Medicare Provider Benchmark Assignment: Case 2-33

Using data from Case Study 2-33, create a 1,050- to 1,400-word report answering questions one through five on p. 121.

· 1 The top 20 MS-DRGs by number of discharges

· 2. The top 10 MS-DRGs by patient days

· 3. The highest 5 MS-DRGs by ALOS

· 4. What state is the most efficient, based on ALOS?

· 5. What state is the most efficient, based on cost-of-stay average charge?

Include the following:

o Analyze how MEDPAR could be used to affect decision-making to improve financial performance,health outcomes, and operational efficiency in a hospital.

o Analyze the additional data needed to conduct a thorough analysis of financial performance, health outcomes, and operational efficiency in a hospital.

o What you need and why

o Choose one of the additional data types described in the previous bullet, and evaluate how that data type will affect your overall analysis.

o Evaluate a data source for the additional data type you have identified above. Address its currency,value, and relevance.

Include a minimum of 3 peer-reviewed, scholarly, or similar references.

Format your references according to APA guidelines.

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Centers for Medicare & Medicaid Services 100% MEDPAR Inpatient Hospital Fiscal Year 2010 Short Stay Inpatient by State

State	Total Charges	Covered Charges	Medicare Reimbursement	Total Days	Number of Discharges	Avg Tot Days
ALABAMA	$10,147,574,758	$10,038,072,172	$1,871,880,274	1,510,549	282,003	5.4
ALASKA	$577,259,995	$566,639,626	$178,507,545	63,829	12,412	5.1
ARIZONA	$12,131,537,372	$12,004,545,106	$1,890,455,415	1,259,379	268,233	4.7
ARKANSAS	$4,650,893,942	$4,617,340,101	$1,198,753,807	859,328	163,926	5.2
CALIFORNIA	$76,320,204,015	$75,110,250,884	$11,191,656,553	5,991,233	1,159,833	5.2
COLORADO	$6,904,049,450	$6,859,514,264	$1,117,218,735	682,982	145,861	4.7
CONNECTICUT	$6,139,247,809	$6,046,063,110	$1,797,610,980	1,018,530	179,172	5.7
DELAWARE	$1,196,604,851	$1,188,116,227	$444,808,903	244,161	43,237	5.6
DISTRICT OF CO	$1,801,374,695	$1,758,124,064	$535,615,255	244,515	38,178	6.4
FLORIDA	$52,617,494,107	$52,293,923,852	$7,587,899,229	5,830,082	1,099,252	5.3
GEORGIA	$12,774,675,044	$12,670,647,571	$2,971,580,228	1,993,096	366,794	5.4
HAWAII	$1,155,327,643	$1,128,511,837	$303,609,640	210,869	32,879	6.4
IDAHO	$1,070,859,131	$1,068,209,787	$282,670,824	172,290	39,761	4.3
ILLINOIS	$23,220,247,028	$22,986,364,994	$5,506,557,400	3,167,766	616,325	5.1
INDIANA	$10,046,158,605	$9,974,718,544	$2,644,144,815	1,667,772	322,776	5.2
IOWA	$3,500,727,854	$3,471,430,275	$987,181,870	620,740	124,562	5
KANSAS	$4,298,673,428	$4,272,076,840	$967,292,484	596,333	118,347	5
KENTUCKY	$7,569,184,626	$7,505,177,124	$2,044,026,403	1,379,637	264,888	5.2
