HEALTH CARE COST CONTAINMENT COUNCIL Special Reports and Requests for Data [46 Pa.B. 1711]
[Saturday, April 2, 2016]The Health Care Cost Containment Council (Council), according to Act 89 as amended by Act 14, and as amended by Act 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 2015. The list of data fields that are included in the standard public use files are located in PDF files posted on the Council's web site at www.phc4.org (select ''Services,'' then ''Data Requests,'' then ''Data Descriptions''). Questions about procedures for obtaining access to Council data should be addressed to JoAnne Z. Nelson, Supervisor of Special Requests, Health Care Cost Containment Council, 225 Market Street, Suite 400, Harrisburg, PA 17101, (717) 232-6787, jnelson@phc4.org.
Applicant and Project Description
Agency for Healthcare Research & Quality—Jenny Schnaier
Statewide 2014 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets 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.
AtlantiCare Regional Medical Center—Rosemary Nuzzo
Standard regional 2013 and 2014 inpatient discharge datasets for Regions 8 and 9. O'Conco Healthcare Consultants will be reading and analyzing the data, adding select data elements and providing the modified data to AtlantiCare Regional Medical Center who will use the information for evaluation of patient services provided in their market area.
Capital BlueCross—David Resek
Standard facility second quarter through fourth quarter 2014 inpatient discharge datasets for 15 hospitals (Pinnacle Health Hospitals, Lehigh Valley Hospital, Lehigh Valley Hospital/Muhlenberg, Reading Hospital, Evangelical Community Hospital, Ephrata Community Hospital, Holy Spirit Hospital, Geisinger Medical Center/Danville, Sacred Heart Hospital/Allentown, Mount Nittany Medical Center, Chambersburg Hospital, Hanover Hospital, Inc., St. Luke's Hospital/Bethlehem, Milton S. Hershey Medical Center and Waynesboro Hospital) and first quarter 2015 inpatient discharge dataset for 4 hospitals (Geisinger Medical Center/Danville, Chambersburg Hospital, St. Luke's Hospital/Bethlehem and Waynesboro Hospital). Capital BlueCross (CBC) will use the data with Agency for Healthcare Research and Quality (AHRQ) quality indicators windows software to calculate Patient Safety Indicators as a component of their hospital quality program. 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 2012, 2013 and 2014 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 2013 and 2014 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 2014 inpatient discharge and ambulatory/outpatient procedure datasets to be used for analysis of service areas and market share within the defined service areas.
DataBay Resources—Mary Ann Augustine
Standard Statewide third quarter 2014 through second quarter 2015 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets. DataBay Resources will combine the data with other all-payer health care data to be used to produce various aggregate report files distributed by DataBay's Navigate system and NavigateNet system that are offered as health care software products to its customers. The reports may be by product line, service area, hospital or health system, physician or physician group, or both, which can include, but are not limited to, market share, patient origin, use rates, charges, surgery detail, payer mix, patient demographics, diagnosis/procedure distribution, refinement, and the like.
Delaware Valley ACO—Joel Port
Standard regional fourth quarter 2013 through third quarter 2014 inpatient discharge datasets for Regions 8 and 9 to be used to study patient travel patterns for member hospitals.
DLP Memorial Medical Center—Carrie Arcurio
Standard Statewide 2014 inpatient discharge and ambulatory/outpatient procedure datasets to be used to internally evaluate DLP Memorial Medical Center's current performance, its competitor's performance and future opportunities. The data will be used to illustrate current market share and to enhance other planning tools such as budgets and 5-year plans.
Finger Lakes Health Systems Agency—Melinda Whitbeck
A custom 2011 through 2014 inpatient discharge and ambulatory/outpatient procedure dataset of cases who are residents of New York to be used for regional analysis of health care utilization rates and identify issues of access to care compared to other communities in their region and the State of New York.
Georgetown University—Jean M. Mitchell, PhD
Standard Statewide 2012 through 2014 ambulatory/outpatient procedure datasets to be used to extend prior work that will provide a more comprehensive picture of the relationship between ambulatory surgery center (ASC) specialization, costs, efficiency and adequacy of payment rates. The data will be used to estimate ASCs cost functions to determine economies of scale for each organizational type, compare ASC production costs to insurers' payment rates for specific diagnostic and procedure, and examine relative cost inefficiency using stochastic frontier analysis.
