| Heart Attack | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
2 |
50% 1 |
86% |
87% |
100% |
| Patients Given Aspirin at Arrival |
7 |
71% 1 |
97% |
93% |
100% |
| Patients Given Aspirin at Discharge |
6 |
50% 1 |
94% |
91% |
100% |
| Patients Given Beta Blocker at Arrival |
9 |
56% 1 |
92% |
89% |
100% |
| Patients Given Beta Blocker at Discharge |
6 |
67% 1 |
95% |
91% |
100% |
| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
9 |
89% 1 |
88% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
62 |
79% |
88% |
86% |
100% |
| Patients Given Discharge Instructions |
50 |
38% |
76% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
6 |
83% 1 |
86% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
28 |
39% |
82% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
89 |
70% |
83% |
77% |
96% |
| Patients Given Oxygenation Assessment |
91 |
99% |
100% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
23 |
74% 1 |
86% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
43 |
84% |
90% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
32 |
100% |
94% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
135 |
81% 2 |
91% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
105 |
97% 2,3 |
94% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
107 |
93% 2 |
83% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
107 |
93% 2 |
86% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
131 |
90% 2 |
87% |
80% |
97% |
| Diagnosis related group |
Avg. payment |
# of cases |
State payments |
State # of cases |
US payments |
US # of cases |
| Chronic Lung Disease |
$4,660 |
61 |
$4,581 - $5,002 |
4,548 |
$4,524 - $5,484 |
374,599 |
| Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions |
$5,351 |
66 |
$5,326 - $5,881 |
7,800 |
$5,244 - $6,415 |
468,862 |
| Heart Attack with Major Complications |
$7,203 |
17 |
$8,057 - $9,108 |
2,180 |
$8,003 - $10,049 |
131,892 |
| Heart Attack without Complications |
$4,475 |
0 |
$4,923 - $5,598 |
654 |
$4,841 - $6,123 |
47,503 |
| Heart Failure |
$5,405 |
81 |
$5,347 - $5,895 |
8,870 |
$5,295 - $6,566 |
626,051 |
| Chest Pain |
$3,135 |
26 |
$2,958 - $3,359 |
3,221 |
$2,964 - $3,755 |
219,457 |
| Major Small & Large Intestine Operations |
$7,585 |
0 |
$7,392 - $8,326 |
406 |
$7,459 - $9,180 |
18,656 |
| Minor Small and Large Bowel Procedures With Complications |
$18,520 |
0 |
$17,742 - $20,429 |
2,756 |
$17,600 - $22,617 |
128,011 |
| Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions |
$21,799 |
0 |
$21,005 - $28,212 |
595 |
$21,087 - $28,876 |
26,335 |
| Hernia Operations in Adults with Complications or Preexisting Conditions |
$9,966 |
0 |
$7,354 - $8,603 |
431 |
$7,377 - $9,317 |
19,026 |
| Hernia Operations in Adults |
$4,539 |
0 |
$4,400 - $4,972 |
256 |
$4,400 - $5,498 |
10,839 |
| Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions |
$13,379 |
0 |
$13,116 - $14,920 |
289 |
$13,082 - $16,537 |
15,127 |
| Major Arm & Shoulder Operations with Complications or Preexisting Conditions |
$5,874 |
0 |
$5,828 - $6,489 |
210 |
$5,804 - $7,121 |
11,947 |
| Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions |
$10,095 |
0 |
$10,011 - $10,932 |
566 |
$9,905 - $12,052 |
22,382 |
| Diabetes in Adults |
$3,787 |
11 |
$3,990 - $4,490 |
1,203 |
$3,970 - $5,196 |
93,811 |
| Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions |
$6,261 |
0 |
$6,212 - $6,780 |
432 |
$6,207 - $7,665 |
24,743 |
| Removal of Prostate Via Urethra with Complications or Preexisting Conditions |
$4,502 |
0 |
$4,399 - $4,895 |
536 |
$4,388 - $5,375 |
25,202 |
| Removal of Prostate Via Urethra |
$3,024 |
0 |
$3,000 - $3,341 |
397 |
$3,003 - $3,703 |
19,103 |
| Female Reproductive System Reconstructive Operations |
$3,945 |
0 |
$3,833 - $4,317 |
384 |
$3,868 - $4,694 |
21,517 |
| Uterus & Ovary Operations |
$4,218 |
11 |
$4,132 - $4,660 |
610 |
$4,152 - $5,135 |
26,828 |
| Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions |
$11,199 |
0 |
$9,482 - $10,447 |
998 |
$9,474 - $11,382 |
59,987 |
| Gallbladder Removal By Laparoscope |
$5,454 |
0 |
$5,370 - $5,861 |
407 |
$5,310 - $6,471 |
22,382 |
| Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions |
$7,278 |
0 |
$7,092 - $8,040 |
744 |
$7,259 - $9,018 |
34,496 |
| Head and Neck Blood Vessel Operations |
$5,492 |
0 |
$5,328 - $5,930 |
886 |
$5,300 - $6,434 |
38,831 |
| Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle |
$10,274 |
30 |
$10,116 - $11,412 |
10,989 |
$10,086 - $12,263 |
442,125 |
| Repair of Previous Hip or Knee Replacement |
$13,215 |
0 |
$12,731 - $14,431 |
967 |
$12,766 - $16,268 |
40,505 |
