All Cause 30-Day All Cause Readmissions
PLA Monthly Rates

The SGPlot Procedure

 

All Cause 30-Day All Cause Readmissions
PLA Monthly Rates

Fiscal Year FYTD July August September October November December January February March April May June
FY2021 8.86%
(369/4163)		 8.02%
(30/374)		 9.44%
(34/360)		 6.61%
(22/333)		 7.76%
(28/361)		 7.60%
(25/329)		 6.97%
(20/287)		 13.3%
(33/248)		 9.47%
(27/285)		 10.0%
(39/389)		 8.89%
(37/416)		 9.20%
(38/413)		 9.78%
(36/368)
FY2022 9.56%
(408/4266)		 10.6%
(39/368)		 8.86%
(31/350)		 13.2%
(47/355)		 8.09%
(30/371)		 9.21%
(34/369)		 7.67%
(29/378)		 6.45%
(18/279)		 12.2%
(39/319)		 11.8%
(43/363)		 8.22%
(31/377)		 9.09%
(33/363)		 9.09%
(34/374)
FY2023 6.24%
(30/481)		 8.06%
(29/360)		 0.83%
(1/121)		                    

Top Twenty-Five Index DRGs (August 1, 2021 - August 15, 2022)

Index DRG Index DRG Description Rolling-12
Numerator		 Rolling-12
Denominator		 Rolling-12 Rate
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 16 215 7.44%
291 HEART FAILURE AND SHOCK WITH MCC 14 102 13.73%
378 GASTROINTESTINAL HEMORRHAGE WITH CC 10 103 9.71%
683 RENAL FAILURE WITH CC 9 51 17.65%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC 9 54 16.67%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC 8 46 17.39%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC 8 54 14.81%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC 7 21 33.33%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 7 35 20.00%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS 7 71 9.86%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC 6 31 19.35%
682 RENAL FAILURE WITH MCC 6 45 13.33%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC 6 65 9.23%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC 6 84 7.14%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC 5 14 35.71%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC 5 16 31.25%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC 5 20 25.00%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC 5 22 22.73%
637 DIABETES WITH MCC 5 35 14.29%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC 5 46 10.87%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC 5 54 9.26%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC 4 23 17.39%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC 4 34 11.76%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC 4 38 10.53%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC 4 39 10.26%

Index DRG Index DRG Description FYTD Numerator FYTD Denominator FYTD Rate
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 1 29 3.45%
291 HEART FAILURE AND SHOCK WITH MCC 0 10 0.00%
378 GASTROINTESTINAL HEMORRHAGE WITH CC 3 16 18.75%
683 RENAL FAILURE WITH CC 1 6 16.67%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC 1 6 16.67%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC 0 5 0.00%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC 0 3 0.00%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC 2 4 50.00%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 0 3 0.00%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS 1 4 25.00%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC 1 2 50.00%
682 RENAL FAILURE WITH MCC 0 1 0.00%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC 1 8 12.50%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC 0 10 0.00%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC 0 1 0.00%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC 0 3 0.00%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC 0 2 0.00%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC 0 3 0.00%
637 DIABETES WITH MCC 0 4 0.00%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC 0 5 0.00%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC 1 6 16.67%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC 0 1 0.00%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC 1 5 20.00%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC 2 5 40.00%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC 0 3 0.00%

Top Index Discharge Dispositions (August 1, 2021 - August 15, 2022)

Index Discharge Disposition Rolling-12
Numerator		 Rolling-12
Denominator		 Rolling-12 Rate
DSCG. HOME - ROUTINE 200 2598 7.70%
UNKNOWN/NOT AVAILABLE 82 661 12.41%
D/C-TRANS W/HOME HEALTH 72 692 10.40%
D/C TO HOSPICE-HOME 1 55 1.82%
DSCH/TSFR-REHAB 14 133 10.53%
DSCH/TSFR-OTHER FACILITY 1 5 20.00%
DSCH/TSFR NURS FAC MCAID 2 3 66.67%
DSCH./TRFD.TO SNF 27 157 17.20%

Index Discharge Disposition FYTD Numerator FYTD Denominator FYTD Rate
DSCG. HOME - ROUTINE 20 295 6.78%
UNKNOWN/NOT AVAILABLE 7 91 7.69%
D/C-TRANS W/HOME HEALTH 3 84 3.57%
D/C TO HOSPICE-HOME 0 3 0.00%
DSCH/TSFR-REHAB . . .
DSCH/TSFR-OTHER FACILITY . . .
DSCH/TSFR NURS FAC MCAID . . .
DSCH./TRFD.TO SNF . . .

 

Patient List - Most Recent 3 Months

Medical Record Number BSWQA
Member		 EPIC CSN ID Index Account Number Index Discharge
Date		 Readmission Date Readmitting
Facility		 Days Between
Index and
Readmission
9718205 0 . 64000973530 01MAY2022 04MAY2022 PLA 3
11918372 0 . 64000971486 02MAY2022 05MAY2022 PLA 3
7639184 0 . 64000969696 02MAY2022 07MAY2022 PLA 5
7543927 1 . 64000975360 02MAY2022 10MAY2022 PLA 8
8190445 1 . 64000976102 03MAY2022 10MAY2022 PLA 7
8963454 1 . 64000968209 04MAY2022 06MAY2022 PLA 2
8623510 0 . 64000973028 04MAY2022 10MAY2022 PLA 6
8346520 0 . 64000969275 04MAY2022 03JUN2022 MCK 30
9411485 0 . 64000970938 05MAY2022 09MAY2022 PLA 4
2936818 0 . 64000975148 06MAY2022 12MAY2022 THHBP 6
17517590 0 . 64000967560 09MAY2022 16MAY2022 CEN 7
7796212 1 . 64000970090 09MAY2022 19MAY2022 PLA 10
8224273 0 . 64000968678 09MAY2022 23MAY2022 PLA 14
12412886 0 . 64000970714 10MAY2022 16MAY2022 PLA 6
17204181 0 . 64000970727 10MAY2022 19MAY2022 BUMC 9
7898730 0 . 64000959001 12MAY2022 25MAY2022 PLA 13
7639184 0 . 64000980820 13MAY2022 25MAY2022 BUMC 12
9448071 0 . 64000968664 14MAY2022 16MAY2022 PLA 2
8231848 0 . 64000983799 14MAY2022 25MAY2022 PLA 11
7862297 0 . 64000984323 14MAY2022 28MAY2022 BUMC 14
8155549 0 . 64000982299 15MAY2022 18MAY2022 MCK 3
15748440 1 . 64000983464 15MAY2022 18MAY2022 PLA 3
10822939 0 . 64000985975 18MAY2022 22MAY2022 PLA 4
8976062 1 . 64000982258 20MAY2022 25MAY2022 PLA 5
9174409 1 . 64000973164 20MAY2022 14JUN2022 PLA 25
9383778 0 . 64000985034 21MAY2022 27MAY2022 BUMC 6
8682275 1 . 64000989689 21MAY2022 10JUN2022 THHBP 20
8022600 0 . 64000990228 24MAY2022 03JUN2022 PLA 10
9229837 0 . 64000990387 28MAY2022 21JUN2022 PLA 24
11811605 0 . 64000994886 29MAY2022 09JUN2022 PLA 11
8616323 1 . 64000994910 29MAY2022 22JUN2022 BHVH 24
8224273 0 . 64000991161 31MAY2022 12JUN2022 PLA 12
17556850 0 . 64000986033 31MAY2022 19JUN2022 PLA 19
10734292 0 . 64000988252 01JUN2022 08JUN2022 PLA 7
8798142 0 . 64000995788 02JUN2022 09JUN2022 CEN 7
13680887 1 . 64000996969 02JUN2022 14JUN2022 PLA 12
8054129 1 . 64000995994 03JUN2022 06JUN2022 PLA 3
7586059 0 . 64000997738 03JUN2022 11JUN2022 PLA 8
8179236 1 . 64000991711 03JUN2022 12JUN2022 PLA 9
8845905 1 . 64000997928 03JUN2022 18JUN2022 PLA 15
7922641 0 . 64000979436 03JUN2022 01JUL2022 BUMC 28
5295255 0 . 64000980459 05JUN2022 08JUN2022 MEM 3
8258520 0 . 64000993397 05JUN2022 25JUN2022 THHBP 20
2074900 0 . 64000995421 07JUN2022 11JUN2022 PLA 4
12990530 0 . 64000967042 07JUN2022 11JUN2022 PLA 4
7787977 0 . 64000998988 09JUN2022 17JUN2022 CEN 8
9034922 1 . 64000990893 09JUN2022 27JUN2022 PLA 18
12453148 0 . 64001000386 09JUN2022 07JUL2022 WAX 28
8756291 0 . 64000944186 10JUN2022 24JUN2022 PLA 14
15316317 0 . 64000996326 10JUN2022 10JUL2022 LKP 30
7586059 0 . 64001004496 13JUN2022 15JUN2022 PLA 2
14240742 1 . 64001000046 14JUN2022 11JUL2022 PLA 27
8941964 0 . 64000995144 15JUN2022 01JUL2022 PLA 16
8194285 0 . 64000995152 16JUN2022 03JUL2022 PLA 17
7964492 0 . 64001004673 17JUN2022 22JUN2022 MCK 5
6935473 0 . 64001007415 19JUN2022 14JUL2022 PLA 25
9075836 0 . 64000996800 20JUN2022 26JUN2022 PLA 6
8845905 1 . 64001009643 21JUN2022 23JUN2022 THHBP 2
7710215 0 . 64001010006 21JUN2022 01JUL2022 PLA 10
9372048 0 . 64000958141 23JUN2022 28JUN2022 CEN 5
15143053 1 . 64000991501 23JUN2022 02JUL2022 CEN 9
15862266 0 . 64001008899 24JUN2022 27JUN2022 PLA 3
8224273 0 . 64001004945 24JUN2022 01JUL2022 PLA 7
11344751 0 . 64000991353 24JUN2022 10JUL2022 PLA 16
15020566 0 . 64000994586 27JUN2022 09JUL2022 PLA 12
8018786 1 . 64001011817 27JUN2022 24JUL2022 PLA 27
9070308 1 . 64001010390 28JUN2022 17JUL2022 PLA 19
8084663 0 . 64001014471 01JUL2022 10JUL2022 THHBP 9
8305039 1 . 64001012136 01JUL2022 22JUL2022 PLA 21
17515757 0 . 64001014948 02JUL2022 08JUL2022 PLA 6
9889290 0 . 64001018523 02JUL2022 01AUG2022 PLA 30
2074900 0 . 64001004639 04JUL2022 18JUL2022 LKP 14
12327555 0 . 64001013775 05JUL2022 09JUL2022 PLA 4
9728550 0 . 64001015565 05JUL2022 10JUL2022 PLA 5
8150831 0 . 64001010863 06JUL2022 13JUL2022 PLA 7
8075815 1 . 64001017733 08JUL2022 27JUL2022 THHBP 19
2037649 0 . 64001020546 08JUL2022 02AUG2022 PLA 25
7710215 0 . 64001019229 09JUL2022 07AUG2022 PLA 29
9345484 0 . 64001023975 12JUL2022 15JUL2022 PLA 3
9815416 0 . 64001021390 12JUL2022 20JUL2022 PLA 8
17164642 0 . 64001023630 12JUL2022 20JUL2022 PLA 8
15220954 0 . 64001023625 14JUL2022 22JUL2022 PLA 8
15710734 0 . 64001024744 14JUL2022 05AUG2022 PLA 22
8262832 1 . 64001026407 15JUL2022 06AUG2022 PLA 22
8953318 1 . 64001025027 15JUL2022 08AUG2022 THHBP 24
10246615 1 . 64000996869 19JUL2022 01AUG2022 PLA 13
7620391 1 . 64001029093 21JUL2022 23JUL2022 PLA 2
2200380 0 . 64001024765 21JUL2022 27JUL2022 PLA 6
2029980 1 . 64001017194 23JUL2022 28JUL2022 PLA 5
8433508 0 . 64001033062 25JUL2022 31JUL2022 PLA 6
11624760 0 . 64001027509 25JUL2022 05AUG2022 PLA 11
9532767 0 . 64001028735 27JUL2022 30JUL2022 PLA 3
8980878 0 . 64001031926 27JUL2022 02AUG2022 MCK 6
16134065 0 . 64001035618 30JUL2022 03AUG2022 PLA 4
2074900 0 . 64001038094 31JUL2022 05AUG2022 PLA 5
8176738 1 . 64001035610 31JUL2022 08AUG2022 PLA 8
7928668 0 . 64001038468 01AUG2022 03AUG2022 PLA 2

Twenty-Four Month Readmission Detail File - All Ages:
Twenty-Four Month Readmission Detail File - All Ages

Readmission ED High Utilization File - All Ages:
Readmission ED High Utilization File - All Ages

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Dashboard Last Updated: August 15, 2022