This chart shows the overall risk adjusted rate per 100,000 for Medicaid prevention quality indicators for pediatric discharges by county and year.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 rates were calculated using Medicaid inpatient hospital data for the numerator and Medicaid enrollment in the county or zip code for the denominator.

The observed counts and rates, expected counts and rates, risk-adjusted rates and the difference between the number of observed and expected PDI hospitalizations for each AHRQ PDI are presented by either resident county (including a statewide total) or resident zip code (including a statewide total). For more information, check out: http://www.health.ny.gov/health_care/medicaid/. The "About" tab contains additional details concerning this dataset.

The column chart illustrates the statewide rates of angioplasty utilization by gender and payer for 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 line chart compares the median cost vs. median charge for major depressive disorders & other unspecified psychoses 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.

This line chart compares the median costs vs. median charges for renal failure with a major 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 other pneumonia 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 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.

This data set contains statewide Medicaid beneficiary counts by valid NYS five-digit zip code. Also in this file are counts of beneficiaries who are dual eligible for Medicaid and Medicare, total inpatient admissions, and total emergency room visits.

The New York State Department of Health (NYSDOH) collects annual data on children’s and adults’ use of health services. This information complements the quality of care and member satisfaction information collected through an annual public reporting system called the Quality Assurance Reporting Requirements (QARR). Utilization measures are designed to capture the frequency of certain services provided by health plans. NCQA does not view higher or lower services counts as better or worse performance. Plans with fewer than 30 eligible events are excluded from the statistical calculations of the percentiles.

This 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. This dataset is at the county level. The Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators (PQIs) 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. All PQIs apply only to adult populations (over the age of 18 years). The rates were calculated using Statewide Planning and Research Cooperative System (SPARCS) inpatient data and Claritas population information.

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 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 line chart compares the median cost vs. median charge for bipolar disorders 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.

This line chart compares the median cost vs. median charge for vaginal 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 heart failure 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.

This data set contains information on selected chronic health conditions in the Medicaid population at the zip code 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.

This line chart shows the observed vs. expected Potentially Preventable Complication (PPC) rates for all payer beneficiaries by hospital.

The chart is based on a dataset that contains Potentially Preventable Complications (PPC) observed, expected, and risk-adjusted rates for all payer beneficiaries by hospital beginning in 2009. The Potentially Preventable Complications (PPC), obtained from
software created by 3M Health Information Systems, are
harmful events or negative outcomes that develop after hospital
admission and may result from processes of care and treatment
rather than from natural progression of the underlying illness
and are therefore potentially preventable.
The rates were calculated using Statewide Planning and
Research Cooperative System (SPARCS) inpatient data.
The observed, expected and risk adjusted rates for PPC are
presented by hospital (including a statewide total).

For more information, check out:
http://www.health.ny.gov/statistics/sparcs/. The "About" tab contains additional details concerning this dataset..

This chart shows risk adjusted rates per 10,000 discharges of Potentially Preventable Complications (PPC) for all payer beneficiaries by hospital.
The chart is based on a dataset that contains Potentially Preventable Complications (PPC) observed, expected, and risk-adjusted rates for all payer beneficiaries by hospital beginning in 2009.

The Potentially Preventable Complications (PPC), obtained from software created by 3M Health Information Systems, are harmful events or negative outcomes that develop after hospital admission and may result from processes of care and treatment rather than from natural progression of the underlying illness and are therefore potentially preventable.

The rates were calculated using Statewide Planning and Research Cooperative System (SPARCS) inpatient data.

The observed, expected and risk adjusted rates for PPC are presented by hospital (including a statewide total). For more information, check out:
http://www.health.ny.gov/statistics/sparcs/. The "About" tab contains additional details concerning this dataset.

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. This dataset includes the print image of the edited data. 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.

This line chart compares the median cost vs. median charge for chronic obstructive pulmonary disease 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/.

This line chart compares the median costs vs. median charges for schizophrenia 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.

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 charts shows observed vs. expected Potentially Preventable Readmission rates by hospital for all payer beneficaries.
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 chart shows the potentially preventable emergency visit (PPV) risk adjusted rates per 100 for Medicaid beneficiaries by patient county and year. The datasets contain Potentially Preventable Visit (PPV) observed, expected, and risk-adjusted rates for Medicaid beneficiaries by patient county and patient zip code beginning in 2011.

The Potentially Preventable Visits (PPV) obtained from software created by 3M Health Information Systems, are emergency visits that may result from a lack of adequate access to care or ambulatory care coordination. These ambulatory sensitive conditions could be reduced or eliminated with adequate patient monitoring and follow up.

The rates were calculated using Medicaid inpatient and outpatient data for the numerator and Medicaid enrollment in the county or zip code for the denominator.

The observed, expected and risk adjusted rates for PPV are presented by either resident county (including a statewide total) or resident zip code (including a statewide total). For more information, check out: http://www.health.ny.gov/health_care/medicaid/. The "About" tab contains additional details concerning this dataset.

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.

This dataset includes Medicaid clinical metrics for Clinical Improvement Projects (Domain 3) of the Delivery System Reform Incentive Payment (DSRIP) Program. The DSRIP program will promote community-level collaborations and focus on system reform, specifically a goal to achieve a 25 percent reduction in avoidable hospital use over five years. As a part of the DSRIP program, Performing Provider System will employ multiple projects both to transform health care delivery as well as to address the broad needs of the population that the performing provider system serves. These projects described in Attachment J are grouped into different strategies, such as behavioral health, within each Domain (System Transformation Projects (Domain 2), Clinical Improvement Projects (Domain 3), and Population-wide Projects (Domain 4). For each strategy, there is a set of metrics that the performing provider system will be responsible for if they do any one of the projects within that strategy. This dataset includes only Domain 3 Clinical Metrics.

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.