Appendix: Reporting Categories Available from the HSCRC Hospital
advertisement
Measure # of observation stays* # of Transfers* # beds/ downsizing Hospice (or palliative care) use trends* Staffing levels ED wait times Payer* High Utilizers* Data Source HSCRC case mix Data Frequency Notes Quarterly HSCRC case mix Data MHCC approved Certificate of Need HSCRC case mix Data Quarterly Annually Beds versus occupancy rates? Quarterly HSCRC annual Annually filing and wage and salary tables CMS Quarterly Emergency Room measures Ability to filter by payer? Ability to filter by high utilizer? See reporting categories in Appendix Inpatient Quality Reporting data for patients admitted Outpatient Quality Reporting data for patients not admitted (later) All Payer Medicare Fee for service (Age 65+ only) Persons dually eligible for Medicare and Medicaid Start with: o Medicare fee for service program (age 65+) with 2+ chronic conditions o All payer with 3+ bedded care visits o Medicare (managed care and fee for service, all ages) HSCRC Key Measures for Transformation Partnerships # Measure Definition Numerator 1 Total hospital Hospital HSCRC case mix: cost per charges (total Inpatient, capita cost) per Outpatient, person Chronic 2 Total hospital AdmissionsHSCRC case mix: admits per count per Inpatient, capita thousand Outpatient, Chronic 3 Total health Aggregate HSCRC Total Cost care cost per payments/ Report person person 1 Denominator Use Clairtas projection for 2015. for hospital Primary Service Area See above HSCRC Key Measures for Transformation Partnerships # Measure Definition Numerator 4 ED visits per Emergency HSCRC case mix: capita Dept. Outpatient?? encounters per thousand 5 Readmissions RRIP HSCRC Case mix per capita with CRISP readmission flags 6 Potentially Total PAU Total PAU charges Avoidable charges over Utilization Total charges (PAU) 7 Patient On scale of 1 to Hospital Consumer experience 10, % rating 9 Assessment of or 10 Healthcare Providers and Systems (HCAHPS) Survey 8 Composite TBD quality measures 9 Use of encounter notification alerts % inpatient discharges with an ENS alert 10 Completion of health risk assessments 11 Established longitudinal care plan Share Care Profile % High utilizers with completed Health Risk Assessments % High Utilizers Patients with completed care % patients with care plans with data shared through HIE in Care Profile % High Utilizers Patients with contact with an assigned care manager 12 13 Portion of target population with contact from assigned care manager 2 Denominator See above See above Total charges from HSCRC Case mix discharges where an Encounter Notification System message was sent to a nonhospital provider Partnership data on completed health risk assessments Partnership data on completed care HSCRC Case mix inpatient and observation cases greater than 24hrs CRISP HIE shared care profile CRISP defined patients with care plans Partnership data on contact with assigned care manager CRISP defined High Utilizers? CRISP defined High Utilizers? CRISP defined High Utilizers? Appendix: Reporting Categories Available from the HSCRC Hospital Annual Filing Report and Annual Wage and Salary Report Schedule D of the hospital Financial Annual Filing enables each hospital to report expenses and FTEs for the following patient care units. Center Nomenclature D1 D2 D3 D4 D5 D6 D7 D8 D9 D10 D11 D12 D13 D14 D15 D16 D17 D18 D19 