NOTICES
HEALTH CARE COST CONTAINMENT COUNCIL
Special Reports and Requests for Data
[43 Pa.B. 1382]
[Saturday, March 9, 2013]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 2012. The list of data fields that are included in the standard public use files are located in PDF files posted on the Council's web site www.phc4.org under ''Services and Data Descriptions.'' Questions about procedures for obtaining access to Council data should be addressed to JoAnne Z. Nelson, Supervisor, Special Requests Unit, Health Care Cost Containment Council, 225 Market Street, Suite 400, Harrisburg, PA 17101, (717) 232-6787, jnelson@phc4.org.
Applicant and Project Description Agency for Healthcare Research & Quality—Jenny Schnaier Statewide 2011 inpatient discharge and inpatient revenue code detail datasets to be used in the Healthcare Cost and Utilization Project (HCUP), which uses the data for multiple databases, reports, and tools and products. The HCUP databases enable research on a broad range of health policy issues, including cost and quality of health services, medical practice patterns, access to health care programs and outcomes of treatments at the National, regional, State and local levels. Altoona Regional Health System—Jerry Murray A custom 2008 through 2010 inpatient discharge and ambulatory/outpatient procedure dataset for specified zip codes to produce market share analysis that will assist in the development of a 3-year strategic plan targeted to better serve patients in the area and to determine the services required. A custom 2010 inpatient discharge dataset of patients residing in 29 specified counties to be used to perform a patient analysis. A custom 2011 inpatient discharge and ambulatory/outpatient procedure dataset of cases for specified zip codes that will be used for internal market share analysis. AtlantiCare Regional Medical Center—Rosemary Nuzzo A standard regional 2011 inpatient discharge dataset for Regions 8 and 9. O'Conco Healthcare Consultants will analyze the data on behalf of AtlantiCare Regional Medical Center. The data will be used for various web-based health statistic reports, as a reporting tool focused on the epidemiology of health services to estimate demand for health services, and to measure morbidity and comorbities that will be used by AtlantiCare in comparing to peer hospitals. Blue Cross of Northeastern Pennsylvania—Kevin Brennan Standard Statewide 2010 through 2011 inpatient discharge and inpatient revenue code detail datasets to be used to analyze data for network accessibility. Bon Secours Health System, Inc.—Akbar Khan A 2011 inpatient discharge and ambulatory/outpatient procedure standard Region 6 dataset and a custom dataset of records of patients who reside within Region 6. The data will be used to help determine the variations in health status and access to care and to develop appropriate programs and services over time. In addition, the data will be used to assess community need by geographic area, type of diagnosis, mode of access and other variables, compared to National and local benchmarks to help quantify the needy and underserved segments. Boston University School of Medicine—Amresh Hanchate A modification to previous requests for a custom fourth quarter 2003 through third quarter 2010 inpatient discharge dataset with readmission indicator and the Federal fiscal year of adult cases with a congestive heart failure or pneumonia condition and 30-day readmission information (Q3 2003-Q4 2010). The data will be used for The Effects of Massachusetts Health Reform on Access to Care and Disparities study that is to evaluate whether the expansion of major health insurance coverage in Massachusetts has improved access to care and reduced disparities in care. Chart Institute—Colleen Vrbin A standard facility 2011 inpatient discharge dataset for 40 hospitals: ACMH, Bradford Regional, Butler Memorial, Chambersburg, Charles Cole Memorial, Clarion, Clearfield, Corry Memorial, Elk Regional, Ellwood City, Evangelical Community, Fulton County, Good Samaritan/Lebanon, Grove City, Hazleton General, Highlands, Indian Regional, J C Blair Memorial, Jameson Memorial, Jersey Shore, Latrobe Area, Lewistown, Lock Haven, Meadville, Memorial/Towanda, Monongahela Valley, Moses Taylor, Mount Nittany, Nason, Punxsutawny Area, Robert Packer, Saint Catherine, Sharon Regional, Soldiers and Sailors, Somerset, Titusville Area, Uniontown, Warren General, Wayne Memorial and Waynesboro. Chart Institute is planning to use the data to identify potential areas to target quality improvement initiatives at the Pennsylvania hospitals of Chart RRG, as well as several other community hospitals that may be future members and others to use for comparison. Children's Hospital of Philadelphia—Scott Lorch, MD A custom inpatient discharge dataset with derived data fields (number of days between admissions and number of days to death) of mother delivery records and newborn birth records (1995-Q1 2010), with moms' and newborns' readmission records (1995-Q3 2010), linked with Department of Health newborns' birth certificate data (1995-2009) and mothers' and newborns' death data (1995-2010) records based on a cohort of infants born or a fetal death (stillbirth) during 1995 through 2009. The data will be used for an ''Impact of Obstetric Unit Closures on Pregnancy Outcomes'' study. The goal of the study is to maintain or improve the value and efficiency of obstetric care as the supply of obstetric units change in a given market. The study results will be published in journals, a policy-relevant Issue Brief distributed to policymakers and health professionals, and presented to the American College of Obstetrics and Gynecology, Pediatric Academic Societies and Academy Health. Community Health Systems—Debbie Landers Standard Statewide 2011 inpatient discharge and ambulatory/outpatient procedure datasets to be used to create utilization rates and market share information to be used in strategic and facilities planning for the following 15 facilities: Berwick Hospital, Brandywine Hospital, Easton Hospital, Jennersville Regional Hospital, Pottstown Memorial Hospital, Lockhaven Hospital, Chestnut Hill Hospital, Phoenixville Hospital, Sunbury Community Hospital, Moses Taylor Hospital, Mid Valley Hospital, Special Care Hospital, Tyler Memorial Hospital, Wilkes-Barre General Hospital and Regional Hospital of Scranton. DataBay Resources—Steve Sekely Standard Statewide second quarter 2011 through second quarter 2012 inpatient discharge and ambulatory/outpatient procedure datasets and 2011 through second quarter 2012 inpatient and ambulatory/outpatient revenue code detail datasets. The data will be combined with other all-payer health care data to be used to produce various aggregate report files that are offered as health care software products to DataBay's customers. Ellwood City Hospital—Chris Little A custom 2009 through first quarter 2012 inpatient discharge dataset of records of patients who reside in Allegheny, Armstrong, Beaver, Butler, Lawrence, Mercer or Venango Counties or in Ohio. The data will be used to prepare a strategic plan for the hospital. Evangelical Community Hospital—Tami Radecke Standard regional fourth quarter 2010 through third quarter 2011 inpatient discharge and ambulatory/outpatient procedure datasets for Region 4 to be used to create utilization rates and market share information. Feldman & Pinto Attorneys at Law—Brad McDermott A custom 2002 through 2010 inpatient discharge data report of the total number of unilateral hip replacements and bilateral hip replacements each year to be used to verify facts discovered in pending litigation. Georgetown University—Jean M. Mitchell, PhD A standard Statewide 2004 through 2011 ambulatory/outpatient procedure dataset. The data will be used to evaluate costs and payment rates of ambulatory surgery centers (ASC). The client will estimate cost functions for ASCs using panel data spanning 2004 through 2012 for Pennsylvania, and use its estimates to compare production costs and Medicare reimbursements for the most commonly performed outpatient surgical procedures. The project will examine these timely and significant policy issues using financial cost and patient discharge data available for facilities located in Pennsylvania. Global Lower Extremity Amputation Study Group—Ronald Renzi A custom 2011 inpatient discharge dataset of records of patients who reside in Philadelphia, Bucks, Chester, Delaware, and Montgomery Counties and had amputations in 2011. The data will be used for research on the most effective prevention strategies and trends in lower extremity amputation in Southeastern Pennsylvania. Good Shepherd Rehabilitation Hospital—John Grencer A standard regional 2011 inpatient discharge dataset for Regions 1, 5, 6, 7, 8 and 9 to be used for internal analysis of hospital services. Harvard Pilgrim Health Care Institute—Grace M. Lee, MD Standard Statewide 2006 through 2010 inpatient discharge and inpatient revenue code detail datasets. The data will be used for a project funded by AHRQ and titled ''Intended and Unintended Consequences of Nonpayment for Preventable Complications.'' Specifically, the aims of the study are to: 1) evaluate the impact of the Centers for Medicare and Medicaid Services (CMS) policy on Healthcare-Associated Infections (HAI) rates reported by Medicare (that is, ''billing'' rates); 2) evaluate the impact of CMS policy on HAI rates reported by the National Healthcare Safety Network (that is, ''true'' infection rates); 3) assess whether the CMS policy has the intended impact of reducing both ''billing'' and ''true'' infection rates in different types of hospitals (for example, urban vs. rural, for-profit vs. nonprofit, and the like); and 4) assess whether reduced reimbursement for HAIs as a result of the CMS policy disproportionally affects hospitals that care for a high proportion of minority or poor patients. HCR ManorCare—Kenneth Kang A standard Statewide first and second quarter 2011 inpatient discharge dataset. The data will be used to assess the needs of the residents in HCR ManorCare's skilled nursing facilities in Pennsylvania. HealthSouth—Steve Adams A standard Statewide 2010 and 2011 inpatient discharge dataset to be used to help determine market share and needs