Survey Question Field Description Notes AHA Identification Number AHA region code in position 2, AHA state code in position 2-3, hospital number in position 4-7 A: REPORTING PERIOD A.1. Beginning of reporting period MM\DD\YYYY A.1. End of reporting period MM\DD\YYYY A.2.a. Was the hospital in operation 12 full months to the end of the reporting period 1=yes, 2=no A.2.b. Days open during reporting period 000 for non-reporters A.3. Beginning date of fiscal year MM\DD\YYYY B: ORGANIZATIONAL STRUCTURE B.1. Control Code – type of organization responsible for establishing policy concerning overall operation of the hospitals For code descriptions see Appendix A B.2. Service Code – category best describing the hospital of the type of service provided to the majority of admissions For code descriptions see Appendix B B.3.a. Does the hospital restrict admissions primarily to children? 1=yes, 0=no B.3.b. Is the hospital primarily osteopathic? 1=yes, 0=no B.3.c. Is the hospital a member of a health care system? 1=yes, 0=no B.3.c. Health care system name B.3.c. Health care system city B.3.c. Health care system state B.3.d. Does the hospital itself operate subsidiary corporations? 1=yes, 0=no B.3.e. Is the hospital contract-managed? 1=yes, 0=no B.3.e. Management organization name B.3.e. Management organization city B.3.e Management organization state B.3.f. Is the hospital a participant in a network? 1=yes, 0=no B.3.f. Network name B.3.f. Network telephone number B.3.g. Does the hospital participate in a group purchasing arrangement? 1=yes, 0=no B.3.g. Group Purchasing name B.3.g. Group Purchasing city B.3.g. Group Purchasing state . Survey Question Field Description Notes C: FACILITIES AND SERVICES . C: FACILITIES AND SERVICES Each type of facility and service is asked for the hospital, the health system, the network, and joint venture 1=provides, 0=doesn't provide C.1. General medical and surgical care (adult) C.1. General medical and surgical (adult) beds C.2. General medical and surgical care (pediatric) C.2. General medical and surgical (pediatric) beds C.3. Obstetric care C.3. Obstetric care beds C.3. Obstetric unit care level 1=provides services for uncomplicated maternity and newborn cases, 2=provides service for all uncomplicated and most complicated cases, 3=provides services for all serious illnesses and abnormalities C.4. Medical/surgical intensive care C.4. Medical/surgical intensive care beds C.5. Cardiac intensive care C.5. Cardiac intensive care beds C.6. Neonatal intensive care C.6. Neonatal intensive care beds C.7. Neonatal intermediate care C.7. Neonatal intermediate care beds C.8. Pediatric intensive care C.8. Pediatric intensive care beds C.9. Burn care C.9. Burn care beds C.10. Other special care C.10. Other special care beds C.11. Other intensive care C.11. Other intensive care beds Survey Question Field Description Notes C: FACILITIES AND SERVICES (contd.) Each type of facility and service is asked for the hospital, the health system, the network, and joint venture 1=provides, 0=doesn't provide C.12. Physical rehabilitation care C.12. Physical rehabilitation care beds C.13. Alcohol/drug abuse or dependency inpatient care C.13. Alcohol/drug abuse or dependency inpatient care beds C.14. Psychiatric care C.14. Psychiatric care beds C.15. Skilled nursing care C.15. Skilled nursing care beds C.16. Intermediate nursing care C.16. Intermediate nursing care beds C.17. Acute long term care C.17. Acute long term care beds C.18. Other long term care C.18. Other long term care beds C.19. Other care C.19 Other care beds Calculated Total hospital beds Sum of all hospital beds C.20. Adult day care program C.21. Alcohol/drug abuse or dependency outpatient services C.22 Ambulance services C.23. Angioplasty C.24. Arthritis treatment center C.25. Assisted living services C.26. Auxiliary services C.27. Birthing room/ldr room/ldrp room C.28. Breast cancer screening/mammograms C.29 Cardiac catheterization laboratory C.30. Case Management C.31. Child wellness