NOTICES
HEALTH CARE COST CONTAINMENT COUNCIL
Special Reports and Requests for Data
[47 Pa.B. 1601]
[Saturday, March 11, 2017]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 2016. 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,'' then ''Data Descriptions''). 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—Jenny Schnaier
Statewide 2015 and first quarter 2016 inpatient discharge and inpatient revenue detail datasets and 2015 ambulatory/outpatient procedure and outpatient revenue code detail datasets with derived fields (number of days from admission to procedure, days to admission and age) 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.
Allegheny County Health Department—LuAnn Brink, PhD, MPH
A standard regional 2006 through 2015 inpatient discharge dataset for Region 1 to be used for surveillance, research and targeted intervention.
Allied Services—Robert Cole
Standard regional third quarter 2014 through second quarter 2015 inpatient discharge datasets for Region 6 to be used to perform market share analysis to determine Allied Services primary market and to understand the post-acute market share Allied Services has at various levels of care for various diagnostic groups.
Bucknell University—Amy Wolaver
Standard Statewide 2011, 2013 and 2014 inpatient discharge datasets to link with other publicly available data that will be used for health policy research and education purposes by faculty and students as part of classroom activities. The students may create descriptive statistics as part of constructed exercises and perform multivariate analyses to identify factors affecting inpatient discharges and health outcomes. Aggregated data results may be published on the Internet or used in classes through Geographic Information System applications to examine the impact of socioeconomic status of patients and hospitals neighborhood on hospitalizations and outcomes. Associations between physical environmental risks and hospital outcomes will also be researched.
California Nurses Association—Daniel Johnston
Standard Statewide 2003 through 2013 inpatient discharge datasets will be used with data from other states for a study, The Efficacy of Health Information Technology on Hospital Inpatient Discharges. The study will use discharge data with Health Information Technology (HIT) data from the Healthcare Information and Management Systems Society and Medicare Cost Report data to determine the efficacy of HIT by examining patient outcomes at the hospital level before and after HIT implementation. The results of the study will be presented in a written study and published on the Internet.
Capital BlueCross—David Resek
Standard facility second through fourth quarter 2015 inpatient discharge datasets for four hospitals: Geisinger Medical Center/Danville, Chambersburg Hospital, St. Luke's Hospital/Bethlehem and Waynesboro Hospital. Capital BlueCross (CBC) will use the data with Agency for Healthcare Research and Quality (AHRQ) Quality Indicators Windows Software to calculate Patient Safety Indicators as a component of their hospital quality program. The program is available to CBC-contracted hospitals in their 21-county service area. For audit purposes, CBC plans to warehouse the data to support the hospital quality program since part of the program provides financial incentives to participating hospitals that meet or exceed quality criteria defined in the program.
Capital Health—Jeremye Cohen
Standard regional 2015 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 2015 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, 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.
Coordinated Health—Amy Nyberg
Standard Statewide 2015 inpatient discharge and ambulatory/outpatient procedure datasets to be used for analysis of service areas and market share within the defined service areas.
DataBay Resources—Mary Ann Augustine
Standard Statewide third quarter 2015 through second quarter 2016 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue detail datasets to be combined with other all-payer health care data to be used to produce various aggregate report files distributed by DataBay'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 market share, patient origin, use rates, charges, surgery detail, payer mix, patient demographics, diagnosis/procedure distribution, refinement, and the like.
DeSales University—Craig Durie
A custom fourth quarter 2014 through 2015 inpatient discharge dataset of cases with certain conditions in seven specified hospitals and all other records for the patients hospitalized for any reason at any hospital with a derived field (number of days to next admission). The data will be used to compare readmission rates between hospitals with a palliative program and hospitals without a palliative program. Findings from the project will provide a better understanding of the need for palliative medicine in hospitals lacking a program and the impact of existing programs. The data will help the palliative care community better understand what portion of the patient population is having a palliative care encounter, which may support the development of a palliative telemedicine program between tertiary and rural hospitals.
DLP Memorial Medical Center—Carrie Arcurio
Standard Statewide 2015 and first quarter 2016 inpatient discharge and ambulatory/outpatient procedure datasets to be used to internally evaluate DLP Memorial Medical Center's current performance, its 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.
Drexel University Dornsifes School of Public Health—Ana Diez Roux
Standard regional 2014 inpatient discharge and ambulatory/outpatient procedure datasets for Region 9 to be used for a pilot study to examine neighborhood-level social and spatial variations in hospitalization rates, overall and by specific diagnoses, hospitalization and outpatient procedure costs, length of hospital stay and hospital readmission rates across Philadelphia.
Evangelical Community Hospital—Nicole Miller
Standard regional third quarter 2012 through first quarter 2016 inpatient discharge and ambulatory/outpatient procedure datasets for Region 4 to be used to conduct an internal study of Evangelical Community Hospital's market share and gain a better understanding of the population it serves.