Good Shepherd Rehab Network—John Grencer
Standard regional inpatient discharge datasets of third and fourth quarter 2013 for Region 4 and 2014 for Regions 4—9 to be used for internal analysis of Good Shepherd Rehab Network's services.
HCR ManorCare—Kenneth Kang
Standard Statewide 2014 through first quarter 2015 inpatient discharge datasets to be used to assess the needs of residents in HCR ManorCare's skilled nursing facilities across this Commonwealth.
Healthcare Stat Home Care Inc.—Manny Mathai
Standard regional fourth quarter 2013 through third quarter 2014 inpatient discharge datasets for Regions 8 and 9 to be used to assess the utilization of nursing homes and discover if there are any unmet care needs for seniors.
HealthSouth—Steve Adams
Standard Statewide 2014 inpatient discharge dataset to be used to help determine market share and needs to help better serve HealthSouth's population base.
Highmark—Joseph J. Reilly
Standard Statewide 2014 inpatient discharge dataset to be compared with Highmark's claims data to conduct an all-payer market share analysis. The market analysis will allow Highmark to understand the primary service area of facilities and compare the primary service area of Highmark members to the service area of all payers. The data will show where individuals go for care, outmigration patterns and allow for trending of inpatient health care use patterns.
Hospital & Healthsystem Association of Pennsylvania—Martin Ciccocioppo
Standard Statewide 2013 financial data report with restated 2012 financial data to be used to conduct ongoing monitoring of Statewide, regional and hospital-specific finances and policy impact analysis. The reports will be shared with the American Hospital Association (AHA) for the AHA to better understand hospital financial and utilization data by payer for hospitals that do not respond to the AHA Annual Hospital Survey. Hospital & Healthsystem Association of Pennsylvania (HAP) and AHA will only use the financial data for internal policy analysis.
Standard Statewide third and fourth quarter 2014 and first quarter 2015 inpatient discharge datasets, 2014 and first quarter 2015 inpatient revenue code detail dataset and 2014 financial data report with 2013 restated financial data to be used 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 also intends to host MONAHRQ for member-only use on its private web site.
A custom modified 3-month quarterly (June 1, 2014, to March 31, 2015) inpatient discharge readmission analysis data report of hospitals' 30-day readmission rates for any reason on all discharges. HAP will use the data to provide Centers for Medicare and Medicaid Services (CMS) with pre-Hospital Engagement Network (HEN) rates of admission. CMS requested aggregate HEN readmission data for three groups of hospitals: 1) all hospitals; 2) hospitals participating in any of the PA-HEN projects; and 3) hospitals participating in the PA-HEN preventable readmissions project. The PA-HEN staff is interested in knowing hospital-specific rates to ensure hospitals with the greatest needs are addressed through the PA-HEN project and to also identify the best performers to learn what they are doing right.
IMS Health—Paul Reuscher
Standard Statewide 2014 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets. IMS Health will use the data combined with other state data and use it to estimate diagnosis and procedure volume at the National and facility level, which will be accessible to IMS's clients. Their clients will use the information to track trends in diagnoses and procedures (regionally and Nationally), identify facilities that would be appropriate sites for clinical trials based on procedure/diagnosis volume or to better allocate resources based on procedure/diagnosis volume, or both.
Intellimed—Joe Harris
Standard Statewide first quarter 2014 inpatient discharge, ambulatory/outpatient procedure, and inpatient and outpatient revenue code detail datasets to be used to manage cost and quality of health care delivery at the hospital level. The uses include health care business decision making, statistics and individual data element analysis, service line analysis and performance, strategic planning, quality improvement and cost/charge reviews, among others. Intellimed intends to use these data for a variety of analyses, including reporting and ongoing tracking of clinical elements, analysis of utilization patterns, and delivery of information from the data to hospital and health care system decision makers.