program C.32. Chiropractic services C.33. Community outreach C.34. Complementary medicine services C.35. Crisis prevention Survey Question Field Description Notes C: FACILITIES AND SERVICES (contd.) Each type of facility and service is asked for the hospital, the health system, the network, and joint venture 1=provides, 0=doesn't provide C.36. Dental services C.37.a. Emergency Department C.37.b Certified trauma center C.37.b. Level of trauma center 1=regional resource trauma center, 2=community trauma center, 3-rural trauma hospital C.38. Enabling services ** NEW FIELD ** C.39.a. Hospice program C.39.b. Pain management program C.39.c Palliative care program ** NEW FIELD * C.40 Enrollment assistance program ** NEW FIELD * C.41. Extracorporeal shock-wave lithotripter (ESWL) C.42. Fitness center C.43. Freestanding outpatient center C.44. Geriatric services C.45. Health Fair C.46. Health information center C.47. Health screenings C.48. Hemodialysis ** NEW FIELD * C.49. HIV-AIDS services C.50. Home health services C.51. Hospital-base outpatient care center/services C.52. Meals on wheels C.53. Nutrition programs C.54. Occupational health services C.55. Oncology services C.56. Open-heart surgery C.57. Outpatient surgery C.58. Patient education center C.59. Patient representative services C.60. Physical rehabilitation outpatient services C.61. Primary care department C.62.a. Psychiatric child/adolescent services C.62.b. Psychiatric consultation/liaison services C.62.c. Psychiatric education services C.62.d. Psychiatric emergency services Survey Question Field Description Notes C: FACILITIES AND SERVICES (contd.) Each type of facility and service is asked for the hospital, the health system, the network, and joint venture 1=provides, 0=doesn't provide C.62.e. Psychiatric geriatric services C.62.f. Psychiatric outpatient services C.62.g. Psychiatric partial hospitalization program C.63. Radiation therapy C.64.a. Computed-tomography (CT) scanner C.64.b. Diagnostic radioisotope facility C.64.c. Magnetic resonance imaging (MRI) C.64.d. Positron emission tomography (PET) C.64.e. Single photon emission computerized tomography (SPECT) C.64.f. Ultrasound C.65. Reproductive health C.66. Retirement housing C.67. Sleep center ** NEW FIELD * C.68 Social work services C.69 Sports medicine C.70. Support groups C.71. Teen outreach services C.72. Tobacco Treament/Cessation program ** NEW FIELD * C.73. Transplant services C.74. Transportation to health facilities C.75. Urgent care center C.76. Volunteer services department C.77. Women's health center/services C.78: Physician Arrangements Each type of contract is asked for the hospital, the health system, the network, and the number of physicians 1=participation, 0=no participation C.78.a. Independent practice association C.78.b. Group practice without walls C.78.c. Open physician-hospital organization C.78.d. Closed physician-hospital organization C.78.e. Management service organization C.78.f. Integrated salary model C.78.g. Equity model C.78.h. Foundation Survey Question Field Description Notes C: FACILITIES AND SERVICES (contd.) 1=provides, 0=doesn't provide C.79: Insurance Products Each insurance product is asked for the hospital, the health system, the network, and joint venture 1=yes, 0=no C.79.a. Health maintenance organization (HMO) C.79.b. Preferred provider organization (PPO) C.79.c. Indemnity fee for service plan C.80.a. Does the hospital have a formal written contract with an HMO? C.80.b. Number of HMO contracts C.80.c. Does the hospital have a formal written contract with a PPO? C.80.d. Number of PPO contacts C.81.a. Percentage of net patient revenue paid on a capitated basis 0=does not participate C.81.b. Percentage of net patient revenue paid on a shared risk basis 0=does not participate **NEW FIELD** C.82. Does the hospital contract directly with employers or a coalition of employers to provide care on a capitated, predetermined or shared risk basis? C.83. Number of lives covered under a capitated basis D: COMMUNITY ORIENTATION 1=yes, 0=no D.1. Does the hospital's mission statement include a focus on community benefit? D.2. Does the hospital have a long-term plan for improving the health of its community? D.3. Does the hospital have resources for its community benefit activities? D.4. Does the hospital work with other providers, public agencies or community representatives to conduct a health status assessment of the community? D.5. Does your hospital use health status indicators to design new services or modify existing services? D.6.a. Does your hospital work with other local providers, public agencies, or community representatives to develop a written assessment of the appropriate capacity for health services in the community? D.6.b. If yes, have the hospital used the assessment to identify unmet health needs, excess capacity, or duplicative services in the community? D.7. Does the hospital work with other providers to collect, track and communicate clinical and health information across cooperating organizations? D.8. Does the hospital, alone or with others, disseminate reports to the community on the quality and costs of health care services? D.9. Does the hospital self-assess against Baldridge like criteria for sustained continuous improvement? Survey Question Field Description Notes E: TOTAL FACILITY BEDS, UTILIZATION, FINANCES, AND STAFFING Calculated Does the hospital maintain a separate nursing home type of long-term care unit? 1=yes, 2=no, see Appendix H for more information E.1.a. Total facility beds set up and staffed at the end of reporting period E.1.a. Nursing home beds set up and staffed Calculated Hospital unit beds set up and staffed Total beds – nursing home beds E.1.b. Bassinets set up and staffed E.1.c. Total births (excluding fetal deaths) E.1.d. Total facility admissions E.1.d. Nursing home admissions Calculated Hospital unit admissions Total admissions – nursing home admissions E.1.e. Total facility inpatient days E.1.e. Nursing home inpatient days Calculated Hospital unit inpatient days Total inpatient days – nursing home inpatient days E.1.f. Emergency room visits E.1.g. Total outpatient visits Calculated Other outpatient visits Total outpatient visits – emergency room visits E.1.h. Inpatient surgical operations E.1.h. Number of operating rooms E.1.i. Outpatient surgical operations Calculated Total surgical operations Inpatient surgical operations + outpatient surgical operations E.2.a1. Total facility Medicare inpatient discharges E.2.a1. Nursing home Medicare inpatient discharges Calculated Hospital unit Medicare inpatient discharges Total Medicare discharges – nursing home Medicare discharges E.2.a2. Medicare Managed care discharges ** NEW FIELD * E.2.a2. Nursing home Medicare managed care discharges ** NEW FIELD * Calculated Hospital unit Medicare managed care discharges E.2.b1. Total facility Medicare inpatient days E.2.b1. Nursing home Medicare inpatient days Calculated Hospital unit Medicare inpatient days Total Medicare days – nursing home Medicare days E.2 b2. Total facility Medicare managed care inpatient days ** NEW FIELD * E.2.b2. Nursing home Medicare managed care inpatient days ** NEW FIELD * Calculated Hospital unit Medicare managed care inpatient days E.2.c1. Total facility Medicaid inpatient discharges E.2.c1. Nursing home Medicaid inpatient discharges Calculated Hospital unit Medicaid inpatient discharges Total Medicaid discharges – nursing home Medicaid discharges E.2.c2. Total facility Medicaid managed care inpatient discharges ** NEW FIELD * E.2.c2. Nursing home Medicaid managed care inpatient discharges ** NEW FIELD * Calculated Hospital unit Medicaid managed care inpatient discharges E.2.d1. Total facility Medicaid inpatient days Survey Question Field Description Notes E: TOTAL FACILITY BEDS, UTILIZATION, FINANCES, AND STAFFING (contd.) E.2.d1. Nursing home Medicaid inpatient days Calculated Hospital unit Medicaid inpatient days Total Medicaid days – nursing home Medicaid days E.2.d2. Total facility