Excela Health—Allison Panosky
Standard Statewide third quarter 2013 through first quarter 2016 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets to be used to compute quarterly inpatient and outpatient market share reports developed by Excela Health's consultant, DataBay.
Geisinger Health System—Rachel Manotti
Standard Statewide 2012 through third quarter 2015 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets to be used for market share analysis on patient origin, payer mix and distribution, patient demographics, diagnosis/procedure distribution, physician profile, and distribution and trend analysis reports developed by Geisinger Health System's consultant, DataBay.
Good Shepherd Rehab Network—John Grencer
Standard regional first and second quarter 2015 inpatient discharge datasets for Regions 4—9 and third quarter 2014 through second quarter 2015 inpatient discharge datasets for Region 1 to be used for internal analysis for Good Shepherd Rehab Network's services.
Harvard Medical School & Ariadne Labs—Neel Shah
A custom 1995 through 2010 inpatient discharge dataset of mother delivery records from hospitals located in Philadelphia County linked with the Department of Health (Department) 1995 through 2010 birth certificate data to be combined with other Department's statistic reports for a study, Investigating the Impact of Hospital Obstetric Occupancy on Health Outcomes and Utilization. The study will examine hospital occupancy and maternal and neonatal outcomes, and analyze the impact of hospital obstetric volume on obstetric outcomes.
HCR ManorCare—Kenneth Kang
Standard Statewide second quarter through fourth quarter 2015 inpatient discharge and 2015 ambulatory/outpatient procedure datasets to be used to assess the needs of residents in HCR ManorCare's skilled nursing facilities across this Commonwealth.
Highmark—Chris Antonucci
Standard Statewide 2015 inpatient discharge and ambulatory/outpatient procedure datasets to be used to assess market utilization dynamics and create business strategies to provide better services to Highmark's members. Trends in health care will be analyzed to help manage overall health care experience including accessibility, locations and value of services.
Hospital & Healthsystem Association of Pennsylvania—Martin Ciccocioppo
Standard Statewide second quarter 2015 through first quarter 2016 inpatient discharge and inpatient revenue detail datasets, and 2015 financial data and 2014 restated financial data reports to be used to conduct ongoing monitoring of Statewide, regional and hospital-specific quality outcomes, primarily utilizing AHRQ quality indicators. The Hospital & Healthsystem Association of Pennsylvania (HAP) may, from time to time, release the aggregate results of its quality monitoring research. HAP intends to host MONAHRQ for member-only use on its private web site and host a limited version as a public consumer quality and cost transparency web site.
A modified custom second quarter 2015 through first quarter 2016 inpatient discharge readmission analysis data report of hospitals' 7-day and 30-day readmission rates for any reason on all discharges to be used to provide Centers for Medicare & Medicaid Services (CMS) with Hospital Innovation Improvement Network rates of readmissions.
IMS Health—Paul Reuscher
Standard Statewide 2015 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets to be combined with other State data and used to estimate diagnoses and procedure volume at the National and facility level, which will be accessible to IMS's clients. Their clients will use the information to track trends in diagnoses and procedures (regionally and Nationally), identify facilities that would be appropriate sites for clinical trials based on procedure/diagnosis volume or to better allocate resources based on procedure/diagnosis volume, or both.
J.C. Blair Memorial Hospital—Jason Hawkins
A custom third quarter 2013 through second quarter 2014 inpatient discharge dataset of cases for patients from specific zip codes to be used to study a possible Sole Community Hospital designation and may involve looking at the out-migration of patients within the hospital's primary service area.
John Majeska
A custom fourth quarter 2008 through second quarter 2011 inpatient discharge data report of the number of laparoscopic robotic assisted procedures performed by two specified physicians to be used to compare with information provided by the physicians.
Lancaster General Health—David Jani/Jeffrey Stofko
Standard Statewide second through fourth quarter 2015 ambulatory/outpatient procedure datasets to be used to understand demand and utilization for ambulatory surgery in this Commonwealth.
Lancaster General Research Institute—Michael A. Horst, PhD
Standard 2003 through 2015 Statewide inpatient discharge datasets to be used for a study, A Novel Approach to Optimal Placement of New Trauma Centers within an Existing Trauma System Using Geospatial Mapping. The study will examine the volume of trauma patients to determine placement of future trauma centers to provide maximal access to quality definitive care, and disseminate geospatial mapping techniques and models to the Pennsylvania Trauma Systems Foundation to direct the future advancement and development of Statewide trauma system.
Lehigh Valley Health Network—Stephen L. Christopoulos
Standard Statewide second quarter 2015 through first quarter 2016 inpatient discharge 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 additionally 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.
