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PA Bulletin, Doc. No. 10-700

NOTICES

HEALTH CARE COST CONTAINMENT COUNCIL

Special Reports and Requests for Data

[40 Pa.B. 2067]
[Saturday, April 17, 2010]

 The Health Care Cost Containment Council (Council), according to Act 89 as amended by Act 14 and as amended by Act 3, is required to publish a list of all special reports and data that have been prepared during the previous calendar year. The following represents a summary of the reports and requests for data generated by the Council in calendar year 2009. Questions about procedures for obtaining access to the Council data should be addressed to JoAnne Z. Nelson, Supervisor of Special Requests Unit, Health Care Cost Containment Council, 225 Market Street, Suite 400, Harrisburg, PA 17101, (717) 232-6787, jnelson@phc4.org.

JOE MARTIN, 
Executive Director

Applicant Project Description
Albert Einstein Healthcare Network A custom 2004 through 2007 financial data report of inpatient net revenue by hospitals to be used to better understand changes in hospitals within the Pennsylvania market.
America's Health Insurance Plans A standard Statewide 2007 inpatient discharge data set and financial data report to be used to analyze the utilization and health conditions of the Medicare population and compare outcomes by coverage types, such as, Medicare Advantage and fee-for-service.
Atlantic Health A standard regional 2006 through 2008 inpatient discharge data set by regions 6, 7 and 8 to be used for market share analysis, diagnosis-related group (DRG) coding analysis and demographic trends.
Bochetto & Lentz, P.C. A custom 2002 through 2007 inpatient discharge data report of patients from specified zip codes that received certain DRG-indicated treatments at Frankford-Torresdale Hospital to be used in a legal dispute before a private mediator.
Bon Secours Health System, Inc. A standard regional 2003 through first quarter 2008 inpatient discharge and ambulatory/outpatient data set by region 6 and a custom 2003 through first quarter 2008 inpatient discharge and ambulatory/outpatient procedure data set of all patients that reside in region 6. The data will be used to determine the variations in health status and access to care and develop appropriate programs and services over time.
Bon Secours Health System, Inc. A standard regional second, third and fourth quarter 2008 inpatient discharge and ambulatory/outpatient procedure data set by region 6 and a custom data set of patients who reside within region 6. The data will be used to assess community health care needs and to examine variations in health status and access to care so appropriate programs and services can be developed.
Boston University School of Medicine A standard Statewide 2007 inpatient discharge data set and inpatient revenue code detail data set to be used for a research study that examines stroke incidence and outcomes among various racial/ethnic populations.
Community Health Systems A standard Statewide 2008 inpatient discharge and ambulatory/outpatient procedure data set to be used to create utilization and market share information that will be used for strategic and facility planning for the following hospitals: Berwick Hospital, Brandywine Hospital, Easton Hospital, Jennersville Regional Hospital, Pottstown Memorial Hospital, Lockhaven Hospital, Chestnut Hill Healthcare, Phoenixville Hospital, Sunbury Community Hospital and Wilkes-Barre Health System.
Data Advantage Corporation A standard Statewide 2007 inpatient discharge and inpatient revenue code detail data set to be used with hospital data from the Centers for Medicare & Medicaid Services (CMS) and computed into statistics for a health care information web site tool that will report aggregate data by hospital and DRG.
Data Advantage Corporation A standard Statewide 2008 inpatient discharge data set to be used in an aggregated fashion for health care benchmarking reporting packages and studies. Additional outside information will be used in conjunction with PHC4's data to develop clinical, operating and financial hospital-based metrics.
DataBay Resources A standard Statewide 2008 inpatient discharge and ambulatory/outpatient procedure data set to be combined with other health care data to be used within their Navigate and NavigateNet systems for their commercial health care software products.
DataBay Resources A standard Statewide first quarter 2009 inpatient discharge and ambulatory/outpatient procedure data set to be combined with other health care data to be used within their Navigate system for their commercial health care software products.
Deborah Heart and Lung Center A standard regional 2006 through second quarter 2008 inpatient discharge data set by regions 8 and 9 to be used to identify types of cases admitted to Philadelphia area hospitals for patients that reside in New Jersey.
Duke University A custom 1994 through 2007 inpatient discharge data set of patients with percutaneous coronary intervention that may have a cardiac disease follow-up condition. The data will be used to conduct academic research on the impact of payer type on use of physicians and eventual outcomes for an eventual conference presentation and academic journal submission and publication.
