NOTICES
HEALTH CARE COST CONTAINMENT COUNCIL
Special Reports and Requests for Data
[50 Pa.B. 1474]
[Saturday, March 7, 2020]The Health Care Cost Containment Council (Council), according to the act of July 8, 1986 (P.L. 408, No. 89), as re-enacted and amended by the act of July 17, 2003 (P.L. 31, No. 14) and the act of June 10, 2009 (P.L. 10, No. 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 2019. 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 at www.phc4.org (select ''Services,'' then ''Data Requests''). Questions about procedures for obtaining access to Council data should be addressed to JoAnne Z. Nelson, Supervisor of Special Requests, 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—Carol Stocks, PhD, RN/William Freeman, PhD
Statewide second quarter 2018 through first quarter 2019 inpatient discharge and inpatient revenue code detail datasets and 2018 ambulatory/outpatient procedure and ambulatory/outpatient revenue code detail datasets with derived fields (number of days to admission, days to procedure and age). The data will be used in the Healthcare Cost and Utilization Project (HCUP), which uses the data for multiple databases, reports, 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.
Allegheny County Health Department—LuAnn Brink, PhD, MPH
Standard regional 2018 inpatient discharge dataset for Region 1 to be used for public health surveillance, research and targeted intervention purposes to help identify areas of Allegheny County with a higher risk of nonfatal injuries, including falls and motor vehicle crashes, and acute outcomes that may be associated with environmental quality, including asthma and cardiovascular events.
Allied Services—Rebecca Montross
Standard regional 2018 inpatient discharge dataset for Region 6 to be used to assess community needs for post-acute services with the hope of identifying underserved patient population for which programs and services may be strengthened or developed.
Atlantic Health—Don Dykstra
Standard Statewide 2017 inpatient discharge dataset, prepared by their consultant SG-2, to be used for standard planning and market analyses consistent with Atlantic Health's mission of designing and delivering high quality, innovative and personalized care to build healthier communities and improve lives for patients, consumers and caregivers.
Boston University School of Medicine—Amresh Hanchate, PhD
Modification to a prior request, for fourth quarter 2017 through 2018 Statewide custom inpatient discharge dataset of adult cases with derived fields (number of days to admission and emergency room indicator) and standard inpatient revenue code detail dataset. The data will be combined with other states' data, Census population data, the American Hospital Association Annual Survey Database, and Area Resource Files, Centers for Medicare & Medicaid Services (CMS) Medicare fee-for-service data and other data sources to be used for a study, National Estimates for Inpatient Care, Outcomes and Hospital Effect among Hispanics, which will develop a near-National inpatient database for Hispanic adults to characterize patterns of inpatient care usage, and the quality of the care they receive. Specifically, they will examine whether greater access barriers among Hispanics result in higher rates of admissions for ambulatory care sensitive conditions—hospitalizations considered to be preventable with access to timely ambulatory care and less use of referral-based inpatient surgeries.
Capital Health—Jeremye Cohen
Standard regional first through third quarter 2018 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 8 and 9 to be used for Capital Health's planning purposes for their health system to assist in determining public demand.
Community Health Systems—Tomi Galin
Standard Statewide 2018 inpatient discharge and ambulatory/outpatient procedure datasets to be used to understand Community Health Systems' communities specific health care needs, areas of underservice and with high risk for specific disease, defining health care demand to support planning and illustrate access issues to develop outreach programs or eliminate service. The data will be used to determine whether primary care services and appropriate access are satisfied within a defined market area.
Crozer Keystone Health System—Elizabeth Jaekle
Standard Statewide 2018 inpatient revenue dataset to be used to identify rehabilitation services as part of Crozer Keystone Health System's analytic market share analysis.
DLP Memorial Medical Center—Carrie Arcurio
Standard Statewide first and second quarter 2018 inpatient discharge dataset to be used internally to evaluate DLP Memorial Medical Center's current performance, competitor's performance and future opportunities. They will be able to illustrate current market share and to enhance various other planning tools such as budgets and 5-year plans.
Doylestown Hospital—Joseph Prinzi
Standard regional 2018 ambulatory/outpatient procedure dataset for Region 8, prepared by their consultant Intalere, to be produced into reports for Doylestown to review activity performed at Doylestown within specific surrounding market areas served and compare that activity to the services performed at other health care organizations within those market areas.
Drexel University—Anthony M. Esposito
Standard facility second quarter 2018 inpatient discharge dataset for Hahnemann University Hospital to be used to determine Hahnemann's primary service area for strategic planning purposes. Drexel is trying to establish other clinical relationships and open other locations for physician offices.
Evangelical Community Hospital—Nicole Lohr
A 2018 custom inpatient discharge dataset of Region 4 and 5 cases with derived data (number of days from prior discharge) and standard regional ambulatory/outpatient procedure dataset for Regions 4 and 5 to be used to conduct an internal study of Evangelical Community Hospital's market share and to gain a better understanding of the population it serves.