Los Angeles Biomedical Institute—Rie Sakai Bizmark, MD, MPH, PhD
A custom 2000 through first quarter 2001, 2004 through first quarter 2005, 2008 through first quarter 2009, and 2011 through first quarter 2015 inpatient discharge dataset of cases for pediatric patients who underwent cardiac surgery in 2000, 2004, 2008, and 2011 through 2014 with derived fields (cardiac diagnosis count, cardiac procedure count and age category) and indicators (in-hospital death and procedure type). The data will be used for a study, Study on Regionalization of Care for Pediatric Patients with Congenital Heart Disease, funded by the American Heart Association. The study will examine changes in pediatric cardiac surgical interventions and evaluate the impact of regionalization on outcomes of cardiac care for pediatric patients. The study report will be disseminated by presentations and publications in international conferences and journals.
McKinsey & Company—Anton Urbanas
Standard regional 2012 and first and second quarter 2015 inpatient discharge and ambulatory/outpatient procedure datasets for Region 1 to be used to create a comprehensive research on Pennsylvania hospitals efficiency and benchmark them against each other and their own benchmarks (from other sources). This work will help McKinsey & Company to approach many of their clients and help them to improve financial health and sustainability as well as find additional funds for quality enhancing investments.
Mount Nittany Health—Alicia Shearer
A custom third quarter 2014 through second quarter 2015 inpatient discharge dataset of cases who reside in Blair, Centre, Clearfield, Clinton, Huntingdon or Mifflin County to be used for internal market share analysis.
Nemours/Alfred I. duPont Hospital for Children—Stacey Milunsky
Custom 2015 through first quarter 2016 inpatient discharge and ambulatory/outpatient procedure data report of cases for patients less than 18 years of age with derived data (age group, payer group and type of DRG indicator) to be used to understand the competitive composition of inpatient and outpatient/ambulatory market to assist in decision making and considerations for Nemours strategic vision over the next several years.
Nemours/Alfred I. duPont Hospital for Children—Vanessa Short, PhD, MPH
A custom 2005 through first quarter 2015 inpatient discharge dataset of mother's delivery and newborn birth cases of in-hospital births during 2005 through 2014 linked with 2005 through 2014 birth certificate data from the Department with derived data (number of days to birth from prenatal care visit, neonatal intensive care unit indicator and length of stay) to be used for a study, A Description of Neonatal Abstinence Syndrome: A Population Level Study in Pennsylvania. The study's aims are to estimate the change in the number of infants diagnosed with neonatal abstinence syndrome, to describe maternal and infant clinical and hospitalization characteristics of infants diagnosed with neonatal abstinence syndrome, and to explore the relationship between breastfeeding and hospital length of stay among infants diagnosed with neonatal abstinence syndrome.
New Solutions, Inc.—Nancy Erickson
A custom 2015 inpatient discharge dataset of cases for patients originating from New Jersey or Bucks, Lehigh, Monroe, Northampton, Philadelphia, Pike and Wayne Counties to be used to risk adjust and produce reports used by New Solutions for consulting and providing market share analysis to their hospital clients.
O'Conco Healthcare Consultants—Paul L. Chiafullo
A custom 2014 and 2015 inpatient discharge dataset of New Jersey residents admitted to Pennsylvania hospitals to be merged with other states' data and used for consulting purposes. The data will be developed into summary reports on utilization rates, market share and benchmark comparisons of clinical, cost and revenue (charge) information for O'Conco Healthcare's clients. The data will also be included in their Primary Analysis web-based report generation tool, which allows O'Conco's clients and employees to create summary reports using nonconfidential data.
Ohio Valley Medical Center—Kelly Bettem
Standard regional 2013 and 2014 inpatient discharge dataset for Region 1 to be used to complete a market share study of oncology patients in their primary and secondary markets, and determine the outmigration of patients from their primary and secondary markets for oncology care and treatment.
OptumInsight—Holli Boetcher
Standard Statewide 2014 inpatient discharge dataset to be used to provide hospital quality and efficiency information that will help consumers make more informed decisions about where to seek care and to provide health care professionals with comparison reports. The data will be summarized by hospital and medical procedure/condition to provide information such as cost, length of stay, mortality, complications and volume. The aggregated information will be provided in a reporting tool to health plans for use by their members.
Pennsylvania Department of Health—Arlene G. Seid, MD, MPH, FACPM, CMQ
A third quarter 2014 through second quarter 2015 custom inpatient discharge dataset of cases with pressure ulcer conditions and standard Statewide inpatient revenue code detail dataset to be used to examine specific ICD-9 codes and associated procedure codes to assist in the Department's development of a recommendation regarding reporting requirements specific to pressure ulcers.
Custom third quarter 2014 through 2015 ambulatory/outpatient procedure data reports on the number of procedures performed at ambulatory surgery centers to be used to inform decision for requests for exception to ambulatory surgical regulations that the Department receives.
Pennsylvania Department of Health—Carolyn Byrnes
A modification to a previous request for additional data of a custom 2015 inpatient discharge data report on the number of septicemia cases by age group to be used to understand the scope of sepsis in this Commonwealth.
Pennsylvania Department of Health—Charles Howsare
Standard Statewide 2000 through 2014 inpatient discharge datasets to be used as part of the Department's viral hepatitis prevention and surveillance efforts. A Statewide hepatitis C profile will be created to inform stakeholders about the changing distribution of the disease and risk factors, especially in light of the recent opioid and heroin epidemic. The information will be created as a public education tool to inform policymakers, health care providers and the general public. Complementary publications may include vulnerability assessment, conference presentations or scientific manuscripts.
Pennsylvania Department of Health—Cynthia Malinen
A custom 2015 inpatient discharge dataset of Statewide records. The Violence and Injury Prevention Program will use the data to prepare injury prevention statistical reports, monographs and fact sheets to respond to requests for aggregate injury data at the State and local levels, and to provide the Department's Bureau of Epidemiology with a dataset for analysis.
Pennsylvania Department of Health—Lauren Hughes, MD
A modification to a prior request for custom 2011 through 2014 inpatient discharge and ambulatory/outpatient procedure data reports to be used to understand market characteristics of hospitals for developing innovative strategies that will lead to better health, better care and smarter spending.
A custom 2011 through 2014 financial data report on the payer's share of inpatient revenue, outpatient revenue, days and outpatient visits by facility to be used to inform health innovation in rural areas in this Commonwealth.
Pennsylvania Department of Health—Lori Gutierrez
Custom 2012 through 2014 inpatient discharge data reports on the number of septicemia cases by age group to be used by the Department to review the number of pediatric cases with sepsis and number of in-hospital deaths to be presented to the Secretary of Health for a potential public health initiative.
Pennsylvania Department of Health—Patrick Keating
Custom 2013 and 2014 inpatient discharge data reports of heart failure, nonfatal traumatic brain injuries, nonfatal spinal cord injuries, hip fractures, asthma and obstetric cases by age groups and race/ethnicity groups to be used as part of the Department's web page series containing State and local data that correspond to the Healthy People 2020 topics/objectives, as developed by the Centers for Disease Control and Prevention (CDC).
Pennsylvania Department of Health—Stephen Muccioli
Standard Statewide 2013 through 2015 inpatient discharge and ambulatory/outpatient procedure datasets to be used to support the recently implemented Prescription Drug Monitoring Program. Drug related hospitalizations will be examined with total hospitalizations and analyzed to create statistical reports, fulfill grant requirements, monitor program progress, identify needs, evaluate the impact of drug overdose prevention activities and respond to requests for aggregate data at the local or State level.
Pennsylvania Department of Health—Vadim Drobin, MD, MPH
Custom inpatient discharge datasets of 2014 through 2015 asthma, carbon monoxide poisoning and heat stress-related hospitalization cases and 2000 through 2015 acute myocardial infarction (AMI) and chronic obstructive pulmonary disease (COPD); 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 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.
Custom inpatient discharge data reports of 2001 through 2015 AMI and chronic obstruction pulmonary disease and 2014 through 2015 asthma, carbon monoxide poisoning and heat-stress related hospitalization rates by year of admission, age and gender to be used as part of the Pennsylvania Environmental Public Health Tracking Program (PA EPHT). The PA EPHT integrates and analyzes environmental hazards, exposures and health effects to provide information on environmental exposure and adverse risk of health conditions to drive actions that improve the health of communities. Pennsylvania hospitalization and other data will be aggregately displayed through tables, graphs and maps on the Department's public portal web site.
Pennsylvania Department of Human Services—Allen Fisher
A custom third quarter 2013 through second quarter 2014 inpatient discharge dataset of cases with a major diagnostic category 14 or 15 from general acute care hospitals to be used to calculate payments to hospitals for obstetrical and neonate services.
A custom third quarter 2013 through second quarter 2014 inpatient discharge dataset of verified self-pay records and 2012 through 2014 financial data report of a 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.
Pennsylvania Department of Human Services—Ronald Foster
A custom 2014 financial data report of hospitals to be used by Department of Human Services' (DHS) consultant, Sellers Dorsey, to prepare a report that identifies current hospital reimbursement rates by payer for the Secretary of DHS.
Pennsylvania Office of Attorney General—Tracy W. Wertz
Standard Statewide second through fourth quarter 2015 inpatient discharge, ambulatory/outpatient procedure, inpatient revenue and ambulatory/outpatient revenue code detail datasets, and 2015 financial data report to be used for a review of hospital mergers to ensure that the mergers are in compliance with antitrust laws. These data will also be shared with the Federal Trade Commission (FTC) to be used for hospital merger investigations that are conducted jointly with the FTC.
Penn Highlands Healthcare—Gregory P. Bauer
Standard Statewide 2014 through first quarter 2016 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets will be used for market share reports developed by Penn Highlands Healthcare's consultant, DataBay, which Penn Highlands will use the information in preparation of strategic plans as well as in the development of physician recruitment plans.
