Hospital Charges And Average Length of Stay August 2014 Keeping Colorado Healthy www.cha.com 2013 This report is available for purchase from CHA: Hard copy or searchable, printable CD-ROM $250.00 ASCII-formatted CD-ROM $300.00 A non-printable PDF version is available on CHA’s website: www.cha.com For data on inpatient hospital quality indicators, visit www.cohospitalquality.org. Colorado Hospital Association 7335 East Orchard Road, Suite 100 Greenwood Village, Colorado 80111-2512 (720) 489-1630 FAX: (720) 489-9400 www.cha.com Table of Contents Colorado Hospital Association ........................................................................................................................... 6 Mission Statement Who We Are Data Services Hospital Charges and Average Length of Stay ............................................................................................. 7 Why Charges May Vary Talk to Your Doctor and Hospital! ................................................................................................................... 8 Diagnosis Related Groups (DRGs) and APR‐DRGs: What Are They? ................................................. 9 How to Read This Report .................................................................................................................................... 11 Participating General Hospitals ....................................................................................................................... 13 Listing: APR‐DRGs and Major Diagnostic Categories (MDCs) in This Report .............................. 15 Hospital Charges, Average Length of Stay by APR‐DRG ......................................................... 17 Appendix A: Most Common Reasons for Hospitalizing Patients in 2013 .................................. 322 Appendix B: Major Diagnostic Categories ............................................................................................... 323 Appendix C: Medicare and Medicaid Patient Days as a Percent of Each Hospital’s Total Patient Days ..................................................... 324 Appendix D: Summary of Data Elements/Indicators for Inpatient Admissions and Outpatient Surgeries ........................................................................................................ 326 Appendix E: Colorado Hospital Association Discharge Data Program Database ................... 330 What Is the CHA DDP Database? What Questions Can Be Answered with DDP Data? Who Uses DDP data? How Are DDP Data Obtained from CHA Members? What Is the Price? What Are the Limitations Associated with DDP Data? What Is Done to Ensure Accuracy? For More Information 3 Table of APR‐DRGs No. Description ........................................................................................................................................................ Page 45 Cerebrovascular accident (CVA) and precerebral occlusion with infarction ............... 17 (stroke or blood clot causing blockage of blood vessels) 53 Seizure .......................................................................................................................................................... 26 133 Pulmonary embolism and respiratory failure ............................................................................. 34 134 Pulmonary embolism ............................................................................................................................. 43 138 Bronchiolitis and RSV pneumonia……………………………………………………………………….53 139 Other pneumonia ..................................................................................................................................... 60 140 Chronic obstructive pulmonary disease (COPD) ...................................................................... 71 (lung diseases that cause blockage, including chronic bronchitis and emphysema) 141 Asthma (lung condition, often allergic in nature, causing labored breathing) ............. 81 174 Percutaneous cardiovascular procedures with acute myocardial infarction (AMI) .. 88 (balloon repair of a heart vessel with diagnosis of a heart attack) 175 Percutaneous cardiovascular procedures without acute myocardial infarction ......... 94 194 Heart failure ............................................................................................................................................ 100 201 Cardiac arrhythmia and conduction disorders (irregular heartbeat) ........................... 110 221 Major small and large bowel procedures ................................................................................... 120 (colostomy, ileostomy, operations on the intestines) 247 Intestinal Obstruction ......................................................................................................................... 129 249 Nonbacterial gastroenteritis, nausea and vomiting (severe flu) ..................................... 139 254 Other digestive system diagnoses (hernia, irritable colon) ............................................... 149 263 Laparoscopic cholecystectomy ....................................................................................................... 158 (gall bladder removal through small incisions in the abdomen) 282 Disorders of pancreas except malignancy ................................................................................. 167 301 Hip joint replacement ......................................................................................................................... 177 4 Table of APR‐DRGs, continued No. Description ........................................................................................................................................................ Page 302 Knee joint replacement ...................................................................................................................... 185 304 Dorsal and lumbar fusion procedures, except for curvature of the back ..................... 194 (surgical repair of two or more back vertebrae by immobilization) 308 Hip and femur procedures for trauma, except joint replacement ................................... 201 (repair of hip and upper leg bone fractures due to injury) 313 Knee and lower leg procedures, except foot ............................................................................. 209 (repair of knee and ligaments, repair of ankle fractures) 315 Shoulder, upper arm and forearm procedures ........................................................................ 217 321 Cervical spinal fusion and other back/neck procedures excl. disc excis/decomp ... 225 347 Other back and neck disorders, fractures and injuries ........................................................ 232 (non‐surgical treatment for back pain, sprains, and fractures of spine) 383 Cellulitis and other bacterial skin infections (includes abscesses) ................................. 242 420 Diabetes .................................................................................................................................................... 252 460 Renal failure (kidney failure) .......................................................................................................... 261 463 Kidney and urinary tract infections .............................................................................................. 270 468 Other kidney and urinary tract diagnoses, signs, and symptoms .................................... 280 540 Cesarean delivery (surgical delivery of a baby) ..................................................................... 288 560 Vaginal delivery ..................................................................................................................................... 296 640 Neonate, birth weight greater than 2499 grams, normal newborn or newborn with other problems ...................................................................................................................................... 304 720 Septicemia & disseminated infections ......................................................................................... 312 5 Colorado Hospital Association Mission Statement Support members’ collaborative commitment to advance the health of their communities through affordable, accessible, high‐quality health care. Who We Are The Colorado Hospital Association (CHA) represents 100 member hospitals and health systems throughout Colorado. CHA partners with its members to work towards health reform, clinical excellence and performance improvement, and provides advocacy and representation at the state and federal level. Colorado hospitals and health systems are committed to providing coverage and access to safe, high‐quality and affordable health care. In addition, Colorado hospitals have a tremendous impact on the state’s economic stability and growth, contributing to nearly every community across the state with 72,000 employees statewide. For more information, visit www.cha.com. Data Services Through the publication of this report on hospital charges and average length of stay, Colorado hospitals continue their commitment to helping the public better understand the health care delivery system. This publication is based on CHA’s Discharge Data Program, an administrative database established in 1979. In addition to charges and average lengths of stay, inpatient quality indicators are available from the Discharge Data Program at www.cohospitalquality.org. CHA also maintains a financial database called DATABANK, the source of CHA’s Reference Guide