Joint State Government Commission—Lawrence G. Feinberg
A custom third quarter 2013 through second quarter 2014 inpatient discharge data report on the number of diabetes-related discharges from hospitals in this Commonwealth to be used by the Joint State Government Commission in their response to House Resolution No. 936 of 2014.
Lancaster General Health—Cheryl LaBow and David Jani
Standard Statewide second through fourth quarter 2014 and first quarter 2015 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 through fourth quarter 2014 and first quarter 2015 inpatient discharge datasets and standard regional first quarter 2014 ambulatory/outpatient procedure dataset for Region 7 to be used for service area analyses, competitive analyses, product line trends and analyses, and incidence rate comparisons and trends for program development. The inpatient discharge data will additionally be used for the following: research population based health issues, promote health and well being of targeted vulnerable populations; internal quality control research; internal resource utilization research; support development of continuum of care research; community based health needs that target chronic illnesses.
Los Angeles Biomedical Institute—Kenneth Zang- will, MD
A custom 2012 through first quarter 2013 inpatient discharge dataset of hospitalizations for infants less than 90 days of age excluding birth records to be combined with other datasets for an Evaluation of the Clinical Management & Potential Adverse Events Associated with the Management of Febrile Infants <90 Days of Age Suspected of having Sepsis research study. The data will be used to identify infants less than 90 days of age who were admitted to the hospital due to fever to investigate the clinical burden of these hospitalizations, the potential harms and adverse events associated with them, and estimate the total economic impact to society related to the evaluation and management of these infants.
Nemours/Alfred I. duPont Hospital for Children—Stacey Milunsky
A custom third quarter 2013 through 2014 inpatient discharge and ambulatory/outpatient procedure dataset of cases for patients less than 18 years of age with derived data (age group, payer group and type of diagnosis related group (DRG) indicator) to be used to understand the competitive composition of inpatient and ambulatory/outpatient market and the potential growth opportunities for pediatric care in the southeastern Pennsylvania market, and opportunities to provide additional support and services to the pediatric populations in southeastern Pennsylvania and beyond. The data will assist in decision making and considerations for Nemours strategic vision over the next several years.
OptumInsight—Holli Boetcher
Standard Statewide 2013 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.
Pax Healthcare, Inc.—Randy Main
Standard third quarter 2013 through second quarter 2014 inpatient and outpatient revenue code detail datasets to be used to better understand health care costs and utilization in western Pennsylvania.
Penn State College of Medicine—Mark S. Dias, MD
A custom 1996 through 2014 inpatient dataset of cases with a diagnosis of abusive head trauma to be used to assess the impact of a program of perinatal, hospital-based, parent education about infant crying and violent infant shaking on the incidence of abusive head trauma/Shaken Baby Syndrome in this Commonwealth before (1996 through 2002) and during (2003 through 2014) the intervention.
Pennsylvania Department of Health—Arlene G. Seid, MD, MPH, FACPM, CMQ
A custom 2014 ambulatory/outpatient procedure data report on the number of procedures by procedure code to determine frequency with which the procedures are being performed in ASCs.
Pennsylvania Department of Health—Cynthia Malinen
A custom 2014 inpatient discharge dataset of Statewide records. The Violence and Injury Prevention Program will use the data for analysis, to respond to requests for aggregate injury data at the State and local level, and to prepare injury prevention statistical reports: 1) Injuries in this Commonwealth, Hospital Discharge, an annual age-specific report of injury data by mechanism; 2) Injuries in Pennsylvania County Profiles, an annual report containing State, regional and county data; 3) Injury-Specific Monographs, which provide data on specific injury topics; and 4) Injury-Specific Fact Sheets, which contain data on specific injuries, identifying risk factors and high-risk groups. The data from these reports and requests will be used by State and local agencies to identify specific segments of the population at highest risk for injury, specific types and causes of injury, and youth suicide prevention planning and evaluation.