Excela Health—Allison Lutz
Standard Statewide second quarter 2018 through first quarter 2019 inpatient discharge, ambulatory/outpatient procedure, and inpatient and ambulatory/outpatient revenue code detail datasets, prepared by their consultants Intalere and Quantros, to be used to develop reports for Excela Health to examine State, county and hospitals inpatient and outpatient market share.
Geisinger Clinic—John (Jove) Graham
Standard Statewide 1990 through 2018 inpatient discharge datasets to be used for understanding and establishing validity of estimates for the impact of treatment and care delivery interventions on hospital admissions, readmissions and costs. The data may be combined with their electronic health records and claims databases for multiple ongoing studies and may be used in conjunction with Census data or CMS data. They plan to use the information to create age-adjusted estimates of mortality and other outcomes similar to National statistics to be able to make more specific statements about the generalizability and applicability of their results to other hospitals and hospital systems.
Geisinger Health System—Jennifer Goff
Standard Statewide fourth quarter 2015 through first quarter 2019 inpatient discharge and ambulatory/outpatient procedure datasets to be used for the following analysis: market demand, market share, patient origin, payer mix and distribution, patient demographics, diagnosis/procedure distribution, facility and physician profile and distribution and trend analysis.
Good Shepherd Rehab Network—Mike Bonner/Cindy Buchman
Standard regional second quarter 2018 through first quarter 2019 inpatient discharge datasets for Regions 4—9 and ambulatory/outpatient procedure datasets for Regions 7 and 8 to be used for internal analysis for Good Shepherd Rehab Network's services.
Health Economics Resource Center—Jean Yoon
A 2011 through 2017 standard Statewide inpatient revenue code detail dataset and financial data report, and custom inpatient discharge dataset with derived fields (number of days to admission) linked with a cohort file of Veterans Administration (VA) enrollees to be used for a research study, Veterans' Choice in Hospital Care, which will examine veterans' use of VA and non-VA care to understand the services used and preferences in patient experience, distance and quality among the hospital alternatives. These preferences for providers have significant implications for VA policies to provide for VA care and pay for non-VA care. They will examine changes in use of non-VA acute care after the Affordable Care Act (ACA) and Veterans Choice Program (VCP) were implemented in 2014, which the ACA created insurance exchanges and expansion of Medicaid programs (Pennsylvania expanded Medical Assistance) and the VCP expanded qualifying veterans' access to care in the community. The information will assist VA policy makers to improve cross-system coordination of care and to project long-term demand for VA inpatient services and other types of VA acute care.
Highmark Health—Shawn Calloway
Standard Statewide second quarter through fourth quarter 2018 inpatient discharge, ambulatory/outpatient procedure, and inpatient and ambulatory/outpatient revenue code detail datasets to be used for ongoing operational analysis and planning purposes. Highmark Health will perform analyses of hospitals and surgery centers in western and central Pennsylvania with respect to issues including service offerings, payer mix, patient travel patterns, facility service areas, provider market shares and trends; and analyses of hospital capacity and utilization, bed counts, revenues and costs, and trends. The analyses will relate to regulatory compliance and integrated health care delivery network and financing system efforts to evaluate hospital competition, further develop Allegheny Health Network and offer high-value insurance products.
Hospital & Healthsystem Association of Pennsylvania—Peter Nguyen
A second quarter 2018 through first quarter 2019 custom inpatient discharge readmission analysis data report, a custom Statewide inpatient discharge dataset with calculated fields (number of days from prior discharge) and a standard Statewide inpatient revenue code detail dataset. The Hospital & Healthsystem Association of Pennsylvania (HAP) will use the data to conduct ongoing monitoring of Statewide, regional and hospital-specific quality outcomes. HAP may, from time to time, release the aggregate results of its quality monitoring research for membership education. The readmission analysis data will be used for HAP's Hospital Improvement Innovation Network contract awarded by CMS, and future Network of Quality Improvement and Innovation work through CMS.
Hospital & Healthsystem Association of Pennsylvania—Sari Siegel, PhD
Standard Statewide 2018 and restated 2017 financial data report to be used by HAP to conduct ongoing monitoring of Statewide, regional and hospital-specific financial information and outcomes. HAP may, from time to time, release aggregate results of its monitoring research, and they intend to use analysis of the information for member research.
Indiana Regional Medical Center—Mark Richards
Standard regional 2018 inpatient discharge datasets for Region 3 to be used for analysis to conduct a market assessment for strategic planning.
Intalere—Bernice Murano/Richard Mackey
Standard Statewide second quarter 2018 through first quarter 2019 inpatient discharge, ambulatory/outpatient procedure, and inpatient and ambulatory/outpatient revenue code detail datasets will be combined with other health care data to be used to produce various aggregate report files distributed by Intalere's Navigate system (PC based) and NavigateNet system (Internet-based) that are offered as health care software products to its customers. The reports can be by product line, service area, hospital or health system, physician or physician group, or both, which can include but are not limited to market share, patient origin, use rates, charges, surgery detail, payer mix, patient demographics, diagnosis/procedure distribution, refinement, and the like.
