The Institutional Cost Report (ICR) is a uniform report completed by New York hospitals to report income, expenses, assets, liabilities, and statistics to the Department of Health (DOH). Under DOH regulations, (Part 86-1.2), Article 28 hospitals are required to file financial and statistical data with DOH annually. The data filed is part of the ICR and is received electronically through a secured network. This data is used to develop Medicaid rates, assist in the formulation of reimbursement methodologies, and analyze trends. The ICR is a comprehensive compilation of exhibits that have been modified over time that users should consider when using the ICR dataset. It is possible that data is updated subsequent to posting on this website; therefore the data could become obsolete. To get the details related to the exhibits and data elements, please refer to the blank ICR form, the ICR Table of Contents, the ICR Instructions and the Glossary of Terms, Acronyms, and Abbreviations which are in the Supporting Information section of this site. The data posted as edited contains desk edit adjustments by DOH personnel. In 2009, this information was not audited; however effective with the 2010 ICR, all ICRs will be audited by a Certified Public Accounting Firm annually.

The Statewide Planning and Research Cooperative System (SPARCS) Inpatient De-identified dataset contains discharge level detail on patient characteristics, diagnoses, treatments, services, and charges. This data contains basic record level detail regarding the discharge; however the data does not contain protected health information (PHI) under Health Insurance Portability and Accountability Act (HIPAA). The health information is not individually identifiable; all data elements The Statewide Planning and Research Cooperative System (SPARCS) Inpatient De-identified dataset contains discharge level detail on patient characteristics, diagnoses, treatments, services, charges and costs. This data contains basic record level detail regarding the discharge; however the data does not contain protected health information (PHI) under Health Insurance Portability and Accountability Act (HIPAA). The health information is not individually identifiable; all data elements considered identifiable have been redacted. For example, the direct identifiers regarding a date have the day and month portion of the date removed.

This point map shows the risk-adjusted Clostridium Difficile Infection (CDI) hospital onset infection rates reported for all acute care hospitals. The color of the points represent whether the adjusted rate is significantly higher, significantly lower, or not significantly different from the state average for the same year. All acute care hospitals are required to report certain hospital-acquired infections (HAIs) to the New York State Department of Health (NYSDOH). This includes central line-associated blood stream infections; surgical site infections following colon, hip replacement/revision, hysterectomy, and coronary artery bypass graft; Clostridium difficile infections, and carbapenem resistant Enterobacteriaceae infections. PLEASE NOTE: Because of the complicated nature of the risk-adjustment methodology used to produce the HAI rates, the advice of a statistician is recommended before attempting to manipulate the data. Hospital-specific risk-adjusted rates cannot simply be combined. In addition, due to NYSDOH validation audits which may involve data from both the current and previous calendar year, a revised data file will be published the year after the original data file was released. For more information, check out http://www.health.ny.gov/statistics/facilities/hospital/hospital_acquired_infections/. The "About" tab contains additional details concerning this dataset.

The datasets contain number of Medicaid PQI hospitalizations (numerator), county Medicaid population (denominator), observed rate, expected number of hospitalizations and rate, and risk-adjusted rate for Agency for Healthcare Research and Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid enrollees beginning in 2011.

The column chart illustrates the distribution of inpatient average length of stay by service category for Medicaid, Commercial HMO, and Commercial PPO Payers. The chart uses statewide average rates of all insurance plans.
For more information please visit http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link5. The "About" tab contains additional details concerning this dataset.

The column chart illustrates the distribution of inpatient discharges by service category for Medicaid, Commercial HMO, and Commercial PPO Payers. The chart uses statewide average rates of all insurance plans. For more information please visit http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link5. The "About" tab contains additional details concerning this dataset.

The dataset contains Potentially Preventable Readmission observed, expected, and risk adjusted rates by hospital for Medicaid enrollees beginning in 2011.

The datasets contain number of Medicaid PQI hospitalizations (numerator), county Medicaid population (denominator), observed rate, expected number of hospitalizations and rate, and risk-adjusted rate for Agency for Healthcare Research and Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid enrollees beginning in 2011.

The chart shows risk adjusted Potentially Preventable Readmission rates by hospital for Medicaid enrollees beginning in 2011.
The Potentially Preventable Readmission (PPR) software created by 3M Health Information Systems, identifies hospital admissions clinically related to an initial admission within a specified time period. For this dataset, readmissions were evaluated within a 30-day time period from the discharge date of the initial hospital admission. A PPR may have resulted from a deficiency in the process of care and treatment at the initial hospitalization or lack of post discharge follow up. PPRs are not defined by unrelated events that occur post-discharge, such as admissions for trauma.
For each hospital, the total number of at risk admissions, the total number of observed PPR chains, the observed PPR rate, the expected PPR rate, and risk adjusted PPR rate are presented by year. For more information, check out http://www.health.ny.gov/health_care/medicaid/. The "About" tab contains additional details concerning this dataset.

This line chart compares the median cost vs. median charge for chest pain with a minor severity of illness by hospital. The dataset contains information submitted by New York State Article 28 Hospitals as part of the New York Statewide Planning and Research Cooperative (SPARCS) and Institutional Cost Report (ICR) data submissions. The dataset contains information on the volume of discharges, All Payer Refined Diagnosis Related Group (APR-DRG), the severity of illness level (SOI), medical or surgical classification the median charge, median cost, average charge and average cost per discharge. When interpreting New York’s data, it is important to keep in mind that variations in cost may be attributed to many factors. Some of these include overall volume, teaching hospital status, facility specific attributes, geographic region and quality of care provided.For more information, check out: http://www.health.ny.gov/statistics/sparcs/. The "About" tab contains additional details concerning this dataset.

The column chart illustrates the statewide rates of emergency room visits by age group and payer. The chart uses statewide average rates of all insurance plans.

For more information please visit http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link5. The "About" tab contains additional details concerning this dataset.

The dataset is representative of financial incentive payments disbursed to Eligible Professionals (EPs) and Eligible Hospitals (EHs) by the NY Medicaid Electronic Health Records (EHR) Incentive Program, a CMS Promoting Interoperability Program. Authorized by the American Recovery and Reinvestment Act (ARRA) of 2009, this program provides multi-year financial incentives to EPs and EHs who adopt, implement, or upgrade, and subsequently demonstrate meaningful use of Certified Electronic Health Record Technology (CEHRT).

This line chart compares the median cost vs. median charge for normal newborn or neonate w other problem with minor severity of illness by hospital. The dataset contains information submitted by New York State Article 28 Hospitals as part of the New York Statewide Planning and Research Cooperative (SPARCS) and Institutional Cost Report (ICR) data submissions. The dataset contains information on the volume of discharges, All Payer Refined Diagnosis Related Group (APR-DRG), the severity of illness level (SOI), medical or surgical classification the median charge, median cost, average charge and average cost per discharge. When interpreting New York’s data, it is important to keep in mind that variations in cost may be attributed to many factors. Some of these include overall volume, teaching hospital status, facility specific attributes, geographic region and quality of care provided.For more information, check out: http://www.health.ny.gov/statistics/sparcs/. The "About" tab contains additional details concerning this dataset.

The column chart illustrates the utilization of alcohol and other drug services by service type and gender for Commercial HMO and Commercial PPO Payers. The chart uses statewide average rates of all insurance plans.

For more information, please visit http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link5. The "About" tab contains additional details concerning this dataset.

This dataset is one of two datasets that contain observed and expected rates for Agency for Healthcare Research and Quality Prevention Quality Indicators – Adult (AHRQ PQI) beginning in 2009. The observed rates and expected rates for each AHRQ PQI is presented by either resident county (including a statewide total) or resident zip code (including a statewide total).

The column chart illustrates the statewide rates of cardiac catheterization utilization by gender and payer for the measurement year. The chart uses statewide average rates of all insurance plans. Removing the statewide average filter is not recommended. For more information please visit http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm#link5. The "About" tab contains additional details concerning this dataset.

This dataset contains information on selected chronic health conditions in the Medicaid population at the county level. The chronic health conditions were identified through 3M Clinical Risk Group software and Medicaid enrollment/eligibility, encounter, claim and pharmacy data over a 12-month period.

The Nursing Home Cost Report (RHCF) is a uniform report completed by New York nursing homes to report income, expenses, assets, liabilities, and statistics to the Department of Health (DOH). Under DOH regulations, (Part 86-2.2), nursing homes are required to file financial and statistical data with DOH annually. The data filed is part of the cost report and is received electronically through a secured network. This data is used to develop Medicaid rates, assist in the formulation of reimbursement methodologies, and analyze trends. For more information, check out: http://www.health.ny.gov/facilities/nursing/ or go to the “About “ tab.

The datasets contain number of Medicaid PDI hospitalizations (numerator), county or zip Medicaid population (denominator), observed rate, expected number of hospitalizations and rate, and risk-adjusted rate for Agency for Healthcare Research and Quality Pediatric Quality Indicators – Pediatric (AHRQ PDI) for Medicaid enrollees beginning in 2011. The Agency for Healthcare Research and Quality (AHRQ) Pediatric Quality Indicators (PDIs) are a set of population based measures that can be used with hospital inpatient discharge data to identify ambulatory care sensitive conditions. These are conditions where 1) the need for hospitalization is potentially preventable with appropriate outpatient care, or 2) conditions that could be less severe if treated early and appropriately. Both the Urinary Tract Infection and Gastroenteritis PDIs include admissions for patients aged 3 months through 17 years. The asthma PDI includes admissions for patients aged 2 through 17 years. Eligible admissions for the Diabetes Short-term Complications PDI includes admissions for patients aged 6 through 17 years.