Duquesne University/Health  Management Systems A standard first and second quarters of 1998, of 2003 and of 2008 regional inpatient discharge data set by region 1, first quarter of 1998, of 2003 and of 2008 inpatient revenue code detail data set and first quarter of 2002, of 2003 and of 2008 market share report. The data will be used to conduct various methods of market analysis of Allegheny County to be presented, defended, and published in a thesis.
Global Lower Extremity Amputation  Study Group A custom 2005 and 2006 inpatient discharge data set to be used to compare amputation rates between Non-Hispanic African Americans in Baltimore City and Philadelphia and identify effective prevention strategies.
Global Lower Extremity Amputation  Study Group A standard regional 2007 and 2008 inpatient discharge data set by region 9 to be used to develop yearly amputation rates for Philadelphia and by specific zip codes.
Good Shepherd Rehabilitation Hospital A standard regional 2008 inpatient discharge data set for regions 5, 6, 7, 8 and 9 to be used for an internal analysis of demand for their services.
Governor's Office of Healthcare Reform A custom 2004 through 2007 inpatient discharge data report of Methicillin-Resistant Staphylococcus Aureus (MRSA) hospitalization rates.
Hanover Hospital A custom third quarter 2007 through second quarter 2008 inpatient discharge and ambulatory/outpatient procedure data report to used for a payer market share analysis.
Hospice Compassus A standard regional 2008 inpatient discharge data set for regions 8 and 9 to be used to help focus outreach and educational efforts.
Hospital & Healthsystem Association  of Pennsylvania A standard 2007 financial data report and a 2006 restated financial data report to be used to supplement financial and utilization data that they currently collect on a voluntary basis from member hospitals. They will use the data on a routine basis to model potential effects of policy changes and to support their representation and advocacy initiatives in support of member hospitals and the communities they serve.
Hospital & Healthsystem Association  of Pennsylvania A standard 2008 financial data report and a 2007 restated financial data report to be used to supplement financial and utilization data that they currently collect on a voluntary basis from member hospitals. They will use the data on a routine basis to model potential effects of policy changes and to support their representation and advocacy initiatives in support of member hospitals and the communities they serve.
Hospital & Healthsystem Association  of Pennsylvania A standard Statewide 2008 inpatient discharge data set to be used to conduct ongoing monitoring of Statewide, regional and hospital-specific quality outcomes, primarily utilizing Agency for Healthcare Research & Quality's (AHRQ) Windows Quality Indicator software.
Kaleida Health A custom first quarter through third quarter 2008 inpatient discharge and ambulatory/outpatient procedure data report of residents from the Western New York area (Erie, Niagara, Chautauqua, Cattaraugus, Allegany, Wyoming, Genesee and Orleans Counties). The data will be used for organizational market share planning by researching where these patients are receiving their health care services.
Lehigh Valley Business Conference on  Health Care A custom 2006 inpatient discharge data report to be used to demonstrate cost differences between typical hospital stays and those involving misadventures.
Lehigh Valley Health Network A standard Statewide 2008 inpatient discharge data set to be used for analysis of service area, product line trends and competitive analysis, as well as incidence rate comparisons and trends for program development.
LW Consulting, Inc. A custom 2008 inpatient discharge data report for patients 60 and older with specific Major Diagnostic Categories (MDC) and DRGs at the following hospitals: Aria Health-Frankford Campus, Nazareth Hospital, Holy Redeemer Hospital and Medical Center, St. Mary Medical Center, Abington Memorial Hospital, Jeanes Hospital, Albert Einstein Medical Center, Temple University Hospital, Moss Rehab and Hahnemann University Hospital. The data will be used for consulting.
Maryland Department of Health and  Mental Hygiene A custom 2006 and 2007 inpatient discharge data set of Maryland residents hospitalized in Pennsylvania combined with Maryland Health Services Cost Review Commission hospitalization data to derive rates of diagnoses and treatment for acute and chronic conditions including asthma, injury, births, heart disease and diabetes, which will be aggregated and reported by gender, race, age, county of residence, diagnosis and procedure.
Medical Associates of Erie A custom third quarter 2007 through second quarter 2008 inpatient discharge data report to be used to determine market share by zip code and to determine population distributions to better place clinics and practices.
Memorial Hospital of York A standard regional 2004 through 2008 inpatient discharge and ambulatory/
outpatient procedure data set of region 5 to be used to prepare a market and financial feasibility study.
Memorial Hospital of York A standard regional 2007 and 2008 inpatient discharge and ambulatory/
outpatient procedure data set by region 5 to be used for comparative data analysis.
