- metadata:
- idinfo:
- citation:
- citeinfo:
- title: Secure IBIS-PH Hospital Discharge Query Module
- type: Health outcome
- descript:
- abstract:
This query can be specified by a health condition (myocardial infarction, carbon monoxide poisoning, or asthma), and by zip code.
- Important: This data provides public health researchers and professionals with summary information about hospital discharges in the state of Utah. This data is not available for public use.
- Measures: 1. Count of hospital visits
2. Total hospital charges
3. Average hospital charge
4. Median hospital charge
5. Sum length of stay
6. Average length of stay
7. Median length of stay
8. Count of in-hospital deaths
- Derivation:
- Numerator: Number of hospitalizations among the Utah population by principle diagnosis.
- Denominator: The denominator used for rates is the total number of Utah residents.
- Rates: NA
- MeasureUse: Health care data may be used to understand injury hospitalizations when users have a commitment to understanding the complex nature of the data. Decision-making is not simple and cannot be reduced to a single indicator or measure. Rather, these data should serve as a basis from which analyses may be conducted and used to impact understanding and decision-making.
- MeasureLimitations: This data is collected by hospital inpatient stays. This means that if a patient transfers between hospitals, and stays in each for at least 24 hours, that patient will appear in the dataset one time for each hospital stay.
- Unit: Hospital discharge data for asthma, carbon monoxide poisoning, and myocardial infarction
- Display:
C
- Variables:
- A: Date Range
- B: Diagnosis
- C: Age Group
- D: Sex
- E: Primary Payer
- F: Discharge Status
- G: Resident Status
- H: Zip Code
- VariableDef:
- DateRange: Date: Date of admission
- Diagnosis: Diagnosis: Derived from the principal diagnosis code
- Age: Patient's Age: Age as of last birthday at the date of discharge
- Sex: Sex: the user may limit results to male, female, or query by both male and female
- PrimaryPayer: Primary Payer: defined as who paid for the main care of the patient.
- 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: Can be queried by whether the patient is a Utah resident, a non-Utah resident, or both.
- Zip: Zip Code: patient's residential zip code
- VariableGroups:
- A: Time interval
- B: Hospitalization diagnosis
- C: Age group
- D: Sex
- E: Primary Payer
- F: Discharge Status
- G: Zip Code
- 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: 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.
- Use: Health care data may be used to understand the hospitalizations for asthma, CO poisoning, and myocardial infarction when users have a commitment to understanding the complex nature of the data. Decision-making is not simple and cannot be reduced to a single indicator or measure. Rather, these data should serve as a basis from which analyses may be conducted and used to impact understanding and decision-making. This data is collected by hospital inpatient stays. This means that if a patient transfers between hospitals, and stays in each for at least 24 hours, that patient will appear in the dataset one time for each hospital stay.
- DataSources: The Hospital Discharge Database (HDDB) contains the consolidated information on complete billing, medical codes, and personal characteristics describing a patient, the services received, and charges billed for each inpatient hospital stay. The OHCS receives data quarterly from hospitals in various format and media. All of the unaffiliated small rural hospitals now submit data in electronic format, while some of the psychiatric hospitals submit hard copies of UB-92 forms. Discharges from affiliated hospitals are submitted in electronic format by the corporate office (i.e., IHC, Mountain Star, etc.).
- DataLimitations: Coverage is high because diagnosis codes are included on all billing forms from hospital 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.
- Standards: All hospitalization data 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 Data Submittal Manual. Records failing the edit check are returned to the data supplier for corrections or comments.
Each hospital is provided with a 35 day review period to validate the Health Data Committee’s data against their hospital records. Any inconsistencies discovered by the hospitals are reevaluated or corrected.
- ReportingProtocols:
- supplinf:
Administrative Rule R428 became effective in December 1991 and mandates that all Utah licensed hospitals, both general acute care and specialty, shall report information on inpatient discharges, beginning on January 1, 1992. The Office of Health Care Statistics receives discharge data quarterly. Shriners Hospital, a charity hospital, is exempt from reporting requirements.
- Integrity
- Additional: Several factors, such as case-mix and severity complexity, payer-mix, market areas and hospital ownership, affiliation, or teaching status affect the comparability of charge and length of stay across hospitals. Any analysis of charge or length of stay at the hospital level should consider the above factors.
- Citation: Utah Hospital Inpatient Discharge Data File (2008). Utah Health Data Committee/Office of Health Care Statistics, Utah Department of Health, Salt Lake City, Utah, 2009.
- 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: Office of Health Care Statistics, Utah Department of Health
- Address: PO Box 144004
- City: Salt Lake City, UT 84114
- Phone: 801-538-7048
- Email: eep@utah.gov
- Website: http://stats.health.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:
