- metadata:
- idinfo:
- citation:
- citeinfo:
- title: Secure IBIS-PH Emergency Department Encountersy by Zip Code Query Module
- type: Health outcome
- descript:
- abstract:
This query contains the following measures: count of ED treat and release encounters; total charges for ED treat and release encounters; average charge for ED treat and release encounters; median charge for ED treat and release encounters; count of ED patients admitted to the hospital; total charges for ED patients admitted to the hospital; average charge for ED patients admitted to the hospital; median charge for ED patients admitted to the hospital; total length of stay for ED patients admitted to the hospital; average length of stay for ED patients admitted to the hospital; median length of stay for ED patients admitted to the hospital.
- Important: This data provides public health researchers and professionals with summary information about the rates and patterns of Emergency Department encounters. This data is not available for public use.
- Measures: 1. Count of ED treat and release encounters
2. Total charges for ED treat and release encounters
3. Average charge for ED treat and release encounters
4. Median charge for ED treat and release encounters
5. Count of ED patients admitted to the hospital
6. Total charges for ED patients admitted to the hospital
7. Average charge for ED patients admitted to the hospital
8. Median charge for ED patients admitted to the hospital
9. Total length of stay for ED patients admitted to the hospital
10. Average length of stay for ED patients admitted to the hospital
11. Median length of stay for ED patients admitted to the hospital
- Derivation:
- Numerator: The numerator used for rates and counts is the number of ED encounters among the Utah population by principal diagnosis.
- Denominator: The denominator for used for rates is the total number of Utah residents.
- Rates: NA
- MeasureUse: These data can be used to assess the burden of asthma, CO poisoning, and myocardial infarction, monitor trends over time, identify high-risk groups, and enhance prevention, education, and evaluation efforts.
- MeasureLimitations: This data is collected by ED injury encounters. This means that if a patient visits multiple emergency departments for the same injury, that patient will appear in the dataset one time for each of the ED visits made.
- Unit: Emergency department encounters diagnosed for asthma, carbon monoxide poisoning, and myocardial infarction.
- Display:
- Variables:
- A: Date Range
- B: Diagnosis
- C: Procedure
- D: Age Group
- E: Sex
- F: Primary Payer
- G: Discharge Status
- H: Resident Status
- I: Zip Code
- VariableDef:
- DateRange: Date Range: Date of admission
- Diagnosis: Diagnosis: Derived from the principal diagnosis code
- Procedure: Procedure: Derived from the principal procedure code
- Age: Age: Patient's age (as of last birthday) at the date of release
- Sex: Sex: The user may limit results to male, female, or query by both male and female
- PrimaryPayer: Primary Payer: Who was the principal payer for the patient's care
- DischargeStatus: Discharge status: defined as what the patient's condition was upon discharge, and what type of care they would be receiving after discharge from the hospital.
- ResidentStatus: Resident status: Utah residents, non-tau residents/ unknown, or both may be selected
- Zip: Zip code: Patient's postal zip code of residence
- VariableGroups:
- A: Time interval
- B: ED encounter diagnosis
- C: Age group
- D: Sex
- E: Primary Payer
- Charttypes:
- A: Vertical bar
- B: Horizontal bar
- C: Stacked vertical bar
- D: Area
- E: Stacked area
- F: Pie
- G: Line
- Geography:
- Scope:
Utah
- Boundary:
- West: -114.042925
- East: -109.041501
- North: 42.001718
- South: 36.997693
- GeogScale: Zip codes
- Time:
- Period: 1992-2015
- Scale: Day
- Updated: Annually
- Purpose: Encounters by patients with hospital EDs are a significant segment in the continuum of emergency medical care. ED encounter data provide a measure of outcomes of pre-hospital emergency services as well as a starting point for evaluating in-hospital trauma care and subsequent rehabilitation services. Consumers, employers, payers, policymakers, and providers can use encounter data to better understand the health care needs of Utah citizens, patterns of ED utilization, and the burden of injury and illness throughout the state.
- Use: These data can be used to assess the burden of asthma, CO poisoning, and myocardial infarction, monitor trends over time, identify high-risk groups, and enhance prevention, education, and evaluation efforts.