to better serve HealthSouth's population base. Highmark—Joseph J. Reilly A standard Statewide 2011 inpatient discharge dataset to be used to conduct an all-payer market analysis to complement Highmark's market analysis. Home Nursing Agency—Rich Lobb Standard regional second quarter 2010 through first quarter 2011 inpatient discharge datasets for Regions 1, 2, 3, 4 and 5. The data will be used to identify and analyze clinically underserved areas within this Commonwealth to support new or existing clinical service delivery. Hospital & Healthsystem Association of Pennsylvania—Martin Ciccocioppo A custom 2010 and 2011 inpatient discharge data report of hospital 30-day readmission rates on cases with chronic obstructive pulmonary disease and congestive heart failure conditions by hospital. The data will be used to provide the CMS with Pre-Hospital Engagement Network (PA-HEN) rates of readmissions. The PA-HEN staff is interested in knowing hospital-specific rates in order to ensure hospitals with the greatest needs are addressed through the PA-HEN project and to identify the best performers to learn what they are doing right. Standard Statewide 2011 through second quarter 2012 inpatient discharge dataset and 2011 and restated 2010 financial data report. The data will be used to conduct ongoing monitoring of Statewide, regional and hospital-specific quality outcomes, primarily utilizing the AHRQ Quality Indicators. Hospital & Healthsystem Association of Pennsylvania (HAP) may from time to time release the aggregate results of its quality monitoring research. HAP also intends to host MONAHRQ for member-only use on its private website. Hospital Council of Western Pennsylvania—Carmela Breslin A custom fourth quarter 2008 through third quarter 2011 inpatient discharge and ambulatory/outpatient discharge data report on the number of births by hospital in Forest, Clarion, Jefferson and Venango Counties. The data will be used for a member facility, Clarion Hospital, that will analyze the data to see if it is worth hiring new OBGYN physicians or if an OBGYN physician partnership with others hospitals within the Pennsylvania Mountain Healthcare Alliance would be the best strategy moving forward. IMS Health—Ed Burleigh Standard Statewide 2011 inpatient discharge and ambulatory/outpatient procedure datasets. IMS will use the data for the validation of its hospital sample and National projections from its hospital discharge data for 2001-2011. The data will be used as the ''gold standard'' to ensure reasonable projections to the National level. IMS has numerous studies with government agencies such as the Food and Drug Administration and Centers for Disease Control and Prevention. This State data allows IMS to come up with a sound universe count for various hospital-based diagnoses and procedures. Ingenix Consulting/OptumInsight—Holli Boetcher Standard Statewide 2010 inpatient discharge dataset to be used for two products, a consumer hospital quality reporting tool for health plans to provide to their members and reports for health care professionals. The reports for consumers will provide information on inpatient quality and efficiency to aid in decision making about where to seek care. The reports for health care professionals will be benchmarking tools that analyze inpatient charges, volumes, lengths of stay and other measures by facility. J.C. Blair Memorial Hospital—Christine R. Gildea A custom 2008 through 2011 inpatient discharge and ambulatory/outpatient procedure dataset of records of patients who originate from Huntingdon County. The hospital will use the data to provide insights on patterns of patient care such as patient demographics, diagnosis/services, admission point and discharge placement within the hospital's market area for the work effort that is associated with completing a Community Health Needs Assessment. The data will also assist in strategic planning efforts by identifying services that consistently attract patients to other hospitals. Kutztown University of Pennsylvania—Robert C. Ziegenfus A custom 1997 through 2010 inpatient discharge and ambulatory/outpatient procedure dataset of records for children with an asthma diagnosis. The data will be used to analyze the asthma hospitalization data to augment the statistical and cartographic analysis of asthma prevalence data by county currently underway. The data will be analyzed to determine the rate of asthma hospitalization (inpatient and outpatient) for all Pennsylvania counties and to: 1) determine temporal changes across the years; 2) determine the spatial changes that have occurred across counties; 3) determine if there are gender or racial distinctions, or both, across counties; and 4) determine the cost of the asthma burden. Lancaster General Health—Michael C. Boblitz Standard Statewide second quarter 2011 through first quarter 2012 ambulatory/outpatient procedure datasets. The data will be used to understand demand and utilization for ambulatory surgery in Pennsylvania. Lehigh University—Shin-Yi Chou A standard Statewide 1990 through 2011 inpatient discharge dataset. The data will be used for research using advanced econometrics methods to address relevant health policy questions. The goal is to examine the access, quality and cost of health care in Pennsylvania to achieve fair, effective and efficient health care delivery as major health care reforms are undertaken. Specific aims are to explore the effects of hospital market structure, technology and health policies on access, quality and costs. Lehigh Valley Health Network—Stephen L. Christopoulos A standard Statewide second quarter 2011 and first quarter 2012 inpatient discharge dataset to be used for service area analysis, product line trends and analysis, competitive analysis, and incident rate comparison and trends for program development. Maryland Department of Health and Mental Hygiene—Cheryl De Pinto A custom 2010 inpatient discharge dataset of records of Maryland residents hospitalized in Pennsylvania. The data will be 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. Data will be aggregated and reported by demographics, diagnosis and procedure. Meadville Medical Center—Denise A. Johnson, MD A custom 2009 through third quarter 2011 inpatient discharge and ambulatory/outpatient procedure regional data report on the volume trends of in hospital coronary interventions performed to be used to evaluate the interventional cardiology program and project future needs. Memorial Medical Center—Carrie Arcurio Standard Statewide second quarter 2011 through first quarter 2012 inpatient discharge datasets to be used to internally evaluate Memorial Medical Center's and its competitors' performance and future opportunities. The data will be used to illustrate current market share and enhance various other planning tools such as budgets and 5-year plans. Mid-Atlantic Health Care—Michael Mahon A standard regional 2011 inpatient discharge dataset for Regions 8 and 9. The data will be used to assess the utilization of nursing homes in the market and discover if there are unmet care needs for seniors. O'Conco Healthcare Consultants—Paul L. Chiafullo A custom 2010 inpatient discharge dataset of all patient records for New Jersey residents to be used to develop summary reports for its clients including utilization rates, market share and benchmark comparisons of clinical, cost and revenue information. The data will also be included in a web-based report generation tool, ''Primary Analysis,'' which allows clients to create reports using nonconfidential data. Penn State College of Medicine—Kristen Kjerulff A modification to a previous data request for additional custom data: first and second quarter 2011 inpatient discharge dataset of mother and newborn hospital records linked with the Department of Health birth certificate data of participants enrolled in ''The First Baby Study'' who delivered during 2011. The primary purpose of the study is to investigate the effects of mode of first delivery (vaginal vs. cesarean) on subsequent childbearing over a 5-year period. Penn State College of Medicine—Robert Gabbay, MD, PhD This request is for a custom second quarter 2010 through fourth quarter 2010 inpatient discharge and ambulatory/outpatient dataset of records based on a cohort file of the study population to be used for research purposes to analyze cost effectiveness of intervention in patients with diabetes. Pennsylvania Department of Health—Carol Thornton, MPA A custom 2011 inpatient discharge dataset of Statewide records to be used to prepare injury reports: 1) Injuries in Pennsylvania, Hospital Discharge—annual age-specific report of injury data by mechanism; 2) Injuries in Pennsylvania County Profiles—annual report containing State, regional and county data; 3) Injury-Specific Monographs—provides data on specific injury topics; and 4) Injury-Specific Fact Sheets—contain data on specific injuries, identifying risk factor and high-risk groups. Pennsylvania Department of Health—James N. Logue, Dr. PH, MPH A custom 2000 through 2011 inpatient discharge data report of acute myocardial infarction, asthma, carbon monoxide poisoning and heat stress related cases with ethnicity indicators by age group, county, gender and race to be used in the National Environmental Public Health Tracking Network. The data will be provided to the CDC to be used with other health outcomes data, exposure and bio-monitoring data, and environmental hazards and environmental monitoring data to be displayed in aggregate form on the CDC's public portal. Data will be analyzed to provide valid scientific information on environmental exposure and adverse risk of health conditions. Pennsylvania Department of Health—Marina O. Matthew A custom 2010 inpatient discharge data report of heart failure, nonfatal traumatic brain injuries, nonfatal spinal cord injuries, hip fractures, asthma or obstetric cases by age and race for each year. The data will be used as a part of a series of the Department of Health web pages containing state and local data that correspond to the Healthy People 2020 topics/objectives, as developed by the CDC. Pennsylvania Department of Health—Vadim Drobin A custom 2011 inpatient discharge and ambulatory/outpatient procedure dataset of records of patients with a primary diagnosis of asthma. The Department of Health's Asthma Control Program will use the data to analyze morbidity for asthma risk education and prevention programs. The Asthma Control Program will provide the public and Pennsylvania Asthma Partnership, including healthcare providers, with asthma hospitalization data through press releases, conferences, presentations, asthma burden reports, focus reports and asthma fact sheets. Pennsylvania Department of Health—Zhen-qiang Ma A custom 2000 through 2011 inpatient discharge and ambulatory/outpatient procedure Statewide dataset with derived data fields (number of days between admissions and number of days to death) and 365-day readmission indicators, linked with Department of Health 2000 through 2010 death data and cancer registry data. The data will be used for the Chronic Disease Burden report, infectious disease hospitalization report and associated risk factor analysis. Pennsylvania Department of Public Welfare—Jolene H. Calla, Esq. A custom 2009 through 2011 financial data report of net patient revenue by hospital to be used for the Statewide hospital quality of care assessment program and the hospital assessment program for certain hospitals in Philadelphia County. A custom third quarter 2009 through second quarter 2010 inpatient discharge dataset of verified self-pay records and 2008 through 2010 financial data report of a 3-year average percent of uncompensated care. The data will be used to compute payments to hospitals for the Hospital Uncompensated Care and Extraordinary Expense programs established under the Tobacco Settlement Act of 2001. A custom third quarter 2009 through second quarter 2010 inpatient discharge dataset of records with an MDC 14 or 15 from general acute care hospitals. The data will be used to calculate payments to hospitals for obstetrical and neonate services. Pennsylvania Department of the Auditor General—Jo Anne Walchak A custom third quarter 2009 through second quarter 2010 inpatient discharge dataset of verified self-pay records and 2008 through 2010 financial data report of a 3-year average percent of uncompensated care. The data will be used to audit hospitals that received tobacco funds in 2012 from the Department of Public Welfare, which used Council data as part of their formula to compute payments to hospitals for the Uncompensated Care and Extraordinary Expense Programs established under the Tobacco Settlement Act of 2001. Pennsylvania Office of Attorney General—Tracy W. Wertz Standard Statewide 2005 through 2007 ambulatory/outpatient procedure and outpatient revenue code detail datasets and second quarter 2011 through fourth quarter 2011 inpatient discharge, ambulatory/outpatient procedure, inpatient revenue and ambulatory/outpatient revenue code detail datasets, and 2011 financial data report. The Office of Attorney General will use this data in its review of hospital mergers to ensure compliance with antitrust laws. The data will also be used by the Federal Trade Commission for hospital merger investigations that are conducted jointly with the Office of Attorney General. Pennsylvania Patient Safety Authority—John Clarke A custom third quarter 2004 through second quarter 2011 inpatient discharge and ambulatory/outpatient procedure data report on the number of surgeries performed in the operating room by facility. This information will be used to normalize data related to wrong site and wrong side surgeries performed in Pennsylvania. A custom second quarter 2011 inpatient discharge and ambulatory/outpatient procedure data report of cases with ureteral stent procedures by facility. The data will be used to normalize data related to the number of reported adverse events associated with ureteral stent procedures in Pennsylvania. Pennsylvania Patient Safety Authority—William Marella A custom 2005 through 2011 financial data report of net patient revenue by year to be used to calculate adjusted patient days, a metric based on a combination of patient days and inpatient/outpatient revenues, which will be used for calculating fall rates. Philadelphia Department of Public Health—Giridhar Mallya Standard regional 2010 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 8 and 9. The data will be used for estimation of the geographic distribution, temporal trends, rates and costs of hospitalization for specific conditions (diabetes, asthma, and the like). Other areas to be examined include: diabetes complications, disparities in hospital outcomes, violence-related injuries, trends in HIV/AIDS inpatient/outpatient utilization, high-risk pregnancies, obstetrical service issues, infectious diseases, influenza and pelvic inflammatory disease. Pittsburgh Regional Health Care Initiative—Colleen Vrbin A custom 2007 through 2010 inpatient discharge dataset with derived data fields (number of days between admissions, episodes and charge per day) and indicators (diagnoses, complications and infections) of cases with an in-hospital death or discharge to hospice during 2010 with their preceding hospitalization records since 2007. The data will be used to understand hospitalization patterns for patients at the end of life in an effort to improve healthcare safety and quality. A custom fourth quarter 2008 through first quarter 2011 inpatient discharge dataset with derived data fields (number of days between admissions, episodes and charge per day) and indicators (diagnoses, complications and infections) of hospitalizations in Region 1 or Lawrence, Somerset and Indiana Counties. The data will be used to study hospital readmission rates for chronic diseases in an effort to improve health care safety and quality, and to help plan initiatives for improving health care in the Southwestern Pennsylvania region. Press Ganey Associates, Inc.