International Business Machines Corporation (IBM)—Katherine Blumhardt
Standard Statewide second quarter 2018 through first quarter 2019 inpatient discharge and ambulatory/outpatient procedure datasets. IBM will process, standardize and distribute different types of data and statistical analyses to its clients (hospitals, health networks, government agencies, health care providers, payers, consultants, vendors, researchers, and the like) through proprietary decision tools, benchmark databases, research, custom studies and other associated products by Internet or PC/CD based, which provide utilization market share, service demand, outcome indicators, and assistance in resource allocation and in evaluating benefit plans.
Jian Strategic Marketing—Heidi Orie
Standard Statewide 2018 and first quarter 2019 inpatient discharge datasets and standard regional second quarter 2018 through first quarter 2019 ambulatory/outpatient procedure datasets for Regions 1—3 to be used to analyze trends in the market for nonprofit health care providers. The data will be used for consulting purposes to help guide marketing and communication tactics to providers and consumers.
Kaufman, Hall & Associates—Erin Coppersmith
Standard Statewide 2018 inpatient discharge and inpatient revenue code detail datasets to be used with other states' data to help health care providers increase the quality of care they provide to their patients by effectively benchmarking their quality, safety, satisfaction, cost and utilization to their peers. The data will be used for creating benchmarks at the APR-DRG and MS-DRG level accessible through files in conjunction with hospital client decision support systems and a web-based tool (Axiom Clinical Analytics).
Lehigh Valley Health Network—Vanessa J. Villaverde
Standard Statewide 2018 and first quarter 2019 inpatient discharge and ambulatory/outpatient procedure datasets to be used for service area analyses, competitive analyses, product line trends and analyses, and incidence rate comparisons and trends for program development. The data will also be used for research population based health issues, to promote health and well-being of targeted vulnerable populations; internal quality control research; internal resource utilization research; support development of continuum of care research; and community based health needs that target chronic illnesses.
LifePoint Health—Casey Tebeau
Standard Statewide third quarter 2018 through first quarter 2019 inpatient discharge dataset, prepared by their consultant Trilliant Health, to be used to evaluate Conemaugh Health System's current performance, competitor's performance and future opportunities. They will be able to illustrate current market share and enhance various other planning tools such as budgets and 5-year plans.
Los Angeles Biomedical Institute—Rie Sakai Bizmark, MD, MPH, PhD
Custom 2010 through first quarter 2018 inpatient discharge dataset with derived fields (number of days to death; and emergency room and NICU indicators) linked with 2010—2017 Department of Health's (Department) birth and death data for individuals born during 2010—2017 who have a critical congenital heart disease (CCHD) diagnosis in the Department birth or death record, or Council inpatient discharge record and all related birth, death and inpatient records for an individual in the cohort. The data will be used for a research study, Newborn Screening for Critical Congenital Heart Disease (CCHD) in US: Assessment of Implementation Obstacles and Application of Cost-Effectiveness to Gauge if Action Needed for Improved Implementation. The study will provide insight on an understudied topic, helping health care organizations optimize resources to favorably impact patient outcomes and informing policy makers and stakeholders Nationwide as they consider screening mandates. The aim of this project is to quantitatively assess the need for interventions to improve implementation of CCHD screening by pulse oximetry (Pox). Results will be summarized in one or more research papers and submitted for inclusion in peer-reviewed medical journals and academic conferences.
Main Line Health—Praveen Shanbhag
Standard 2010 through first quarter 2019 Statewide inpatient discharge dataset and third quarter 2017 through first quarter 2019 regional ambulatory/outpatient procedure dataset for Regions 8 and 9 to be used for market assessments, internal facility and service line planning purposes to evaluate consumer need and identify underserved geographic and clinical areas in Main Line Health's market.
Meritus Medical Center, Inc.—Jon Noyes
Standard regional third quarter 2015 through first quarter 2019 inpatient discharge and ambulatory/procedure dataset for Region 5 to be used internally with Maryland state data, prepared by Stratasan, LLC, to analyze market share, identify trends in product lines, patient migration patterns and overall market share to help serve Meritus Medical Center's mission statement and provide analysis to expand services underrepresented in their market.
Monongahela Valley Hospital—Patrick J. Alberts
Standard second quarter 2018 through first quarter 2019 regional inpatient discharge and ambulatory/outpatient procedure datasets for Region 1 and Statewide inpatient and ambulatory/outpatient revenue code detail datasets to be used to analyze clinical data to identify gaps in services to offer new services to Monongahela Valley Hospital's community.
Mount Nittany Health—Alicia Grube
Custom fourth quarter 2018 through first quarter 2019 inpatient discharge dataset of patients who reside in Blair, Centre, Clearfield, Clinton, Huntingdon or Mifflin Counties to be used for internal market share analysis.
