NOTICES
Special Reports and Requests for Data
[28 Pa.B. 3469] The Health Care Cost Containment Council, according to its enabling legislation, is to publish a listing of all special reports and data that have been prepared during the previous fiscal year period. The following represents a summary of the reports and requests for data generated by the Council in calendar years 1996 and 1997. Questions about these reports and procedures for obtaining access to data should be addressed to Tina Haines, Supervisor, Special Requests Unit, Health Care Cost Containment Council, 225 Market Street, Suite 400, Harrisburg, PA 17101, (717) 232-6787, www.PHC4.org.
Agency for Health Care Policy and Research 1994 and 1995 inpatient discharge data will be used for the HCUP-3 Project. Allied Services 1994 inpatient discharge data will be used for strategic planning and competitive analysis of rehabilitation hospital referrals and potential referrals from acute care facilities statewide. APM, Incorporated Second, third and fourth quarters 1994 and first quarter 1995 inpatient discharge data will be used in a benchmarking analysis for a women's hospital in Toronto, Canada. The following hospital's data will be used as reference points in this analysis: Allegheny General Hospital, University of Pittsburgh, Mercy Hospital of Pittsburgh, St. Francis Medical Center and West Penn Hospital. Center for Healthcare Industry Performance Studies 1994 and 1995 inpatient discharge data will be used in a commercial software product. Chambersburg Hospital The third and fourth quarters of 1994 and the first quarter of 1995 data will be used to facilitate a better understanding of the acute care needs of residents in their service area and to identify outmigration of quantitatively evaluating the number of patients and types of services patients require, and where these patients are receiving that care. Chester County Memorial Hospital First and second quarters 1994 inpatient discharge data for Regions 5, 7, 8 and 9 will be used as part of market analysis in preparation for filing merger documents between Chester County and Brandywine Hospitals. It is for research purposes only. Chi Systems, Inc. 1994 inpatient discharge data will be used to look at patient migration patterns for a client. Children's Hospital of Philadelphia 1990-1993 inpatient discharge data will be used for a grant proposal for an epidemiological study of meningioma. Cochran Research Center 1992 and 1994 inpatient data for Regions 8 and 9 will be used by faculty in the School of Business and Management, Department of Health Administration for academic research. The Cochran Research Center is the Center which coordinates all School of Business and Management faculty research. Cochran Research Center 1992 inpatient discharge data will be used by faculty in the School of Business and Management, Department of Health Administration for research (academic). Community General Osteopathic Hospital 1994 and 1995 inpatient discharge data will be used to analyze the market share for hospitals in the greater Harrisburg area. Cooper Health System 1992-1994 inpatient discharge data for Regions 8 and 9 will be used for public health research. Coopers & Lybrand 1994 inpatient discharge data will be used to create an internal database related to market share and utilization by DRG. Deloitte & Touche Third and fourth quarters of 1993 and first and second quarters of 1994 inpatient discharge data will be used to assess which counties belong together based on patient migration to hospitals. Eastern Mercy Health Systems 1994 and first quarter 1995 inpatient discharge data will be used for strategic planning. Eastern Mercy Health Systems Third and fourth quarter of 1995 inpatient discharge data for Regions 8 and 9 is used for the strategic planning and development process in the regional EMHS facilities. Admission patterns, utilization, competitor analysis, and some quality measurements are examined. The data is always used in a summary basis, grouped by DRG, zip code, ICD9 codes. Easton Hospital 1994 inpatient discharge data will be used for internal strategic planning including market share analysis. Easton Hospital 1995 inpatient discharge data for a specific list of zip codes will be used in internal strategic market planning. Economists Incorporated A report for 1990 data record counts by hospital will be used to perform an analysis of geographic markets for hospital cardiovascular surgery services. Economists Incorporated The request for 1990 inpatient discharge data will be used to perform an analysis of the geographic area from which Wyoming Valley Health Care received patients by different payor types. Federal Trade Commission First quarter 1995 inpatient discharge data for Region 2 will be used as a geographic market definition for a hospital merger investigation. First Chesapeake Group 1994 and 1995 Regions 4 & 6 inpatient discharge data will be used for consulting on behalf of Guthrie Healthcare System. First Chesapeake Group 1995 inpatient discharge data for Region 7 general acute care hospitals will be used to challenge local Pennsylvania taxing authorities when trying to change local hospitals from tax-exempt to non-exempt. Ford Research Laboratory 1989, 1990, and 1991 inpatient discharge data for Allegheny County