- DataSources: The Emergency Department (ED) Encounter Database contains the consolidated information on complete billing, medical codes, personal characteristics describing a patient, services received, and charges billed for each patient ED encounter. The Bureau of Emergency Medical Services, Office of Health Care Statistics receives quarterly Emergency Department Encounter Data from hospitals in various formats and media. The data are converted into a standardized format.
- DataLimitations: These data include inpatient hospitalizations of individuals who are discharged from acute care hospitals in Utah. The Utah Emergency Department Encounter Database (UEDED) collects information on the individual’s name and address only on a voluntary basis. Address information for the individual ZIP code is complete for 99.5% of the records. There is insufficient information to process the data for duplication. Demographic information about race and ethnicity is not reliable and was coded as unknown for all records.
Coverage is high because diagnosis codes are included on all billing forms from ED visits or encounters. Some providers may emphasize diagnosis codes that yield higher reimbursements. The hospital and ED data are considered “Administrative Data” because they were created to be used for billing and payment remittance. Their primary purpose was not meant for public health surveillance purposes. As a result, they are weak in some areas, such as external cause of injury, race, or ethnicity. In general, however, they are extremely valuable and reasonably complete and valid.
The ED Encounter Public Data Set includes the combined data on all ED outpatient visits and ED inpatient admissions. A new field Encounter Type with values of “o” and ‘I’ has been added to the record layout starting in 1999. Caution should be used when comparing.
- Standards: Data from hospitals are converted into a standardized format. The data are validated through a process of automated editing and report verification. Each record is subjected to a series of edits that check for accuracy, consistency, completeness, and conformity with the definitions specified in the Utah Hospital Emergency Patient Encounter Data Submittal Manual. Records failing the edit check are returned to the data supplier for corrections of comment.
- ReportingProtocols:
- supplinf:
Administrative Rule R426-1-7 (I) mandates all Utah licensed hospitals to report information on emergency department patient encounters. The rule defines the data elements which hospitals are required to submit to the Bureau of Emergency Medical Services under statu8te and administrative rules specifically for the purpose of constructing a statewide Emergency Department Encounter Database. The database contains the consolidated information on complete billing, medical codes, personal characteristics describing a patient, services received, and charges billed for each patient emergency department (ED) encounter.
- Integrity
- Additional: DRG and APR-DRG (v. 20.0) fields including patient severity subclass and risk of mortality have been added starting in 2005. Because of the dramatic change moving from DRG (v. 24) to MS-DRG (v. 25) which went into effect on 10/1/2007, the Bureau of EMS includes both fields as separate data elements ran across the entire year for 2007.
- Citation: Utah Emergency Department Encounter Data. Bureau of Emergency Medical Services/Office of Health Care Statistics. Utah Department of Health. Salt Lake City, Utah. 2009.
Utah Environmental Public Health Tracking Program, Utah Department of Health
- EEPContact:
- Intro: Metadata created by:
- Name: Health Program Specialist
- Program: Environmental Epidemiology Program
- Department: Utah Department of Health
- Box: P.O. Box 142104
- City: Salt Lake City, UT 84114-2104
- Phone: 801-538-6191
- Email: eep@utah.gov
- Website: http://health.utah.gov/epi/enviroepi/
- DataPartnerContact:
- Program: Bureau of Emergency Medical Services, Utah Department of Health
- Address: PO Box 142004
- City: Salt Lake City, UT 84114-2004
- Phone: 801-273-6666
- Email: eep@utah.gov
- Website: https://bemsp.utah.gov/
- Constraints:
- Access: Public Health Professionals may only access Utah Tracking Network data through Secure IBIS-PH or in any other way after submitting a complete application as contained in the document Third Party Application for Access to Secure IBIS-PH for Public Health Professionals. Similarly, researchers must submit a complete application as contained in the document Third Party Application for Access to Secure IBIS-PH for Research Projects. The SRB does not serve as an IRB. Applications requiring an IRB must submit for IRB approval separately. The applications can be submitted concurrently, but the SRB will not grant data access until they have received proof that the IRB has approved the research project. The SRB may conditionally approve access to Secure IBIS-PH pending IRB approval. The SRB ensures that the research proposal meets all of the data owner(s)’s requirements. Visit http://epht.health.utah.gov/epht-view/dataportal/SecureDatasetIntroduction.html for more information.