Nemours/Alfred I. duPont Hospital for Children—Stacey Milunsky
Custom 2015 through first quarter 2019 inpatient discharge dataset for obstetric delivery cases and custom 2018 through first quarter 2019 inpatient discharge and ambulatory/outpatient procedure dataset for pediatric cases with an age group indicator. The data will be used to understand the market forces to help support the development of strategic programs, services and new locations of care to better support the needs of the patients and communities Nemours/Alfred I. duPont Hospital for Children serve.
New Solutions, Inc.—Nancy Erickson
Custom 2018 inpatient discharge dataset of patients who are residents from New Jersey or Bucks, Lehigh, Monroe, Northampton, Philadelphia, Pike or Wayne Counties that will be risk adjusted and produced into reports used by New Solutions for consulting and providing market share and patient utilization information analysis to their hospital clients for health planning and further their efforts in population health.
North Pointe Surgery Center—Melissa A. Weik, MHA, RN
Standard 2014 through 2018 regional inpatient discharge and ambulatory/outpatient procedure datasets for Regions 5 and 7, Statewide inpatient and ambulatory/outpatient revenue code detail datasets and financial data reports to be developed into reports by their contractor, Seisan, for North Pointe Surgery Center to assess the market share and determine the financial health of their current contracts to assist in their strategic planning over the next 5 years.
OSS Health—Daniel Fenyes/Tricia Wolf
Custom 2014 through first quarter 2019 inpatient discharge and ambulatory/outpatient procedure musculoskeletal related cases for patients who reside in Region 5 or were treated at hospitals and ambulatory surgery centers (ASC) in Region 5 to be used for studying Southwestern Pennsylvania Region 5 analysis of populations health/value-based musculoskeletal care. They will conduct a competitive research study and analysis of patient access, cost and outcomes of OSS Health's physicians, hospitals and ancillaries versus other health care networks in the similar service area.
Penn Highlands Healthcare—Gregory P. Bauer
Standard Statewide second quarter 2018 through first quarter 2019 inpatient discharge, ambulatory/outpatient procedure, and inpatient and ambulatory/outpatient revenue code detail datasets, prepared by their consultant Intalere, will be used to develop market share reports for Penn Highlands Healthcare to use the information in preparation of strategic plans as well as in the development of physician recruitment plans for Penn Highlands Healthcare.
Penn State College of Medicine—Chan Shen, PhD
Custom 2015 through first quarter 2019 inpatient discharge dataset, and reuse 2011—2014 inpatient discharge dataset of Pennsylvania resident adult cases from an acute care hospital with their 30-day readmission records with derived fields (number of days to admission and readmission indicator) to be used for a research study, Determinants of Readmissions Among Patients with and without Co-occurring Conditions, which will study trends and determinants of readmissions for hospitalized patients. Data analysis results will be used in some form of publication.
Penn State Hershey Health System—Julie Eisenhauer
Standard Statewide second quarter 2018 through first quarter 2019 inpatient discharge and ambulatory/outpatient procedure datasets, prepared by their consultant Advisory Board Market Innovation Center, to provide Penn State Health with analysis of utilization, disease and procedure incidence, market analysis and strategic planning for the improvement of health care services provided by Penn State Health. Reports created from the data may be shared with outside counsel/consultants as part of the strategic planning process.
Penn State University—Joel Segel
Standard Statewide 2005 through 2018 inpatient discharges, ambulatory/outpatient procedure, and inpatient and ambulatory/outpatient revenue code detail datasets and financial data report to be used with IQVIA data and information from Pennsylvania Medicaid recipients for a study, Patterns of Care in Rural Pennsylvania: How Do Utilization, Quality, and Hospital Financial Well-Being Vary by Rurality. The data will be used to provide analytic support to the Pennsylvania Rural Health Model (PARHM). The analyses will be comprehensive and provide new findings to better understand patient flows, patterns of utilization and quality measures related to several different types of care in rural hospitals. The findings may inform planning and policy regarding the PARHM.
Pennsylvania Department of Health—Arlene G. Seid, MD
Custom fourth quarter 2015 through third quarter 2018 ambulatory/outpatient procedure data reports on the number of procedures performed at ASC to inform decisions for requests for exception to ambulatory surgical regulations received by the Department.
Pennsylvania Department of Health—Brian Wright
Standard Statewide 2018 inpatient discharge dataset to be used for the Bureau of Health Promotion and Risk Reduction Violence and Injury Prevention Program and Division of Nutrition and Physical Activity program. The data will be used to help identify groups at high risk for injury, specific types and causes of injury, and effective injury prevention, planning and evaluation strategies; produce various injury reports and asthma related reports; respond to requests for aggregate data pertaining to injury, chronic diseases, drug overdoses, and the like; and disseminate in aggregate on the Department's EDDIE system.
