| Heart Attack | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
3 |
100% 1 |
87% |
87% |
100% |
| Patients Given Aspirin at Arrival |
15 |
87% 1 |
92% |
93% |
100% |
| Patients Given Aspirin at Discharge |
10 |
100% 1 |
89% |
91% |
100% |
| Patients Given Beta Blocker at Arrival |
13 |
85% 1 |
86% |
89% |
100% |
| Patients Given Beta Blocker at Discharge |
10 |
100% 1 |
90% |
91% |
100% |
| Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival |
1 |
100% 1 |
35% |
39% |
100% |
| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
51 |
84% |
87% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
159 |
94% |
85% |
86% |
100% |
| Patients Given Discharge Instructions |
119 |
50% |
67% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
31 |
68% |
88% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
20 |
5% 1 |
78% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
50 |
14% |
77% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
26 |
92% |
93% |
93% |
100% |
| Patients Given Oxygenation Assessment |
81 |
100% |
100% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
21 |
76% 1 |
85% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
46 |
80% |
85% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
45 |
87% |
90% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
41 |
34% 2 |
77% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
25 |
68% 2,3 |
87% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
76 |
66% 2 |
69% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
76 |
66% 2 |
74% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
40 |
72% 2 |
76% |
80% |
97% |
| Diagnosis related group |
Avg. payment |
# of cases |
State payments |
State # of cases |
US payments |
US # of cases |
| Chronic Lung Disease |
$4,201 |
37 |
$4,557 - $5,218 |
25,100 |
$4,524 - $5,484 |
374,599 |
| Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions |
$4,939 |
29 |
$5,288 - $6,091 |
32,899 |
$5,244 - $6,415 |
468,862 |
| Heart Attack with Major Complications |
$4,850 |
0 |
$8,202 - $9,650 |
8,363 |
$8,003 - $10,049 |
131,892 |
| Heart Attack without Complications |
$4,376 |
0 |
$4,971 - $5,889 |
2,885 |
$4,841 - $6,123 |
47,503 |
| Heart Failure |
$4,886 |
100 |
$5,331 - $6,231 |
45,853 |
$5,295 - $6,566 |
626,051 |
| Chest Pain |
$2,729 |
58 |
$2,968 - $3,474 |
11,979 |
$2,964 - $3,755 |
219,457 |
| Major Small & Large Intestine Operations |
$7,355 |
0 |
$7,449 - $8,657 |
1,436 |
$7,459 - $9,180 |
18,656 |
| Minor Small and Large Bowel Procedures With Complications |
$30,826 |
0 |
$17,756 - $21,179 |
8,586 |
$17,600 - $22,617 |
128,011 |
| Major Arm & Shoulder Operations with Complications or Preexisting Conditions |
$5,343 |
0 |
$5,753 - $6,756 |
852 |
$5,804 - $7,121 |
11,947 |
| Diabetes in Adults |
$4,830 |
14 |
$3,967 - $4,807 |
6,785 |
$3,970 - $5,196 |
93,811 |
| Kidney and Bladder Operations with Complications or Preexisting Conditions |
$11,186 |
0 |
$12,551 - $15,744 |
1,043 |
$12,602 - $17,553 |
14,424 |
| Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions |
$8,367 |
0 |
$6,208 - $7,116 |
1,452 |
$6,207 - $7,665 |
24,743 |
| Removal of Prostate Via Urethra with Complications or Preexisting Conditions |
$4,032 |
0 |
$4,363 - $5,039 |
1,610 |
$4,388 - $5,375 |
25,202 |
| Removal of Prostate Via Urethra |
$8,220 |
0 |
$2,991 - $3,603 |
1,302 |
$3,003 - $3,703 |
19,103 |
| Uterus & Ovary Operations |
$3,804 |
0 |
$4,194 - $4,976 |
2,094 |
$4,152 - $5,135 |
26,828 |
| Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions |
$8,774 |
0 |
$9,610 - $11,226 |
5,256 |
$9,474 - $11,382 |
59,987 |
| Gallbladder Removal By Laparoscope |
$4,923 |
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 |
$28,919 |
0 |
$18,563 - $22,615 |
2,297 |
$18,851 - $24,129 |
32,800 |
| Back Fusion to Join Spine Bones, not Neck |
$31,316 |
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 |
$6,620 |
0 |
$7,216 - $8,429 |
2,463 |
$7,259 - $9,018 |
34,496 |
| Back & Neck Operations Except Back or Neck Fusion |
$5,209 |
0 |
$4,672 - $5,410 |
3,629 |
$4,737 - $5,860 |
44,826 |
| Neck Fusion to Join Bones with Complications or Preexisting Conditions |
$20,750 |
0 |
$12,803 - $15,514 |
1,159 |
$13,059 - $16,860 |
14,002 |
| Neck Fusion to Join Neck Bones |
$43,669 |
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 |
$12,280 |
28 |
$10,116 - $11,870 |
30,272 |
$10,086 - $12,263 |
442,125 |