will be used to determine whether there is an association between particular matter in the atmosphere and hospital admissions. Gilead Community House 1989-1994 inpatient discharge data for a selected group of DRG's will be used for conducting a capitol campaign planning study for Gilead Community House and for marketing information. Goldberg Enterprise Services 1995 inpatient discharge data for Region 8 will be used for a market share analysis for a physician group to support development of a capitation rate. Graduate Health System 1994 inpatient discharge data will be used for comparison between our facilities and other regional hospitals. Hamot Medical Center The 1993 AMI data set will be used to produce a custom market share report on average length of stay for the Medicor Cardiology Group. Harvard School of Public Health 1993 inpatient discharge data will be used for research purposes using aggregated admissions data. Hay Health Care Consulting Group Second, third and fourth quarters of 1994 and first quarter 1995 inpatient discharge data will be used as part of a hospital database. HBS International 1994 data will be used in a commercial software product. HBS International 1995 revenue code detail will be used in a commercial software product. HealthAmerica 1994 inpatient discharge data will be used for internal database purposes. Healthcare Research Affiliates, Inc. 1992, 1993 and the first and second quarters of 1994 will be used to provide hospitals, physician groups, managed care organizations and other health care decision makers with quality, charge and utilization statistics and market share figures. Healthsouth Rehabilitation Hospital of York The 1994 inpatient discharge data will be used to determine the relationship that exists between a patient's underlying health status and the outcomes they achieve in rehab. medicine. Specifically, this project will examine the relationship between a patient's health status, as evidenced by the presence of co-morbid diseases (ICD-9-CM codes) and inpatient admission MedisGroup score, and outcome measures such as length of stay and total charges for the rehab. care. Hershey Medical Center 1994 inpatient discharge data will be used for research purposes. Highmark 1994 and 1995 inpatient discharge data will be used to conduct account and community reporting and consulting, selective contracting, utilization review, and applied health services research. In these instances we expect to release only aggregate data, if at all, and to credit HC4 as a data source. Hospital Association of Pennsylvania 1994 and 1995 inpatient discharge data will be used to produce internal reports for Association members. The primary use will be to generate a report on payor mix by facility and by groupings of facilities. Hospital Council of Western Pennsylvania 1994 inpatient discharge data will be used for two purposes: 1) for incorporation into HCMAS-PA software, and 2) to prepare reports based on HC4 data to provide or sell to other entities. Hospital Council of Western Pennsylvania The 1991, 1992 and 1993 inpatient discharge data will be used to allow heath providers and other organizations who use HCMAS to plan and design health care services more efficiently. Hospital Executive Council Third and fourth quarters of 1994 and first quarter 1995 inpatient discharge data were used in a customized report of all acute discharges and patient days for a select group of DRG's. These data will be used to conduct a comparative analysis of hospital admission/discharge rates and length of stay for a specific area. Iameter, Inc. 1994 inpatient discharge data will be used for internal research. Iameter, Inc. 1995 inpatient discharge data is used to develop severity-adjusted NORMS for length of stay, charges and mortalities. It is also for use in analyzing the severity-adjusted outcomes of client hospitals in the state of Pennsylvania. Institute for Health Care Research and Policy 1994 inpatient discharge data will be used to construct aggregate tabulations and multivariate statistical analyses. As part of a study of academic health center hospitals supported by The Commonwealth Fund, we will calculate relative odds of HMO patients' use of academic health centers and other hospitals categorized by teaching status and size across market areas that contain an academic health center hospital. Intellimed International Corporation 1994 inpatient discharge data for two hospitals will be used for consulting purposes. Intellimed International Corporation 1995 inpatient discharge data will be used in a commercial software product. Jefferson Medical College The 1993 AMI data set will be used for an analysis of the PHC4 database. Lehigh Valley Hospital 1994 -1996 inpatient discharge data will be used for market share analysis and released marketing research. Lower Extremity Amputation State Group Third and fourth quarters of 1994 and first and second quarters of 1995 inpatient discharge data will be used to investigate geographical variations in the number of lower extremity amputations. Marian Community Hospital 1993 and 1994 inpatient discharge data for Region 6 will be used for internal analysis. Marianne Patrylak Consulting 1995 inpatient discharge data for a specific list of zip codes will be used by Hazleton - St. Joseph Hospital for market share analysis. Market Insights 1994 inpatient discharge data will be used for internal benchmarking. Massachusetts Health Research Institute 1994 and 1995 inpatient discharge data will be used to measure the ''value'' of particular non-profit hospital's tax exemption and to compare it to various definitions of community benefits including free care provided and debt incurred. McBride, Baker and Coles 1993 and 1994 inpatient discharge data will be used by Dr. Dench to determine where patients obtain surgical services. An economist may assist in the analysis of the data. Medical Advisors, Inc. 1993, 1994, and 1995 inpatient data for a specific list of zip codes and DRG's will be used to conduct analysis regarding historical trends, identify the existing market for cardiac surgical cases, project growth in cardiac surgery and assess opportunities for market expansion. MEDIQ Consulting Group 1995 inpatient discharge data for Regions 8 and 9 will be used in consulting projects. MediQual Systems, Inc. 1994 inpatient discharge data will be used by anyone purchasing a Pennsylvania state database for use with Atlas Market View. Usually those purchasers are Pennsylvania hospitals. MediQual Systems, Inc. 1995 inpatient discharge data will be used for research purposes. Milliman and Robertson, Inc. 1994 and 1995 inpatient discharge data will be used to 1) determine the level of efficiency for a hospital or payor as compared to well-managed efficient experience as defined by M&R's HealthCare Management Guidelines; 2) compare the cost and utilization by geographic region to other reporting data sources (that is, HCFA, AHA, and the like), and reconcile any discrepancies; 3) research migration patterns of patients (that is, how far do they travel for care and which hospitals do they choose); and 4) determine length of stay and charges by DRG. Morrison Informatics, Inc. 1995 inpatient discharge data for a specific list of hospitals will be used in a market analysis for one hospital in the group. The results will allow the determination of the market share of patients sent to post acute care. Newcomb Medical Center 1992, 1993 and 1994 inpatient discharge data will be used to identify the number of Southern New Jersey residents who travel to Delaware Valley Hospitals for cardiac catheterization procedures. Oconco Healthcare Consultants The Pennsylvania 1995 inpatient discharge data will be used to investigate utilization rates and trends by zip code. It is also used to study trends in patient migration in the tri-state region. Oxford Health Plans 1994 and 1995 inpatient discharge data will be used to analyze severity adjusted lengths of stay, charges, and costs across hospitals, for various clinical specialties, to determine market share for hospitals in the greater Harrisburg area. PA Department of Agriculture The 1995 data on chlorine gas exposures is needed for regulatory review of Department's swimming pool certification requirements. PA Department of Health The 1994 inpatient discharge data will be linked to the Pennsylvania Department of Health Emergency Medical Services data and the PA Department of Transportation Accident Reporting System data. The linked data set will be used to carry out specific research interests of all participating agencies and Departments in the 1994 Crash Outcomes and Data Evaluation Set Project (CODES '94). PA Department of Health The 1993, 1994, and 1995 statewide inpatient discharge data will be used to update a comprehensive report of baseline data for Pennsylvania that corresponds to many of the several hundred public health objectives for the year 2000 as defined by the US Public Health Service in Healthy People 2000, National Health Promotion and Disease Prevention Objectives. PA Department of Labor and Industry First quarter 1995 inpatient discharge data will be used to complete a workers' compensation study for the Department of Labor and Industry. PA Department of Public Health Custom data for 1995 will be used to prepare annual reports of injury related data, special topical monographs, and respond to requests for aggregate data at the local level. Subcontractor will be the University of Pittsburgh, Center for Injury Research and Control. PA Department of Public Welfare 1994 inpatient discharge data will be used for patient origin and market share information as part of a DPW commercial study. PA Office of the Attorney General Third and fourth quarters of 1994 and first and second quarters of 1995 inpatient discharge data for 29 counties will be used to investigate the proposed merger between the University of Pittsburgh Medical Center and Shadyside Hospital in Pittsburgh, PA. Requested data will be used to determine the relevant product and geographic markets within which to analyze the competitive effect of the proposed merger. PA Office of the Attorney General 1995 inpatient data will be used by Dr. Gary Bowman who is a Temple University economist we retain to help us determine the relevant geographic and product markets in reference to hospital merger cases. Dr. Bowman's analysis is utilized by the Pennsylvania Office of Attorney General only, to evaluate the competitive or anticompetitive effects of hospital mergers. PA Department of Aging/PACE First and second quarters of 1993 and first through