Pennsylvania Department of Health—Brian Wright
Standard Statewide 2018 inpatient discharge dataset to be used for the Prescription Drug Monitoring Program (PDMP) and the Department of Drug and Alcohol Programs (DDAP). The data will be used to fulfill grant requirements, monitor program progress, identify needs, evaluate the impact of drug overdose prevention activities and respond to requests for aggregate data. The PDMP and DDAP may use the data to produce ad-hoc aggregate drug-related reports such as fact sheets or profiles of geographical areas to present to legislative members or the public, time series analysis to track health outcomes and measure program successes, create data-related maps, dashboards and data requests.
The PDMP will develop opioid-related indicators for the Centers for Disease Control and Prevention's (CDC) Prescription Drug Overdose Prevention grant, report morbidity indicators for the CDC's Enhanced State Surveillance of Opioid-Involved Morbidity and Mortality grant, validate and identify health care facilities to integrate their electronic health record with the PDMP system for the CDC's Prescription Drug Overdose Prevention Supplemental grant, and create aggregated reports for the interactive data report. The DDAP will report the number of opioid overdose-related hospital admissions for the Strategic Prevention Framework for Prescription Drugs grant.
Pennsylvania Department of Health—Carolyn Byrnes
Custom 2016 through 2018 inpatient discharge and ambulatory/outpatient procedure datasets with derived fields (number of days to admission and death) for patients with a maternal-related death during 2018 linked with Department mortality and birth data. The data will be used to assist the Pennsylvania Maternal Mortality Review Committee identify medical records for women who died with a maternal-related death to better understand the issue of maternal mortality and to design and implement interventions to address the causes of maternal mortality.
Standard Statewide 2015 through 2018 inpatient discharge, ambulatory/outpatient procedure datasets and inpatient and ambulatory/outpatient revenue code detail datasets to be used to expand information on the Opioid Data Dashboard on the PA Open Data Portal. The enhancement will assist agencies and citizens in gaining a richer and nuanced perspective of the epidemic and the downstream impacts of the epidemic across various societal and governmental interfaces. The University of Pittsburgh Graduate School of Public Health is the contractor working with the data, as well as with Medicaid data, child welfare system data, workers' compensation claims, employment data and motor vehicle injury data for the project.
Pennsylvania Department of Health—Jun Yang
Standard Statewide 2013 through 2017 inpatient discharge datasets to be used to establish rare disease baseline on hospitalized patients in this Commonwealth in accordance with Act 14 of 2017, which established a Rare Disease Advisory Council to study the incidence and prevalence of rare diseases within this Commonwealth and the status of the rare disease community.
Pennsylvania Department of Health—Sameh Boktor
Custom third quarter 2017 through second quarter 2018 Statewide inpatient discharge datasets with derived fields (admission) to be used to study trends in influenza associated hospitalizations in this Commonwealth. The analyses will be used to understand the aspect of the public health burden of influenza and to prepare for future seasons, including possible pandemics. As part of a CDC grant, summary findings will be shared with partners for planning and preparedness and to raise awareness about influenza and its public health impact. Findings that may be of public health significance may be shared with the public health community through publishing articles in peer-reviewed journals.
Pennsylvania Department of Health—Sharon Watkins
Custom 2016 through 2018 inpatient discharge and ambulatory/outpatient procedure dataset for patients through age 1 who were born in 2016 and 2017 linked with a live birth surveillance cohort data file. The data, analyzed by two consultants, InGenesis and Penn State College of Medicine, will be used for a study, Birth Defects and Developmental Disabilities—Prevention and Surveillance, to meet the CDC grant requirement for Zika-related birth defects surveillance.
Pennsylvania Department of Health—Zhen-qiang Ma
A 2010 through 2018 standard Statewide ambulatory/outpatient procedure dataset and custom Statewide inpatient discharge dataset with derived fields (admission) to be used to assess the health impacts associated with various environmental factors in this Commonwealth. Additionally, the data will be used to provide summary information to the CDC's Environmental Public Health Tracking Network on monthly hospitalizations for five conditions: acute myocardial infarction (AMI), asthma, carbon monoxide poisoning, chronic obstructive pulmonary disease (COPD) and heat stress.
Pennsylvania Department of Human Services—Mara Perez
Custom third quarter 2016 through second quarter 2017 inpatient discharge dataset from the corrected self-pay database and 2015 through 2017 financial data of the 3-year average percent of uncompensated care to 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 2017 financial data report by ambulatory surgery center of business entity information, visits and net patient revenue distribution by payer, and statement of operations information to evaluate potential Medical Assistance program initiatives.
A custom third quarter 2016 through second quarter 2017 inpatient discharge dataset of records with an MDC 14 or MDC 15 from general acute care hospitals to be used to calculate payments to hospitals for obstetrical and neonate services.
Pennsylvania Department of the Auditor General—Jo Anne Walchak
A standard Statewide third quarter 2017 through second quarter 2018 inpatient discharge dataset to be used to review data used to calculate tobacco settlement entitlements to Pennsylvania hospitals prior to the Department of Human Services' (PA DHS) calculation of the payment amounts. The Department of the Auditor General will review data that will be provided to PA DHS for use in making Uncompensated Care Tobacco Fund payments in 2020.
