Acute Care Hospital · MS-DRG
Upstream hospital admissions for residents who later transferred to KaraDayDemo's downstream facilities (SNF · HH · Hospice). MS-DRG drives per-discharge payment; LOS variance and 30-day readmission risk drive HRRP exposure (up to 3% of Medicare payments).
Active admissions
12
upstream pipeline
DRG revenue
$82,161
avg $6,847/discharge
High readmit risk
7
HRRP penalty exposure
LOS outliers
1
above benchmark
Top DRG mix
DRG 194
Simple pneumonia & pleurisy with CC
×9
DRG 291
Heart failure & shock with MCC
×1
DRG 871
Septicemia or severe sepsis with MCC
×1
DRG 292
Heart failure & shock with CC
×1
Admissions roster (sorted by readmission risk)
| Patient | Admit / Discharge | DRG | Severity | LOS | Payment | Readmit risk | Dispo |
|---|---|---|---|---|---|---|---|
Ruben Delacroix Pneumonia, unspecified organism | 2026-04-23 2026-04-27 | 194 Simple pneumonia & pleurisy with CC | CC | 4d / 3.4 | $6,158 | high | SNF |
Patricia Delacroix Congestive heart failure, unspecified, acute exacerbation requiring skilled nursing facility care | 2026-04-18 2026-04-24 | 291 Heart failure & shock with MCC | MCC | 6d / 4.1 | $9,293 | high | SNF |
Mei-Ling Tsutsumi Pneumonia, unspecified organism | 2026-04-17 2026-04-21 | 194 Simple pneumonia & pleurisy with CC | CC | 4d / 3.4 | $6,158 | high | Home Health |
James Okafor Pneumonia, unspecified organism | 2026-04-16 2026-04-20 | 194 Simple pneumonia & pleurisy with CC | CC | 4d / 3.4 | $6,158 | high | SNF |
Sylvia Okafor Sequelae of cerebral infarction with residual neurological deficits driving skilled nursing facility stay | 2026-04-08 2026-04-13 | 871 Septicemia or severe sepsis with MCC | MCC | 5d / 4.7 | $11,645 | high | SNF |
Darnell Washington Congestive heart failure, unspecified, exacerbation requiring skilled nursing facility care | 2026-04-05 2026-04-09 | 292 Heart failure & shock with CC | CC | 4d / 3.4 | $5,801 | high | SNF |
James Okafor Pneumonia, unspecified organism | 2026-04-05 2026-04-09 | 194 Simple pneumonia & pleurisy with CC | CC | 4d / 3.4 | $6,158 | high | Home |
Shirley Tompkins Pneumonia, unspecified organism | 2026-04-22 2026-04-26 | 194 Simple pneumonia & pleurisy with CC | CC | 4d / 3.4 | $6,158 | moderate | Home Health |
Linda Svensson Pneumonia, unspecified organism | 2026-04-20 2026-04-24 | 194 Simple pneumonia & pleurisy with CC | CC | 4d / 3.4 | $6,158 | moderate | Home Health |
James Okafor Pneumonia, unspecified organism | 2026-04-14 2026-04-18 | 194 Simple pneumonia & pleurisy with CC | CC | 4d / 3.4 | $6,158 | moderate | Home Health |
Linda Bergstrom Pneumonia, unspecified organism | 2026-04-14 2026-04-18 | 194 Simple pneumonia & pleurisy with CC | CC | 4d / 3.4 | $6,158 | moderate | Home Health |
Loretta Simmons Pneumonia, unspecified organism | 2026-04-05 2026-04-09 | 194 Simple pneumonia & pleurisy with CC | CC | 4d / 3.4 | $6,158 | moderate | Home Health |
MS-DRG, LOS classification, and 30-day readmission risk are computed deterministically by lib/verticals/acute-hospital. v0.1 covers ~25 representative DRGs (the post-acute pipeline subset); production plugs in CMS's full ~750-row MS-DRG table. IPPS base rate FY2024 national; production applies wage index + IME/DSH + outlier policies.