—Jim Strunk A standard Statewide 2010 inpatient discharge dataset. The data will be used in health care benchmarking reporting packages and studies. Additionally, information from Medicare Cost reports, internally created RAMI and RACI processes, AHRQ indicators, geo-spatial information and various other sources will be used in conjunction with this data to develop hospital-based metrics for clinical, operating and financial metrics. Only aggregate information will be displayed. Service Employees International Union—Robb Streicher A standard Statewide 2010 inpatient discharge and ambulatory/outpatient dataset. The data will be used to assess the delivery of services in terms of access, cost and quality of care and impact of delivery of services in multiple settings. The Service Employees International Union wants to understand the sources of variation in these aspects of health care provisions to ensure beneficiaries receive the right care, at the right time, in the right setting and to reduce unwanted variations in health care delivery that ultimately lead to cost savings through the elimination of under-use of effective care and over-utilization of supply-sensitive care. SG-2, LLC—Tracy Pfeiffer and Jeffrey B. Ridge Standard Statewide 2011 through first quarter 2012 inpatient discharge datasets. The data will be used to support client hospitals' short and long-term operational and strategic planning efforts. The data will be calculated into market share reports by clinical area and geography. Products developed from the data reflect summary level analytics to provide clients with the ability to project and meet future demands by determining appropriate allocation of resources and improve the quality of health care within their communities. Surgical Specialty Center of Northeastern Pennsylvania—Julie Bingham A custom 2011 ambulatory/outpatient procedure data report of the number of YAG laser procedures and all procedures performed at freestanding ASCs by facility and payer to be used internally as an analytical tool. Susquehanna Health—Susan Browning Standard Statewide 2008 through 2010 inpatient discharge dataset to be analyzed by Healthy Communities Institute to produce a web based platform report focused on asthma, alcohol abuse, congestive heart failure, COPD, dehydration, diabetes, hepatitis, urinary tract infection and pneumonia cases. The reported analysis will be used by Susquehanna Health, Jersey Shore Hospital and Laurel Health System as part of their Community Health Needs Assessment, which is a Patient Protection and Affordable Care Act (PPACA) mandate for nonprofit hospitals. As part of the PPACA, the data results will be reported in aggregate form on all three hospitals' websites. The information will help determine which populations need help and/or the diseases that the facilities treated at a higher rate than the State or National average. Susquehanna Health—Teia Engel Standard regional third quarter 2010 through third quarter 2011 inpatient discharge dataset for Regions 4 and 6. The data will be loaded into Susquehanna Health's Customer Relationship Management database, which primarily will use this information to report market share and trend information for Susquehanna Health. Temple University Health System—Christopher Snyder Standard Statewide 2010 inpatient revenue code detail dataset. The data will be used, in part, for Temple University Health System's application to the CMS bundled payment initiative. The analysis of the data will be performed by Applied Medical Software for Temple University Health System's Performance Based Incentive System. The data will be combined with patient-specific data for assigning APR DRGs and calculating costs by using Medicare's ratio of costs to charges. The data will be aggregated by APR DRG to establish a norm that will be compared to actual cost. Temple University Pulmonary & Critical Care—Jerry Criner, MD A modification for additional calculations to a previous custom request of 1990 through 2009 inpatient discharge dataset of COPD cases and 1-year readmission records with derived data fields (number of days between admissions and number of days to death) and indicator fields (respiratory, critical care unit, and intensive care unit) linked with the Department of Health 1990 through 2009 mortality data. The data will be used to study: 1) the epidemiological changes in acute COPD exacerbations over the last 20 years in Pennsylvania and the cost of inpatient COPD treatment in the