NOTICES
HEALTH CARE COST CONTAINMENT COUNCIL
Special Reports and Requests for Data
[48 Pa.B. 1789]
[Saturday, March 24, 2018]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 2017. 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—Jenny Schnaier
Statewide second quarter 2016 through first quarter 2017 inpatient discharge and inpatient revenue detail datasets and 2016 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
Standard regional 2016 inpatient discharge dataset for Region 1 to be used for public health surveillance, research and targeted intervention purposes to help determine areas of Allegheny County with a higher risk of nonfatal outcomes including falls, asthma, unintentional injuries and acute cardiovascular events.
Beebe Healthcare—Diane Taylor
A custom 2013 and 2015 inpatient discharge dataset of cases who reside in Delaware to be used for market analysis regarding outmigration of patients from Beebe Healthcare's service area to hospitals in this Commonwealth.
Berkeley Research Group—David Campbell, PhD
Standard Statewide 2001 and 2011 financial data reports to be used for creating financial benchmarks for hospitals in this Commonwealth. Specifically, they will compare net patient revenue per patient encounter for hospitals in different regions of this Commonwealth focusing on a single reference market. Hospitals in a test market will be matched to other areas based on the Mahalanobis distance function, using covariate data gathered from Centers for Medicare & Medicaid Services (CMS) and other publicly available sources.
Capital BlueCross—Nicole Graci
Standard facility first and second quarter 2016 inpatient discharge dataset for Geisinger Medical Center in Danville to be used 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 Capital BlueCross (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 first and second quarter 2016 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 2016 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 2016 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/Bernice Murano
Standard Statewide third quarter 2016 through first quarter 2017 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue detail datasets will 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.
DLP Memorial Medical Center—Carrie Arcurio
Standard Statewide second quarter 2016 through first quarter 2017 inpatient discharge and ambulatory/outpatient procedure datasets to be used to internally 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.
Evangelical Community Hospital—Nicole Lohr
Standard regional third quarter 2013 through first quarter 2017 Region 5 and second quarter 2016 through first quarter 2017 Region 4 inpatient discharge and ambulatory/outpatient procedure datasets 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 Lutz
Standard Statewide second quarter 2016 through first quarter 2017 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 Resources and Quantros.
Geisinger Commonwealth School of Medicine—Ida Castro, JD
A custom fourth quarter 2013 and third quarter 2016 inpatient discharge dataset of patients who reside in Lackawanna, Luzerne, Monroe or Pike County to be used to analyze population health indicators to understand the current paradigm of patient presentation into the hospital, subsequent diagnosis and resulting health outcomes for vulnerable populations.
Good Shepherd Rehab Network—John Grencer
Standard regional 2016 inpatient discharge datasets for Regions 4—9 to be used for internal analysis for Good Shepherd Rehab Network's services.
HCR ManorCare—Kenneth Kang
Standard Statewide 2016 through first quarter 2017 inpatient discharge datasets to be used to assess the needs of residents in HCR ManorCare's skilled nursing facilities across this Commonwealth.
Healthcare Council of Western Pennsylvania—AJ Harper
Standard Statewide third quarter 2013 through second quarter 2014 and third quarter 2015 through second quarter 2016 ambulatory/outpatient procedure and outpatient revenue code detail datasets to be used to analyze hospital trends; specifically, the data will be used to compare trends in outpatient utilization and charges across hospitals and hospital regions in this Commonwealth.
HealthSouth—Steve Adams
Standard Statewide 2015 inpatient discharge dataset to be used to understand market trends and utilization.
Highmark Health—Brian Lindner
Standard Statewide 2006 through third quarter 2016 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets to be used for ongoing operational analysis and planning purposes. Highmark Health and their consultants 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—Martin Ciccocioppo/Peter Nguyen/Phillip Burrell
Standard Statewide second quarter 2016 through first quarter 2017 inpatient discharge and inpatient revenue code detail datasets, 2015 financial data report and 2014 restated financial data report. The Hospital & Healthsystem Association of Pennsylvania (HAP) will use the data to conduct ongoing monitoring of Statewide, regional and hospital-specific quality outcomes, primarily utilizing AHRQ quality indicators. 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. HAP also intends to host a more limited version of MONAHRQ as a public consumer quality and cost transparency web site known as Care in PA. The data will also be used by HAP's consultant Applied Medical Software to develop best practice financial norms analysis for HAP to use to determine the viability of inviting hospitals in this Commonwealth to participate in performance-based gainsharing program.