LOUISIANA	$8,235,304,586	$8,133,823,924	$1,647,692,129	1,279,408	231,488	5.5
MAINE	$1,447,797,039	$1,434,223,961	$533,523,616	304,584	61,257	5
MARYLAND	$3,946,237,184	$3,883,076,774	$3,223,158,908	1,367,904	276,931	4.9
MASSACHUSETTS	$9,139,634,478	$9,036,823,618	$3,389,376,309	1,843,260	357,214	5.2
MICHIGAN	$15,619,449,714	$15,466,296,055	$4,996,125,348	2,958,671	555,665	5.3
MINNESOTA	$6,935,040,451	$6,873,436,755	$1,829,860,224	952,088	205,607	4.6
MISSISSIPPI	$5,382,816,252	$5,340,100,260	$1,317,180,432	957,191	169,249	5.7
MISSOURI	$11,736,910,838	$11,455,708,404	$2,690,755,303	1,782,840	344,361	5.2
MONTANA	$865,186,366	$858,204,690	$266,045,718	158,962	34,071	4.7
NEBRASKA	$2,758,111,247	$2,737,944,914	$670,223,142	380,521	74,966	5.1
NEVADA	$6,179,609,713	$6,115,884,991	$775,757,239	522,179	98,868	5.3
NEW HAMPSHIRE	$1,476,037,830	$1,467,436,682	$460,132,445	252,953	47,692	5.3
NEW JERSEY	$28,489,630,729	$28,080,939,035	$4,101,798,474	2,516,729	425,674	5.9
NEW MEXICO	$2,050,325,541	$2,036,148,735	$484,642,557	304,839	63,606	4.8
NEW YORK	$36,991,790,908	$36,109,494,617	$9,804,172,781	6,583,804	983,092	6.7
NORTH CAROLINA	$13,298,007,382	$13,194,616,158	$4,018,966,039	2,479,974	465,217	5.3
NORTH DAKOTA	$724,008,854	$716,854,958	$266,956,934	148,920	30,999	4.8
OHIO	$21,264,776,632	$20,950,208,271	$4,548,391,978	3,306,485	647,345	5.1
OKLAHOMA	$6,358,089,969	$6,288,927,901	$1,464,254,308	992,113	192,253	5.2
OREGON	$3,968,392,976	$3,947,051,190	$858,307,627	594,065	128,713	4.6
PENNSYLVANIA	$37,410,926,656	$36,256,231,748	$5,280,683,810	4,378,798	787,788	5.6
PUERTO RICO	$603,859,499	$598,657,220	$177,973,749	432,535	63,620	6.8
RHODE ISLAND	$1,756,908,758	$1,729,754,707	$405,756,528	313,857	55,596	5.6
SOUTH CAROLINA	$8,807,688,270	$8,737,287,659	$1,858,440,523	1,228,448	218,321	5.6
SOUTH DAKOTA	$1,167,580,116	$1,155,116,775	$335,715,909	181,462	36,146	5
TENNESSEE	$12,746,772,706	$12,679,779,976	$2,742,276,783	2,041,124	383,981	5.3
TEXAS	$42,875,387,649	$41,971,787,681	$7,851,225,314	5,031,311	928,834	5.4
UTAH	$1,901,227,466	$1,883,723,968	$463,159,245	277,474	62,834	4.4
VERMONT	$420,145,959	$416,954,353	$217,601,470	93,556	17,870	5.2
VIRGIN ISLANDS	$39,504,740	$38,982,645	$18,577,125	15,343	1,957	7.8
VIRGINIA	$10,757,693,488	$10,689,967,199	$2,651,053,226	1,724,897	326,211	5.3
WASHINGTON	$8,468,518,610	$8,424,232,175	$1,933,437,855	1,009,585	217,781	4.6
WEST VIRGINIA	$2,628,845,839	$2,610,209,963	$819,069,756	648,423	118,769	5.5
WISCONSIN	$6,857,942,766	$6,804,514,268	$1,750,294,339	1,074,539	219,821	4.9
WYOMING	$418,561,455	$413,241,167	$150,892,761	65,075	14,116	4.6
UNKNOWN	$26,501,628	$25,960,389	$11,968,865	17,531	2,325	7.5
TOTAL LINE	$559,877,318,647	$552,123,330,164	$117,536,919,129	75,734,539	14,128,677	5.4
Courtesy of the Centers for Medicare and Medicaid Services.