| Heart Attack | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
3 |
67% 1 |
87% |
87% |
100% |
| Patients Given Aspirin at Arrival |
13 |
69% 1 |
92% |
93% |
100% |
| Patients Given Aspirin at Discharge |
8 |
75% 1 |
89% |
91% |
100% |
| Patients Given Beta Blocker at Arrival |
12 |
75% 1 |
86% |
89% |
100% |
| Patients Given Beta Blocker at Discharge |
8 |
100% 1 |
90% |
91% |
100% |
| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
31 |
94% |
87% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
81 |
83% |
85% |
86% |
100% |
| Patients Given Discharge Instructions |
68 |
84% |
67% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
3 |
100% 1 |
88% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
28 |
82% |
78% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
78 |
85% |
77% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
40 |
100% |
93% |
93% |
100% |
| Patients Given Oxygenation Assessment |
114 |
100% |
100% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
13 |
77% 1 |
85% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
66 |
79% |
85% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
78 |
86% |
90% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
113 |
87% |
77% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
115 |
85% |
87% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
114 |
69% |
69% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
114 |
74% |
74% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
108 |
80% |
76% |
80% |
97% |
| Diagnosis related group |
Avg. payment |
# of cases |
State payments |
State # of cases |
US payments |
US # of cases |
| Chronic Lung Disease |
$5,021 |
27 |
$4,557 - $5,218 |
25,100 |
$4,524 - $5,484 |
374,599 |
| Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions |
$5,984 |
44 |
$5,288 - $6,091 |
32,899 |
$5,244 - $6,415 |
468,862 |
| Heart Attack with Major Complications |
$6,811 |
0 |
$8,202 - $9,650 |
8,363 |
$8,003 - $10,049 |
131,892 |
| Heart Attack without Complications |
$5,096 |
0 |
$4,971 - $5,889 |
2,885 |
$4,841 - $6,123 |
47,503 |
| Heart Failure |
$5,704 |
65 |
$5,331 - $6,231 |
45,853 |
$5,295 - $6,566 |
626,051 |
| Chest Pain |
$3,629 |
11 |
$2,968 - $3,474 |
11,979 |
$2,964 - $3,755 |
219,457 |
| Major Small & Large Intestine Operations |
$8,193 |
0 |
$7,449 - $8,657 |
1,436 |
$7,459 - $9,180 |
18,656 |
| Minor Small and Large Bowel Procedures With Complications |
$19,372 |
17 |
$17,756 - $21,179 |
8,586 |
$17,600 - $22,617 |
128,011 |
| Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions |
$23,104 |
0 |
$21,021 - $25,819 |
1,771 |
$21,087 - $28,876 |
26,335 |
| Hernia Operations in Adults |
$4,822 |
0 |
$4,419 - $5,125 |
798 |
$4,400 - $5,498 |
10,839 |
| Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions |
$14,542 |
0 |
$13,221 - $16,132 |
1,016 |
$13,082 - $16,537 |
15,127 |
| Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders |
$10,941 |
0 |
$9,852 - $11,200 |
1,702 |
$9,837 - $11,873 |
19,735 |
| Major Arm & Shoulder Operations with Complications or Preexisting Conditions |
$6,385 |
0 |
$5,753 - $6,756 |
852 |
$5,804 - $7,121 |
11,947 |
| Diabetes in Adults |
$4,377 |
11 |
$3,967 - $4,807 |
6,785 |
$3,970 - $5,196 |
93,811 |
| Kidney and Bladder Operations with Complications or Preexisting Conditions |
$13,590 |
0 |
$12,551 - $15,744 |
1,043 |
$12,602 - $17,553 |
14,424 |
| Other Kidney & Urinary Tract Operations |
$11,910 |
0 |
$10,988 - $13,212 |
2,967 |
$11,011 - $14,349 |
34,874 |
| Removal of Prostate Via Urethra with Complications or Preexisting Conditions |
$4,819 |
0 |
$4,363 - $5,039 |
1,610 |
$4,388 - $5,375 |
25,202 |
| Removal of Prostate Via Urethra |
$3,287 |
0 |
$2,991 - $3,603 |
1,302 |
$3,003 - $3,703 |
19,103 |
| Uterus & Ovary Operations |
$4,546 |
0 |
$4,194 - $4,976 |
2,094 |
$4,152 - $5,135 |
26,828 |
| Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions |
$10,486 |
0 |
$9,610 - $11,226 |
5,256 |
$9,474 - $11,382 |
59,987 |
| Gallbladder Removal By Laparoscope |
$5,883 |
0 |
$5,366 - $6,191 |
1,855 |
$5,310 - $6,471 |
22,382 |
| Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle |
$11,966 |
75 |
$10,116 - $11,870 |
30,272 |
$10,086 - $12,263 |
442,125 |
| Repair of Previous Hip or Knee Replacement |
$14,200 |
0 |
$12,954 - $15,471 |
2,579 |
$12,766 - $16,268 |
40,505 |
| Pacemaker Implant |
$12,009 |
0 |
$10,885 - $12,477 |
5,527 |
$10,958 - $13,379 |
78,212 |