D20 D22 D23 D24 D24A D25 D26 D27 D28 D30 D31 D32 D33 D34 D35 D36 D37 D38 D39 D40 D41 D42 Medical Surgical Acute Pediatric Acute Psychiatric Acute Obstetric Acute Definitive Observation Medical Surgical Intensive Care Coronary Care Pediatric Intensive Care Neonatal Intensive Care Burn Care Psychiatric Intensive Care Shock Trauma Oncology Newborn Nursery Premature Nursery Skilled Nursing Care Chronic Care Emergency Services Clinic Services Psych Day/Night Care Same Day Surgery Labor & Delivery Operating Room Operating Room Clinic Anesthesiology Medical Supplies Sold Drugs Sold Laboratory Services Electrocardiography Interventional Rad/Cardio Radiology Diagnostic Cat Scanner Radiology Therapeutic Nuclear Medicine Respiratory Therapy Pulmonary Function Testing Electroencephalography Physical Therapy Occupational Therapy Speech Therapy Recreational Therapy 3 Account Number 6010 6170 6210 6250 6280 6310 6330 6350 6370 6380 6390 6411 6411 6412 6510 6610 6640 6710 6720 6940 7060 7010 7040 7070 7080 7110 7150 7210 7290 7310 7320 7340 7360 7380 7420 7440 7460 7510 7530 7550 7570 Code MSG PED PSY OBS DEF MIS CCU PIC NEO BUR PSI TRM ONC NUR PRE NF CRH EMG CL PDC SDS DEL OR ORC ANS MSS CDS LAB EKG IRC RAD CAT RAT NUC RES PUL EEG PTH OTH STH REC Appendix: Reporting Categories Available from the HSCRC Hospital Annual Filing Report and Annual Wage and Salary Report Schedule D of the hospital Financial Annual Filing enables each hospital to report expenses and FTEs for the following patient care units. Center Nomenclature D43 D44 D45 D46 D47 D48 D49 D50 D51 D53 D54 D55 D56 D57 D58 D59 D70 D71 D73 D74 D75 D76 D77 D78 D79 D80 D81 Audiology Other Physical Medicine Renal Dialysis Organ Acquisition Ambulatory Surgery Leukopheresis Hyperbaric Chamber Freestanding Emergency MRI Scanner Lithotripsy Rehabilitation Observation Ambulance Services Rebundled Transurethral Microwave Thermo Therapy Oncology Clinic Transurethral Needle Ablation Psychiatric Adult Psychiatric Child/Adolescent Psychiatric Geriatric Individual Therapies Group Therapies Family Therapies Psychological Testing Education Other Therapies Electro Convulsive Therapy Activity Therapy Account Number 7580 Code 7710 7730 6930 7911 7912 6960 7350 7355 6620 6750 7920 7365 AUD OPM RDL OA AOR LEU HYP FSE MRI LIT RHB OBV AMR TMT 6220 6230 6249 7671 7672 7673 7675 7674 7689 7676 7677 ONC TNA PAD PCD PSG ITH GTH FTH PST PSE OPT ETH ATH Schedule P3 of the Hospital Annual Filing enables each hospital to report wages, salaries and fringe benefits for physician support administration and supervision support services, excluding Certified Nurse Anesthetists, for the following functional cost centers. Nomenclature Account Number/Code 8740 MSG 8740 PED Medical Surgical Acute Pediatrics Acute 4 Appendix: Reporting Categories Available from the HSCRC Hospital Annual Filing Report and Annual Wage and Salary Report Schedule P3 of the Hospital Annual Filing enables each hospital to report wages, salaries and fringe benefits for physician support administration and supervision support services, excluding Certified Nurse Anesthetists, for the following functional cost centers. Nomenclature Psychiatric Acute Obstetrics Acute Definitive Observation M/S Intensive Care Coronary Care Pediatric Intensive Care Neo Natal Intensive Care Burn Care Psychiatric Intensive Care Shock Trauma Oncology Newborn Nursery Premature Nursery Rehabilitation