The Nursing Home Cost Report (RHCF) is a uniform report completed by New York nursing homes to report income, expenses, assets, liabilities, and statistics to the Department of Health (DOH). Under DOH regulations, (Part 86-2.2), nursing homes are required to file financial and statistical data with DOH annually. The data filed is part of the cost report and is received electronically through a secured network. This data is used to develop Medicaid rates, assist in the formulation of reimbursement methodologies, and analyze trends. For more information, check out: http://www.health.ny.gov/facilities/nursing/ or go to the “About “ tab.

This version of the Institutional Cost Report (ICR) has been audited by a Certified Public Accounting Firm. The ICR is a uniform report completed by New York State hospitals to report income, expenses, assets, liabilities, and statistics to the the Department of Health (DOH). Under DOH regulations, (Part 86-1.2), Article 28 hospitals are required to file financial and statistical data with DOH annually. The data filed is part of the ICR and is received electronically through a secured network. This data is used to develop Medicaid rates, assist in the formulation of reimbursement methodologies, and analyze trends. For more information, check out: http://www.health.ny.gov/facilities/hospital/index.htm.

The chart shows observed vs. expected Potentially Preventable Readmission rates by hospital for Medicaid enrollees in 2014.
The Potentially Preventable Readmission (PPR) software created by 3M Health Information Systems, identifies hospital admissions clinically related to an initial admission within a specified time period. For this dataset, readmissions were evaluated within a 30-day time period from the discharge date of the initial hospital admission. A PPR may have resulted from a deficiency in the process of care and treatment at the initial hospitalization or lack of post discharge follow up. PPRs are not defined by unrelated events that occur post-discharge, such as admissions for trauma.
For each hospital, the total number of at risk admissions, the total number of observed PPR chains, the observed PPR rate, the expected PPR rate, and risk adjusted PPR rate are presented by year. For more information, check out http://www.health.ny.gov/health_care/medicaid/. The "About" tab contains additional details concerning this dataset.

The charts shows risk adjusted rates of Potentially Preventable Readmissions by hospital for all payers beginning in 2009.
The Potentially Preventable Readmission (PPR) software created by 3M Health Information Systems, identifies hospital admissions clinically related to an initial admission within a specified time period. For this dataset, readmissions were evaluated within a 30-day time period from the discharge date of the initial hospital admission. A PPR may have resulted from a deficiency in the process of care and treatment at the initial hospitalization or lack of post discharge follow up. PPRs are not defined by unrelated events that occur post-discharge, such as admissions for trauma.
For each hospital, the total number of at risk admissions, the total number of observed PPR chains, the observed PPR rate, the expected PPR rate, and risk adjusted PPR rate are presented by year. For more information, check out http://www.health.ny.gov/statistics/sparcs/. The "About" tab contains additional details concerning this dataset.

This line chart compares the median cost vs. median charge for cesarean deliveries with a minor severity of illness by hospital. The dataset contains information submitted by New York State Article 28 Hospitals as part of the New York Statewide Planning and Research Cooperative (SPARCS) and Institutional Cost Report (ICR) data submissions. The dataset contains information on the volume of discharges, All Payer Refined Diagnosis Related Group (APR-DRG), the severity of illness level (SOI), medical or surgical classification the median charge, median cost, average charge and average cost per discharge. When interpreting New York’s data, it is important to keep in mind that variations in cost may be attributed to many factors. Some of these include overall volume, teaching hospital status, facility specific attributes, geographic region and quality of care provided.For more information, check out: http://www.health.ny.gov/statistics/sparcs/. The "About" tab contains additional details concerning this dataset..

This line chart compares the median cost vs. median charge for cellulitis & other bacterial skin Infections with a moderate severity of illness by hospital. The dataset contains information submitted by New York State Article 28 Hospitals as part of the New York Statewide Planning and Research Cooperative (SPARCS) and Institutional Cost Report (ICR) data submissions. The dataset contains information on the volume of discharges, All Payer Refined Diagnosis Related Group (APR-DRG), the severity of illness level (SOI), medical or surgical classification the median charge, median cost, average charge and average cost per discharge. When interpreting New York’s data, it is important to keep in mind that variations in cost may be attributed to many factors. Some of these include overall volume, teaching hospital status, facility specific attributes, geographic region and quality of care provided.For more information, check out: http://www.health.ny.gov/statistics/sparcs/. The "About" tab contains additional details concerning this dataset.