NOTICES
HEALTH CARE COST CONTAINMENT COUNCIL
Special Reports and Requests for Data
[44 Pa.B. 1528]
[Saturday, March 15, 2014]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 2013. 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'' then ''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 2012 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.
Aria Health—Sam Dilanni
A custom 2011 and 2012 ambulatory/outpatient procedure data report of cases with cardiac catheterization procedures or cardiovascular therapeutic procedures within specific zip codes reported by procedure and hospital to be used for a community needs review.
AtlantiCare Regional Medical Center—Rosemary Nuzzo
Standard regional 2012 inpatient discharge datasets for Regions 8 and 9. O'Conco Healthcare Consultants will be reading and analyzing the data, adding select data elements and will provide the modified data to AtlantiCare Regional Medical Center to use in comparing themselves to peer hospitals.
Bucknell University—Amy Wolaver
A standard Statewide 2012 inpatient discharge dataset to link with other publicly available data that will be used for health policy research and education purposes by faculty to identify factors affecting inpatient discharges and health outcomes and by students for classroom activities. The students may create descriptive statistics and perform multivariate analyses as part of constructed exercises. Aggregated data results may be published on the web or used in classes through GIS (map) applications.
Community Health Systems—Debbie Landers
Standard Statewide 2012 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 17 facilities: Berwick Hospital, Brandywine Hospital, Easton Hospital, Jennersville Regional Hospital, Pottstown Memorial Hospital, Lock Haven 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, Regional Hospital of Scranton, Memorial Hospital York and First Hospital.
Coordinated Health—Amy Nyberg
Standard Statewide 2008 through first quarter 2013 inpatient discharge and ambulatory/outpatient procedure datasets. The data will be used for internal analysis of utilization, patient origin and destination to understand trends over time.
CRA International—Elizabeth Wang
A standard regional 2006 and 2007 inpatient discharge dataset for Region 9. The data will be used to study patient travel patterns from Philadelphia hospitals for litigation purposes.
DataBay Resources—Steve Sekely
Standard Statewide third quarter 2012 through first quarter 2013 inpatient discharge, ambulatory/outpatient procedure, and inpatient and 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.
Falk Foundation—Kerry J. O'Donnell
Custom 2000 through second quarter 2012 inpatient discharge and ambulatory/outpatient procedure datasets of Commonwealth children 18 years of age and younger and all ages treated for firearm related injuries. The data will be used to understand how many are injured by firearms to inform an education campaign on gun safety. The information will be distributed through brochures and a web site and provided to pediatricians, healthcare workers and social service agencies, among others.
Global Lower Extremity Amputation Study Group—Ronald Renzi
A custom 2012 inpatient discharge dataset of patients residing in Philadelphia, Bucks, Chester, Delaware and Montgomery Counties who had amputations during 2012 with the patient's previous 2010 to 2012 inpatient discharge records that were associated as an amputation prevention procedure. The data will be used to determine the number of lower extremity amputations in Southeastern Pennsylvania.
Good Shepherd Rehabilitation Hospital—John Grencer
Standard regional and facility 2012 inpatient discharge datasets for Regions 5—9 and Geisinger Medical Center/Danville to be used for internal analysis of Good Shepherd Rehabilitation Hospital's services.
Green Tree Community Health Foundation—Susan Hansen
A standard facility third quarter 2011 through second quarter 2012 inpatient discharge dataset for Chestnut Hill Hospital. As part of the Foundation's mission to improve the health and wellbeing of the communities, the data will be used for updating a community needs assessment. Specifically, the data will be used to determine which zip codes compose 75% of the current hospital's inpatient discharges and compare it to the hospital's primary service area during 2003.
HCR ManorCare—Kenneth Kang
A standard Statewide third quarter 2011 through first quarter 2013 inpatient discharge dataset to be used to assess the needs of residents in HCR ManorCare's skilled nursing facility locations across this Commonwealth.
Health Management Associates—Martha Crombie
Standard Statewide 2011 through third quarter 2012 inpatient discharge, ambulatory/outpatient procedure and inpatient and outpatient revenue code detail datasets to be used for hospital strategic planning.