Intermediate Care Emergency Services Clinic Services Psych. Day & Night Care Labor & Delivery Services Operating Room Operating Room Clinic Anesthesiology Laboratory Services Blood Bank Electrocardiography Interventional Radiology/Cardiovascular Radiology Diagnostic CT Scanner Radiology Therapeutic Nuclear Medicine Respiratory Therapy Pulmonary Function Electroencephalography Physical Therapy Occupational Therapy Speech Language Pathology Recreational Therapy Audiology Other Physical Medicine Renal Dialysis 5 Account Number/Code 8740 PSY 8740 OBS 8740 DEF 8740 MIS 8740 CCU 8740 PIC 8740 NEO 8740 BUR 8740 PSI 8740 TRM 8740 ONC 8740 NUR 8740 PRE 8740 RHB 8740 ICC 8740 EMG 8740 CL 8740 PDC 8740 DEL 8740 OR 8740 ORC 8740 ANS 8740 LAB 8740 BB 8740 EKG 8740 IRC 8740 RAD 8740 CAT 8740 RAT 8740 NUC 8740 RES 8740 PUL 8740 EEG 8740 PTH 8740 OTH 8740 STH 8740 REC 8740 AUD 8740 OPM 8740 REL Appendix: Reporting Categories Available from the HSCRC Hospital Annual Filing Report and Annual Wage and Salary Report Schedule P3 of the Hospital Annual Filing enables each hospital to report wages, salaries and fringe benefits for physician support administration and supervision support services, excluding Certified Nurse Anesthetists, for the following functional cost centers. Nomenclature Account Number/Code 8740 MRI 8740 SDS 8740 KA 8740 AOR 8740 LEU 8740 HYP 8740 FSE 8740 MRI 8740 CNA 8740 LIT 8740 AMS 8740 ND 8740 NNB MRI Scanner Same Day Surgery Kidney Acquisition Ambulatory Surgery Leukopheresis Hyperbaric Chamber Free Standing Emergency Service MRI Scanner Certified Nurse Anesthetist Lithotripsy O/P Surgery Procedure Based Normal Deliveries Normal Newborn 6 Appendix: Reporting Categories Available from the HSCRC Hospital Annual Filing Report and Annual Wage and Salary Report Annual Wage and Salary Survey: hospitals report Costs, Numbers and FTEs by hospital staff category IP/OP ADM & REGISTRATION CLERK BILLING CLERK CASHIER - BUSINESS OFFICE GENERAL OFFICE CLERK DIETITIAN E.K.G./CARDIOLOGY TECH. EXECUTIVE ASST. INFO. SYSTEMS,STAFF LEVEL DIETARY AIDE I GENERAL DUTY NURSE ENVIRONMENTAL SERVICE WORKER SYSTEMS, PROF. LEVEL PHYSICIANS ASST. LICENSED PRACTICAL NURSE MAIL CLERK MAINTENANCE MECHANIC I MAINTENANCE MECHANIC II RCDS. & CODING CLERK MEDICAL RECORDS TECHNICIAN ART SOCIAL WORKER (M.S.W.) SOCIAL WORKER (B.S.) NUCLEAR MEDICINE TECHNOLOGIST (REG.) NURSE PRACT./CLINICAL NURSE SPEC. PATIENT CARE/NURSING AIDE II PHARMACY TECH. PHYS. THERAPIST RADIOLOGIC TECHNOLOGIST (RRT REG.) MRI TECHNOLOGIST RESPIRATORY THERAPIST(NBRT REG.) ADMINISTRATIVE ASST. SECURITY OFFICER SPECIAL PROCEDURES TECHNOLOGIST STAFF & CLINICAL PHARMACIST STATIONARY ENGINEER LICENSED MATERIALS HANDLER, OPERATIONS LEVEL SURGICAL TECH. MATERIALS HANDLER, PROF. LEVEL TELEPHONE OPERATOR ULTRASOUND TECHNOLOGIST UNIT CLERK/SECRETARY ACCOUNTANT/FINANCIAL ANALYST ACCOUNTING/ACT.PYBLE/PAYROLL CLERK COOK C.T. TECHNOLOGIST NURSE EDUCATORS 7 Appendix: Reporting Categories Available from the HSCRC Hospital Annual Filing Report and Annual Wage and Salary Report Annual Wage and Salary Survey: hospitals report Costs, Numbers and FTEs by hospital staff category NURSE MGR. B OCCUP. THERAPIST PHYSI. & OCCUP. THERAPIST ASST. UTILIZ.REVIEW/QUAL.ASSUR.SPEC./CASE MGR. SPEECH LANGUAGE PATHOLOGIST/AUDIO. HUMAN RESOURCES, ASSOCIATE LEVEL HUMAN RESOURCES, MGMT. LEVEL OTHER HOSPITAL SPECIFIC OTHER NON-HOSPITAL SPECIFIC TOTAL 8