State; and 2) how readmission rate and all-cause and COPD-specific mortality is affected by: rural vs. urban location, impact of gender and age, zip codes as surrogates of air quality and socioeconomic status, all-cause and COPD-specific mortality, readmission rates, hospitalization duration and academic teaching vs. community hospital. Thomas Jefferson University—Albert G. Crawford, PhD Standard regional 2004 through second quarter 2011 inpatient discharge dataset for Regions 8 and 9. The data will be used for research on: 1) the degree to which recent, post-legislation decreases in AMI hospitalization rates are associated with, and possibly attributable to, workplace smoking ban legislation; and 2) whether recent reductions in AMI hospitalization rates have been accompanied by similar reductions in hospitalization for other chronic conditions (coronary artery disease, congestive heart failure, asthma and COPD) caused or exacerbated, or both, by smoking and second-hand smoke exposure. The findings will be submitted for publication in a peer-reviewed journal and a similar final report will be provided to the Philadelphia Department of Public Health. Treo Solutions—Horen Boyagian Standard Statewide 2010 inpatient discharge and inpatient revenue code detail datasets. The data will be used by Treo Solutions to conduct analysis for existing and new clients including providers, payers and State agencies. The data can serve as a foundation for quality improvement efforts and build upon other published information which detail financial or clinical performance. The data will be grouped into weight adjusted categories and assigned APR-DRG. The assigned categories and associated volumes will be used to analyze market share, hospital clinical cost and performance for clients in Pennsylvania and surrounding areas. Truven Health Analytics—Katherine Blumhardt Standard Statewide second quarter 2011 through second quarter 2012 inpatient discharge and ambulatory/outpatient procedure datasets to be used to be processed, standardized and distributed to their clients through decision tools, benchmark databases, research, custom studies and other associated products. United States Department of Commerce Bureau of Economic Analysis—Abe Dunn A standard Statewide 2002 through 2008 inpatient discharge dataset and regional 2004 through 2008 ambulatory/outpatient procedure dataset for Regions 1, 2 and 3. The client will use the data to study the value of health care networks and measure the economic impact of contracting with local hospitals on the cost of entering the local health insurance market. This study will help in understanding the drivers in the growth of health care costs and measure health care quality. The study will be shared through academic publications, working paper series and academic conferences. United States Environmental Protection Agency—Zachary Parker Standard Statewide 2008 through 2010 inpatient discharge dataset to be used to calculate incidence rates so that the United States Environmental Protection Agency can conduct research of risk assessment on the health impact of air pollution. University of Pennsylvania—Amy Tsou A custom 1999 through 2009 inpatient discharge dataset with derived data fields (number of days between admissions) and indicators (index, transfer and diagnoses) of cardiac arrest and/or acute myocardial infarction cases to be used to investigate the incidence and outcomes of inter-facility transfers for myoclonic epilepsy after cardiac arrest. University of Pennsylvania—Shreya Kangovi A custom second quarter 2011 through fourth quarter 2011 inpatient discharge dataset of patients enrolled in the Patient-Centered Transition (PaCT) project with 90-day readmission records through first quarter 2012 with derived data fields (number of days between admissions) and index indicator. The data will be used to evaluate the program that is designed to help uninsured and Medicaid patients with the challenges of being discharged from a hospital. The PaCT Project is a randomized controlled trial of an intervention in which community health workers provide social support, advocacy, and navigation to low-income patients during the transition from hospital to primary care. University of Pennsylvania Medical Center—Patrick F. Fogarty, MD A standard Statewide 2007 through 2011 inpatient discharge dataset to be used for research purposes. The data will be analyzed by looking at different comorbidities among persons with congenital bleeding disorders. Insights from the analysis will assist clinicians in counseling their patients with congenital disorders of hemostasis, provide a basis for prospective studies and advance preventive health care efforts. University of Pennsylvania School of Nursing—Rachel Kelz Standard Statewide 2005 through 2011 inpatient discharge dataset. The data will be used to: 1) evaluate outcomes for women undergoing lower extremity bypass (LEB) surgery for peripheral vascular disease (PVD) when compared to male patients; and 2) identify hospital characteristics associated with optimal patient outcomes for women undergoing LEB for PVD. The findings