NOTICES
HEALTH CARE COST
CONTAINMENT COUNCIL
Special Reports and Requests for Data
[54 Pa.B. 1273]
[Saturday, March 9, 2024]Under 35 Pa.C.S. § 3304(d)(7) (relating to powers and duties of council), the Health Care Cost Containment Council (Council) 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 2023. The data files and list of data fields that are included in the standard public use files are located on the Council's web site at www.phc4.org (select ''Purchase Customized Data,'' then select ''Available Data and Pricing''). Questions about procedures for obtaining access to Council data should be addressed to JoAnne Z. Nelson, Manager 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, MA/Pamela Owens, PhD
Statewide 2022 inpatient discharge and inpatient revenue code detail datasets and ambulatory/outpatient procedure and ambulatory/outpatient revenue code detail dataset with derived data (number of days to admission, days to procedure and age). The data will be combined with other data source's data and used in the Healthcare Cost and Utilization Project (HCUP), which uses the information for multiple databases (State Inpatient Databases, State Ambulatory Surgery and Services Databases, National Inpatient Sample, Kids' Inpatient Database, Nationwide Readmissions Database and Nationwide Ambulatory Surgery Sample), 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 2022 inpatient discharge and 2017 through 2022 ambulatory/outpatient procedure datasets for Region 1 to be used for public health surveillance, identify high risk groups within Allegheny County and study preventable hospitalizations, nonfatal injuries, including falls and motor vehicle crashes and acute outcomes that may be associated with environmental quality, including asthma and cardiovascular events.
Capital Health—Jeremye Cohen
Standard regional 2022 inpatient discharge and ambulatory/outpatient procedure datasets for Region 8 and 9 will be developed into reports prepared by Capital Health's consultants, NERA Economic Consulting, for planning purposes for their health system to assist in determining public demand.
Columbia Law School—Jeffrey Fagan
Standard Statewide 2010 through 2022 inpatient discharge and ambulatory/outpatient procedure datasets to use for a study entitled, Racial Inequality in Police Violence: Injuries and Fatalities from Police Use of Force. The data will be combined with other states' data to assess racial disparities in rates and predictors of injuries incurred from police use of force. The project will integrate data on nonfatal injuries from legal interventions with data on police-caused fatalities to create a continuum of police use of force across counties and will generate a unique database on police violence for broad use. The researchers will analyze the relative risks of police-caused injury or death by civilian race, institutional contexts of police agencies and actions and population demography. Outcomes from the study may be published in high-impact peer-reviewed journals representing the interdisciplinary nature of this work, published in open access journals and findings presented to professional associations, scientific meetings and practice conferences.
Doylestown Hospital—Allyson Gilmore
Standard Statewide 2022 inpatient discharge and ambulatory/outpatient procedure datasets will be developed into reports prepared by Doylestown Hospital's consultant, Sg2, to analyze market share for outpatient and ambulatory services in order to identify healthcare needs, gaps in care and growth in preparation to adjust medical services offered.
Evangelical Community Hospital—Nicole Lohr
A 2022 custom inpatient discharge dataset of Region 4 and 5 cases with derived data (number of days from prior discharge) and standard regional ambulatory/outpatient procedure dataset for Region 4 and 5 to be used for conducting an internal study of Evangelical Community Hospital's market share and to gain a better understanding of the population it serves.
Excela Health—Allison Panosky
Standard Statewide 2022 through first quarter 2023 inpatient discharge and ambulatory/outpatient procedure dataset to be developed into reports prepared by Excela Health's consultant, Sg2, to examine state, county and hospitals inpatient and outpatient market share.
Geisinger Health System—Rachel Manotti, MHA
Standard Statewide 2022 through first quarter 2023 inpatient discharge and ambulatory/outpatient procedure dataset to be used for market demand, market share, patient origin, payer mix and distribution, patient demographics, diagnosis/procedure distribution, facility and physician profile or distribution and trend analysis.
Good Shepherd Rehab Network—Cindy Buchman, MHA
Standard Statewide third quarter 2021 through 2022 inpatient discharge dataset to use for internal analysis for Good Shepherd Rehab Networks services.
Guthrie Clinic Ltd—Joshua Stout
Custom 2022 inpatient discharge and ambulatory/outpatient procedure dataset for patients who reside in Bradford, Sullivan, Susquehanna, Tioga and Wyoming Pennsylvania Counties or Broome, Chemung, Cortland, Schuyler, Steuben, Tioga and Tompkins New York Counties to conduct annual and ad hoc market assessments to understand facility market share by service line, areas of opportunity for expanded services and as an indicator to effectiveness of new service offerings or physician recruitment.
Health Advisory Board of the City of Chester—Ronald Renzi, DPM
Custom 2016 through 2022 inpatient discharge dataset of infants who reside in Delaware County born with specific diagnoses and inpatient discharges of patients who reside in Delaware County with an asthma diagnosis to develop data on birth outcomes and to develop a trend in the incidence of severe asthma for residents of the City of Chester in Pennsylvania in Delaware County.
Healthgrades Marketplace, LLC—Zach Ehasz
Standard Statewide 2021 inpatient discharge dataset to measure hospital's mortality or complication, or both, rates for consumers, employers and payers to make better informed healthcare choices. Healthgrades offers services and decision-support tools to their clients that measure and evaluate quality of medical services at facilities and provides quality analysis on hospitals using the data in combination with data from Centers for Medicare and Medicaid Services (CMS).
Highmark Health—Andrew P. Charland
Standard Statewide 2022 through first quarter 2023 inpatient discharge, ambulatory/outpatient procedure and inpatient and ambulatory/outpatient revenue code detail datasets to be used for ongoing operational analysis and business planning purposes. Highmark Health will perform analysis of hospitals and ambulatory surgery centers with respect to issues including service offerings, payer mix, patient travel patterns, service areas, provider market shares, in addition to analysis of factors including hospital capacity and utilization, service line offerings and bed counts, revenues and costs, including trends and changes over time. Further analysis will be performed related to regulatory compliance and Integrated Healthcare Delivery Network/Integrated Delivery and Financing System efforts related to evaluate hospital competition, further develop AHN services and offer high-value insurance products.
Hospital & Healthsystem Association of Pennsylvania—Graycen Hunt
A custom first quarter through third quarter 2022 inpatient discharge readmission analysis data report of hospitals' 7-day and 30-day rates for different conditions and demographic information, a 2022 through first quarter 2023 custom Statewide inpatient discharge dataset with derived data (number of days from prior discharge) and standard inpatient revenue code detail dataset, a standard Statewide first quarter 2023 ambulatory/outpatient procedure dataset and standard restated 2020 financial data report. The Hospital and Healthsystem Association of Pennsylvania (HAP) will use the data to conduct ongoing monitoring of Statewide, regional and hospital-specific financial information and outcomes. HAP may, from time to time, release aggregate results of its monitoring research. HAP intends to use analysis of the information for member research and data or results of data analysis will be used in some form of publication. Data, including prior purchased data, will be developed on dashboards and other data visualizations.
Hospital & Healthsystem Association of Pennsylvania—Sushma Sharma, PhD
Standard 2022 financial data report of volume 1 hospitals to conduct ongoing monitoring of Statewide, regional and hospital-specific financial information and outcomes. HAP may, from time to time, release aggregate results of its monitoring research and use analysis of the information for member research. Data or results of data analysis will be used in some form of publication.
Hunterdon Healthcare—Kim Tennant, MBA
Custom 2021 and 2022 inpatient discharge and 2018 through 2022 ambulatory/outpatient procedure dataset of patients who reside in the state of New Jersey and were hospitalized in Region 7, 8 or 9 and 2018 through 2022 standard Statewide inpatient and ambulatory/outpatient revenue code detail datasets to assess market share within Hunterdon Healthcare service area.
Intellimed—Chad Smith
Standard Statewide 2022 inpatient discharge, ambulatory/outpatient procedure and inpatient and ambulatory/outpatient revenue code detail dataset to be linked with ESRI demographic data to use for hospital performance, resource utilization, patient access to care, operations and delivery analysis as part of Intellimed's Healthcare Provider Strategic Decision Support and Data Access System project in an IntelliClientTM Application. The application provides the ability to analyze and improve quality of care, competitive market assessment and performance, identify service line adjustments and optimization, payor-mix shifts, patient demographic shifts, resource utilization assessments and review similar dynamics of other providers identified in the dataset.
Jian Strategic Marketing—Heidi Orie
Standard 2022 through first quarter 2023 Statewide inpatient discharge dataset and regional ambulatory/outpatient procedure dataset for Regions 1—7 to analyze trends in the market for nonprofit health care providers for consulting purposes to help guide marketing and communication tactic to providers and consumers.
Lehigh University—Chad Meyerhoefer, PhD
Standard Statewide 2018 through 2022 inpatient discharge and 2000 through 2022 ambulatory/outpatient procedure dataset linked with area-level socioeconomic demographics, environmental quality, health insurance market structure data and hospital characteristics for a study entitled, Analysis of Health Care Costs, Organization and Quality in Hospitals and Outpatient Facilities. The researchers will examine how the organization of the hospital and outpatient facility markets affect the cost and quality of health care services and analyze the impact of Federal and State health care policies on health care cost and quality in these markets.
Lehigh Valley Health Network—Vanessa J. Villaverde, MBA
Standard Statewide 2022 through first quarter 2023 inpatient discharge and ambulatory/outpatient procedure dataset for service area analyses, competitive analyses, product line trends and analyses and incidence rate comparisons and trends for program development. The data will also be used for research population based health issues, to promote health and well-being of targeted vulnerable populations; internal quality control research; internal resource utilization research; support development of continuum of care research; and community based health needs that target chronic illnesses.
LifePoint Health—Jeff Duncan
Standard Statewide 2022 inpatient discharge dataset will be developed into reports prepared by LifePoint Health's consultant, Trilliant Health, to help assess the opportunities and needs in areas that their hospitals operate in and will conduct analysis to help leaders in the company make decisions for the operations of the hospitals.
Main Line Health—Praveen Shanbhag
Standard 2022 through first quarter 2023 Statewide inpatient discharge dataset and regional ambulatory/outpatient procedure dataset for Regions 8 and 9 to use for market assessments, internal facility and service line planning purposes to evaluate consumer need and identify underserved geographic and clinical areas in Main Line Health's market.
Meritus Medical Center, Inc.—David White
Standard regional 2019 through second quarter 2022 inpatient discharge and ambulatory/outpatient procedure dataset for Region 5 to conduct market share analysis in Meritus Medical Center's out-of-state service area and to better guide their health systems' strategic planning.
Mount Nittany Health—Jennifer Scanlon
Standard Statewide 2022 inpatient discharge and ambulatory/outpatient procedure dataset will be developed into reports prepared by Mount Nittany Health's consultant, Sg2, for internal market share analysis.
Nemours/Alfred I. duPont Hospital for Children—Lovedeep Kaur/Stacey Milunsky
A custom 2022 and first quarter 2023 inpatient discharge dataset for obstetric delivery cases and an inpatient discharge and ambulatory/outpatient procedure dataset for pediatric cases with an age indicator. The data will be used for understanding the current marketplace and impact of service offerings at other institutions throughout the Delaware Valley and Commonwealth to understand market share to make decisions about services offered at the hospital and outpatient locations throughout Delaware, New Jersey and Pennsylvania.
New Jersey Hospital Association—Sean Hopkins
A custom 2021 through 2022 inpatient discharge and ambulatory/outpatient procedure dataset for patients who are residents of New Jersey and a data report for the percentage of total inpatient admissions and outpatient visits that were residents of New Jersey. The data will be used for New Jersey Hospital Association's project titled Medical Services Sought by New Jersey Residents in Neighboring States. The data will be utilized to understand the flow of patients among neighboring states, the services sought elsewhere, the demographic characteristics of such patients as well as the types of services residents sought in neighboring states. The information will improve healthcare services and benefits to the overall healthcare service delivery system.
Penn Highlands Healthcare—Gregory P. Bauer
Standard Statewide 2022 inpatient discharge, ambulatory/outpatient procedure and inpatient and ambulatory/outpatient revenue code detail datasets will be developed into market share reports by Penn Highlands Healthcare's consultant, Sg2, to use in preparation of strategic plans as well as in the development of physician recruitment plans for Penn Highlands Healthcare.
Penn Highlands Mon Valley—Lynn Matusik
Standard regional first and second quarter 2022 inpatient discharge and ambulatory/outpatient procedure datasets for Region 1 and Statewide inpatient and ambulatory/outpatient revenue code detail datasets to analyze clinical data to identify gaps in services in order to offer new services to Penn Highlands Mon Valley community.
Penn State Hershey Health System—Joshua Campos
Standard Statewide 2022 through first quarter 2023 inpatient discharge and ambulatory/outpatient procedure datasets to understand the health care market by examining utilization patterns, which will inform Penn State Hershey Health System's health resource planning and improve access for the communities they serve. The community needs analysis will include trends by geography, payor, service and patient migration.
Pennsylvania Department of Aging—Thomas Snedden
Custom 2017 through second quarter 2022 inpatient discharge dataset for patients who are enrolled in Pharmaceutical Contact for the Elderly (PACE) with derived data (number of days to admission, number of days from discharge and match type flag indicator) linked with PACE data to be used for a study entitled Research & Evaluation of Prescription Drug Utilization and Health Outcomes in PACE/PACENET. The study will expand research on health outcomes of prescription drug use by the elderly. Specific analyses include, hospitalization outcomes and costs associated with beneficiary nonadherence to drug therapy and the development of interventions among providers and beneficiaries to address nonadherence; quantify the impact of ''super-utilizers'' for mental health, congestive heart failure and chronic obstructive pulmonary disease utilizers; describe hospitalizations and rehospitalization rates for classes of drugs and with respect to polypharmacy; identify hospitalization utilization and access to drug therapy of rural elderly in this Commonwealth and health status needs among elderly by geography; understand access and availability of antidepressant therapy among rural residents; evaluate hospitalization outcomes for specific therapeutic classes of prescription drug in combination with disease states; examine health services access and geographic location of older persons; examine prescriber behaviors and utilization changes brought about by trends in pharmacy benefit management, including increases in the use of electronic prescribing; examine burden of anticholinergic drugs and adverse drug events; analyze opioid-related hospitalization outcomes and costs associated among the elderly; evaluate hospitalization outcomes related to the novel coronavirus (COVID-19) among the elderly; and examine possible impact of current Academic Detailing initiatives completed by PACE, prescriber behavior and hospitalization outcomes. Possible topics include congestive heart failure, opioid-related hospitalizations and diabetes.
Pennsylvania Department of Health—Brian Wright
Standard Statewide 2022 inpatient discharge dataset to be used by the Pennsylvania Department of Health's (PA DOH) Bureau of Health Promotion and Risk Reduction (BHPRR) Division of Violence Prevention Program and Division of Nutrition and Physical Activity Program. BHPRR will use the data to help identify groups at high risk for injury, specific injury topics and identifying risk factors, and effective injury prevention, planning and evaluation strategies; produce various injury reports, fact sheets, infographics, asthma-related reports and burden of chronic disease reports; respond to requests for aggregate data pertaining to injury, chronic diseases and the like; and disseminate in aggregate on PA DOH's Enterprise Data Dissemination Informatics Exchange system and dashboard.
Pennsylvania Department of Health—Carrie Thomas Goetz, PhD
Standard Statewide 2012 through 2022 inpatient discharge dataset will be used for a project, Drug User Health Data Analysis and Report Creation to support the Office of Drug Surveillance and Misuse Prevention (ODSMP) in creating, maintaining and analyzing surveillance data that will be used to create a report describing the infection and noninfectious disease consequences on substance use in this Commonwealth. The data will be utilized to understand what other conditions, if any, people present with substance use experienced over the 10-year period of interest. The ODSMP are interested in understanding the healthcare costs for people present with substance use, insurance status, county of residence and demographic factors like age, sex, race and ethnicity.
Pennsylvania Department of Health—Jun Yang, PhD
A custom 2010 through 2021 inpatient discharge and ambulatory/outpatient procedure dataset for patients who received a colonoscopy screening with derived data (number of days to procedure and match type flag indicator) linked with 2010 through 2020 Department of Health Commonwealth cancer registry data. The data will be used to establish the relationship of colonoscopy screening and colorectal cancer incidence and mortality and the impact of the COVID-19 pandemic on this relationship in this Commonwealth.
Pennsylvania Department of Health—Zhen-qiang Ma, MD, MPH, MS
A 2022 standard Statewide ambulatory/outpatient procedure dataset and custom Statewide inpatient discharge dataset with a derived field (admission) to use for a study entitled, Health Effects Associated with Environmental Factors in Pennsylvania. The objective is to assess the health impacts associated with various environmental factors in the Commonwealth. Additionally, the data will be used to provide summary information to the Centers for Disease Control and Prevention's Environmental Public Health Tracking Network for five conditions (acute myocardial infarction, asthma, carbon monoxide poisoning, chronic obstructive pulmonary disease and heat stress).
Pennsylvania Department of Human Services—Mara Perez
Custom third quarter 2020 through second quarter 2021 inpatient discharge dataset from the corrected self-pay database and 2019 through 2021 financial data of the 3-year average percent of uncompensated care to use in part to compute payments to hospitals for the Hospital Uncompensated Care and Extraordinary Expense program established under the Tobacco Settlement Act of 2001.
A custom third quarter 2020 through second quarter 2021 inpatient discharge dataset of records for cases with a Major Diagnostic Category (MDC) 14 or MDC 15 from general acute care hospitals and specialty general acute care hospitals to be used to determine eligibility and calculate payments to disproportionate share hospitals under the Pennsylvania State Plan approved by CMS for obstetrical and neonate services.
Pennsylvania Department of Human Services—Michele Minter
Custom 2021 and 2022 financial data report of hospital's net patient revenue, days, discharges and visits distribution by payer to be used for the Statewide and Philadelphia Hospital Assessment programs.
A custom third quarter 2021 through second quarter 2022 inpatient discharge dataset of records for cases with a MDC 14 or MDC 15 from general acute care hospitals and specialty general acute care hospitals to be used to determine eligibility and calculate payments to disproportionate share hospitals under the Pennsylvania State Plan approved by CMS for obstetrical and neonate services.
Pennsylvania Department of the Auditor General— Jo Anne Walchak
Standard Statewide third quarter 2021 through second quarter 2022 inpatient discharge dataset to be used to review data that will be used to calculate Tobacco Settlement entitlements to hospitals in this Commonwealth prior to the Department of Human Services' (PA DHS) calculation of the payment amounts. Pennsylvania Department of the Auditor General will review data that will be provided to PA DHS for use in making Uncompensated Care Tobacco Fund payments in 2024.
Pennsylvania Housing Finance Agency—Bryce Maretzki
Statewide third quarter 2019 through second quarter 2022 custom inpatient discharge dataset with derived data (number of days between cases), standard ambulatory/outpatient procedure dataset and standard inpatient and ambulatory/outpatient revenue code detail datasets. The Pennsylvania Housing Finance Agency (PHFA) will use the data to explore the creation of health and housing programs to incentivize health sector investment in the creation of affordable housing. Data reports prepared by PHFA's consultant, Corporation for Supportive Housing, will be utilized to conduct a Statewide assessment of the intersection of housing and health needs. The project will identify and prioritize areas of the Commonwealth for health and housing investment by focusing on social determinants of health. The data will be overlaid in a Geographic Information System with datasets addressing housing cost, rent burden and homelessness.
Pennsylvania Office of Attorney General—Tracy W. Wertz
Standard Statewide second quarter through fourth quarter 2022 inpatient discharge, ambulatory/outpatient procedure, inpatient and ambulatory/outpatient revenue code detail datasets and 2021 and 2022 financial data report. The data will be used in analyzing hospital mergers and hospital conduct matters pursuant to the Office of Attorney General's authority to enforce the antitrust laws on behalf of the Commonwealth and its citizens. The review of hospital mergers is to ensure that the mergers are in compliance with antitrust laws, and the information may be disclosed for official law enforcement purposes or disclosed in litigation related to Federal antitrust laws or other state and Federal laws. The data may be shared with the Federal Trade Commission or the United States Department of Justice to be used for investigations that are conducted jointly with the Pennsylvania Office of Attorney General.
Pennsylvania Patient Safety Authority—Shawn Kepner, MS
Custom second quarter 2022 through first quarter 2023 inpatient discharge data quarterly reports on the number of cases by hospital to serve as normalization denominator figure relative to facility numerator statistics from the Pennsylvania Patient Safety Authority's (PA PSA) data in the Pennsylvania Patient Safety Reporting System, which assist PA PSA's analytic capabilities and supporting PA PSA's overall mission. Computations based on the data will be used in an annual data summary article in PA PSA's journal and articles on patient safety topics.
Custom second quarter 2022 through first quarter 2023 ambulatory/outpatient procedure quarterly data reports on the number of cases by ambulatory surgery center to calculate rates that will be used for internal reporting for peer comparisons. Computations based on the data will be used in an annual data summary article in PA PSA's journal and a few other articles on patient safety topics.
Philadelphia Department of Public Health—Megan Todd, PhD
Standard regional 2022 inpatient discharge and ambulatory/outpatient procedure dataset for Region 8 and 9 to be used for a variety of analyses that allow tracking of diseases. Data will be used for the estimation and evaluation of the geographic distribution, temporal trends, rates and costs of hospitalization for specific conditions by specific diagnoses: violence-related injuries (for example, stabbings, gunshot wounds and the like); hypertension, cancer-screening, diabetes (including complications: lower extremity amputations, myocardial infarction, stroke and the like); asthma, influenza-like illness, pelvic inflammatory disease and, if any, emerging infectious diseases, and the like; examination of temporal trends in disparities in hospital outcomes (including in-hospital mortality, rehospitalization and the like); and by race/ethnicity, gender, residential location and age-group. Data will be used in evaluation of HIV/AIDS surveillance system and as part of Ryan White Part A, trends in HIV/AIDS utilization and costs over time. Data will be used to perform descriptive analyses on demographic patient data for patients with an HIV/AIDS related diagnosis, on infectious disease cases, on visits for lead, vector or other environmental exposures. The data will be also be used to examine obstetrical services, high-risk pregnancies and ongoing research of birth outcomes and in needs assessment activities for both Healthy Start and Title V. Results of analyses in aggregate may be shared with other city agencies and health advisory groups.
Philadelphia Inquirer—Dylan Purcell
Standard Statewide 2021 and 2022 inpatient discharge dataset to be used for analysis and general use in reporting news articles related to public health.
Renzi Podiatry/Save Your Soles Campaign—Ronald M. Renzi, DPM
A custom 2010 through 2022 inpatient discharge dataset of patients who reside in this Commonwealth suffering a major lower extremity amputation with a critical limb ischemia, peripheral artery disease (PAD) or diabetes diagnosis will be used for the Save Your Soles program, which is to reduce amputations in the Philadelphia area. The number of amputation rates will be developed by zip code to compare amputation prevention strategies and effectiveness and to develop the trend in major amputations from critical limb ischemia, PAD or diabetes.
Roswell Park Comprehensive Cancer Center—Michael Trznadel
Standard Statewide 2019 through 2021 inpatient discharge and ambulatory/outpatient procedure dataset will be developed into reports prepared by Roswell Park Comprehensive Cancer Center's consultants, Sg2 and DataGen, to examine inpatient and outpatient market share, focusing on the cancer service line.
RWJBarnabas Health System—Elizabeth McNutt
Standard regional and facility 2022 inpatient discharge dataset for Regions 7—9 and Lehigh Valley Health/Pocono and Saint Luke's Monroe Campus will be combined with New Jersey and New York data to be used for market analysis. The information will be used for Health Reform Act of 1992 Data Reporting and Utilizations Requirements, to fulfill certificate of need requirements, internal market analysis and to comply with Community Health Needs Assessment and Population Health Needs Assessment and Population Health Improvement Mandates of PPACA, which is to enhance data reporting, quality improvement and marketing activities.
Shriners Hospitals for Children—Staci Luna, MPH, PMP
Standard Statewide 2019 through 2021 inpatient discharge dataset will be used to assist Shriners Hospitals for Children in understanding the needs of the community. The information will be utilized to measure Shriners Hospitals for Children's position within the state of healthcare in this Commonwealth and to help in the development of a strategic approach to the future care provided and potential partnerships.
St. Clair Hospital—Reva Hunt
Standard Statewide 2022 inpatient discharge, ambulatory/outpatient procedure and ambulatory/outpatient revenue code detail datasets will be used to determine St. Clair Hospital's market share across service lines.
Syntellis Performance Solutions, LLC—Erin Thompson
Standard Statewide 2021 and 2022 inpatient discharge and inpatient revenue code detail datasets and 2022 ambulatory/outpatient procedure dataset will be combined with other states' data to help healthcare providers increase the quality of care they provide to their patients by effectively benchmarking their quality, safety, satisfaction, cost and utilization of their peers. The data will be used for creating benchmarks at the APR-DRG and MS-DRG level accessible through files in conjunction with hospital-client decision support systems and a web-based tool (Axiom Clinical Analytics for Healthcare). The data is also used internally to benchmark Syntellis Performance Solutions' clients service line utilization and costs compared to the states to help inform service line planning.
Temple University Health System—Nicholas Barcellona, MBA/Michael DiFranco, CPA
Standard Statewide 2022 inpatient discharge and ambulatory/outpatient procedure dataset will be developed into reports prepared by Temple University Health System's consultant, Sg2, for ongoing analysis of market demand for various healthcare services and healthcare resource management.
Texas Christian University—Elizabeth Plummer, PhD, CPA
Standard Statewide 2021 ambulatory/outpatient revenue code detail dataset will be combined with financial data from PHC4's Financial Analysis Volume 2 public report for a descriptive research study entitled, Financial profitability and outpatient procedures: Evidence from Pennsylvania ASCs. The information will be utilized to determine the relationship between ambulatory surgery center profitability, procedures and volume.
University of Pennsylvania—Alice Abernathy, MD
Standard Statewide 2019 through first quarter 2023 ambulatory/outpatient procedure dataset will be combined with the American Community Survey data and Myers Abortion Facility Database to be used for a study entitled Changes in Contraception and Sterilization Use Patterns Among Reproductive Age Males and Females in Pennsylvania, which will evaluate changes in contraception use and sterilization procedures for males and females, before and after the Dobbs decision in this Commonwealth. The objective of this study is to determine if, and how, the Supreme Court decision on Dobbs v. Jackson Women's Health shifted patterns of contraception use and sterilization procedures.
University of Pennsylvania—Catherine Auriemma, MD, MSHP
A custom second quarter 2013 through 2022 inpatient discharge dataset for a cohort of Penn lung transplant recipients linked to the Penn lung transplant recipient study identifier with derived data (number of days to admission and match type flag indicator) will be used for a study entitled, Using Hospital-Free Days to Understand the Impact of Lung Allocation Policy Changes on Older Lung Transplant Recipients, which is to determine hospital-free and institution-free days in the year post lung transplant with the goal of understanding patient-centered impact of a Federal policy change that occurred in 2017 and shifted transplants towards older and generally sicker recipients, and to inform future policy by providing key preliminary data for a planned NIH R01 proposal to develop new allocation strategies that optimize hospital-free days among recipients using an ongoing 10-center prospective cohort study.
University of Pittsburgh—Christina Mair, PhD, MPH
Standard Statewide 2018 through 2022 inpatient discharge dataset will be used for a study entitled, Examining the Relationship Between Housing Eviction and Alcohol-Related Harms in Pennsylvania, which is to understand the potential relationship between neighborhood-level factors, particularly housing instability and different types of mental health and substance use related outcomes. The prevalence of substance use and mental health-related diagnoses will be assessed and linked with eviction court filing rates and community sociodemographic characteristics to examine spatial relationship between housing instability and different types of substance use and mental health-related diagnoses; housing instability relationship differences associated across demographic groups will be assessed and trends that occurred during COVID-19 pandemic.
University of Pittsburgh—Lindsay Sabik, PhD
Standard Statewide 2022 through first quarter 2023 inpatient discharge and ambulatory/outpatient procedure dataset will be used for a study entitled, Impacts of Recent Payment, Coverage, and Systems Changes on Patterns of Care Delivery and Disparities in Care, which will assess the impacts of recent health care provider payment, patient insurance coverage and healthcare systems changes on access to and quality of care in this Commonwealth, as well as how these changes have impacted disparities in care by race/ethnicity, geography and socioeconomic status. Further, the researchers seek to understand how the unanticipated and unprecedented changes to care under COVID-19 impacted providers and patients and whether recent policy changes or hospital organizational characteristics mitigated the impact of COVID on facilities and their patients.
University of Pittsburgh Medical Center (UPMC)—Matthew W. Michaels
Standard Statewide 2022 through first quarter 2023 inpatient discharge and ambulatory/outpatient procedure dataset 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 Medical Center—William Csont
Standard Statewide 2022 inpatient discharge and ambulatory/outpatient procedure dataset will be developed into reports prepared by University of Rochester Medical Center's consultant, Sg2, for planning and marketing in conjunction with the Medical Center's current and future goals and objectives.
Veralon Partners, Inc.—Clare O'Mara, MHA, MSG
A custom 2019 through third quarter 2022 inpatient discharge dataset for cases with specified zip codes to analyze future healthcare needs of the Pottstown community relative to the future resources that will be available to meet the community's needs. The data will be used to understand historical hospital utilization and to estimate the future need for inpatient services in the community. A highly summarized aggregated final report on utilization by major service line, facility and year, as well as aggregated payer mix for the community may become public document as part of Veralon Partner's clients Community Health Needs Assessment that could be accessed by other parties in addition to their primary client.
Vizient, Inc.—Tanya Chin-Fatt
Standard Statewide 2022 through first quarter 2023 inpatient discharge, ambulatory/outpatient procedure, and inpatient and ambulatory/outpatient revenue code detail datasets. Vizient will use the data in aggregate online platform applications, desktop tools and summary reports (Market Demand Forecast, State Data Analysis Tools, State Data Export Tool and Navigate). The data prepared through these tools will provide enhanced data visualization and insights of market share by service lines and service areas to support their clients' operational and strategic planning efforts to develop data driven strategic plans by clinical area and geography, to improve both the quality and availability of healthcare in the communities they serve.
Washington Health System—Lawrence Pantuso, BSN, RN, MBA, FACHE
A custom first and second quarter 2022 inpatient discharge dataset of patients who reside in Regions 1 and 3 to be used for future strategic planning and incorporated into the organization's fiscal year 2024 strategic plan.
WellSpan Health—David Kimpel
Standard Statewide 2022 through first quarter 2023 inpatient discharge and ambulatory/outpatient procedure dataset to be used for an internal assessment of the delivery of healthcare services within the region WellSpan Health serves and beyond for comparative purposes. Service area utilization of services and analysis are the primary purpose for obtaining the data.
West Virginia University Medicine—Jackson Cramer, MBA
Standard Statewide 2022 inpatient discharge dataset and first and second quarter 2022 ambulatory/outpatient procedure dataset to assess and analyze market conditions for West Virginia University Medicine facilities located in this Commonwealth and bordering counties in this Commonwealth.
West Virginia University Medicine—Jennifer Finnell Dorman
Standard Statewide third quarter 2022 ambulatory/outpatient procedure dataset to assess and analyze market conditions for West Virginia University Medicine facilities located in this Commonwealth and bordering counties in this Commonwealth.
BARRY BUCKINGHAM,
Executive Director
[Pa.B. Doc. No. 24-314. Filed for public inspection March 8, 2024, 9:00 a.m.]
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