Memorial Medical Center A standard Statewide 2008 through first quarter 2009 inpatient discharge data set to be used to evaluate Memorial Medical Center's current performance, their competitors' performance, and future opportunities. The Center will use the data to illustrate market share and for budgeting and 5-year planning.
Moses Taylor Hospital A standard third quarter 2007 through second quarter 2008 inpatient market share report to be used to analyze area hospital market utilization.
National Minority Quality Forum A standard Statewide 2006 inpatient discharge data set combined with other states data to create National, State, congressional and legislative district maps, which show the prevalence of MRSA, to understand the burden of this infection and to assist organizations in designing and delivering appropriate prevention and treatment services to populations that are racial and ethnic minorities in the United States.
New Solutions, Inc. A custom 2008 inpatient discharge data set of patients from New Jersey and Monroe, Northhampton, Pike, Bucks and Philadelphia Counties in Pennsylvania, to be used for research purposes and to provide market share analysis for hospital clients.
New York State Department of Health A custom 1995 through 2006 inpatient discharge data set to be used to evaluate the impact of New York's Clean Indoor Air Law.
Oconco Healthcare Consultants A custom 2008 inpatient discharge data set that provides all patient records for New Jersey residents admitted to Pennsylvania hospitals to be used to generate reports that examine New Jersey residents' use of Pennsylvania hospitals and to create cost-based benchmarks.
Penn State College of Medicine A custom second quarter 2005 through first quarter 2008 inpatient discharge and ambulatory/outpatient procedure data set to be used for research purposes to analyze cost effectiveness of the study intervention in patients with diabetes.
Pennsylvania Department of the  Auditor General A custom 2006 and 2007 fiscal year inpatient discharge and financial data set to be used for auditing hospitals that received tobacco funds from the Department of Public Welfare under the Tobacco Settlement Act of 2001.
Pennsylvania Department of Health A custom 2001 through 2007 inpatient discharge data set of asthma, acute myocardial infarction and carbon monoxide poisoning related hospitalization cases to be used in the National Environmental Public Health Tracking Network (NEPHTN). The data will be provided to the Centers for Disease Control and Prevention (CDC), to be used with other health outcomes data, exposure and bio-monitoring data, and environmental hazards and environmental monitoring data that will be displayed in aggregate form on its public portal.
Pennsylvania Department of HealthA custom 2007 inpatient discharge and ambulatory/outpatient procedure data set to be used as part of the Department of Health's Asthma Surveillance System for the Asthma Control Program. The Department of Health will be interpreting morbidity data for asthma risk education and prevention programs and will be distributing data analysis to the Pennsylvania Asthma Coalition & CDC through press releases, conferences, presentations, reports and fact sheets.
Pennsylvania Department of Health A custom 2008 inpatient discharge and ambulatory/outpatient procedure data set of asthma-related cases to be used to address the burden of asthma as part of the Department of Health's Asthma Surveillance System for the Asthma Control Program through asthma risk education and prevention programs. The data analysis will be distributed to the Pennsylvania Asthma Partnership and CDC through press releases, conferences, presentations, reports and fact sheets.
Pennsylvania Department of Health A custom 2008 inpatient discharge and standard Statewide ambulatory/
outpatient procedure data set to be used for the Injury Prevention Program. The client will use the data to prepare injury prevention statistical reports, monographs and fact sheets, to respond to requests for aggregate injury data at the State and local level, and to provide to the Department Bureau of Epidemiology. The data will be used by State and local agencies to identify specific segments of the population at highest risk for injury, specific types and causes of injury, and to assist in Statewide injury prevention, emergency medical services, traumatic brain injury and youth suicide prevention planning and evaluation.
Pennsylvania Department of Health A custom 2008 inpatient discharge data report of select conditions to be used as part of the Department of Health web page series that correspond to the Healthy People 2010 objectives.
Pennsylvania Department of Health A standard Statewide 2007 inpatient discharge data set to be used to examine diabetes-related hospitalization with non-diabetes related hospitalization. The data will be used in support of the goals of the Diabetes Prevention and Control Program, which is to reduce the burden of diabetes in this Commonwealth by preventing and controlling its complications. The data will be monitored over a 21-year time period, 1990 through 2010. The data will be analyzed by the Bureau of Health Statistics and Research to provide surveillance data to the Diabetes Prevention and Control Program, to prepare County monographs and fact sheets, and to respond to requests for aggregate data at the local or State level and to provide the data in a format for immediate use by the Bureau of Epidemiology.