- Use: NO-USE: This data may not be used in any way to imply Office of Health Care Statistics (OHCS) or Utah Department of Health (UDOH) endorsement of any research objective, commercial or for-profit venture; to advertise or support a commercial product; or to direct or plan targeted advertising. This data may not be used to identify subjects of hospitalization, case information or the individual or organization who reported the case information. PUBLICATION: The data user will comply with OHCS rules for publication or presentation of this data or any results derived from this data. Publication approval of any manuscript or document must be accomplished prior to submission for publication. Data users will provide a copy of any publication draft or public presentation of this data or results derived from this data to the Utah Environmental Public Health Tracking Network (UEPHTN) which will coordinate UEPHTN and OHCS approval to publish or present. See contact information in this metadata. The OHCS requires 30 days to approve draft publications. The OHCS will provide a response in writing to the data user. RIGHT TO REFUSAL: The OHCS and/or the UEPHTN retain the right to refuse any publication or public presentation of the data or results derived from the data. ACKNOWLEDGEMENT: Use of this data requires acknowledgement of the OHCS and the UEPHTN in any publications or public presentations of the data or results derived from the data. Acknowledgement must be made that the research was supported by the OHCS with support from the Utah Department of Health. Acknowledgement must be made that the research was supported by the UEPHTN, which is partially funded by the Centers for Disease Control and Prevention. AUTHORSHIP: Authorship is required when the OHCS or the UEPHTN makes substantial contribution to the data. AUDITS: The OHCS and/or the UEPHTN retain the right to conduct on-site audits of the researcher with or without cause. Audits will be conducted after notification and during normal business hours by representatives of the OHCS or UEPHTN. The audit will observe research practices for protecting data. REPORTS: Data users must submit annual and final reports regarding the progress and/or completion of research projects to the OHCS. This will be done through the UEPHTN.
- Liability: DISCLAIMER OF LIABILITY, RELIABILITY, DAMAGES AND ENDORSEMENT. The Utah Public Health Tracking Network (UEPHTN) is maintained, managed and operated by the Environmental Epidemiology Program (EEP) within the Utah Department of Health (UDOH). In preparing this data, every effort has been made to offer the most current, correct, complete and clearly expressed information possible. Nevertheless, some errors in the data may exist. In particular, but without limiting anything here, the Utah Department of Health disclaims any responsibility for source data, compilation and typographical errors and accuracy of the information that may be contained in this data. These data does not represent the official legal version of source documents or data used to compile this data. The UDOH further reserves the right to make changes to this data at any time without notice. These data have been compiled by the staff of the EEP from a variety of source data, and are subject to change without notice. The UDOH makes no guarantees or representations whatsoever regarding the quality, content, condition, functionality, performance, completeness, accuracy, compilation, fitness or adequacy of the data. By using this data, you assume all risk associated with the acquisition, use, management, and disposition of this data in your information system, including any risks to your computers, software or data being damaged by any virus, software, or any other file which might be transmitted or activated during the data exchange of this data. The UDOH shall not be liable, without limitation, for any direct, indirect, special, incidental, compensatory, or consequential damages, or third-party claims, resulting from the use or misuse of the acquired data, even if the UDOH or its agency has been advised of the possibility of such potential damages or loss. Format compatibility is the user’s responsibility. Reference herein to any specific commercial products, processes, services, or standards by trade name, trademark, manufacture, URL, or otherwise, does not necessarily constitute or imply its endorsement, recommendation or favoring by the UDOH. The view and opinions of the metadata compiler expressed herein do not necessarily state or reflect those of the UDOH, or the data owners and shall not be used for advertising or product endorsement purposes. Use of this data with other data shall not terminate, void or otherwise contradict this statement of liability. The sale or resale of these data, or any portions thereof, is prohibited unless with the express written permission of the UDOH. If errors and/or otherwise inappropriate information are brought to our attention, a reasonable effort will be made to fix or remove them. Such concerns should be addressed to the EEP program manager (See Point of Contact contained in this metadata file).
- Publication:
