| Heart Attack | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
2 |
100% 1,2 |
87% |
87% |
100% |
| Patients Given Aspirin at Arrival |
13 |
100% 1,2 |
92% |
93% |
100% |
| Patients Given Aspirin at Discharge |
5 |
100% 1,2 |
89% |
91% |
100% |
| Patients Given Beta Blocker at Arrival |
13 |
100% 1,2 |
86% |
89% |
100% |
| Patients Given Beta Blocker at Discharge |
6 |
100% 1,2 |
90% |
91% |
100% |
| Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival |
2 |
0% 1,2 |
35% |
39% |
100% |
| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
33 |
79% 2 |
87% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
129 |
91% 2 |
85% |
86% |
100% |
| Patients Given Discharge Instructions |
102 |
74% 2 |
67% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
27 |
100% 2 |
88% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
20 |
85% 1,2 |
78% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
61 |
90% 2 |
77% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
43 |
100% |
93% |
93% |
100% |
| Patients Given Oxygenation Assessment |
90 |
100% 2 |
100% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
36 |
94% 2 |
85% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
64 |
72% 2 |
85% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
57 |
86% 2 |
90% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
59 |
46% 2 |
77% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
62 |
87% 2 |
87% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
61 |
75% 2 |
69% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
68 |
88% 2 |
74% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
53 |
81% 2 |
76% |
80% |
97% |
| Diagnosis related group |
Avg. payment |
# of cases |
State payments |
State # of cases |
US payments |
US # of cases |
| Chronic Lung Disease |
$5,050 |
90 |
$4,557 - $5,218 |
25,100 |
$4,524 - $5,484 |
374,599 |
| Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions |
$5,535 |
51 |
$5,288 - $6,091 |
32,899 |
$5,244 - $6,415 |
468,862 |
| Heart Attack with Major Complications |
$8,194 |
11 |
$8,202 - $9,650 |
8,363 |
$8,003 - $10,049 |
131,892 |
| Heart Attack without Complications |
$4,772 |
0 |
$4,971 - $5,889 |
2,885 |
$4,841 - $6,123 |
47,503 |
| Heart Failure |
$5,602 |
127 |
$5,331 - $6,231 |
45,853 |
$5,295 - $6,566 |
626,051 |
| Chest Pain |
$3,097 |
19 |
$2,968 - $3,474 |
11,979 |
$2,964 - $3,755 |
219,457 |
| Major Small & Large Intestine Operations |
$7,838 |
0 |
$7,449 - $8,657 |
1,436 |
$7,459 - $9,180 |
18,656 |
| Minor Small and Large Bowel Procedures With Complications |
$18,597 |
0 |
$17,756 - $21,179 |
8,586 |
$17,600 - $22,617 |
128,011 |
| Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions |
$22,106 |
0 |
$21,021 - $25,819 |
1,771 |
$21,087 - $28,876 |
26,335 |
| Hernia Operations in Adults with Complications or Preexisting Conditions |
$7,705 |
0 |
$7,450 - $8,846 |
1,358 |
$7,377 - $9,317 |
19,026 |
| Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions |
$12,831 |
0 |
$13,221 - $16,132 |
1,016 |
$13,082 - $16,537 |
15,127 |
| Major Arm & Shoulder Operations with Complications or Preexisting Conditions |
$6,109 |
0 |
$5,753 - $6,756 |
852 |
$5,804 - $7,121 |
11,947 |
| Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions |
$10,498 |
0 |
$9,935 - $11,400 |
1,890 |
$9,905 - $12,052 |
22,382 |
| Diabetes in Adults |
$4,065 |
29 |
$3,967 - $4,807 |
6,785 |
$3,970 - $5,196 |
93,811 |
| Kidney and Bladder Operations with Complications or Preexisting Conditions |
$13,002 |
0 |
$12,551 - $15,744 |
1,043 |
$12,602 - $17,553 |
14,424 |
| Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions |
$6,511 |
0 |
$6,208 - $7,116 |
1,452 |
$6,207 - $7,665 |
24,743 |
| Removal of Prostate Via Urethra with Complications or Preexisting Conditions |
$4,610 |
0 |
$4,363 - $5,039 |
1,610 |
$4,388 - $5,375 |
25,202 |
| Two or More Hip, Knee or Ankle Operations |
$17,177 |
0 |
$16,274 - $18,969 |
1,513 |
$16,018 - $20,415 |
18,737 |
| Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions |
$10,032 |
0 |
$9,610 - $11,226 |
5,256 |
$9,474 - $11,382 |
59,987 |
| Gallbladder Removal By Laparoscope |
$5,628 |
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 |
$10,749 |
26 |
$10,116 - $11,870 |
30,272 |
$10,086 - $12,263 |
442,125 |
| Repair of Previous Hip or Knee Replacement |
$13,585 |
0 |
$12,954 - $15,471 |
2,579 |
$12,766 - $16,268 |
40,505 |
| Pacemaker Implant |
$11,489 |
0 |
$10,885 - $12,477 |
5,527 |
$10,958 - $13,379 |
78,212 |