Hospital and Healthsystem Association of Pennsylvania—Martin Ciccocioppo
A standard Statewide third quarter 2012 through first quarter 2013 inpatient discharge dataset. The data will be used to conduct ongoing monitoring of Statewide, regional and hospital-specific quality outcomes, primarily utilizing Agency for Healthcare Research and Quality (AHRQ) quality indicators. Hospital and 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 web site.
A custom modified 3-month quarterly (December 1, 2009, to February 28, 2013) inpatient discharge readmission analysis data report of hospitals' 30-day readmission rates for any reason on chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF) conditions, as well as on all discharges. The data will be used to provide Centers for Medicare and Medicaid Services (CMS) with pre-Hospital Engagement Network (HEN) rates of admission. CMS requested aggregate HEN readmission data for three groups of hospitals: 1) all hospitals; 2) hospitals participating in any of the PA-HEN projects; and 3) hospitals participating in the PA-HEN preventable readmissions project. The PA-HEN staff is interested in knowing hospital-specific rates 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 2012 and restated 2011 financial data reports to be used to conduct ongoing monitoring of Statewide, regional and hospital-specific finances and policy impact analysis. The reports will be shared with the American Hospital Association (AHA) for AHA to better understand hospital financial and utilization data by payer for hospitals that do not respond to the AHA Annual Hospital Survey. HAP and AHA will only use the financial data for internal policy analysis.
IMS Health—Ed Burleigh
Standard Statewide 2012 inpatient discharge and ambulatory/outpatient procedure datasets. The data will be used for validating IMS Health's hospital sample and National projections from its hospital discharge data. The Council data will be used as the ''gold standard'' to ensure reasonable projections to the National level. IMS serves the pharmaceutical industry, consumer product companies and retailers with health care data and is a leading provider of real-time localized disease surveillance and modeling data. IMS's products and services provide strategic healthcare data used for disease modeling, market research and data consulting. IMS has numerous studies with government agencies such as the Food and Drug Administration and Centers for Disease Control and Prevention (CDC). The Commonwealth data allows IMS to come up with a sound universe count for various hospital-based diagnoses and procedures.
Ingenix/OptumInsight—Holli Boetcher
A standard Statewide 2011 inpatient discharge dataset to be used for two products: 1) consumer hospital quality reporting tool for health plans to provide to their members; and 2) reports for health care professionals. The reporting tool will provide consumers with hospital inpatient quality and efficiency information to help them make more informed decisions on where to seek care. Commonwealth data will be summarized by hospital and medical condition to provide information such as cost, length of stay, mortality, complications and volume. The reports for health care professionals will be benchmarking tools that analyze inpatient charges, volumes, lengths of stay and other measures by facility.
Intellimed—H.G. Koch
Standard Statewide third quarter 2010 through first quarter 2013 inpatient discharge, ambulatory/outpatient procedure and inpatient and outpatient revenue code detail datasets. The data will be used to manage cost and quality of health care delivery at the hospital level. The uses include healthcare business decision-making, statistics and individual data element analysis, service line analysis and performance, strategic planning, quality improvement and cost/charge reviews, among others. Intellimed intends to use these data for a variety of analysis, including reporting and ongoing tracking of clinical elements, analysis of utilization patterns and delivery of information from the data to hospital and health care system decision makers.
Jewish Healthcare Foundation—Jo Anne Glad
A custom third quarter 2010 through third quarter 2012 inpatient discharge dataset of cases with an HIV diagnosis with derived data fields (number of days between admissions). The data will be used for the Minority AIDS Initiative (a State of Pennsylvania project), which is to find ways to bring HIV-positive patients who have been ''lost to treatment'' back into care. The data will be used to explore the role of complications or infection in hospitalization as a predictor of readmissions, seasonal variation in admission rates for HIV-positive patients and readmission rates by payer and region.
Lancaster General Health—Michael C. Boblitz
A standard Statewide second quarter 2012 through first quarter 2013 ambulatory/outpatient procedure dataset to be used to understand demand and utilization for ambulatory surgery in this Commonwealth.