Pennsylvania Department of Health A standard Statewide 2005 through 2007 inpatient discharge and ambulatory/
outpatient procedure data set to be used to update chronic disease burden reports, to conduct further analysis on chronic disease and to research future grant opportunities.
Pennsylvania Department of Health A standard Statewide first quarter 2008 inpatient discharge and ambulatory/ outpatient procedure data set to be used to profile discharge patterns to develop and evaluate algorithms for sampling discharges, which will be used by the Division of Acute and Ambulatory Care to carry out its quality assurance and licensing functions.
Pennsylvania Department of Health/  Bureau Facility Licensure A custom first through third quarters 2008 ambulatory/outpatient procedure data set to be used to assist in making a decision regarding exception requests related to outpatient cardiac catheterization services in this Commonwealth, particularly as related to specific procedure codes.
Pennsylvania Department of Public  Welfare A custom 2007 fiscal year inpatient discharge data set and financial data report to be used to compute payments to hospitals for the Hospital Uncompensated Care and Extraordinary Expense programs established with the Tobacco Settlement Act of 2001.
Pennsylvania Employees Benefit Trust  Fund A custom 2006 and 2007 inpatient discharge and ambulatory/outpatient procedure data set and a standard 2006 and 2007 inpatient and ambulatory/outpatient revenue data set. The data will be used in conjunction with their consultant, Prometheus, to examine the feasibility of offering an evidence-based medicine program to their membership.
Pennsylvania Office of the Attorney  General A standard 2008 Statewide inpatient discharge data set, ambulatory/outpatient procedure data set, inpatient revenue data set and ambulatory/outpatient revenue data set and financial and market share data reports to be used in their review of hospital mergers to ensure the mergers are in compliance with antitrust laws.
Pennsylvania Patient Safety Authority A standard Statewide 2000 through 2007 inpatient discharge data set to be used in calculating Patient Safety Indicators for their Annual Report.
Philadelphia Department of Public  Health A standard regional 2007 inpatient discharge and ambulatory/outpatient procedure data set for regions 8 and 9 to be used for multiple projects: analysis of ambulatory care-sensitive disease hospitalizations, analysis of diabetes complications, examining hospital outcomes, analysis of HIV/AIDS utilization and services, evaluate the HIV/AIDS surveillance system, and examining obstetrical care and pelvic inflammatory disease hospitalizations.
Philadelphia Inquirer A standard regional first quarter 2008 inpatient discharge and ambulatory/outpatient procedure data set for regions 8 and 9 to be used in news stories.
Philadelphia Inquirer A standard regional second, third and fourth quarters of 2008 inpatient discharge and ambulatory/outpatient procedure data set by regions 8 and 9 to be used in news stories.
Pittsburgh Regional Health Care  Initiative A custom third quarter 2006 through second quarter 2007 inpatient discharge data set with 30-day readmissions, of region 1 or Lawrence, Somerset or Indiana Counties to be used for planning initiatives to improve health care in their region. They will investigate readmission rates of chronic diseases and use the information to focus their efforts in improving health care safety and quality.
Pittsburgh Regional Health Care  Initiative A custom third quarter 2006 through second quarter 2007 inpatient discharge data set with 365-day readmissions of region 1 or Lawrence, Somerset or Indiana Counties to be used for planning initiatives to improve health care safety and quality in the western Pennsylvania area by investigating readmission rates of chronic diseases.
Pittsburgh Regional Health Care  Initiative A custom third quarter 2007 through third quarter 2008 inpatient discharge data set, with 30-day readmissions of region 1 or Lawrence, Somerset or Indiana Counties to be used for planning initiatives to improve health care safety and quality in the western Pennsylvania area by investigating readmission rates of chronic diseases.
Public Health Management  Corporation A custom third quarter 2005 through second quarter 2008 inpatient discharge data report on elderly hospitalizations (ages 60+) to be used for the internal analysis and planning of a possible new long-term care project in Northeast Philadelphia as part of the Program for All Inclusive Care for the Elderly (PACE).
Public Health Management  Corporation A custom third quarter 2005 through second quarter 2008 inpatient discharge data report on elderly hospitalizations (ages 65+) to be used for the internal analysis and planning of a possible new long-term care project in Northeast Philadelphia as part of PACE.
SDI Health A standard Statewide 2008 inpatient discharge data set to be combined with other states' data and used to estimate diagnoses and procedures at the hospital and national level for commercial health care software products and services.