A modified custom second quarter 2016 through first quarter 2017 inpatient discharge readmission analysis data report of hospitals' 7-day and 30-day readmission rates for any reason on all discharges and for discharges with sepsis conditions to be used to provide CMS with Hospital Innovation Improvement Network rates of readmissions.
Standard Statewide 2016 financial data report and 2015 restated financial data report to be used to conduct ongoing monitoring of Statewide, regional and hospital-specific finances and policy impact analysis. The data will also be shared with the American Hospital Association (AHA) for AHA to better understand hospital financial and utilization data by payer for hospitals that do not respond to the AHA Annual Hospital Survey. HAP and AHA will only use the financial data for internal policy analysis.
Jian Strategic Marketing—Heidi Orie
Standard regional third quarter 2014 through first quarter 2017 ambulatory/outpatient procedure datasets for Regions 1—3 to be used to analyze ambulatory surgery trends in the market for nonprofit health care providers. The data will be used for consulting purposes to help guide marketing and communication tactic to providers and consumers.
Kaufman, Hall & Associates—Erin Coppersmith
Standard Statewide 2015 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 (PEAK).
Lancaster General Health—Joshua Campos
Standard Statewide 2016 through first quarter 2017 ambulatory/outpatient procedure datasets to be used to understand demand and utilization for ambulatory surgery in this Commonwealth.
Lehigh Valley Health Network—Stephen L. Christopoulos
Standard Statewide second quarter 2016 through first quarter 2017 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 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.
Los Angeles Biomedical Institute—Rie Sakai Bizmark, MD, MPH, PhD
A custom second quarter 2010 through third quarter 2012 and third quarter 2014 through fourth quarter 2015 inpatient discharge dataset for all hospitalization records of infants who died with critical congenital heart disease (CCHD) as the cause of death within 1 year of birth linked with the Department of Health's (Department) mortality data files (2010—2012 and 2014-2015) with derived fields (number of days to death) and a custom second quarter 2010 through third quarter 2012 and third quarter 2014 through fourth quarter 2015 inpatient discharge dataset of infant records who were hospitalized for CCHD within 1 year of birth with derived fields (pre- and post-screening indicator). The data will be used for a study, Impact of Pulse Oximetry Screening, which will study the cardiac care for pediatric patients and the impact of CCHD screening, which was implemented in September 2014 in this Commonwealth.
A modification to previous requests for additional derived flags and data. The request is for second quarter 2010 through fourth quarter 2012 and third quarter 2013 through first quarter 2017 inpatient discharge dataset for all hospitalization records of infants who died with CCHD as the cause of death within 1 year of birth linked with the Department's mortality data files (2010—2016) and of infants who were hospitalized for CCHD within 1 year of birth with derived fields (number of days to readmission, cohort indicator, pre- and post-screening indicator, and number of days to death). The data will be used for a study, Impact of Pulse Oximetry Screening, which will study the cardiac care for pediatric patients and the impact of CCHD screening, which was implemented in September 2014 in this Commonwealth.
Maryland Health Care Commission—Eileen Fleck
Standard Statewide 2015 ambulatory/outpatient procedure dataset to be used for operational public health practice and policy formulation. The ratio of outpatient surgeries performed in hospitals will be compared to ambulatory surgery centers. The findings from the analysis will be used to determine if differences in regulatory processes significantly impact outpatient surgery case distribution.
Milliman, Inc.—Anders Larson
Standard Statewide 2015 financial data report to be used to understand the average commercial reimbursement levels across hospitals in this Commonwealth; an overall variation analysis in commercial reimbursement at the hospital level. The information will be used for consulting purposes to help Milliman's clients understand how their commercial reimbursement compares, at a high level, to other hospitals in the market. Discharge and ambulatory/outpatient data, which Milliman's clients have, will be summarized and used in the analysis.
Monongahela Valley Hospital—Patrick J. Alberts
Standard 2013 through first quarter 2017 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 Shearer
A custom third quarter 2015 through first quarter 2017 inpatient discharge dataset of patients who reside in Blair, Centre, Clearfield, Clinton, Huntingdon or Mifflin County and fourth quarter 2015 through third quarter 2016 inpatient discharge dataset of patients who reside in Adams, Cumberland, Dauphin, Franklin, Fulton, Juniata, Lancaster, Lebanon, Perry or York County to be used for specific internal market data analysis.
National Bureau of Economic Research—Adam Sacarny
Standard Statewide 1999 through 2016 inpatient discharge datasets to be used with other public data (Hospital Cost and Reporting Information System revenues and costs data, CMS Hospital Compare clinical quality and patient satisfaction data, AHA survey data and CMS Medicare MEDPAR data) to study how consolidation affected patient care and costs. The study, Hospital Mergers: What Are the Benefits?, will assess how mergers affect costs, quality, management practices and patient outcomes, how long it takes the impact of mergers to be realized and what factors are key in determining the impacts of mergers.
Nemours/Alfred I. duPont Hospital for Children—Stacey Milunsky
A custom second through fourth quarter 2016 inpatient discharge and ambulatory/outpatient procedure data report of cases for patients less than 18 years of age (reported by age group, primary payer, medical/surgical DRG and hospital) to be used to understand the competitive composition of the inpatient and ambulatory/outpatient market. The data will assist in decision making and considerations for Nemours strategic vision over the next several years.
New Solutions, Inc.—Nancy Erickson
A custom 2016 inpatient discharge dataset of patients who reside in New Jersey or Bucks, Lehigh, Monroe, Northhampton, Philadelphia, Pike or Wayne County to be risk adjusted and produced into reports used by New Solutions for consulting and providing market share analysis to their hospital clients.
OptumInsight—Holli Boetcher
Standard Statewide 2015 inpatient discharge dataset to be used to provide consumers with hospital quality and efficiency information to help them 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.
Penn Highlands Healthcare—Gregory P. Bauer
Standard Statewide second quarter 2016 through first quarter 2017 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets. Penn Highlands Healthcare's consultant DataBay Resources will use the data 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 Hershey Health System—Julie Eisenhauer
Standard 2016 and first quarter 2017 Statewide inpatient discharge datasets and 2011 through first quarter 2017 regional ambulatory/outpatient procedure datasets for Regions 4—9. The data will be loaded into the Advisory Board Market Innovation Center to provide Penn State Hershey Health System 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.
Pennsylvania Department of Health—Anil Nair, PhD
A custom 2006 through first quarter 2016 inpatient discharge dataset of admissions during 2006—2015 with asthma or chronic obstructive pulmonary disease conditions to be used to assess the respiratory disease rates by counties in this Commonwealth as part of a baseline health assessment. The results of the information will be shared with concerned citizens in Lackawanna County in response to their request to the Department to investigate if specific zip codes in their county have higher respiratory disease rates in this Commonwealth.
Pennsylvania Department of Health—Arlene G. Seid, MD
A modification to previous data requests for additional data of a custom fourth quarter 2015-2016 ambulatory/outpatient procedure data report on the number of procedures performed at ambulatory surgery centers to inform decision for requests for exception to ambulatory surgical regulations that the Department receives.
Pennsylvania Department of Health—Brian Wright
Standard 2016 inpatient discharge dataset and reuse of 2000—2015 data to be used for the Violence and Injury Prevention Program (VIPP) and Prescription Drug Monitoring Program (PDMP). VIPP will: analyze the data 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; respond to requests for aggregate injury data; and disseminate in aggregate on the Department's EDDIE system. PDMP will: analyze the data to help 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; develop opioid-related indicators required by Centers for Disease Control and Prevention's (CDC) Prevention for States grant, which is intended to help combat the ongoing prescription drug overdose epidemic; report morbidity indicators required by CDC Enhanced State Surveillance of Opioid-Involved Morbidity and Mortality grant, which is to prevent opioid-involved overdoses and improve multi-state surveillance of and response to opioid-involved overdoses; and validate and identify health care facilities to integrate their electronic health records with the PDMP system, for the CDC Prescription Drug Overdose Prevention Supplemental grant.
Standard 2014—2016 inpatient discharge datasets to be used for the Department of Drug and Alcohol Program (DDAP). The DDAP will analyze the data to produce aggregate drug-related reports, identify problems or successes, prepare fact sheets or profiles of geographical areas to present to congress or the public, monitor program progress by tracking changes in health outcomes over time, and create data-related maps and graphics. The DDAP will also report the number of opioid overdose-related hospital admissions for the Strategic Prevention Framework for Prescription Drugs grant; and complete a needs assessment using epidemiological data to identify prevalence of opioid misuse for the State Targeted Response to the Opioid Crisis grant, and address opioid use prevention services, treatment and recovery, to address the gaps identified in the needs assessment, help identify geographical areas with higher opioid overdose rates, help inform the treatment and prevention services, and combine the data with overdose deaths, PDMP data, treatment admissions and survey data, such as NSDUH and PAYS on prescription drug misuse, for the 21st Century Cures Act grant.
Pennsylvania Department of Health—Carolyn Byrnes
A custom 2012—2016 inpatient discharge data report of cases with a sepsis diagnosis (reported by diagnosis, in-hospital death, age group, region and year) to be used to evaluate the impact of sepsis initiatives at the Department and hospitals; and to provide data for sepsis surveillance in this Commonwealth.
Pennsylvania Department of Health—Jackie Williams
Standard Statewide 2015 through first quarter 2017 inpatient discharge datasets to be used to support the Department's CDC grant, State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health program. The program supports the Department's diabetes prevention and control strategies and annual age-adjusted hospital rates for diabetes will be reported.
Pennsylvania Department of Health—Sameh Boktor
Standard Statewide third quarter 2002 through second quarter 2016 inpatient discharge and inpatient revenue code detail datasets, and 2003—2016 financial data reports to be used to study influenza associated hospitalizations and understand the aspect of the public health burden of influenza and pneumonia. The Department will estimate the burden of influenza among age groups and risk factors, length of stay and related cost.
Pennsylvania Department of Health—Zhen-qiang Ma
A modification to previous requests for a custom 2010—2014 Statewide inpatient discharge and ambulatory/outpatient procedure dataset linked to the Department's mortality data files with derived fields (number of days to death) to be used for program initiation and evaluation in the Bureau of Epidemiology and Bureau of Health Promotion and Risk Reduction. Specific projects using these data are to update the Chronic Disease Burden Report, monitoring PA Healthy People 2020 objectives to National goals, PA Pediatric Cancer Report, program evaluation in chronic disease program effectiveness and publication studies.
A custom 2000 through second quarter 2016 inpatient discharge dataset for mother's delivery and newborn births during 2000—2015 linked with the Department's 2000—2015 birth certificate data files to be used to establish baselines for birth defects and neonatal abstinence syndrome on live born births in this Commonwealth and to study factors associated with those conditions, as well as analyze breastfeeding initiation rate with associated factors.
Pennsylvania Department of Human Services—Allen Fisher
A custom third quarter 2014 through second quarter 2015 inpatient discharge dataset from the corrected self-pay database and 2013—2015 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 third quarter 2014 through second quarter 2015 inpatient discharge dataset of records 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.
Pennsylvania Department of Human Services—Nicholas Platt
A custom 2015 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 be used to provide a baseline payer mix data for ambulatory surgery centers as a means to complement data they have or will be requesting for several other provider types. The Department of Human Services (DHS) will use the data to evaluate potential Medical Assistance program initiatives.
Pennsylvania Department of the Auditor General—Jo Anne Walchak
A custom third quarter 2013 through second quarter 2014 inpatient discharge dataset from the corrected self-pay database and 2012—2014 financial data of the 3-year average percent of uncompensated care to be used for auditing hospitals that received tobacco funds in 2016 from DHS, which used Council data to compute payments to hospitals for the Uncompensated Care and Extraordinary Expense Programs established under the Tobacco Settlement Act of 2001.
Standard Statewide third quarter 2016 through second quarter 2017 inpatient discharge datasets to be used to review data that will be used to calculate Tobacco Settlement entitlements to hospitals in this Commonwealth prior to DHS's calculation of the payment amounts. The Department of the Auditor General will review data that will be provided to DHS for use in making Uncompensated Care Tobacco Fund payments in 2019.
Pennsylvania eHealth Partnership Authority—David Grinberg/Kelly Thompson
A custom first quarter 2016 Statewide inpatient discharge and ambulatory/outpatient procedure custom dataset 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 Insurance Department—Gwendolyn Hauck, Esq.
A 2012—2016 custom inpatient discharge and ambulatory/outpatient procedure dataset of patients or facilities from specified counties and standard Statewide inpatient and outpatient revenue code detail datasets, and 2012—2015 standard financial data reports to be used to assist the Insurance Department's oversight of Highmark including requirements for approval of certain transactions, such as changes in corporate structure that involve changes of control, and approval of some financial commitments under and order issued by the Insurance Department in 2013. The data will also be used to assist the Insurance Department in ensuring that Pennsylvanians have access to health services and health insurance under its statutory authority as well as a consent decree entered into with the Commonwealth by Highmark and the University of Pennsylvania Medical Center.
Pennsylvania Office of Attorney General—Tracy W. Wertz
Standard Statewide 2016 and first quarter 2017 inpatient discharge, ambulatory/outpatient procedure, inpatient and ambulatory/outpatient revenue code detail datasets, and 2016 financial data report to be used for 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.
Pennsylvania Patient Safety Authority—Ellen Deutsch
A custom third quarter 2011—2016 inpatient and ambulatory/outpatient data report on the number of procedures performed in an operating room by facility and quarter/year to be used to normalize as it relates to surgeries to establish an estimated rate for errors involved in surgeries in this Commonwealth. This information will be used in an article to be published in the Pennsylvania Patient Safety Advisory.
Pennsylvania Patient Safety Authority—Howard Newstadt
A custom 2016 and first quarter 2017 hospital data report to be used by the Patient Safety Authority (PSA) in combination with the PSA's 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—Michelle Bell
A custom 2011 through 2016 ambulatory/outpatient procedure data report on the number of surgical procedures performed at ambulatory surgery centers to be used by the PSA in combination with the PSA's PA-PSRS (medical error report) to calculate the number of error reports by each facility.
Pennsylvania Physical Medicine & Pratter—Bill Hennessey, MD
Standard Statewide second through fourth 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 the facility as an average charge per procedure on Pratter's web site available to their members.
Philadelphia Department of Public Health—Cheryl Bettigole, MD/Raynard Washington, PhD, MPH
Standard regional 2015 through first quarter 2017 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 requiring hospitalization and descriptions of the hospitalized patient population. Data are used for the evaluation of trends in services and estimated cost for HIV, diabetes, asthma, hypertension, cancer screening, violence-related injuries, and the like, for research and policy planning. The data will be used to examine high-risk pregnancies and ongoing research into birth outcomes for needs assessment activities for Health Start and Title V.
Philadelphia Inquirer—Tom Avril
Standard regional 2015-2016 inpatient discharge datasets for Regions 8 and 9 to be used for general use in reporting on trends in health care usage in this Commonwealth.
Reading Hospital and Medical Center—Daniel Ahern
Standard Statewide 2016 and first quarter 2017 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.
Renzi Podiatry/Save Your Soles Campaign—Ronald M. Renzi, DPM
A custom 1996 and 1997 and second quarter 2016 inpatient discharge dataset of 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 to locate areas with high numbers of amputations and to evaluate prevention strategies.
A custom 1995, 1999 and 2016 inpatient discharge dataset of patients with an amputation procedure performed and who reside in Bucks, Chester, Delaware, Montgomery or Philadelphia County to be used for the Save Your Soles Campaign program, which is to reduce amputations. The number of amputations will be measured to locate areas with high numbers of amputations and to evaluate prevention strategies.
Safety-Net Association of Pennsylvania—James A. Tomkins
A custom 2016 inpatient discharge data report of the number of days and discharges by hospital, patient zip code and payer to be used for calculating a weighted average Community Needs Index for each hospital to be used for internal analysis on behalf of Safety-Net Association of Pennsylvania hospitals.
SG-2, LLC—AJ Fadel/Tanya Chin Fatt
Standard Statewide 2016 and first quarter 2017 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 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.
St. Luke's University Health Network—Amanda Mazza
Standard Statewide fourth quarter 2016 inpatient discharge dataset to be used to better understand St. Luke's University Health Network's (SLUHN) current position in the market and identify opportunities to grow by analyzing product lines utilized in their markets. The information will help them identify how to better serve their community and identify areas of their population that are underserved. SLUHN's consultant, Stratasan, will load the data in an analytics platform tool to provide SLUHN the ability to view reports with aggregated data customized to the needs of specific service areas.
Summit Health—Stephanie Foote
Standard Statewide second through fourth quarter 2016 inpatient discharge and ambulatory/outpatient procedure datasets to be used to look at trends and monitor their market share and analyze their service lines.
Tenet HealthSystem Medical, Inc.—Aksh Patel
Standard Statewide 2013—2016 inpatient discharge and ambulatory/outpatient procedure datasets to be used to identify community health needs and for strategic planning regarding utilization of health services. Utilization services will be investigated by demographics and geographic locations, a Statewide comparison will help determine variations in health status and access to care and will aid in the development of appropriate programs and services to improve health care services in the communities in these areas.
The Pulmonary Institute of Redstone—Nicholas Kozinko
Standard regional first and second quarter 2016 inpatient discharge datasets for Regions 1—6 to be used for a Ventilator Nursing Facility Feasibility Analysis project that will explore the potential for ''ventilator-specific'' nursing homes in areas of this Commonwealth that do not have this dedicated specialty. The information garnered in the reports will be used for outlining and assessing the need for these facilities in various areas.
Truven Health Analytics—Katherine Blumnhardt
Standard Statewide second quarter 2016 through first quarter 2017 inpatient discharge and ambulatory/outpatient procedure datasets to be used to process, standardize, and distribute different types of data and statistical analyses to its 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 at Chicago—Jon Oliver
A custom 1991—2014 inpatient discharge data report for the number of cases by year, county, age group and condition to be used for a dissertation research study, The Impact of Smoke-Free Air Legislation. The study will examine the impact of smoke-free air legislation by using the data combined with other county-level data such as population, unemployment rates, cigarette excise taxes, and the like.
University of Pennsylvania—Brian Bayes
A modification to a previous data request for updated data of a custom 2013 through third quarter 2016 inpatient discharge dataset of patients enrolled in a random controlled trial linked with the Department's 2014—2016 mortality data with derived fields (ICU indicator, number of days in an ICU stay, number of days to admission and number of days to death) to be used for a study, 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—Linda H. Aiken, PhD
A modification to a previous request for additional data of a custom fourth quarter 2015-2016 inpatient discharge dataset of all hospitalizations linked with the Department's 2016 mortality data with derived fields (number of days to admission and number of days to death) to be combined with Census socioeconomic status data, nurse survey data and CMS Hospital Compare 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—Said A. Ibrahim, MD, MPH
A modification to previous requests for a 2012—2016 standard Statewide inpatient revenue code detail dataset and custom inpatient discharge dataset of cases with a hip and knee replacement performed with readmission records linked with the Department's 2012—2016 mortality data with derived fields (number of days to death and number of days to admission) to be used for a pilot project, Race and Rehabilitation Services After Joint Replacement, which will examine racial variations in access to post-acute care and rehab services after an elective joint replacement and to examine the association between the receipt of these services and important surgical outcomes. The long-term objective of the research is to mitigate racial disparity in access and use of elective knee/hip replacement by identifying and intervening on key factors in the clinical care pathway, one of which may be differential access to post-acute care and rehab services.
University of Pennsylvania—Shreya Kangovi, MD
Custom 2015 through first quarter 2017 inpatient discharge records of patients who enrolled in a randomized controlled trial study with derived fields (number of days from enrollment) to be used to support analyses of an intervention study, IMPaCT Multi-Site Primary Care, which is to compare the effectiveness of clinician versus community health worker support for helping chronically-ill, low socioeconomic status patients to improve control of chronic conditions. The primary outcome of interest is mean change in standardized score for specific chronic disease outcomes as measured at 6 months after enrollment and the secondary outcomes of interest is a reduction in hospitalizations measured at 30 days, 6 months and 12 months after enrollment.
University of Pennsylvania School of Medicine—Mitesh Patel, MD
A custom 2011 through second quarter 2015 inpatient discharge dataset of a specified cohort of patients who were hospitalized at any of the University of Pennsylvania Health System hospitals, with derived fields (number of days to admission) to be used for a retrospective study, Developing Prediction Models to Identify Patients at Risk for Hospital Readmission. The researchers will analyze associations between levels and changes in levels of patient generated health data and health care utilization.
University of Pennsylvania School of Medicine—Phyllis Gimotty, PhD
Standard Statewide 2012 through 2015 inpatient discharge datasets and a custom 2007—2015 inpatient discharge dataset with derived fields of all hospitalization records for male patients discharged from hospitals that treated hemophilia to be used to examine different co-morbidities among persons with congenital bleeding disorders and compare hospital 30-day readmission rates of hemophilia A/B patients and of non-Hemophilia A/B patients undergoing surgical procedures. The insights drawn from the data analysis will assist clinicians in counseling their patients with congenital disorders of hemostasis, provide a basis for prospective studies and advance preventative health care efforts.
University of Pennsylvania School of Nursing—Rachel Kelz, MD
Standard Statewide 2014 and 2015 inpatient discharge datasets and re-use 2012 and 2013 inpatient discharge datasets to be used for a study on evaluating the impact of the Affordable Care Act on access to bariatric surgery for all patients with particular attention to those affected by Medicaid expansion or Essential Health Benefits.
University of Pittsburgh—Christina Mair
Standard Statewide third quarter 2015 through 2016 inpatient discharge datasets will be combined 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 Medical Center—Matthew W. Michaels
Standard Statewide third quarter 2016 through first quarter 2017 inpatient discharge and ambulatory/outpatient procedure datasets to be used to produce various research reports including: patient origin for University of Pittsburgh Medical Center (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 Virginia Medical Center—Joel Spring
Standard facility second quarter 2016 through first quarter 2017 inpatient discharge datasets for the Children's Hospital of Philadelphia and Children's Hospital of Pittsburgh of UPMC to be used to monitor volume and description of Virginia pediatric residents receiving care at these two hospitals to help determine where there may be gaps in services provided in Virginia.
UPMC Susquehanna Health—Brian Engel
Standard regional second quarter 2016 through first quarter 2017 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 2 and 4—6 to be loaded into a Customer Relationship Management database that Healthgrades hosts and maintains on behalf of UPMC Susquehanna Health. Healthgrades will use this information for the purpose of reporting market share and trend analysis to UPMC Susquehanna Health.
VMG Health—Kevin McDonough
Standard regional second quarter 2015 through first quarter 2017 ambulatory/outpatient procedure datasets for Region 1 to be used for commercial purposes as part of a broader market study and feasibility analysis for a Pittsburgh area health care client.
WellSpan Health—David Kimpel
Standard 2016 regional and facility inpatient discharge datasets for Region 5 and 7 and two hospitals, Hospital of the University of Pennsylvania and Pennsylvania Hospital of the University of Pennsylvania Health System, and regional ambulatory/outpatient procedure dataset for Region 5 and 7 to be used for an internal assessment of the delivery of health care services within their region and the local impact of large (out of region) academic health systems. Service area utilization and analysis are the primary purpose for them to obtain the data.
Whitecap Health Advisors—Rob Langheim
A custom 2014 through second quarter 2016 inpatient discharge dataset of cases who reside in Region 8 or 9 to be used to assist in planning for Jefferson University Hospital in marketing and capacity analysis.
WRC Senior Services—Gene Miller
A custom second quarter 2013 through first quarter 2016 inpatient discharge dataset of patients 65 years of age and older who reside from a specific county to be used to analyze WRC Senior Services service area by service line to determine the percent of discharges going to nursing homes by hospital to determine market need and the best potential continuum of care partners.
JOE MARTIN,
Executive Director
[Pa.B. Doc. No. 18-476. Filed for public inspection March 23, 2018, 9:00 a.m.]
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