Lehigh University—Shin-Yi Chou
A standard Statewide 2012 and first quarter 2013 inpatient discharge dataset. The data will be used for AHRQ funded research using advanced econometric methods to address health policy relevant questions in this Commonwealth. The overarching goal is to examine the access, quality and costs of health care in this Commonwealth to achieve fair, effective and efficient health care deliveries as major health care reforms are undertaken. Specifically, the aims are to explore the effects of hospital structure, technology diffusion and health policies on access, quality and costs of health care.
Lehigh Valley Health Network—Stephen L. Chris- topoulos
A standard Statewide second quarter 2012 through first quarter 2013 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.
M Rosadini Consultants—Michael Rosadini
A custom 2009 through second quarter 2012 inpatient discharge data report for Chester County Hospital and Jennersville market areas of total cases by zip code and facility. The data will be used as part of an analysis of patient origin service area for Chester County Hospital as part of due diligence for the purchase of a medical office building by a venture capital firm.
Maryland Department of Health and Mental Hygiene—Elizabeth A. Young, MPH, CPH
A custom 2011 inpatient discharge dataset of Maryland residents that were hospitalized in this Commonwealth. 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 and other respiratory diseases, injury, births, heart disease and diabetes. Data will be aggregated and reported by gender, race, ethnicity, age, county of residence, diagnosis and procedure.
Memorial Medical Center—Carrie Arcurio
Standard Statewide second quarter 2012 through first quarter 2013 inpatient discharge and third quarter 2010 through first quarter 2013 ambulatory/outpatient procedure datasets. The data will be used to internally evaluate Memorial Medical Center's current performance, its competitors' performance and future opportunities. The data will be used to illustrate current market share and to enhance various other planning tools such as budgets and 5-year plans.
North Pointe Surgery Center—Melissa A. Weik, MHA, RN
Standard 2008 through 2012 regional inpatient discharge and ambulatory/outpatient procedure datasets for Regions 5 and 7 and Statewide inpatient and outpatient revenue code detail datasets. The data will be used internally by North Pointe Surgery Center and Orthopedic Associates of Lancaster (a sister company) to develop a feasibility study of expanding orthopedic and pain management services into Lebanon County. The data would be used to support a pro forma necessary to obtain financing for the project if the data shows that Lebanon is underserved by this specialty.
O'Conco Healthcare Consultants—Paul L. Chiafullo
A custom 2011 inpatient discharge dataset of New Jersey residents admitted to hospitals in this Commonwealth. The data will be merged with other states data and developed into summary reports on utilization rates, market share and benchmark comparisons of clinical, cost and revenue (charge) information for O'Conco's clients. The data will be included in a ''Primary Analysis,'' web-based report generation tool, which allows O'Conco's clients and employees to create summary reports using nonconfidential data.
Pennsylvania Department of Health—Carol Thornton, MPA
A custom 2012 inpatient discharge dataset of Statewide records to be used for injury reports: 1) Injuries in Pennsylvania, Hospital Discharge, annual reports of injury data by mechanism; 2) Injuries in Pennsylvania County Profiles, an annual report containing State, regional and county data; 3) Injury-Specific Monographs, which provide data on specific injury topics; and 4) Injury-Specific Fact Sheets, which contain data on specific injuries, identifying risk factors and high-risk groups.
Pennsylvania Department of Health—James N. Logue, PhD, MPH
A custom 2011 through 2012 inpatient discharge data report of asthma, acute myocardial infarction (AMI), carbon monoxide poisoning and heat stress related hospitalization 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 and analyzed to provide valid scientific information on environmental exposure and adverse risk of health conditions to drive actions that will improve the health in communities.
Pennsylvania Department of Health—Marina O. Matthew
A custom 2011 inpatient discharge data report of heart failure, nonfatal traumatic brain injuries, nonfatal spinal cord injuries, hip fractures, asthma or obstetric cases by age, gender and race. The data will be used as a part of a series of the Department of Health (Department) 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—Michael P. Waltz
A standard Statewide 2011 inpatient discharge dataset to be used to identify specific segments of the population at highest risk for diabetes and to assist in Statewide diabetes prevention planning and evaluation. The analysis of the data will be to support the goals of the Diabetes Prevention and Control Program, which are to reduce the burden of diabetes in this Commonwealth by preventing and controlling its complications. The Bureau of Health Statistics and Research will analyze the hospital data to provide surveillance data to the Diabetes Prevention and Control Program, to prepare county monographs and fact sheets, to create the biannual Burden of Diabetes in Pennsylvania report and to respond to requests for aggregate diabetes data at the local or State level.
Pennsylvania Department of Health—Vadim Drobin
A custom 2001 through 2012 inpatient discharge data report of cases admitted during 2001 through 2011 with AMI and asthma related conditions by year of admission, age and gender with population totals and rates per 10,000. The data will be part of the Pennsylvania Environmental Public Health Tracking Program (PA EPHT). The PA EPHT integrates and analyzes environmental exposure and adverse risk of health conditions to drive actions that improve the health of communities. Hospitalization in this Commonwealth and other data will be aggregately displayed through tables, graphs and maps on the Department's public portal web site.
A custom 2012 inpatient discharge and ambulatory/outpatient procedure dataset of patients with a primary diagnosis of asthma. The Department's Asthma Control Program will use the data to analyze morbidity data for asthma risk education and prevention programs. The interpretation will include analysis of length of stay, charges, general payment distribution among payers, admission types, seasonal and monthly distribution of asthma hospitalizations among different age groups, genders and races in this Commonwealth. 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. The Asthma Control Program will also send reports to the CDC.
Pennsylvania Department of Health—Zhen-qiang MA
A standard Statewide 1996 through 1999 and first and second quarter 2012 ambulatory/outpatient procedure dataset to be used to try to understand the relationship between colonoscopy/sigmoidoscopy and recent decreases in colon cancer incidence.
Pennsylvania Department of Public Welfare—Jolene H. Calla, Esq.
A custom 2011 financial data report of utilization, charge and net patient revenues by hospital to be used for the Statewide and Philadelphia hospital assessment programs.
A custom third quarter 2010 through second quarter 2011 inpatient discharge dataset of verified self-pay records and 2009 through 2011 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 2010 through second quarter 2012 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 2010 through second quarter 2011 inpatient discharge dataset of verified ''self-pay'' records and 2009 through 2011 financial data report of a 3-year average percent of uncompensated care. The data will be used for auditing hospitals that received tobacco funds in 2013 from the Department of Public Welfare, which used Council data 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 2012 inpatient discharge, ambu- latory/outpatient procedure, inpatient revenue and ambulatory/outpatient revenue code detail datasets and the financial data report. The Pennsylvania 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 Pennsylvania Office of Attorney General.
Penn State College of Medicine—Christopher S. Hollenbeak, PhD
A custom 2011 inpatient discharge dataset with derived data fields (number of days between admissions and readmission indicator) of Commonwealth adult resident cases from acute care hospitals and their associated 30-day readmission records (2011-Q12012). The data will be used for research to identify trends and determinants of readmission for hospitalized patients with diabetes and how these differ from hospitalized patients without diabetes. The goal of this study is to design an intervention to reduce hospital readmissions for those with diabetes.
Penn State Hershey Medical Center—Adam Spanier
A standard Statewide 2010 through 2011 inpatient discharge dataset. The data will be used to study associations of air pollution measures and traffic measures with health outcomes across this Commonwealth, particularly asthma hospitalizations. GIS methodology and public databases will be used to create exposure data to evaluate in association with the health outcome data.
Philadelphia Department of Public Health—Giridhar Mallya
Standard regional 2011 inpatient discharge datasets for Regions 8 and 9 to be used for estimation of the geographic distribution, temporal trends, rates and costs of hospitalization for specific conditions (diabetes, asthma, hypertension, cancer screening, and the like). Other areas to be examined include diabetes complications, disparities in hospital outcomes, violence-related injuries, trends in HIV/AIDS utilization, high-risk pregnancies, obstetrical service issues, infectious diseases, influenza and pelvic inflammatory disease.
Philadelphia Inquirer—Marie McCullough
Standard regional third quarter 2010 through second quarter 2012 inpatient discharge datasets for Regions 8 and 9 to be used for data analysis for various news reports.
