| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
1 |
100% 1,3 |
87% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
1 |
100% 1,3 |
85% |
86% |
100% |
| Patients Given Discharge Instructions |
1 |
100% 1,3 |
67% |
68% |
96% |
| Pneumonia | Patients Assessed and Given Pneumococcal Vaccination |
4 |
25% 1 |
77% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
3 |
100% 1 |
93% |
93% |
100% |
| Patients Given Oxygenation Assessment |
8 |
100% 1 |
100% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
1 |
0% 1 |
85% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
4 |
50% 1 |
85% |
87% |
97% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
45 |
91% 2 |
77% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
47 |
91% 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 |
43% 2 |
69% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
61 |
43% 2 |
74% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
45 |
78% 2 |
76% |
80% |
97% |
| Diagnosis related group |
Avg. payment |
# of cases |
State payments |
State # of cases |
US payments |
US # of cases |
| Chronic Lung Disease |
$4,969 |
0 |
$4,557 - $5,218 |
25,100 |
$4,524 - $5,484 |
374,599 |
| Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions |
$5,842 |
0 |
$5,288 - $6,091 |
32,899 |
$5,244 - $6,415 |
468,862 |
| Heart Attack with Major Complications |
$9,134 |
0 |
$8,202 - $9,650 |
8,363 |
$8,003 - $10,049 |
131,892 |
| Heart Failure |
$5,856 |
0 |
$5,331 - $6,231 |
45,853 |
$5,295 - $6,566 |
626,051 |
| Major Small & Large Intestine Operations |
$8,379 |
0 |
$7,449 - $8,657 |
1,436 |
$7,459 - $9,180 |
18,656 |
| Minor Small and Large Bowel Procedures With Complications |
$25,304 |
0 |
$17,756 - $21,179 |
8,586 |
$17,600 - $22,617 |
128,011 |
| Hernia Operations in Adults |
$4,773 |
0 |
$4,419 - $5,125 |
798 |
$4,400 - $5,498 |
10,839 |
| Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions |
$7,791 |
0 |
$9,935 - $11,400 |
1,890 |
$9,905 - $12,052 |
22,382 |
| Other Kidney & Urinary Tract Operations |
$11,788 |
0 |
$10,988 - $13,212 |
2,967 |
$11,011 - $14,349 |
34,874 |
| Female Reproductive System Reconstructive Operations |
$5,104 |
0 |
$3,863 - $4,381 |
1,741 |
$3,868 - $4,694 |
21,517 |
| Uterus & Ovary Operations |
$4,499 |
0 |
$4,194 - $4,976 |
2,094 |
$4,152 - $5,135 |
26,828 |
| Gallbladder Removal By Laparoscope |
$6,774 |
0 |
$5,366 - $6,191 |
1,855 |
$5,310 - $6,471 |
22,382 |
| Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions |
$31,719 |
16 |
$18,563 - $22,615 |
2,297 |
$18,851 - $24,129 |
32,800 |
| Back Fusion to Join Spine Bones, not Neck |
$20,575 |
0 |
$14,241 - $16,937 |
1,952 |
$14,411 - $18,341 |
22,370 |
| Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions |
$7,830 |
0 |
$7,216 - $8,429 |
2,463 |
$7,259 - $9,018 |
34,496 |
| Back & Neck Operations Except Back or Neck Fusion |
$5,121 |
0 |
$4,672 - $5,410 |
3,629 |
$4,737 - $5,860 |
44,826 |
| Neck Fusion to Join Bones with Complications or Preexisting Conditions |
$18,459 |
0 |
$12,803 - $15,514 |
1,159 |
$13,059 - $16,860 |
14,002 |
| Neck Fusion to Join Neck Bones |
$11,287 |
0 |
$8,646 - $10,320 |
1,615 |
$8,768 - $10,983 |
17,623 |
| Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle |
$10,984 |
0 |
$10,116 - $11,870 |
30,272 |
$10,086 - $12,263 |
442,125 |