Penn State College of Medicine—Christopher S. Hollenbeak, PhD
A custom 2012 through first quarter 2015 inpatient discharge dataset of Pennsylvania adult resident cases from acute care hospitals and their associated 30-day readmission records with derived fields (number of days to admission and admissions within 30-day indicator) to be used for a research study, Trends in Readmissions for Hospitalized Patients with Diabetes in Pennsylvania. The study will identify trends and determinants of readmission for hospitalized patients for a host of conditions including diabetes. The goal of the study is to design an intervention to reduce hospital readmissions for those with diabetes.
Penn State College of Medicine—Marco D. Huesch, MBBS, PhD
A custom 2007 through 2015 inpatient discharge dataset for cases that received extracorporeal membrane oxygenation (ECMO) therapy with 30-day readmissions and associated laboratory data with derived fields (number of days to admission and index record indicator) to be used for an academic research study, which will determine risk stratification criteria of ECMO in this Commonwealth.
Penn State Hershey Health System—Craig Mancia
Standard Statewide 2011 through 2015 inpatient discharge datasets to be loaded into the Advisory Board Market Innovation Center to provide Penn State Hershey Health System with analysis of patient movements, strategic planning and disease analysis for the betterment of health care services provided by Penn State Hershey Health System.
Pennsylvania eHealth Partnership Authority—David Grinberg
Custom first quarter 2015 through second quarter 2015 Statewide inpatient discharge and ambulatory/outpatient procedure custom datasets with derived data fields (number of days to next admission or visit, or both) to be used to establish baseline measurements of health care delivery quality in an effort to better identify and measure any future impact various health information exchange based interventions have on the quality of health care delivery.
Pennsylvania Patient Safety Authority—Ellen Deutsch
Custom 2006 through 2015 inpatient and ambulatory/outpatient data reports on the number of nerve block procedures performed by facility and quarter/year to be used for a project conducted jointly with members of the Pennsylvania Society of Anesthesiologists, which is addressing risk mitigation factors for wrong site anesthesia blocks. This information may be published as a Pennsylvania Patient Safety Advisory article or in other documents.
Pennsylvania Patient Safety Authority—Howard Newstadt
A custom second through fourth quarter 2015 hospital data report by year to be used in combination with the Pennsylvania Patient Safety Authority's (PSA) PA-PSRS (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—James Davis
Custom 2005 through 2015 inpatient data reports on the number of procedures performed in an operating room by facility and quarter/year to be used to establish a rate for retained surgical items in this Commonwealth. This information will be used in an article to be published in the Pennsylvania Patient Safety Advisory publication.
Pennsylvania Patient Safety Authority—Mary C. Magee
A custom third quarter 2004 through second quarter 2015 inpatient discharge and ambulatory/outpatient procedure data report on the total number of eye-related procedures by procedure code to be used to calculate incidence rates of eye-related procedures in this Commonwealth for an article that will be published in an upcoming Pennsylvania Patient Safety Advisory publication.
Pennsylvania Patient Safety Authority—Susan C. Wallace
Custom 2014 through 2015 inpatient discharge and ambulatory/outpatient procedure data reports on the number of procedures performed in an operating room by facility and quarter/year to be used to establish a rate for retained surgical items in this Commonwealth. This information will be used in an article to be published in the Pennsylvania Patient Safety Advisory publication.
Pratter, Inc.—Bill Hennessey, MD
Standard Statewide 2015 and first quarter 2016 ambulatory/outpatient revenue code detail datasets to be used to educate health care consumers and consult with businesses in need of affordable health care options. The information will be displayed by facility as an average charge per procedure on Pratter's web site.
Philadelphia Inquirer—Tom Avril
Standard regional third quarter 2012 through 2014 inpatient discharge datasets for Regions 8 and 9 to be used for reporting on health care and quality in southeastern Pennsylvania.
A custom 2009 through 2014 inpatient discharge data report on a subset of cases to be used for writing a newspaper article about median lengths of stay for patients following heart surgery.
Pittsburgh Regional Health Initiative—Keith T. Kanel, MD
A custom second quarter 2011 through third quarter 2015 inpatient discharge dataset of cases originating from hospitals located within Region 1, 2 or 3 with derived fields (number of cases and comorbidities, number of days to admission, complication and condition indicator and race group) to be used to study hospital readmission rates of cases with target diseases as part of Pittsburgh Regional Health Initiative's (PRHI) Primary Care Resource Center Project, which is to focus efforts on improving health care safety and quality and plan initiatives for improving health care in the southwestern, Pennsylvania region for patients with chronic diseases.
