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PA Bulletin, Doc. No. 23-369

NOTICES

HEALTH CARE COST CONTAINMENT COUNCIL

Special Reports and Requests for Data

[53 Pa.B. 1602]
[Saturday, March 18, 2023]

 The Health Care Cost Containment Council (Council), according to the act of July 8, 1996 (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 2022. 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, MA

 Statewide 2021 inpatient discharge and inpatient revenue detail datasets and 2020 through 2021 ambulatory/outpatient procedure and outpatient revenue code detail datasets with derived data (number of days to admission, days to procedure and age). The data will be used in the Healthcare Cost and Utilization Project (HCUP), which uses the data for multiple databases (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 2021 inpatient discharge dataset 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.

Cancer Study Group—Alexa Slotkoff

 Standard regional and facility 2020 and 2021 inpatient discharge and ambulatory/outpatient procedure datasets for Region 9 and Geisinger Medical Center/Danville, Penn State Milton Hershey Medical Center and UPMC Presbyterian to be linked with public and ICD-10-PCS and ICD-10-CM datasets as well as American Hospital Association database for hospital information to use for consulting. Specifically, to research the volume of different cancer-related surgeries at different facilities to determine which academic centers in this Commonwealth perform the highest volume of complex cancer surgeries, to help patients who are newly diagnosed with cancer find a center for care.

Capital Health—Jeremye Cohen

 Standard regional third quarter 2020 through 2021 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 8 and 9 to be developed into reports by Capital Health's consultants, The Advisory Board Company and NERA Economic Consulting, to use for planning purposes and to assist the health system in determining public demand.

Cayuga Health System—Jennifer Turck

 Standard Statewide 2017 through 2021 ambulatory/outpatient procedure and outpatient revenue code detail datasets to be developed into reports by Cayuga Health System's consultant, Sg2, to use to understand the health care market in this Commonwealth and inform their health resource planning and improve access for the communities they serve.

Doylestown Hospital—Allyson Gilmore

 Standard regional 2014 through 2021 ambulatory/outpatient procedure datasets for Regions 8 and 9 to be developed into reports 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.

Drexel University Dornsifes School of Public Health—Irene Headen, PhD, MS

 A custom 2003 through second quarter 2020 inpatient discharge dataset of delivery related procedures during 2003 through 2018 within the Philadelphia Metropolitan Area linked with the Department of Health birth certificate data and 1 year readmission records with derived data (number of days to readmission, number of readmissions, match type and flag indicator). The data will be linked with neighborhood indicators data from Drexel University Urban Health Collaborative to be used for a research study entitled, Neighborhood Opportunity and Racial/Ethnic Disparities in Maternal Morbidity. The study will investigate the association between neighborhood opportunity access—a multidomain measure of women's social, physical and service environment—as an understudied multilevel factor in relation to racial/ethnic disparities in maternal morbidity.

Evangelical Community Hospital—Nicole Lohr

 A 2021 custom inpatient discharge dataset of Region 4 and 5 cases with derived data (number of days from prior discharge) and standard regional ambulatory/outpatient procedure dataset for Regions 4 and 5 to be used to conduct an internal study of Evangelical Community Hospital's market share and to gain a better understanding of the population it serves.

Excela Health—Allison Lutz

 Standard Statewide second quarter 2021 through fourth quarter 2021 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets to be developed into reports by Excela Health's consultant, Sg2, to examine state, county and hospitals inpatient and outpatient market share.

Fulton County Medical Center—Misty Hershey

 Standard regional 2018 through second quarter 2021 inpatient discharge and ambulatory/outpatient procedure dataset for Regions 3 and 5 to analyze service demand in the community Fulton County Medical Center serves.

Geisinger Health System—Rachel Manotti

 Standard Statewide second quarter 2021 through fourth quarter 2021 inpatient discharge and ambulatory/outpatient procedure datasets to use 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

 Standard Statewide first quarter 2020 through second quarter 2021 inpatient discharge dataset to use for internal analysis for Good Shepherd Rehab Network's services.

Guthrie Clinic Ltd—Joshua Stout

 A 2019 through 2021 inpatient discharge and ambulatory/outpatient procedure standard regional dataset for Regions 4 and 6 and custom dataset of patients who reside in Bradford, Sullivan, Susquehanna, Tioga or Wyoming Pennsylvania Counties or Broome, Chemung, Cortland, Schuyler, Steuben, Tioga or 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 Economics Resource Center—Todd Wagner

 A 2007 through 2019 custom inpatient discharge and ambulatory/outpatient procedure dataset linked with a cohort of Veterans' Affairs (VA) enrollee's data with derived data (match type and flag indicator), and standard Statewide inpatient and outpatient revenue code detail datasets and financial data. The data is for a research study entitled, Utilization and Health Outcomes for Veterans with Expanded Health Care Access, which is to understand the causal effect Veteran's access to care outside the VA. The overall objective of the study is to expand on existing measures of health care access and show the effect of improved access on Veteran's health.

Highmark Health—Andrew P. Charland

 Standard Statewide 2021 inpatient discharge, ambulatory/outpatient procedure and inpatient and 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—Sushma Sharma

 Standard Statewide 2020 financial data report and 2019 restated financial data report to use to conduct ongoing monitoring of Statewide, regional and hospital-specific financial information and outcomes. Hospital and Healthsystem Association of Pennsylvania (HAP) may, from time to time, release aggregate results of its monitoring research and they intend to use analysis of the information for member research.

Hospital & Healthsystem Association of Pennsylvania—Graycen Hunt

 A 2021 custom inpatient discharge readmission analysis data report of hospitals' 7-day and 30-day rates for different conditions and demographic information, a custom Statewide inpatient discharge dataset with derived data (number of days from prior discharge) and standard Statewide inpatient revenue detail dataset and financial data. The 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 quality monitoring research, and they intend to use analysis of the information for member research.

IBM—Rolando Rodriguez

 Standard Statewide fourth quarter 2020 inpatient discharge and ambulatory/outpatient procedure datasets for IBM to process, standardize and distribute different types of data and statistical analyses to its clients (hospitals, health networks, government agencies, healthcare providers, payers, consultants, vendors, researchers and the like) through proprietary decision tools, benchmark databases, research, custom studies and other associated products by Internet or PC/CD based, which provide utilization market share, service demand, outcome indicators, assistance in resource allocation and in evaluating benefit plans.

Inspira Health Network—Eric Brenner

 A standard regional 2021 inpatient discharge dataset for Regions 8 and 9 to be merged with New Jersey state data and developed into reports by Inspira Health Network's consultant, Advisory Board, to complete market share analysis and analyze it by service lines from patients that reside in their market area.

Intellimed—Chad Smith

 Standard Statewide 2020 through 2021 inpatient discharge, ambulatory/outpatient procedure and inpatient and outpatient revenue code detail datasets to be linked with ESource Readiness Assessment Tool 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. The application they use provides the ability to analyze the data 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 second quarter 2021 through fourth quarter 2021 Statewide inpatient discharge dataset and regional ambulatory/outpatient procedure datasets 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.

Kutztown University of Pennsylvania—Robert C. Ziegenfus

 Custom 2014 through 2020 inpatient discharge and ambulatory/outpatient procedure datasets for cases for children 0 years of age to 17 years of age who reside in any one of these counties: Berks, Dauphin, Lancaster, Lebanon, Lehigh, Northampton or Philadelphia to examine asthma severity in children for a study entitled, Asthma Severity in Selected Pennsylvania Counties with Elevated Prevalence Rates. The data will support the designation of targeted areas for the development of policies and programs to address elevated prevalence rates.

Lehigh Valley Health Network—Vanessa J. Villaverde

 Standard Statewide second quarter 2021 through fourth quarter 2021 inpatient discharge and ambulatory/outpatient procedure datasets to use 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 fourth quarter 2020 through 2021 inpatient discharge datasets to be developed into reports 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 2021 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.

Mount Nittany Health—Alicia Grube/Jennifer Scanlon

 A custom 2021 inpatient discharge and second quarter 2021 through fourth quarter 2021 ambulatory/outpatient procedure dataset of patients who reside in Blair, Centre, Clearfield, Clinton, Huntingdon or Mifflin Counties for internal market share analysis.

Nemours/Alfred I. duPont Hospital for Children—Stacey Milunsky

 A custom 2021 inpatient discharge dataset for obstetric delivery cases and an inpatient discharge and ambulatory/outpatient procedure dataset for pediatric cases with an age flag indicator to be used for understanding the current market place 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.

Penn Highlands Healthcare DuBois—Gregory P. Bauer

 Standard Statewide 2021 inpatient discharge, ambulatory/outpatient procedure and inpatient and outpatient revenue code detail datasets 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 2021 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 in order to offer new services to Penn Highlands Mon Valley community.

Penn State College of Medicine—Chan Shen

 A modification to a previous request (RQ # 21-081—21-084) for additional data; a custom 2010 through 2021 Statewide inpatient discharge dataset. The data will be used for a research study, Determinants of Readmissions Among Patients with and without Co-occurring Conditions, which will study trends over time and determinants of hospital quality of care and patient outcomes across a host of conditions. Data analysis results will be used in some form of publication.

Penn State Hershey Health System—Joshua Campos

 Standard Statewide 2021 inpatient discharge and ambulatory/outpatient procedure datasets. The client will use the data to understand the health care market by examining utilization patterns, which will inform their health resource planning and improve access for the communities they serve.

Pennsylvania Commission on Crime and Delinquency—Kirsten Kenyon

 Standard Statewide third quarter 2019 through second quarter 2021 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets and 2019 through 2020 financial data. In partnership with Indiana University of Pennsylvania researchers, the data will be merged with multiple other datasets and used for a project, Establishing a Baseline for Costs of Pennsylvania Firearm-Related Injuries, to understand the current scope and dynamics of gun violence in this Commonwealth. The research will be used to prepare written briefings, presentations and analysis by the Office of Gun Violence Prevention within the Pennsylvania Commission on Crime and Delinquency to establish a baseline of firearm-related fatalities to support the work of State policymakers in developing public health and public safety strategies to address gun violence in its many forms.

Pennsylvania Department of Health—Brian Wright

 Standard Statewide 2021 inpatient discharge dataset for The Pennsylvania Department of Health (PA DOH) to use for the Bureau of Health Promotion and Risk Reduction (BHPRR) Division of Violence Prevention Program and Division of Nutrition and Physical Activity programs and the Department of Drug and Alcohol Program (DDAP). 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, asthma related reports and burden of chronic disease reports; respond to requests for aggregate data pertaining to injury, chronic diseases, drug overdoses and the like; and disseminate in aggregate on PA DOH's Enterprise Data Dissemination Informatics Exchange system and dashboard. DDAP will use the data to report the impacts of the novel coronavirus (COVID-19) pandemic had on overdose-related hospital admissions as part of the State Epidemiological Outcome Workgroup objectives to assist communities with making data driven decisions. The data may be used to fulfill custom aggregate data requests in support of the DDAP and to produce ad-hoc aggregate drug-related reports such as, fact sheets or profiles of geographical areas to present to legislative members or the public, time series analysis to track health outcomes and measure program successes, data maps, dashboards and data requests.

Pennsylvania Department of Health—Nathaniel Wardle

 Standard Statewide 2020 through first quarter 2021 inpatient discharge and ambulatory/outpatient procedure and inpatient and outpatient revenue code detail datasets. The PA DOH, with the University of Pittsburgh Graduate School of Public Health as their contractor, will use the data to expand and enhance the Opioid Data Dashboard on the PA Open Data Portal. The data will be combined with administrative hospital, provider and pharmacy data from Medicaid, child welfare system data from the Pennsylvania Department of Human Services (PA DHS), Pennsylvania worker's compensation claims, employment data from the United States Census Bureau's Current Population Survey, motor vehicle injury and fatality data from the Pennsylvania Department of Transportation, and hospital discharge data from the Centers for Disease Control and Prevention (CDC). The enhanced dashboard will assist agencies and citizens of this Commonwealth in gaining a richer and nuanced perspective of the epidemic and the downstream impacts of the epidemic across various societal and governmental interfaces and provide stakeholders, policymakers, academics and the general public with tools and knowledge to respond to the epidemic with novel prevention, intervention and treatment activities and services, predict trends, inform the government and educate the public.

Pennsylvania Department of Health—Zhen-qiang Ma

 A 2020 through 2021 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 CDC's Environmental Public Health Tracking Network for five conditions (acute myocardial infarction, asthma, carbon monoxide poisoning, chronic obstructive pulmonary disease and heat stress).

 A custom 2015 through 2021 inpatient discharge dataset for patients 6 years of age or under with a lead poisoning diagnosis during 2015 through 2021 linked with the PA DOH National Electronic Disease Surveillance System lead testing data with derived data (number of days from previous discharge, match type and index flag) to analyze lead testing patterns for lead poisoning in hospitalized patients for implementing appropriate health education.

Pennsylvania Department of Human Services—Mara Perez

 Custom third quarter 2019 through second quarter 2020 inpatient discharge dataset from the corrected self-pay database and 2018 through 2020 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 programs established under the Tobacco Settlement Act of 2001.

Pennsylvania Department of Human Services—Michele Minter

 A custom 2020 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.

Pennsylvania Department of the Auditor General—Jo Anne Walchak

 Standard Statewide third quarter 2020 through second quarter 2021 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 PA DHS's 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 2023.