fourth quarters of 1994 data will be used in a research study of outcomes of polypharmacy in elderly persons enrolled in PACE. The Department of Aging will provide a file containing Social Security Numbers for PACE enrollees. HC4 data, matched by Social Security Number will be linked with PACE pharmacy claims and with mortality data provided by the Department of Health. Philadelphia Department of Public Health The 1994 hospital discharge data set, with social security number identifiers represents an important source of information for us since it will help us to document improved outcomes and/or cost savings associated with our Title V programs. Philipsburg Area Hospital 1993 inpatient discharge data for a specific range of zip codes and facilities will be used to strategically evaluate their market share in the Moshannon Valley for internal planning purposes. Philipsburg Area Hospital 1995 inpatient discharge data will be used to assess the admission trends of rural PA hospitals over the past several years. Premier, Inc. 1995 and 1996 inpatient discharge data will be placed into a comparative analytical tool. Current Premier member hospitals, which include approximately 30% of all PA short term hospitals, may have access to use this tool to perform various comparative analyses. Sachs Group, Inc. 1994 and 1995 inpatient discharge data will be used in a commercial software product. Saint Vincent Health Center 1990, 1991, 1992 and 1993 inpatient discharge data will be used, in conjunction with other community providers, to assess community health. By reviewing this information we hope to be able to determine if there is adequate access to primary care in our area. The health center and other providers will then determine the health indicators which we are lacking and as a community should begin working on. Sharon Regional Health System 1994 inpatient discharge data for a specific list of zip codes will be used to study out migration in order to evaluate the number of patients from the hospitals' service area and determine what patients are seeking services in the state of Ohio. Soldiers and Sailors Memorial Hospital The 1994 and 1995 inpatient data will be used to determine Tioga County residents that were discharged from a provided list of hospitals, by DRG, by physician. St. Joseph's University The 1995 market report to be generated from the data will be used for educational purposes. St. Francis Medical Center 1994 inpatient discharge data will be used for internal benchmarking. St. Luke's Hospital 1994 inpatient discharge data for selected regions will be used as part of a market analysis in preparation for filing merger documents between St. Luke's Hospital and Allentown Osteopathic Medical Center. The data is for research purposes only. Sunbury Hospital 1994 inpatient discharge data for a specific list of hospitals will be used for internal benchmarking. The APEX Management Group, Inc. 1993 inpatient discharge data will be used to complete a hospital inpatient utilization analysis for a client in the Lancaster County area. We will be studying aggregate hospital utilization patterns in the Lancaster area and comparing those statistics to hospitals in other regions. The APEX Management Group, Inc. 1995 inpatient discharge data will be used for hospital inpatient utilization analyses. The MEDSTAT Group 1993 through 1996 inpatient discharge data will be used in a commercial software product. U.S. Quality Algorithms, Inc. 1994 and 1995 inpatient discharge data will be used in a commercial software product. University Hospital of Cleveland 1995 inpatient discharge data for Regions 1 and 2 will be used for analyses of total hospital usage by residents of NE Ohio. University of Delaware 1992, 1993, and 1994 inpatient discharge data will be used in conjunction with the Delaware, Maryland, and NJ discharge data to try to estimate the appropriate market for the Medical Center of Delaware. University of Pennsylvania 1991 through 1995 inpatient discharge data will be used for a research project, ''Effectiveness of Regional Trauma Care for Children'' funded by the Center for Control and Prevention. University of Pittsburgh Medical Center First and second quarters of 1994 inpatient discharge data will be used to compare the cost and outcome of care at UPMC with other PA hospitals. The purpose is to enable UPMC physicians to reduce the cost and improve the quality of care. University of Pittsburgh Medical Center 1993 inpatient discharge data will be used to determine whether there are differences in the outcomes (mortality rates) for patients with AMI focusing on the differences between those who live in urban and rural areas. In addition to mortality, cost differences, and length of stay, care for the individuals will also be examined. Valley Health 1993 Pandora market share reports will be used for market research. Washington County Hospital 1993 inpatient discharge data will be used to determine the amount of Maryland residents that are going to four PA hospitals. Wayne Memorial Hospital 1994 and 1995 inpatient discharge data for Region 6 will be used to conduct a market analysis. MARC P. VOLAVKA,
Executive Director
[Pa.B. Doc. No. 98-1170. Filed for public inspection July 17, 1998, 9:00 a.m.]
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