Pittsburgh Regional Health Care Initiative—Keith T. Kanel, MD
A custom third quarter 2012 through fourth quarter 2012 inpatient discharge data report of 30-day age- and sex-adjusted readmission rates on AMI, COPD and CHF conditions by type of payer for six hospitals (Butler Memorial, Conemaugh Valley, Indiana Regional, Monon- gahela Valley, Sharon Regional and Uniontown) and for Western Pennsylvania. The data will be used to track changes in readmission rates that may be attributable to a multi-dimensional, Pittsburgh Regional Health Care Initiative intervention to improve care for patients with COPD, AMI and CHF in six Western Pennsylvania hospitals.
Princeton Healthcare System—Lisa Rymas
Standard regional 2010 through 2012 inpatient discharge datasets for Regions 8 and 9. The data will be loaded into Princeton Healthcare Systems' Customer Relationship Management and Planning and Forecasting database that is hosted and maintained by CPM Healthgrades. CPM Healthgrades will use the information to provide market share and trend information to Princeton Healthcare System.
Service Employees International Union—Robb Streicher
Standard Statewide 2011 inpatient discharge and ambulatory/outpatient procedure datasets. The data will be used for an ongoing project to assess the delivery of services in terms of access, cost, quality and impact of delivery of services in multiple settings. The data will be used to try to understand the sources of variation in these four aspects of health care provision to ensure beneficiaries receive the right care, at the right time, in the right setting, which will reduce unwanted variation in health care delivery and ultimately lead to cost savings through the elimination of underuse of effective care and the over-utilization of supply-sensitive care.
SG-2, LLC—Tracy Pfeiffer
A standard Statewide 2010 and second quarter 2012 through first quarter 2013 inpatient discharge dataset. The data will be used to support their client hospitals' short- and long-term operational and strategic planning efforts. Specifically, the data will be used to develop 10-year health care services demand forecasts by clinical area and geography, allowing SG-2's hospital clients to do the following on a web-based portal: project and meet future demands by determining the appropriate allocation of resources and improve the availability and quality of health care in the communities served.
Stevens & Lee—Harriet Franklin
A custom second quarter 2012 through first quarter 2013 inpatient discharge data report of patient records from hospitals located in Philadelphia, Montgomery, Bucks, Chester and Delaware Counties. The data will be used to analyze certain service areas for hospitals in and around the Philadelphia area in connection with certain joint venture opportunities.
Summit Health—Barbara Constable
A custom 2012 ambulatory/outpatient procedure dataset of specific patient zip codes to be used internally for strategic planning purposes.
Three custom 2012 inpatient discharge data reports of patient records from specified zip codes with percent of the market by hospital and service area for: 1) all services lines; 2) all service lines except rehabilitation; and 3) by service lines defined by diagnosis-related group (DRG). The market share reports will be used internally for strategic planning purposes.
Susquehanna Health System—Brian Engel
Standard regional 2009 through 2012 inpatient discharge and 2010 through 2012 ambulatory/outpatient procedure datasets for Region 2, 2012 inpatient discharge and ambulatory/outpatient procedure datasets for Region 5, and fourth quarter 2011 through 2012 inpatient discharge and 2010 through 2012 ambulatory/outpatient procedure datasets for Regions 4 and 6. The information will be provided to CPM Marketing Group to be loaded into a Customer Relationship Management database that CPM hosts and maintains on behalf of Susquehanna Health. CPM will use the information for reporting market share and trend analysis to Susquehanna Health, which is exploring entering into other areas.
Susquehanna Health System—Susan Browning
A standard Statewide 2011 and 2012 inpatient discharge dataset to be used as part of Susquehanna Health System's ongoing Community Health Needs Assessment process and reporting. The data will be analyzed by Healthy Communities Institute to produce a web based platform report focused on asthma, alcohol abuse, CHF, COPD, dehydration, diabetes, hepatitis, urinary tract infection and pneumonia cases. The analysis will be used by Susquehanna Health 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 the hospitals web sites. The information will help determine what populations need help and/or the diseases that the facilities treated at a higher rate than the State or National average.
