Question
The quality improvement committee of Macomb Community Hospital wanted to study MS-DRG 689, Kidney and Urinary Tract Infections with MCC, because of the wide variations
The quality improvement committee of Macomb Community Hospital wanted to study MS-DRG 689, Kidney and Urinary Tract Infections with MCC, because of the wide variations of LOS and total charges. The committee asked you to prepare a profile of patients discharged from MS-DRG 689 for the month of June 2020. A summary of the patients discharged from MS-DRG was prepared using the facility's HDM database.
Case | Principal Diagnosis | Age | LOS | Discharge Destination | Charges | Payer |
1 | N39.0 | 54.5 | 4 | HOMEIV | $8,851 | MEDICAID |
2 | N39.0 | 28.2 | 7 | HOMEHEALTH | $18,966 | MEDICARE |
3 | N10 | 45.5 | 4 | HOME | $4,372 | MANAGED CARE |
4 | N10 | 27.9 | 3 | HOMEHEALTH | $7,121 | GOV MNGD CARE |
5 | N10 | 38.8 | 3 | HOME | $13,355 | MEDICAID |
6 | N10 | 68.1 | 4 | HOME | $15,854 | MANAGED CARE |
7 | N39.0 | 88.5 | 6 | SNF | $22,373 | MEDICARE |
8 | N39.0 | 27.8 | 7 | HOMEHEALTH | $11,381 | GOV MNGD CARE |
9 | N30.00 | 52.6 | 2 | HOME | $4,084 | MEDICAID |
10 | N39.0 | 81.9 | 6 | HOMEHEALTH | $17,025 | MEDICARE |
11 | N10 | 23.3 | 3 | HOME | $5,039 | MEDICAID |
12 | N39.0 | 90.1 | 5 | HOMEHEALTH | $17,411 | MEDICARE |
13 | N39.0 | 91.3 | 1 | DIED | $5,302 | MEDICARE |
14 | N39.0 | 74.1 | 4 | DIED | $11,092 | MEDICARE |
15 | N39.0 | 82.3 | 12 | SNF | $23,341 | MEDICARE |
16 | N10 | 74.7 | 4 | HOMEHEALTH | $16,277 | MEDICARE |
17 | N39.0 | 71.2 | 5 | HOMEHEALTH | $9,240 | MEDICARE |
18 | N39.0 | 79.3 | 7 | SNF | $21,050 | MEDICARE |
19 | N30.00 | 33.3 | 5 | HOME | $7,085 | GOV MNGD CARE |
20 | N10 | 74.1 | 13 | ACUTECARE | $49,487 | MEDICAID |
21 | N39.0 | 65.7 | 2 | HOMEHEALTH | $8,980 | MEDICARE |
22 | N39.0 | 83.1 | 5 | SNF | $11,650 | MEDICARE |
23 | N39.0 | 77.0 | 5 | SNF | $12,295 | MEDICARE |
24 | N39.0 | 81.2 | 7 | HOMEHEALTH | $23,745 | MEDICARE |
25 | N39.0 | 43.3 | 10 | HOMEHEALTH | $25,138 | MEDICARE |
26 | N39.0 | 80.5 | 3 | SNF | $10,092 | MEDICARE |
27 | N39.0 | 25.6 | 3 | HOMEIV | $8,722 | MEDICAID |
28 | N39.0 | 61.4 | 2 | SNF | $6,670 | MEDICAID |
29 | N39.0 | 76.0 | 8 | SNF | $17,741 | GOV MNGD CARE |
30 | N30.00 | 44.4 | 4 | HOME | $10,800 | MANAGED CARE |
31 | N10 | 44.8 | 2 | HOME | $10,916 | MEDICAID |
32 | N39.0 | 61.2 | 8 | SNF | $32,796 | MEDICARE |
The committee had the following questions regarding the data. You must show your work in preparing the answers. Remember your rules for creating charts and graphs. Round to two decimal places when appropriate.
- What was the average length of stay?
- What was the average gross charge?
- What was the average patient age?
- What was the average age of patients discharged to a skilled nursing facility?
- What was the average age of patients discharged home?
- What was the gross death rate?
- Prepare a pie chart showing patient discharges by discharge destination. The pie chart should reflect the percentages of patients.
- Prepare a bar graph of the principal diagnosis volumes and codes.
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