A custom first quarter through third quarter 2015 inpatient discharge data report of 30-day age-adjusted and sex-adjusted readmission rates on AMI, COPD and congestive heart failure (CHF) conditions for hospitals (Butler Memorial, Conemaugh Valley, Indiana Regional, Monongahela Valley, Sharon Regional, Uniontown, UPMC St. Margaret Hospital) and western Pennsylvania to be used to track changes in readmission rates that may be attributable to a multi-dimensional PRHI intervention to improve care for patients with COPD, AMI and CHF in western Pennsylvania hospitals.
Reading Hospital and Medical Center—Daniel Ahern
Standard Statewide 2011 through 2015 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets 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 DataBay's user-friendly tool to identify trends and analyze market activity by payer mix, patient age mix and service line distribution.
Reinvestment Fund—Michael Norton
Standard regional 2012 through 2014 inpatient discharge datasets for Region 9 to use to evaluate the number of hospitalizations in Philadelphia for conditions related to residential housing quality. Reinvestment Fund will collect data on the number of individuals whose health is adversely impacted by the maintenance of their home and is partnering with organizations in Philadelphia to evaluate the need for home repair services designed to improve the health and quality of life of residents.
Renzi Podiatry/Save Your Soles Campaign—Ronald M. Renzi, DPM
Custom 2015 and first quarter 2016 inpatient discharge datasets for patients who reside in Bucks, Chester, Delaware, Montgomery or Philadelphia County to 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. The number of amputations will be measured/counted by county and zip code, to locate areas with high numbers of amputations and to track patients with risk factors for amputation to evaluate prevention strategies.
Service Employees International Union Healthcare PA—Andrea Weaver
Standard facility 2015 inpatient discharge datasets for UPMC and Susquehanna Health hospitals to be used for research health care pricing in this Commonwealth.
SG-2, LLC—Nicole Cumorich
Standard Statewide 2015 inpatient discharge and ambulatory/outpatient procedure datasets 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 Tool and State Data Analysis Tool software that was developed to support their client hospitals' long-term 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.
Summit Health—Stephanie Foote
Standard Statewide 2015 and first quarter 2016 inpatient discharge and ambulatory/outpatient procedure datasets to look at trends and monitor Summit Health's market share and analyze their service lines.
Susquehanna Health System—Brian Engel
Standard regional second through fourth quarter 2015 and first quarter 2016 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 2, 4, 5 and 6 to be provided to Healthgrades to be loaded into a Customer Relationship Management database that Healthgrades hosts and maintains on behalf of Susquehanna Health. Healthgrades will use this information for the purpose of reporting market share and trend analysis to Susquehanna Health.
Truven Health Analytics—Katherine Blumhardt
Standard Statewide second through fourth quarter 2015 and first quarter 2016 inpatient discharge and ambulatory/outpatient procedure datasets to be used to process, standardize and distribute to Truven Health Analytics clients (hospitals, health networks, government agencies, health care providers, payers, consultants and vendors) 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, assistance in resource allocation and in evaluating benefit plans.
University of Illinois Urbana-Champaign—Sarah Grajdura
A custom 2007 through 2012 inpatient discharge dataset for cases of patients who reside in Potter, Tioga, Bradford, Susquehanna, Wyoming, Sullivan, Lycoming or Clinton County to be used as part of a study investigating the effect of shale gas development on respiratory health. Inpatient records will be geocoded and matched with nearby unconventional horizontal gas wells. Using a difference and difference framework, the number of per capita admissions for respiratory-related ailments will be compared to areas with no shale gas well, with the pre- and post-treatment periods being before and after the individual well is drilled. The counterfactual in this experiment will be New York counties that did not experience fracking due to the state fracking ban.
University of Pennsylvania—Brian Bayes
Custom 2013 through second quarter 2015 inpatient discharge dataset of cases who were enrolled in a random controlled trial linked with 2014 through 2015 mortality data from the Department with derived fields (intensive care unit indicator and length of stay, number of days to admission and death) to be used for a study, A Randomized Trial of Default Options in Advance Directives. The study is a prospective randomized controlled trial to examine whether structuring advance directives to request comfort-oriented goals of care by default improves patients' quality of life and reduces resource utilization without reducing the number of days that patients are alive and living outside of an acute care hospital.
University of Pennsylvania—Dan Polsky
Standard Statewide 2014 financial dataset and 2013 through first quarter 2015 inpatient discharge and ambulatory/outpatient procedure datasets to be used for a research project, Smarter Big Data for a Healthy Pennsylvania: Changing the Paradigm of Healthcare, which is focused to improve the health of Pennsylvanians at an individual, community and population level by changing the paradigm of medical care and health care delivery to predicting and preventing onset, exacerbation and advancement of disease, and to train minority students in research. The data will provide complementary information to the other combined administrative claims, medical record data, wearable monitor data and social media data that is used to predict clinical events in the hospital, home and community. The financial data will be used to calculate aggregate prices from Council inpatient and outpatient data, which will assist in understanding costs and community level factors that can influence health. Council data along with census and Behavioral Risk Factor Surveillance System (BRFSS) data will be linked with social media data at the community level to build and validate a tool to monitor and predict high morbidity health conditions and real-time dynamic health events among Pennsylvanians. Estimates from the county level and zip code social media tweets will be correlated to prevalence estimates derived from Council, census and BRFSS data for select health conditions.