The Erie Community Foundation—Michael Batch- elor
Custom 2011 and 2012 inpatient discharge and ambulatory/outpatient procedure datasets for patients from specified zip codes in Erie County with an emergency room visit indicator. The data will be used for a primary care capacity and demand study, which may be used to guide future primary care access and quality initiatives. Erie Community Foundation has contracted with John Snow, Inc. to analyze the data to evaluate the extent to which inadequate primary care capacity had resulted in admissions for ambulatory care sensitivity conditions. This includes inappropriate use of the emergency department for primary care treatable conditions and inpatient admissions for potentially preventable conditions that could have been averted with appropriate and adequate primary care. The results will be presented at zip code and county level in PowerPoint slides and a final report given to the Foundation and will be shared with a group of community providers and stakeholders at a community forum.
The Trustees of the University of Pennsylvania—Hansie Mathelier, MD
A custom 2005 through third quarter 2012 inpatient discharge dataset of patients with heart failure admissions at the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center or Pennsylvania Hospital and their associated pre- and post-records from any hospital with derived data fields (number of days between admissions and number of records per individual). These data will be used to develop models to categorize patients who are at risk for readmission post-discharge for a retrospective study to identify patient factors associated with hospital readmission among patients who had a heart failure admission during July 2005 and July 2012 at one of the Pennsylvania Health System hospitals. This study is to explore predictors of readmission, time to rehospitalization and etiology.
The Washington Post—Peter Whoriskey
Standard facility 2011 ambulatory/outpatient procedure datasets for ten ambulatory surgery centers: Schuylkill Endoscopy Center, Endoscopy Center of Bucks County, South Hills Endoscopy Center, Southwestern Endoscopy Center, Scranton Endoscopy Center, Twin Rivers Endoscopy Center, West Shore Endoscopy Center, LLC, West Chester Endoscopy Center, Lancaster Gastroenterology Procedure Center and Three Rivers Endoscopy Center. The data will be used to determine the most common procedures performed at ambulatory surgery centers for a story on the pricing of doctor fees under Medicare rules.
Treo Solutions—Horen Boyagian
Standard Statewide 2011 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 all patient refined DRG. The assigned categories and associated volumes will be used to analyze market share, hospital clinical cost and performance for clients in this Commonwealth and surrounding areas.
Truven Health Analytics—Katherine Blumhardt
Standard Statewide third quarter 2012 through first quarter 2013 inpatient discharge and ambulatory/outpatient procedure datasets to process, standardize and distribute the data to clients through decision tools, benchmark databases, research, custom studies and other associated products.
University of Pennsylvania—Said A. Ibrahim, MD, MPH
A third quarter 2001 through second quarter 2012 standard Statewide inpatient revenue code detail dataset and custom inpatient discharge dataset of hip and knee replacement cases with readmission records and derived data fields (number of days to date of death, number of days to date of primary procedure, number of days to date of discharge, number of days between admissions, number of days to knee revision and number of days to hip revision) and indicators (a hip or knee replacement, a knee replacement and a knee revision were performed during the same hospitalization, both a hip replacement and a hip revision were performed during the same hospitalization, type of match performed between hospitalization data and mortality data, death was within 30 days, death was within 1-year, readmission was within 7 days and readmission was within 30 days) linked with Department mortality data. The data will be used to investigate racial variations in the receipt of post-acute care and rehabilitation services following elective total knee and/or hip replacement for a study, Race and Rehabilitation Services After Joint Replacement: Access and Outcomes.
University of Pennsylvania—Shreya Kangovi
A custom fourth quarter 2011 through 2012 inpatient discharge dataset of patients enrolled in the Patient-Centered Transition (PaCT) project with 90-day readmission records through first quarter 2013 with a derived data field (number of days between admissions). 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—Steven C. Marcus
A custom second quarter 2009 through first quarter 2010 inpatient discharge dataset sample of records with record identification fields provided to each participating hospital (original data source) in the Pennsylvania Inpatient Psychiatry Patient Safety study. These data combined with medical chart reviewed data and surveyed data will be used as part of a research study on patient safety events in inpatient psychiatry. Patient, provider and unit/hospital characteristics will be collected to identify, assess and understand the mechanisms contributing to the association with patient safety events: medical errors and adverse events resulting from clinical care.