Pennsylvania Department of Health—Farhad Ahmed, MBBS, MPH
A custom 2014 inpatient discharge and ambulatory/outpatient procedure dataset of patients with a primary diagnosis of asthma. The Asthma Control Program will use the data to analyze morbidity data for asthma risk education and prevention programs. The interpretation will include analysis of length of stay, charges, general payment distribution among payers, admission types, seasonal and monthly distribution of asthma hospitalizations among different age groups, genders and races in this Commonwealth. The Asthma Control Program will provide the public and the Pennsylvania Asthma Partnership, including health care providers, with asthma hospitalization data through press releases, conferences, presentations, asthma burden reports, focus reports and asthma fact sheets. The Asthma Control Program will also send reports to the Centers for Disease Control and Prevention (CDC).
Pennsylvania Department of Health—Lauren Hughes, MD
A custom 2011 through 2014 inpatient discharge and ambulatory/outpatient procedure data report by facility, county and diagnosis-related group or clinical classification software for rural facilities to be used to understand market characteristics of hospitals for developing innovative strategies that will lead to better health, better care and smarter spending.
Pennsylvania Department of Health—Vadim Drobin, MD, MPH
A custom 2001 through 2014 inpatient discharge data report of acute myocardial infarction (AMI), asthma, carbon monoxide poisoning and heat stress related conditions by year of admission, age and gender with population totals and rates per 10,000. The data will be part of the Pennsylvania Environmental Public Health Tracking Program (PA EPHT). The PA EPHT integrates and analyzes environmental hazards, exposures and health effects to provide information on environmental exposure and adverse risk of health conditions to drive actions that improve the health of communities. Pennsylvania hospitalization and other data will be aggregately displayed through tables, graphs and maps on the Pennsylvania Department of Health's public portal web site.
A custom 2013 through 2014 inpatient discharge dataset of asthma, AMI, carbon monoxide poisoning and heat stress related hospitalization cases with ethnicity indicators by age group, county, gender and race to be used in the National Environmental Public Health Tracking Network. The data will be provided to the CDC to be used with other health outcomes data, exposure and bio-monitoring data, and environmental hazards and environmental monitoring data to be displayed in aggregate form on the CDC's public portal and analyzed to provide valid scientific information on environmental exposure and adverse risk of health conditions to drive actions that will improve the health in communities.
Pennsylvania Department of Health—Zhen-qiang Ma
A custom 2012 through first quarter 2015 Statewide inpatient discharge and ambulatory/procedure dataset with derived data (number of days to next admission) 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 Pennsylvania Healthy People 2020 objectives to National goals, Pennsylvania Pediatric Cancer Report, program evaluation in chronic disease program effectiveness and publication studies.
Pennsylvania Department of Human Services—Jolene H. Calla, Esq.
A custom third quarter 2012 through second quarter 2013 inpatient discharge dataset of cases with a major diagnostic category (MDC) 14 or MDC 15 from general acute care hospitals to be used to calculate payments to hospitals for obstetrical and neonate services.
A custom third quarter 2012 through second quarter 2013 inpatient discharge dataset of verified self-pay records and 2011 through 2013 financial data report of a 3-year average percent of uncompensated care to be used to compute payments to hospitals for the Hospital Uncompensated Care and Extraordinary Expense programs established under the Tobacco Settlement Act of 2001.
Pennsylvania Department of Human Services—Leesa M. Allen and Ronald Foster
A custom 2014 inpatient discharge data report of each acute care hospital's percentage of discharges with a neoplastic disease diagnosis to be used as a basis for isolating and defining ''cancer hospitals'' for the Statewide hospital assessment.
Pennsylvania Department of the Auditor General—Jo Anne Walchak
A custom third quarter 2011 through second quarter 2012 inpatient discharge dataset of the verified self-pay records and 2010 through 2012 financial data report of a 3-year average percent of uncompensated care to be used for auditing hospitals that received tobacco funds in 2015 from the Pennsylvania Department of Human Services, which used these data to compute payments to hospitals for the Uncompensated Care and Extraordinary Expense programs established under the Tobacco Settlement Act of 2001.