Southwest Regional Medical Center A standard first and second quarters 2008 regional inpatient discharge data set for region 1 and inpatient revenue code detail data set to be used to address health care service shortages, investigate quality of care objectives, and promote strategic decisions to benefit health care beneficiaries requiring acute care service.
Susquehanna Health A custom third quarter 2005 through second quarter 2008 inpatient discharge and ambulatory/outpatient procedure data set based on patient origin from any of the following Counties: region 4 Counties and Potter, Bradford and Sullivan Counties. The data will be used to prepare financial projections related to Susquehanna Health's Project 2012 and related bond financing plan.
Thomson Medstat A standard Statewide 2008 inpatient discharge and ambulatory/outpatient procedure data set to be used in commercial software products.
Treo Solutions A standard Statewide 2008 inpatient discharge data set and inpatient revenue code detail data set to be used to analyze market share, hospital clinical costs and performance for clients.
U.S. Department of Justice, Antitrust  Division A standard 2000, 2002, 2004 and 2006 inpatient discharge data set by region 1 to be used for detail analysis of market shares and demand for hospital services.
University of Pennsylvania A custom 2000 through 2003 inpatient discharge data set to be utilized to construct risk-adjusted models that predict the odds of death due to conditions such as myocardial infarction, heart failure, stroke, pneumonia and gastrointestinal hemorrhage as well as surgical outcomes and the odds that outcomes are associated with the patient care environment to examine the nurse-to-patient ratio law in California.
University of Pittsburgh A custom 1996 through second quarter 2007 inpatient discharge and ambulatory/outpatient procedure data report of Allegheny residents hospitalized with pancreatitis-related conditions to be used for a research study, Trends in the Epidemiology of Alcoholic Pancreatitis in Allegheny County, PA. The study will determine the epidemiology of pancreatitis and the relationship to the epidemiology of diseases associated with common risk factors of pancreatitis.
University of Pittsburgh A custom 2007 inpatient discharge and ambulatory/outpatient procedure data set, a standard 2007 inpatient and ambulatory/outpatient revenue code detail data set and a second quarter 2007 market share report to be used to compare hospitalization rates as a secondary analysis data set for a diabetes study.
University of Pittsburgh Medical  Center A standard Statewide 2008 inpatient discharge and ambulatory/outpatient procedure data set to be used for various research including: patient origin for UPMC hospitals, UPMC market share, utilization trends and volume, physician volumes at UPMC and other hospitals.
University of Pittsburgh Medical  Center A standard Statewide first quarter 2009 inpatient discharge and outpatient/
ambulatory procedure data set to be used for various research reports, including reports on patient origin for UPMC hospitals, market share, utilization trends and physician volumes.
University of Pittsburgh School of  Medicine A standard regional 2003 through 2007 inpatient discharge and ambulatory/
outpatient procedure data set for region 1 to be used to build computer simulation models for academic research and to better understand the spread of infectious diseases and appropriate policies to prevent their spread.
University of Pittsburgh, Pennsylvania  Medicaid Policy Center A custom 2007 through first quarter 2008 inpatient discharge data set of newborns linked with the Department of Health vital statistics birth data to be used for conducting a study titled, Birth Outcomes in Pennsylvania: Disparities by Race and Payment Status.
Veterans Affairs Pittsburgh Healthcare  System, Center for Health Equity  Research and Promotion A custom 2006 inpatient discharge data set of patients receiving a hip or knee replacement and their readmissions linked with Department of Health death data. The data will be used for their pilot study titled, Gender Differences in Knee and Hip Joint Replacement, which will assess surgical outcomes by gender in patients who underwent knee or hip arthroplasty and to provide health services research-based evidence to improve quality of care and access to joint replacement for women with end-stage knee or hip osteoarthritis.
Washington County Hospital A standard regional fourth quarter 2007 through third quarter 2008 inpatient discharge and ambulatory/outpatient procedure data set for region 5 to be used to determine the patient placement process when moving from the current hospital to a new hospital.
WellSpan Health A standard regional 2008 inpatient discharge and ambulatory/outpatient procedure data set by region 5 to be used for the internal assessment of the delivery of health care services within their region.
Wyoming Valley Health Care System A standard Statewide 2008 inpatient discharge and ambulatory/outpatient procedure data set to be used to generate reports for internal quality improvement, benchmarking and marketing analysis.
[Pa.B. Doc. No. 10-700. Filed for public inspection April 16, 2010, 9:00 a.m.]


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