University of Pennsylvania—School of Medicine—Austin Kilaru
Standard Statewide 2011 inpatient discharge and inpatient revenue code detail datasets. The data will be used for a research study on a population-based approach to planning and evaluating emergency care systems with the following goals: 1) to create geographic models of health care utilization for unplanned critical illness in this Commonwealth, to create catchment areas for individual hospitals and compare them to existing geographic units typically used in health care research. Catchment areas will be disease-specific, enabling them to determine differences in patterns of geographic utilization for emergent and elective illness; 2) to identify natural clusters of emergency departments that could potentially serve as networks to care for unplanned critical illness, using our geographic utilization for emergent and elective catchment areas; and 3) to examine variability in outcomes (mortality) between the different geographic region as created in their modeling. The client hopes to use the data to build geographic models that will enable individual hospitals to cooperate in the construction of regionalized systems to care for unplanned critical illness. The results will be included in a manuscript as well as models that will be made available to hospitals, policymakers and the public for the purposes of planning and evaluating a system of emergency care.
University of Pennsylvania—School of Medicine—Meghan Lane-Fall
A custom 2009 through 2011 inpatient discharge dataset of patients undergoing coronary artery bypass graft surgery (CABG) or valve surgery with derived data fields (number of days to CABG or valve procedure, number of days in an intensive care unit (ICU)/coronary care unit (CCU)) and indicators (ICU, CCU and valid patient identifier) linked with Department mortality data. The data will be used for a study, ICU Staffing and Short-term Outcomes in Cardiothoracic Surgery Critical Care Patients. The data will be linked with survey response data from Commonwealth cardiac surgery ICUs about nurse and physician staffing to analyze the relationship between ICU staffing models and patient outcomes.
University of Pennsylvania School of Nursing—Jill Marie Vanak, PhD
A custom 1998 through January 31, 2000, and 2005 through January 31, 2007, inpatient discharge dataset of cases for eight specified cancer diagnoses with derived data fields (number of days to admission, procedure and death) and indicator (record sequence) linked with Department cancer registry data (1998—January 31, 2000, and 2005—January 31, 2007). The data will be used for a research project to evaluate the effect of changes in hospital nursing workforce on outcomes for surgical oncology patients. The data will be linked with data from the AHA's Annual Survey and Multi-State Nursing Care and Patient Safety survey to study in a longitudinal analysis, the effects of changes in nursing education, staffing and practice environment between 1999 and 2006, noting potential effects on patient outcomes, including 30-day mortality, failure to rescue and rate of infection.
University of Pittsburgh Medical Center—Jared Weinter
A custom 2007 and 2008 financial dataset of only University of Pittsburgh Medical Center (UPMC) facilities (original data source) financial data of their balance sheet, statement of operations and surveyed data. The data will be used to validate the final, detailed data published in the Council's 2007 and 2008 financial reports.
University of Pittsburgh Medical Center—Matthew W. Michaels
Standard Statewide third quarter 2012 through 2013 inpatient discharge and ambulatory/outpatient procedure datasets. The data will 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—Amber E. Barnato, MD, MPH, MS
A modification from a prior request to extend data for a custom second quarter 2001 through first quarter 2010 inpatient discharge dataset with derived data fields (number of days to admissions and number of days in an ICU or CCU) and indictors (type of ICU/CCU and type of match method), linked to Department mortality data. The data will be used to calculate overall, race-specific and condition-specific measures of end-of-life treatment intensity by acute care hospitals in this Commonwealth and to explore the relationship between end-of-life treatment intensity and post-admission outcomes. The data completes work initiated for a National Institute on Aging-funded study, ''Developing a Robust Measure of Hospital End-of-Life Treatment Intensity.''
Wayne Memorial Hospital—Dave Hoff
A custom 2010 through second quarter 2012 inpatient discharge data report based on patient origin zip codes reported by hospital, top 20 DRGs and Medicare. The data will be used for market share analysis.
WellSpan Health—David Kimpel
Standard regional 2012 inpatient discharge and ambulatory/outpatient procedure datasets for Region 5. The data will be used for service area utilization and analysis for the internal assessment of the delivery of health care services in Region 5.
JOE MARTIN,
Executive Director
[Pa.B. Doc. No. 14-559. Filed for public inspection March 14, 2014, 9:00 a.m.]
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