Pennsylvania Office of Attorney General—Tracy W. Wertz
Standard Statewide 2018 through first quarter 2019 inpatient discharge, ambulatory/outpatient procedure, inpatient revenue and ambulatory/outpatient revenue code detail datasets, and 2018 financial data report to be used for review of hospital mergers to ensure that the mergers are in compliance with antitrust laws; and the information may be disclosed for official law enforcement purposes or disclosed in litigation related to Federal antitrust laws or other state and Federal laws. These data may also be shared with the Federal Trade Commission or the United States Department of Justice to be used for investigations that are conducted jointly with the Office of Attorney General.
Pennsylvania Patient Safety Authority—Howard Newstadt
A custom 2018 hospital data report to be used by the Patient Safety Authority (PSA) in combination with the PSA's PA-PSRS data (medical error report) to produce facility specific and aggregate medical error rate data to improve PSA's analytic capabilities, thereby supporting PSA's overall mission.
Pennsylvania Patient Safety Authority—Shawn Kepner
A custom 2004 through first quarter 2019 inpatient discharge and ambulatory/outpatient procedure dataset for patients with a tonsillectomy or adenoidectomy procedure, or both, and their readmissions within 30 days. The data will be used for a study, Uncontrolled Bleeding Post-Tonsillectomy and/or Adenoidectomy, which will examine the relationship between predictor variables associated with uncontrolled bleeding post-tonsillectomy or adenoidectomy, or both, and the post-operation time period when patients return to surgery to control bleeding.
A custom 2018 ambulatory/outpatient procedure data report of the number of cases by ASC to be used to calculate ambulatory surgery center reporting rates.
A custom first quarter 2019 inpatient discharge and ambulatory/outpatient procedure data report on the number of cases by facility to be used in combination with the PSA's PA-PSRS data (medical error report) to produce facility specific and aggregate medical error rate data to improve PSA's analytic capabilities, thereby supporting PSA's overall mission.
A custom 2009 through 2017 inpatient discharge data report on the number of cases without rehabilitation and behavioral health services by facility to be used to calculate utilization rates for a study, Risky Business-Both Peripheral and Central Venous Catheters Can be Dangerous Devices, which will be featured in future Patient Safety Advisory publications.
Custom 2014 through 2018 inpatient discharge and ambulatory/outpatient procedure data report on the number of live births to be used to analyze the number of newborn falls per year in hospitals in this Commonwealth for an article for the Patient Safety Advisory, An Analysis of Recent Events and A Review of Prevention Strategies.
Custom 2018 ambulatory/outpatient procedure data report on the number of eye cataract procedures by facility to be used to determine annual rates of endophthalmitis post-cataract surgery for a study, Incidence and Impact of Infectious Endophthalmitis Following Cataract Surgery in Pennsylvania Ambulatory Surgical Facilities, which will be featured in future Patient Safety Advisory publications.
Philadelphia Department of Public Health—Raynard Washington, PhD, MPH
Standard regional 2018 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 8 and 9 to be used for a variety of analyses that allow tracking of diseases. Data are used for the evaluation of trends in services, estimated cost and outcomes for several conditions (HIV, diabetes, asthma, hypertension, cancer screening, violence-related injuries, influenza-like illness, pelvic inflammatory disease, and, if any, emerging infectious diseases, and the like) as well as patient demographics for research and policy planning. The data will be used to examine obstetrical services, high-risk pregnancies and ongoing research of birth outcomes and in needs assessment activities for both Health Start and Title V. The data is also used to evaluate the HIV/AIDS surveillance system and as part of Ryan White Part A. On occasion the results of the analyses may be shared with other city agencies and health advisory groups.
Philadelphia Inquirer—Sarah Gantz
Standard regional 2017 through 2018 inpatient discharge datasets for Regions 8 and 9 to be used for general use in reporting news articles about Philadelphia area hospitals.
Prime Healthcare—Shara Smith
Standard regional third quarter 2015 through 2018 inpatient discharge and ambulatory/outpatient procedure dataset for Regions 8 and 9, prepared by Stratasan, LLC, to be used to understand market share, product line performance, patient in-migration and out-migration patterns and overall facility volumes for the purposes of strategic planning/business development.
Reading Hospital and Medical Center—Daniel Ahern
Standard Statewide second quarter 2018 through first quarter 2019 inpatient discharge, ambulatory/outpatient procedure, and inpatient and ambulatory/outpatient revenue code detail datasets, prepared by their consultant Intalere, to be used to track historic volumes and market shares in Reading Hospital's system area and other areas will be examined for potential expansion of services. The data will be utilized through Intalere's user-friendly tool to identify trends and analyze market activity by payer mix, patient age mix and service line distribution.