from this analysis may result in publications, collaborations and grant proposals to address gender-relevant interventions that show promise to improve the delivery of surgical care for women. University of Pittsburgh—Allan Tsung, MD A custom 2006 through 2011 inpatient discharge dataset with derived data fields (number of days to events of services) of patients diagnosed with specified diagnoses, linked with 2006 through 2011 Department of Health's cancer registry data. The data will be used to complete an NIH-funded and University of Pittsburgh IRB-approved research study ''Rates of Surgical Intervention for Intrahepatic Cancers Based on Distance to High Volume Center.'' The study will investigate the rates of surgical intervention for inpatients with intrahepatic cancers seen in Pennsylvania hospitals based on the distance between their homes and the hospital. University of Pittsburgh Medical Center—Mathew Michaels A standard Statewide second quarter 2011 through second quarter 2012 inpatient discharge and ambulatory/outpatient procedure dataset to be used to produce various research reports including: patient origin for UPMC hospitals, UPMC market share in various geographies and for various service lines, utilization trends in volume and market share over different time periods, and physician volumes at UPMC and other hospitals. University of Pittsburgh School of Medicine—Margaret Ragni A custom 2007 through 2011 inpatient discharge dataset of pregnancy-related records with derived data fields (number of days between admissions and death) and disease indicators linked with 2007-2011 Department of Health mortality and birth certificate data. The data will be used to estimate the incidence and prevalence of postpartum hemorrhage among deliveries in women with and without Von Willebrand disease, other bleeding disorders and sickle cell disease. Deliveries will be compared by demographics, comorbidities, medical conditions, pregnancy complications, pregnancy outcomes, hemostatic agents, uterotonic agents, severity of illness (if available), length of stay and mortality. The incidence, prevalence and risk factors for pulmonary embolism (PE) among sickle cell disease deliveries will be estimated. Admissions during pregnancy, during delivery and during the postpartum period will be determined for the various conditions. University of Pittsburgh School of Medicine—Steven L. Orebaugh, MD A custom 2001 through second quarter 2011 ambulatory/outpatient procedure dataset of readmission data for patients who underwent ambulatory shoulder surgery at UPMC Mercy South Side Surgery Center and were readmitted within 5 days of surgery with the number of days between admission. The client is conducting a retrospective research study to evaluate and report the safety aspects of their anesthesia techniques for ambulatory shoulder surgeries. University of Pittsburgh, Department of Medicine—Mark S. Roberts, MD, MPP A modification to previous requests for a custom 2008 through first quarter 2011 inpatient discharge dataset of readmission records with number of days between admissions of patients who were diagnosed with a positive CT-scan for PE at a UPMC facility during 2008. The data will be used to evaluate the diagnostic performance of new CT-derived biomarkers of PE to assess whether they improve prediction of prognosis in acute PE. The data will be used to determine readmission rates and recurrent rates of thromboembolic disease for the cohort of patients with PE. Wayne Memorial Hospital—Dave Hoff Custom 2009 through first quarter 2011 inpatient discharge data reports of records of patients from specified zip codes by hospital and DRG to be used for market share analysis. WellSpan Health—David Kimpel A standard regional 2011 inpatient discharge and ambulatory/outpatient procedure dataset for Region 5. The data will be used for the internal assessment of the delivery of health care services within WellSpan Health's region. Service area utilization and analysis are the primary purposes for obtaining this data. Widener University—Sandra Campbell A custom 2010 inpatient discharge dataset of all patients with total hip arthroplasties and/or total knee arthroplasties procedures. The data will be used to continue a study on the impact of the Medicare 75% rule for patients with total joint arthroplasty, as part of a dissertation. An updated analysis will be performed on the discharge patterns after total joint arthroplasty to be shared in peer-reviewed forums, state or National conferences and publications. Windber Medical Center—Cynthia L. Cassat A custom third quarter 2008 through second quarter 2011 inpatient discharge data report of records of patients who reside in Somerset and Cambria Counties by DRG. The data will be used by Strategy Solutions, under contract with Windber Medical Center, to complete Windber's Comprehensive Community Needs Assessment which will identify the needs of residents living in Somerset and Cambria Counties. JOE MARTIN,
Executive Director
[Pa.B. Doc. No. 13-428. Filed for public inspection March 8, 2013, 9:00 a.m.]
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