Pennsylvania Insurance Department—Kathryn McDermott Speaks

 A 2017 through 2021 custom inpatient discharge and ambulatory/outpatient procedure dataset for patients who reside in specified counties and standard Statewide inpatient and ambulatory/outpatient revenue code detail datasets and 2017 through 2020 standard financial data to be used to update a Competitive Assessment, which will be performed by Pennsylvania Insurance Department's contractor, Compass Lexecon/FTI. They will analyze health insurance and health service market conditions in western Pennsylvania.

Pennsylvania Legislative Budget and Finance Committee—Stephen Fickes

 A custom 2018 through 2021 inpatient discharge and ambulatory/outpatient procedure data report of the number of dental related disease cases by county to be used for a study and results were to be reported to the General Assembly. Under House Resolution 68 that was adopted by the General Assembly on March 23, 2021, the data will be used to conduct a study related to access to rural dental health services, which may provide additional context to the problem.

Pennsylvania Office of Attorney General—Tracy W. Wertz

 Standard Statewide 2021 through first quarter 2022 inpatient discharge, ambulatory/outpatient procedure, inpatient revenue and ambulatory/outpatient revenue code detail datasets and 2020 financial data report to use for review of hospital mergers to ensure that the mergers are in compliance with antitrust laws; and the information may be disclosed for official law enforcement purposes or disclosed in litigation related to Federal antitrust laws or other state and Federal laws. These data may also be shared with the Federal Trade Commission or the United States Department of Justice to be used for investigations that are conducted jointly with the Pennsylvania Office of Attorney General.

Pennsylvania Patient Safety Authority—Shawn Kepner

 Custom 2021 and first quarter 2022 inpatient discharge quarterly data reports on the number of cases by hospital to serve as normalization denominator figures relative to facility numerator statistics from the Authority's data in the Pennsylvania Patient Safety Reporting System (PA-PSRS), which assist Pennsylvania Safety Authority's (PSA) analytic capabilities and supporting PSA's overall mission.

 Custom 2021 and first quarter 2022 ambulatory/outpatient procedure quarterly data reports on the number of cases by ambulatory surgery center to be used to isolate the total number of surgical encounters by center to calculate rates that will be used for internal reporting for peer comparisons.

 Custom 2019 inpatient discharge dataset of cases who experienced an in-hospital death to use for a planned study on patient safety reporting. The PSA will evaluate various options for validating mandatory reporting of serious events under the MCARE Act. To evaluate the feasibility and methodology for such a study, they requested the data to determine the number of inpatient deaths in each hospital in this Commonwealth in 2019, as well as various codes to consider if they need to narrow the scope.

Philadelphia Department of Public Health—Claire Newbern/Frank Franklin

 Standard regional second quarter 2021 through fourth quarter 2021 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 8 and 9 to use for a variety of analyses that allow tracking of diseases. Data are used for the evaluation of trends in services, estimated cost and outcomes for several conditions (HIV, diabetes, asthma, hypertension, cancer screening, violence-related injuries, influenza-like illness, pelvic inflammatory disease, drug-related and, if any, emerging infectious diseases, and the like) as well as patient demographics for research and policy planning and the Philadelphia Community Health Needs Assessment. The data will be used to examine obstetrical services, high-risk pregnancies and ongoing research of birth outcomes and in needs assessment activities for both Healthy Start and Title V. Rates of adverse events in individuals receiving vaccinations and individuals not vaccinated will be examined. The data is also used to evaluate the HIV/AIDS surveillance system and as part of Ryan White Part A. Data will be used for descriptive analyses of visits for lead, vector or other environmental exposures. On occasion the results of the analyses may be shared with other city agencies and health advisory groups.

Renzi Podiatry/Save Your Soles Campaign—Ronald M. Renzi, DPM

 Custom 2014 and 2018 through 2021 inpatient discharge and ambulatory/outpatient procedure datasets for patients with an amputation who reside in Regions 6—9 with derived data (flag indicators) to be used for the Save Your Soles program, which is to reduce amputations in the Philadelphia area. The number and rate of amputations by zip code in each region will be developed and documentation of prior treatment to prevent amputation.

RWJBarnabas Health System—Elizabeth McNutt

 Standard regional and facility 2020 through 2021 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 databases to use 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/or 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.

Safety-Net Association of Pennsylvania—James A. Tomkins

 Standard Statewide 2018 through 2021 inpatient discharge datasets to determine inpatient hospital utilization by government payers in Pennsylvania specifically in distressed zip codes that Safety-Net Association of Pennsylvania (SNAP) identified. The information will be used to improve modeling of various proposed payment methodologies and aggregate results may be shared with SNAP members and if requested, to the PA DHS.

St. Clair Hospital—Reva Hunt

 Standard Statewide 2021 inpatient discharge, ambulatory/outpatient procedure and outpatient revenue code detail datasets to determine the hospitals market share across service lines.

Stratasan, LLC—Jason Moore

 Standard Statewide 2021 inpatient discharge, ambulatory outpatient procedure and inpatient revenue code detail datasets to use for market share analysis, product line performance and patient migration patterns. Stratasan will provide analytic services to their hospitals and healthcare system clients through the aggregation of the data within their multiple analytic software platforms and visualization tools.

Syntellis Performance Solutions, LLC—Erin Thompson

 Standard Statewide 2020 inpatient discharge and inpatient revenue code detail datasets to use the data 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 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

 Standard Statewide 2021 inpatient discharge datasets 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.

University Hospitals Health System, Inc.—Mike Goodelle

 Custom 2019 through first quarter 2021 inpatient discharge dataset of patients who reside in Ohio to be combined with Ohio Hospital Association data to provide a complete representation of the service provision in the University Hospitals Health System's market. The health care market in the Commonwealth will be analyzed in order to drive the University Hospital's value proposition: organize care around patient's needs across their life's journey and continuum of care, ensuring access to needed care, delivering care in multiple ways and locations, innovate and use technology to improve value and productivity, and seamlessly connect parts of the health system and reduce annual total cost of care.

University of Pennsylvania—Rachel Kohn, MD, MSCE

 A fourth quarter 2018 through third quarter 2020 custom inpatient discharge and standard Statewide inpatient revenue code detail dataset linked to 2018 through 2020 PA DOH mortality data with derived data (number of days to admission, number of days in ICU, number of days to death and flag indicator) for a research study entitled, Effect of Heart Failure and Palliative Home-Based Care: The Advanced Heart Care at Home (AHCAH) Randomized Clinical Trail. The study is a pragmatic, prospective randomized clinical trial of an innovative, integrated, home-based heart failure and palliative care program among seriously ill hospitalized patients to evaluate acute care utilization and costs among seriously ill HF patients at the end of life and promote physician uptake of best practices. The study objectives are to evaluate the impact of AHCAH on patient-centered and health system outcomes; and evaluate AHCAH enrollment in the setting of clinician nudges (opt-out approach) compared to usual care (opt-in approach).

University of Pittsburgh Graduate School of Public Health—Lindsay Sabik, PhD

 A custom 2010 through 2020 inpatient discharge and ambulatory/outpatient procedure dataset for individuals identified in the Pennsylvania Cancer Registry linked to 2010 through 2018 PCR records with derived data (number of days to admission and number of days to death) for a research study entitled, Impacts of Recent Payment, Coverage, and Systems Changes on Access to and Quality of Cancer Care. This project will examine the impact of the Affordable Care Act and the Pennsylvania Rural Health Model policies on patterns of cancer care delivery and disparities in cancer care, including measures of insurance coverage, access to care, quality of care and outcomes.

 Standard Statewide second quarter 2021 through fourth quarter 2021 inpatient discharge and ambulatory/outpatient procedure dataset 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 health care 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, they seek to understand how the unanticipated and unprecedented changes to care under the 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—Matthew W. Michaels

 Standard Statewide second quarter 2021 through first quarter 2022 inpatient discharge and ambulatory/outpatient procedure datasets 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 2018 through 2021 inpatient discharge and ambulatory/outpatient procedure datasets, developed into reports prepared by University of Rochester Medical Center's consultant, Sg2, for planning and marketing in conjunction with their current and future goals and objectives.

Vizient, Inc.—Tanya Chin-Fatt

 Standard Statewide 2021 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets to use in aggregate online platform applications, desktop tools and summary reports. The data will provide market share by service lines and service areas to support Vizient's clients operational and strategic planning efforts to improve both the quality and availability of health care in the communities they serve.

WellSpan Health—David Kimpel

 Standard Statewide second quarter 2021 through fourth quarter 2021 inpatient discharge and ambulatory/outpatient procedure datasets to be used for an internal assessment of the delivery of healthcare services within the region WellSpan Health serve and beyond for comparative purposes to use for service area utilization of services and analysis are the primary purpose for them to obtain the data.

West Virginia University Medicine—Nancy West

 Standard Statewide 2021 inpatient discharge 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. 23-369. Filed for public inspection March 17, 2023, 9:00 a.m.]



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