Pennsylvania eHealth Partnership Authority—David Grinberg
A custom third quarter 2013 through fourth quarter 2014 Statewide inpatient discharge and ambulatory/outpatient procedure dataset with derived data (number of days to next admission or visit, or both). The data will 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 Office of Attorney General—Tracy W. Wertz
Standard Statewide 2014 through second quarter 2015 inpatient discharge, ambulatory/outpatient procedure, inpatient and ambulatory/outpatient revenue code detail datasets and 2013 and 2014 financial data reports. These data will be used for reviews of hospital mergers to ensure compliance with antitrust laws. These data will also be shared with the Federal Trade Commission for hospital merger investigations that are conducted jointly with the Pennsylvania Office of Attorney General.
Pennsylvania Patient Safety Authority—Howard Newstadt
A custom third quarter 2004 through first quarter 2015 hospital data report by year to be used in combination with the Pennsylvania Patient Safety Authority (PSA) PA-PSRS (medical error report) to produce facility specific and aggregate medical error rate data to improve PSA's analytic capabilities, thereby supporting PSA's overall mission.
Pennsylvania Physical Medicine & Pratter—Bill Hennessey, MD
A standard Statewide fourth quarter 2014 ambulatory/outpatient revenue code detail dataset to be used to educate health care consumers and consult with businesses in need of affordable health care options. The information will be displayed by facility as an average charge per procedure on their web site.
Philadelphia Department of Public Health—Cheryl Bettigole, MD
A standard regional 2014 inpatient discharge dataset and 2011 through 2014 ambulatory/outpatient procedure dataset 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, violence-related injuries, high-risk pregnancies, and the like, for research and policy planning.
Pittsburgh Regional Health Initiative—Keith T. Kanel, MD
A custom 2014 inpatient discharge data report of 30-day age-adjusted and sex-adjusted readmission rates on AMI, chronic obstructive pulmonary disease (COPD), and congestive heart failure (CHF) conditions by type of payer for six hospitals (Butler Memorial, Conemaugh Valley, Indiana Regional, Monongahela Valley, Sharon Regional and Uniontown) and for western Pennsylvania. The data will be used to track changes in readmission rates that may be attributable to a multidimensional, Pittsburgh Regional Health Care Initiative intervention to improve care for patients with COPD, AMI and CHF in six western Pennsylvania hospitals.
Public Health Management Corporation—Maya Gutierrez
A custom fourth quarter 2011 through third quarter 2014 inpatient discharge data report of cases for children diagnosed with asthma by zip code per quarter to be used to support Statewide needs assessment related to pediatric asthma.
Reading Ambulatory Surgery Center, LP—Kathleen Royles
A custom third quarter 2013 through second quarter 2014 ambulatory/outpatient procedure data report by facility on specific procedures for patients from Berks County to be used to determine market share in certain specialties.
Redstone Presbyterian Senior Care—Frank King
A custom third quarter 2011 through second quarter 2014 inpatient discharge dataset of patients 55 years of age and older residing in Westmoreland County or specific zip codes and a custom 2014 inpatient discharge 30-day readmission data report. The data will be used to determine acute care utilization of medical services of residents of Westmoreland County to better plan for the post-acute continuum of health care and meet the long-term care needs of county residents.
Renzi Podiatry/Save Your Soles Campaign—Ronald M. Renzi, DPM
A custom 2014 inpatient discharge dataset of patients who reside in Bucks, Chester, Delaware, Montgomery and Philadelphia Counties to be used for the Save Your Soles Campaign program sponsored by Abington Memorial Hospital, which is to reduce amputations in the Philadelphia area. The data will be used to measure/count the number of amputations by county and zip code, to locate areas with high numbers of amputations and to track patients with risk factors for amputation to evaluate prevention strategies.
SG-2, LLC—Nicole Cumorich and Matthew T. Willaert
Standard Statewide second, third and fourth quarter 2014 inpatient discharge and ambulatory/outpatient procedure datasets to be used in their Market Forecast Tool and State Data Analysis Tool software that was developed to support SG-2's client hospitals' long-term and short-term operational and strategic planning efforts. These tools enable their clients to develop 10-year health services demand forecasts by clinical area and geography, to provide them with the ability to project and meet future demands by determining the appropriate allocation of resources and to improve both the quality and availability of health care in the communities they serve.
Steven Meller, MD Medical Practice—Urology
Standard facility 2000 through 2005 inpatient discharge and ambulatory/outpatient procedure datasets for three hospitals (Abington Memorial Hospital, Nazareth Hospital and Holy Redeemer Hospital) to be used to analyze patient referrals a physician could have received from one of the hospitals based on his referral pattern from the other two in connection with ending litigation.
Summit Health—Michele R. Zeigler
Standard Statewide second through fourth quarter 2014 inpatient discharge and ambulatory/outpatient procedure datasets to be imported into a quality management application and used for internal benchmarking and quality improvement initiatives, which is accessible to Chambersburg and Waynesboro hospitals.
Susquehanna Health System—Brian Engel
Standard regional second through fourth quarter 2014 and first quarter 2015 inpatient discharge and ambula- tory/outpatient procedure datasets for Regions 2, 4, 5 and 6 to be loaded into a database hosted and maintained by their consultant on behalf of Susquehanna Health. The consultant will use this information to report market share and trend analysis to Susquehanna Health.
Susquehanna Valley Vein Center—Suzan McGary
A custom 1999 through 2014 inpatient discharge dataset of cases with specific DRG to analyze volume and rates at various hospitals that will provide assistance in determining how to proceed with litigation; depending on the results, the analysis may be used in litigation.
Thomas Jefferson University—Albert G. Crawford, PhD
Standard Statewide third quarter 2013 through second quarter 2014 inpatient discharge and inpatient revenue code detail datasets to be used to examine variability in outcomes, utilization and costs of care for cancer care services and bariatric surgery. Jefferson School of Population Health will be conducting research in collaboration with the Greater Philadelphia Business Coalition on Health (GPBCH) on variation in care across the greater Philadelphia region's inpatient facilities. The GPBCH will use the exploratory research data for a potential summary report card on cancer services and quality of care for the greater Philadelphia region that can be disseminated by GPBCH employer members to their employees.
Trinity Health System—Maria A. DiBartolomeo
Standard regional 2011, 2012 and 2013 inpatient discharge datasets for Region 1 to be used to understand competitive positioning, migration patterns of patients, services patients need most and to understand how to provide better care to their patients.
Truven Health Analytics—Katherine Blumhardt
Standard Statewide second, third and fourth quarter 2014 and first quarter 2015 inpatient discharge and ambulatory/outpatient procedure datasets will be used to process, standardize and distribute to Truven Health Analytics clients (hospitals, health networks, government agencies, health care providers, payers, consultants and vendors) through proprietary decision tools, benchmark databases, research, custom studies and other associated products, which provide utilization market share, service demand, outcome indicators, assistance in resource allocation and in evaluating benefit plans.
UCSF Benioff Children's Hospital—Tara Karamlou, MD
Standard Statewide 2012 inpatient discharge and inpatient revenue code detail datasets to be used to identify and map hospitals currently operating on patients less than or equal to 18 years of age with congenital cardiac disease, develop a simulation model which would consolidate congenital heart surgery to larger regional hospitals and to explore the potential impact of regionalization on mortality rates after congenital heart surgery. Their overall goal is to develop a National model for regionalization of care for children undergoing congenital cardiac surgery in the United States to improve outcomes while minimizing burdens on the patients and their families.
University of Pennsylvania—Matthew L. Williams, MD
A custom 2004 through 2014 inpatient discharge dataset of cases with an extra-corporeal membrane oxygenation (ECMO) procedure linked with 2004 through 2014 Pennsylvania Department of Health mortality data files with derived data (number of days to procedures and number of days to death) to use to study ECMO use in this Commonwealth to evaluate the current utilization of this technology and evaluate survival outcomes in a variety of clinical settings. The study results will be presented in academic journal publications.
University of Pennsylvania—Shreya Kangovi, MD, MS
A custom third quarter 2013 through first quarter 2015 inpatient discharge dataset of patients enrolled in Individualized Management towards Patient-Centered Targets (IMPaCT) with derived data (number of days to admission). The data will be used for a study entitled Effectiveness of Collaborative Goal-setting versus IMPaCT Community Health Worker Support for IMPaCT Primary Care. The effectiveness of clinicians will be compared with community health worker support for helping chronically-ill, low-socioeconomic status patients to improve control of chronic conditions.
University of Pennsylvania School of Medicine—Karen Hoffer
A custom fourth quarter 2013 through third quarter 2014 inpatient discharge and ambulatory/outpatient procedure dataset of patients enrolled in a randomized trial of behavioral economic interventions with derived data (number of days to next admission) to be used to reduce cardiovascular disease risk: Way to Heart Health study. The data will be used to measure hospitalizations and resource utilization as part of the study's cost effectiveness analysis.
University of Pittsburgh—David G. Binion, MD
A custom fourth quarter 2009 through first quarter 2013 inpatient discharge dataset of cases diagnosed with crohns disease or ulcerative colitis that were hospitalized in 28 specified hospitals with derived data (number of days to next admission). The data will be used for research purposes to study readmissions, cost, complexity of care and will examine contributing factors, such as clostridium difficile infection.
University of Pittsburgh—Jeremy M. Kahn, MD
A custom 2011 through second quarter 2014 Statewide inpatient discharge and revenue code detail dataset with associated lab values linked with Pennsylvania Department of Health 2011 through 2014 mortality data files with derived data (number of days to next admission, discharge and death). The data will be combined with Medicare Healthcare Cost Reporting Information System and American Hospital Association Annual Survey to be used for a study, Novel Approaches to Hospital Profiling. The information will be used to identify new measures that will account for patient trajectories as they move through various hospital and health care systems. Statistical models will be built to predict 30-day patient mortality. Dr. Kahn will use hierarchical regression modeling, marginal structural equations and cluster analyses to develop and validate novel hospital-based performance measures. A series of sequential modeling and validations steps will be performed to ensure valid and reliable measures. The project will focus on six conditions: AMI; CHF; stroke; pneumonia; sepsis; and COPD.
University of Pittsburgh—Julie Donohue, PhD
A custom 2006 through 2011 inpatient discharge dataset of cases that involve a coronary artery bypass graft surgery or valve repair procedure with derived data indicators (30 years of age or younger, left against medical advice and clinically complex) to be used to research to what extent quality drives referral of patients to specialists, compared with variables that would indicate the referring physician is simply aware of or similar to the specialist.
University of Pittsburgh Medical Center—Matthew W. Michaels
Standard Statewide third and fourth quarter 2014 and first quarter 2015 inpatient discharge and ambulatory/outpatient procedure datasets. The client will use the data 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 Rochester—Donna L. Beyea
Standard Statewide 2007 through 2014 inpatient discharge and ambulatory/outpatient procedure datasets to be used for a number of research projects. The Health Consequences of Shale Gas Development study will enhance knowledge of the impacts of pollution on human health and the impact of the introduction of shale gas development. The ACA and Hospital Mergers and Acquisitions: Impacts on Patient Care study will use the data combined with other states' data to assess access to care, quality of care and changes in patterns of care after the Affordable Care Act.
University of Rochester Medical Center—Sean Ossont
Standard regional 2014 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 2, 4 and 6 will be used to create utilization rates and market share information that will be used for strategic and facilities planning.
University of the Sciences—Mona L. Fiorentini
A custom third quarter 2011 through second quarter 2014 inpatient discharge dataset of cases for patients who experience a fall while hospitalized will be used for a doctoral dissertation, which will study whether or not there is a correlation between the number of nursing aides and inpatient falls.
WellSpan Health—David Kimpel
Standard regional 2014 inpatient discharge and ambulatory/outpatient procedure datasets for Regions 5 and 7 to be used for an internal assessment of the delivery of health care services within WellSpan Health's region. Service area utilization and analysis are the primary purpose for obtaining the data.
Windber Medical Center—Richard Sukenik
Standard regional 2014 inpatient discharge dataset for Region 3 to be used to support current efforts in understanding the feasibility of expanding a cardiovascular program.
JOE MARTIN,
Executive Director[Pa.B. Doc. No. 16-576. Filed for public inspection April 1, 2016, 9:00 a.m.]