University of Pennsylvania—David N. Karp
A custom 2011 Statewide inpatient discharge dataset with derived fields (number of days to admission and death) linked with the 2011 through 2012 mortality data files from the Department to be combined with American Hospital Survey and United States Census Bureau's American Community Survey information for a study, The Geography of Healthcare. The study will examine utilization patterns by geographic service areas for emergency care sensitive conditions and ambulatory care sensitive conditions to assess quality and outcomes relative to baseline performance indicators, and evaluate process measures.
University of Pennsylvania—Linda Aiken
Custom 2013 through 2015 Statewide inpatient discharge datasets with derived fields (number of days to admission and death) linked with 2013 through 2015 mortality data files from the Department will be combined with Census socioeconomic status data, nurse survey data and CMS Hospital Compare information to be used for a study, Panel Study of Effects of Changes in Nursing on Patient Outcomes. The study will examine the impact of the change in nursing factors over time on nursing and patient outcomes in hospitals and to determine the effect of nursing resources on patient outcomes in nursing homes and home care using new cross sectional data.
University of Pennsylvania—Matthew L. Williams, MD
Custom 2004 through 2014 inpatient discharge datasets of cases with an ECMO procedure linked with 2004 through 2014 National Limited Access Death Master data files with derived fields (number of days to procedure and death) to be used to study ECMO use in this Commonwealth to evaluate the current utilization of this technology and evaluate survival outcomes in a variety of clinical settings. The study results will be presented in academic journal publications.
University of Pennsylvania—Meeta Prasad Kerlin, MD, MSCE
A modification to a previous request, which was a custom 2008 through 2009 inpatient discharge dataset of patients admitted to all types of intensive care units and patients with a mechanical ventilation procedure merged with Medicare data from CMS, for the probability of death field. The data will be used for a research study, The Role of Physician Factors in Outcomes of Mechanically Ventilated Patients. The object of the study is to define the relationship between individual physician experience and the outcomes of mechanically ventilated patients. The study has two specific aims: 1) to determine the association of physician experience with outcomes of mechanically ventilated patients; and 2) to determine the relative contributions of individual physician experience and hospital volume in outcomes of mechanically ventilated patients.
University of Pennsylvania—Shreya Kangovi, MD
A custom third quarter 2013 through third quarter 2015 inpatient discharge records of cases who enrolled in Individualized Management towards Patient-Centered Targets (IMPaCT) with a derived field (number of days to admission) to be used for a study, Effectiveness of Collaborative Goal-setting versus IMPaCT Community Health Worker Support for IMPaCT Primary Care. The effectiveness of clinician will be compared with community health worker support for helping chronically-ill, low-social economic status patients to improve control of chronic conditions.
University of Pennsylvania School of Nursing—Rachel Kelz
Standard Statewide 2012 and 2013 inpatient discharge and ambulatory/outpatient procedure datasets to use to identify provider factors that lead to variations in surgical patient outcomes across both inpatient and outpatient settings. The data will be linked with the American Medical Association Master file from the American Medical Association and Hospital Compare from CMS to gain a better understanding of the unique contributions of each provider characteristic that will assist providers with their quality improvement initiatives and hiring decisions. The association between provider characteristics (surgeon descriptors and residency program, hospital descriptors) and clinical outcomes (mortality, complications, prolonged length of stay and failure to rescue) will be evaluated and the association between provider characteristics and financial outcomes (length of stay, total cost of hospitalization and discharge status).
University of Pittsburgh—Christina Mair
A standard Statewide 2000 through 2015 inpatient discharge dataset to combine with Pennsylvania crime data, United States Census data with pharmacy density and density of manual labor industries information to examine contextually and temporally specific patterns of the opioid epidemic in this Commonwealth. The data will be used to measure the growth and spread of opioid abuse, dependence and overdose in this Commonwealth over the past 20 years and to assess the relative contribution and temporal patterning of ecological factors to the growth.
University of Pittsburgh—Chunzhe Duan
A custom 2007 through 2014 inpatient discharge dataset of cases with an asthma diagnosis to be used for a study funded by the EPHT to explore the association between air pollution, social behavioral factors and unconventional natural gas well development with asthma hospitalization.
University of Pittsburgh—Jonathan Elmer, MD
A 2004 through third quarter 2015 custom inpatient discharge and ambulatory/outpatient procedure dataset of cases of patients who enrolled in a UPMC-wide post-arrest registry and standard Statewide inpatient and outpatient revenue code detail datasets with derived fields (number of days to admission/visit) to be used for a study, Cause of Death and Hospital Readmission Rates in Cardiac Arrest Patients that Survive to Hospital Discharge: An Analysis of a Regional Healthcare System. The datasets will be used to evaluate the variability in care delivered and outcomes in patients successfully resuscitated from out-of-hospital cardiac arrest in a large health system. Research results from the study will be submitted for presentation at a National scientific meeting and for publication in a peer-reviewed medical journal.
University of Pittsburgh Medical Center—Matthew W. Michaels
Standard Statewide second through fourth quarter 2015 and first and second quarter 2016 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.
University of Rochester—Donna L. Beyea
Standard Statewide 2003 through 2006 inpatient discharge and ambulatory/outpatient procedure datasets to use for a number of research projects. The Health Consequences of Shale Gas Development study will enhance knowledge of the impacts of pollution on human health and the impact of the introduction of shale gas development. The ACA and Hospital Mergers and Acquisitions: Impacts on Patient Care study will use the data combined with other states' data to assess access to care, quality of care and changes in patterns of care after the Affordable Care Act.
University of the Sciences—Mona L. Fiorentini
A custom third quarter 2011 through second quarter 2012 inpatient discharge data report of the total number of cases by race and gender for each hospital to be used for a doctoral dissertation. The data will be used to study whether or not there is a correlation between the number of nursing aides and inpatient falls.
UPMC Hamot—Carrie Ennis
Standard Statewide third quarter 2014 through second quarter 2015 inpatient revenue code detail datasets to be used to better understand intensive care unit utilization in the region served by UPMC hospitals. The primary use of the data will be to determine an appropriate number of Intensive Care Unit beds to include in UPMC Hamot's campus master plan. The data may also be used for internal analysis specific to other UPMC projects over the course of the next year. All use of the data will be restricted to the UPMC Strategic Planning Department. Resultant analyses are likely to be shared at a summary report level with UPMC internal audiences (management, executive leadership and Board of Directors).
Wayne Memorial Hospital—Jack Dennis
Standard regional 2014 inpatient discharge dataset for Region 6 to be used with other data for conducting a community health needs assessment for Pike and Wayne Counties and surrounding underserved communities.
WellSpan Health—David Kimpel
Standard regional 2015 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 5 and 7 and facility 2013 through 2015 inpatient discharge datasets for two facilities, Hospital of the University of Pennsylvania and Pennsylvania Hospital of the University of Pennsylvania Health System, to be used for an internal assessment of the delivery of health care services within WellSpan Health's region and the local impact of large (out of region) academic health systems. Service area utilization and analysis are the primary purpose to obtain the data.
White House Office of National Drug Control Policy—Megan Catlin
A custom 2007 through third quarter 2015 inpatient discharge data report of cases with a drug poisoning diagnoses by year and quarter for each diagnosis will be used as part of an early warning mechanism for the National Security Council and White House about the continued impact of the heroin crisis in this Commonwealth and similar states. The data will stay exclusively within the Executive Branch for purposes of monitoring interim progress towards larger National Heroin Coordination Group goals and objectives and briefing senior staff persons.
Windber Medical Center—Kim Marley, MD
Standard regional 2014 inpatient discharge dataset for Region 1 to provide market data that may be used to determine the extent Windber Medical Center wants to invest in expanding an orthopedic surgery program. The data will be used to identify the market potential as well as the types of procedures that are performed in the market as well potential outmigration. The data will also be used to determine the level of investment, and the like, how many doctors are needed to develop and support the ongoing operations of the program.
Women & Children's Health Alliance—Jacob Peltzman
A standard facility 2015 ambulatory/outpatient procedure dataset for the Children's Hospital of Philadelphia, Abington Surgical Center and St. Christopher's Hospital for Children to use to compare the cost of care at pediatric providers in Women & Children's Health Alliance's area to make sure their newly formed pediatric clinical network is a low cost provider before making the claim. The data will be analyzed to help them ensure that they are a low cost provider of pediatric care in the area and make care more affordable. The data will be used internally and for discussions with payers as they begin to negotiate risk based contracts for their network.
Yale Center for Outcomes Research & Evaluation—Harlan Krumholz
Standard Statewide 2010 inpatient discharge dataset to use for two studies: 1) Examining Health, Healthcare and Non-Healthcare Factors Associated with Population Well-Being; and 2) Developing Novel Analytic Approaches for Analyzing Big Data Healthcare Questions: Yale Big Data to Knowledge (BD2K) Research Center. For the first project, the data will be combined with other aggregated data by geographical proximity to study the emotional health and well-being of a population and its association with adult hospitalization rates. For the second project, which is ongoing, the data will be added to their data repository to develop and deliver methodological approaches for particular classes of outcomes research questions applied to large complex datasets.
JOE MARTIN,
Executive Director
[Pa.B. Doc. No. 17-447. Filed for public inspection March 10, 2017, 9:00 a.m.]
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