Renzi Podiatry/Save Your Soles Campaign—Ronald M. Renzi, DPM
A custom 1990 through 1995 inpatient discharge dataset for patients with a lower extremity amputation who reside in Bucks, Chester, Delaware, Montgomery or Philadelphia Counties and a custom 2010 to third quarter 2015 inpatient discharge dataset for patients with a revision of amputation stump procedure who reside in Bucks, Chester, Delaware, Montgomery or Philadelphia Counties. A custom 2016 through 2018 inpatient discharge dataset for patients with amputation who reside in Region 8 or 9. A custom 2017 through 2018 inpatient discharge dataset for patients with a diabetes and a diabetic foot infection or a lower extremity amputation who reside in Region 1, 7, 8 or 9. A modification for a custom 1990 through 2005 and 2010 through third quarter 2015 inpatient discharge dataset for patients with a lower extremity amputation who reside in Berks, Carbon, Lehigh, Northampton or Schuylkill Counties. A modification to a custom first, second and third quarter 2018 inpatient discharge dataset for patients who reside in Bucks, Chester, Delaware, Montgomery or Philadelphia Counties and were hospitalized for a lower extremity amputation. A custom 1990 through 2018 inpatient discharge dataset for patients with a lower extremity amputation who reside in Region 1 and 1998, 2000, 2001 through 2004 inpatient discharge dataset for patients with a lower extremity amputation who reside in Region 8 or 9.
The data will be used for the Save Your Soles Campaign program sponsored by Abington Memorial Hospital Innovators Foundation, which is to reduce amputations in the Philadelphia area. Dr. Ronald M. Renzi plans to develop the number and rate of major and minor amputations over time in the study area to evaluate the effectiveness of amputation prevention strategies.
RKSB Health Care Consulting—Whitney E. Hess
Custom 2016 through 2018 inpatient discharge dataset of cases who reside in West Virginia to be used for consulting and to determine the number of West Virginia residents using cardiac services in this Commonwealth to establish a use rate for the population.
Safety-Net Association of Pennsylvania—James A. Tomkins
Standard regional third quarter 2014 through second quarter 2015 and third and fourth quarter 2017 inpatient discharge dataset for Region 9 and 2018 inpatient discharge dataset for Regions 8 and 9 to be used to identify changes in inpatient hospital utilization in the wake of a hospital closure in Philadelphia, which will be used to educate Safety-Net Association hospitals in the Philadelphia area so they can better anticipate changes in patient needs should another closing occur.
SG-2, LLC—Tanya Chin-Fatt
Standard Statewide second quarter 2018 through first quarter 2019 inpatient discharge dataset to be used in SG-2's online platform applications and desktop tools, and summary reports. The data will be used in their Market Forecast and State Data Analysis Tool software that was developed to support their client hospitals' long and short term operational and strategic planning efforts. These tools enable their clients to develop 10-year health services demand forecasts by clinical area and geography, to provide them with the ability to project and meet future demands by determining the appropriate allocation of resources and to improve both the quality and availability of health care in the communities they serve. The tools containing this data will be accessible only by authorized users on a secure web-based portal, will be confidential and used only for SG-2's hospital and health system clients.
St. Luke's University Health Network—Amanda Mazza
Standard Statewide 2018 inpatient discharge dataset, prepared by Stratasan, to be used for internal use to analyze inpatient market share and trends.
Summit Health—Stephanie Foote
Standard Statewide 2018 inpatient discharge and ambulatory/outpatient procedure datasets to be used to review trends and monitor Summit Health's market share and analyze their service lines.
Supply Bank—Rahil Maharaj
Custom 2016 through 2018 inpatient discharge and ambulatory/outpatient procedure data report for the number of cases per year at the county level of babies with a diaper dermatitis, candidiasis or urinary tract infection to study the impact that diaper needs, or an insufficient supply of diapers to keep babies clean and dry, have on low-income families in this Commonwealth.
Uniontown Hospital—Karen Keniston
A custom third quarter 2017 through second quarter 2018 inpatient discharge data report of Fayette County residents hospitalized in an Allegheny County hospital for a specific condition to be used for high level planning of cardiac services.
University of Pennsylvania—Evan Anderson, JD, PhD
Standard regional 2017 inpatient discharge dataset for Region 9 to be used for a study, Health Care Utilization Related to Substance Use Disorder in Philadelphia, which will determine epidemiology and demographics of health care utilization among those with substance use disorder in Philadelphia County.
University of Pennsylvania—School of Medicine—Laurie Norton
Custom second quarter 2016 through second quarter 2018 inpatient discharge dataset with derived fields (number of days to admission and rehab indicator) linked with a cohort data file of participants in a randomized controlled trial study of patients with congestive heart disease (CHF) to be used for a study, RCT of Automated Hovering for Congestive Heart Failure Management. The study will test the effectiveness of applying automated hovering to improve outcomes among CHF patients at high risk of readmission.
University of Pennsylvania—School of Medicine—Robert E. Burke, MD, MS
Custom third quarter 2011 through second quarter 2013 and third quarter 2016 through second quarter 2018 inpatient discharge and ambulatory/outpatient procedure dataset with derived fields (number of days to admission and death) for cases with a joint replacement linked with 2011—2013 and 2016—2018 Department mortality data to be used for a study, Unintended Consequences of Bundled Payments for Post-Acute Care, which is to describe and compare proportion of patients discharged to skilled nursing facility and home, stratified by hospital participation in bundled payments; and compare rates of hospital readmission and mortality.
