnosis related group |
Avg. payment |
# of cases |
State payments |
State # of cases |
US payments |
US # of cases |
| Chronic Lung Disease |
$5,318 |
95 |
$4,462 - $5,311 |
17,588 |
$4,524 - $5,484 |
374,599 |
| Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions |
$6,214 |
115 |
$5,140 - $6,008 |
19,538 |
$5,244 - $6,415 |
468,862 |
| Heart Attack with Major Complications |
$9,093 |
49 |
$7,898 - $9,354 |
7,475 |
$8,003 - $10,049 |
131,892 |
| Heart Attack without Complications |
$5,611 |
17 |
$4,861 - $5,811 |
2,259 |
$4,841 - $6,123 |
47,503 |
| Heart Failure |
$6,460 |
186 |
$5,192 - $6,189 |
33,934 |
$5,295 - $6,566 |
626,051 |
| Chest Pain |
$3,451 |
96 |
$2,962 - $3,580 |
11,924 |
$2,964 - $3,755 |
219,457 |
| Major Small & Large Intestine Operations |
$9,363 |
11 |
$7,413 - $9,015 |
716 |
$7,459 - $9,180 |
18,656 |
| Minor Small and Large Bowel Procedures With Complications |
$24,451 |
27 |
$17,203 - $21,357 |
6,342 |
$17,600 - $22,617 |
128,011 |
| Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions |
$24,832 |
0 |
$20,747 - $26,917 |
1,317 |
$21,087 - $28,876 |
26,335 |
| Hernia Operations in Adults with Complications or Preexisting Conditions |
$8,786 |
0 |
$7,328 - $8,936 |
867 |
$7,377 - $9,317 |
19,026 |
| Hernia Operations in Adults |
$5,104 |
0 |
$4,353 - $5,212 |
418 |
$4,400 - $5,498 |
10,839 |
| Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions |
$15,510 |
0 |
$12,930 - $15,649 |
755 |
$13,082 - $16,537 |
15,127 |
| Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders |
$11,937 |
0 |
$9,687 - $11,446 |
975 |
$9,837 - $11,873 |
19,735 |
| Major Arm & Shoulder Operations with Complications or Preexisting Conditions |
$8,014 |
0 |
$5,857 - $6,901 |
539 |
$5,804 - $7,121 |
11,947 |
| Diabetes in Adults |
$4,702 |
48 |
$3,890 - $4,762 |
4,194 |
$3,970 - $5,196 |
93,811 |
| Kidney and Bladder Operations for Cancer |
$13,429 |
0 |
$11,913 - $15,340 |
1,173 |
$11,881 - $16,024 |
25,089 |
| Kidney and Bladder Operations with Complications or Preexisting Conditions |
$14,827 |
0 |
$12,448 - $17,126 |
669 |
$12,602 - $17,553 |
14,424 |
| Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions |
$7,277 |
0 |
$6,078 - $7,509 |
1,454 |
$6,207 - $7,665 |
24,743 |
| Other Kidney & Urinary Tract Operations |
$13,156 |
14 |
$11,084 - $13,362 |
1,540 |
$11,011 - $14,349 |
34,874 |
| Removal of Prostate Via Urethra with Complications or Preexisting Conditions |
$5,257 |
0 |
$4,328 - $5,237 |
1,128 |
$4,388 - $5,375 |
25,202 |
| Removal of Prostate Via Urethra |
$3,586 |
0 |
$2,983 - $3,636 |
766 |
$3,003 - $3,703 |
19,103 |
| Two or More Hip, Knee or Ankle Operations |
$19,061 |
0 |
$15,883 - $21,662 |
1,261 |
$16,018 - $20,415 |
18,737 |
| Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions |
$11,147 |
0 |
$9,289 - $10,722 |
2,389 |
$9,474 - $11,382 |
59,987 |
| Gallbladder Removal By Laparoscope |
$6,250 |
0 |
$5,291 - $6,079 |
917 |
$5,310 - $6,471 |
22,382 |
| Head and Neck Blood Vessel Operations |
$6,175 |
0 |
$5,268 - $6,306 |
1,471 |
$5,300 - $6,434 |
38,831 |
| Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle |
$11,973 |
33 |
$9,946 - $11,627 |
19,399 |
$10,086 - $12,263 |
442,125 |
| Repair of Previous Hip or Knee Replacement |
$15,492 |
0 |
$12,783 - $15,932 |
1,858 |
$12,766 - $16,268 |
40,505 |
| Pacemaker Implant |
$12,488 |
29 |
$10,890 - $12,571 |
4,284 |
$10,958 - $13,379 |
78,212 |