University of Pittsburgh—Bruce Jacobs, MD
Custom 2010 through third quarter 2018 Statewide inpatient discharge and ambulatory/outpatient procedure datasets with derived fields (number of days to admission and death) linked with 2010 through 2017 Department cancer registry and a custom 2010 through 2017 inpatient and outpatient dataset for patients diagnosed with benign prostatic hyperplasia. The data will be used for a study, Evaluating the Centralization of Health Care and Its Implications for Health Disparities. The study will examine the centralization of care. They will communicate findings directly to policymakers and stakeholders facilitated by the University of Pittsburgh Health Policy Institute. Study results will appear in peer-reviewed academic journals and in presentations at academic and policy professional organization meetings, such as the American Society of Clinical Oncology, the American Urological Association, the Association of Public Policy Analysis and Management, and Academy Health.
University of Pittsburgh—Jeremy M. Kahn, MD
A modification to a previous request for additional data: third quarter 2014 through 2017 Statewide custom inpatient discharge dataset and standard inpatient revenue code detail dataset with associated lab values and calculated fields (number of days to admission and death) linked with Department 2013—2018 mortality data files. The data will be linked with the Medicare Healthcare Cost Reporting Information System (for hospital characteristics) and American Hospital Association Annual Survey (for key structural elements). Dr. Kahn will use the data to identify new measures that will account for patient trajectories as they move through various hospital and health care systems. The study, Novel Approaches to Hospital Profiling, involves using lab data to build statistical models to predict 30-day patient mortality. Dr. Kahn will use hierarchical regression modeling, marginal structural equations and cluster analyses to develop and validate novel hospital-based performance measures. A series of sequential modeling and validations steps will be performed to ensure valid and reliable measures. The project will focus on six conditions: AMI, congestive heart failure, stroke, pneumonia, sepsis and chronic obstructive pulmonary disease.
University of Pittsburgh—Richard K. Zimmerman, MD, MPH
Custom third quarter 2015 through first quarter 2019 inpatient discharge data reports on the number of hospitalization admissions of patients who reside in Allegheny County with an acute respiratory infections related condition reported by modified quarter, hospital, age group, condition and race. The data will be used for the CDC sponsored study, US Hospitalized Adult Influenza Vaccine Effectiveness Network. The data will be used to determine the population-based incidence of various respiratory virus-associated hospitalizations within Allegheny County, by season, virus type, year, age group and race and will be provided to the CDC to calculate the multisite incidence to inform public health policy. The CDC will use the aggregate data for other publications related to the project. The CDC will combine the results from Allegheny County with three other sites in the country to create an overall estimate for the country of respiratory hospitalization incidence.
University of Pittsburgh Medical Center—Matthew W. Michaels
Standard Statewide second quarter 2018 through first quarter 2019 inpatient discharge and ambulatory/outpatient procedure datasets 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.
Wayne Memorial Hospital—Jack Dennis
A standard facility fourth quarter 2016 through third quarter 2018 inpatient discharge dataset for Wayne Memorial Hospital to be used in a community needs assessment to identify communities in northeastern Pennsylvania that may require enhanced primary care services based on AHRQ PQI Composite scores. The PQI analysis part of the comprehensive needs assessment process will use demographic, mortality, reproductive health, health services use, community survey and key informant data to identify significant needs in Pike and Wayne Counties and two surrounding adjacent underserved communities. The assessment will be published on the Internet consistent with Internal Revenue Service requirements.
Weill Cornell Medicine—Said A. Ibrahim, MD, MPH, MBA
A 2017 through second quarter 2018 standard Statewide inpatient revenue code detail dataset and 2016 through second quarter 2018 custom inpatient discharge dataset of hip and knee replacement cases with readmission records linked with Department 2016 through 2018 mortality data. The data will be used for a study, Race and Rehabilitation Services After Joint Replacement. The objective of the study is to investigate the differences in Ontario versus this Commonwealth on how poverty defined by deprivation index plays a role in outcomes after hip and knee arthroplasty and to examine racial variations in access to post acute care and rehab services after a total joint replacement and the association between the receipt of these services and important surgical outcomes. Other research objectives are to mitigate racial and poverty disparity in access and use of total hip and knee replacement.
WellSpan Health—David Kimpel
Standard Statewide second quarter 2018 through first quarter 2019 inpatient discharge and ambulatory/outpatient procedure datasets to be used for an internal assessment of the delivery of health care services within the region they serve and beyond for comparative purposes. Service area utilization of services and analysis are the primary purpose for them to obtain the data.
JOE MARTIN,
Executive Director
[Pa.B. Doc. No. 20-358. Filed for public inspection March 6, 2020, 9:00 a.m.]
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