Medicaid managed care inpatient days ** NEW FIELD * E.2.d2. Nursing home Medicaid managed care inpatient days ** NEW FIELD * Calculated Hospital unit Medicaid managed care inpatient days E.3: Financial Revenue data is considered confidential and is not released publicly at the hospital level E.3.a. Total facility Revenue, Net Patient Total, including bad debt E.3.a. Nursing Home Revenue, Net Patient Total, including bad debt Calculated Hospital Revenue, Net Patient Total, including bad debt Total facility net patient revenue – nursing home net patient revenue E.3.b. Other operating revenue, Tax appropriations E.3.c. Other operating revenue, other than tax appropriations E.3.d. Other total non-operating revenue E.3.e. Total revenue, including bad debt E.3.e. Nursing home total revenue, including bad debt Calculated Hospital total revenue, including bad debt Total facility revenue – nursing home revenue E.3.f. Total facility payroll expenses E.3.f. Nursing home payroll expenses Calculated Hospital unit payroll expenses Total payroll expenses – nursing home payroll expenses E.3.g. Total facility employee benefits E.3.g. Nursing home employee benefits Calculated Hospital unit employee benefits Total employee benefits expenses – nursing home employee benefits expenses E.3.h. Depreciated expense (for reporting period only) ** NEW FIELD * E.3.i. Interest Expense ** NEW FIELD * E.3.j. Total facility total expenses E.3.j. Nursing home total expenses Calculated Hospital unit total expenses E.4.a. Gross inpatient revenue E.4.b. Gross outpatient revenue E.4.c. Total gross patient revenue E.5.a. Bad debt expenses E.5.b. Charity care revenue forgone at full established rates. Included in gross revenue E.6.a.1.a Gross patient revenue from Medicare – Routine care revenue ** NEW FIELD ** E.6.a.1.a Net patient revenue from Medicare – Routine care revenue ** NEW FIELD ** E.6.a.1.b Gross patient revenue from Medicare – Managed care revenue ** NEW FIELD ** Survey Question Field Description Notes E: TOTAL FACILITY BEDS, UTILIZATION, FINANCES, AND STAFFING (contd.) E.3: Financial (contd.) Revenue data is considered confidential and is not released publicly at the hospital level E.6.a.1.b Net patient revenue from Medicare – Managed care revenue E.6.a.1.c Gross patient revenue from Medicare – total E.6.a.1.c Net patient revenue from Medicare – total E.6.a.2.a Gross patient revenue from Medicaid – Routine care revenue ** NEW FIELD ** E.6.a.2.a Net patient revenue from Medicaid – Routine care revenue ** NEW FIELD ** E.6.a.2.b Gross patient revenue from Medicaid – Managed care revenue ** NEW FIELD ** E.6.a.2.b Net patient revenue from Medicaid – Managed care revenue ** NEW FIELD ** E.6.a.2.c Gross patient revenue from Medicaid – total E.6.a.2.c Net patient revenue from Medicaid - total E.6.a.3. Other government gross patient revenue E.6.a.3. Other government net patient revenue E.6.b.1. Gross patient revenue from Self Pay E.6.b.1. Net patient revenue from Self Pay E.6.b.2.a. Gross patient revenue from Managed care (includes HMO and PPO) ** NEW FIELD * E.6.b.2.a. Net patient revenue from Managed care (includes HMO and PPO) ** NEW FIELD * E.6.b.2.b. Gross patient revenue from other 3rd party payors E.6.b.2.b. Net patient revenue from other 3rd party payors E.6.b.2.c. Gross patient revenue from 3rd party payors – total E.6.b.2.c. Net patient revenue from 3rd party payors - total E.6.b.3. Other non-government gross patient revenue E.6.b.3. Other non-government net patient revenue E.6.c. Total gross patient revenue (sum by source) E.6.c. Total net patient revenue (sum by source) 7.a. Property, plant and equipment at cost ** NEW FIELD * 7.b. Accumulated depreciation ** NEW FIELD * 7.c. Net property, plant and equipment (1-b) ** NEW FIELD * E.8: Staffing E.8.a. Full time physicians and dentists E.8.a. Part time physicians and dentists E.8.b. Full time medical and dental residents and interns E.8.b. Part time medical and dental residents and interns E.8.c. Full time other trainees E.8.c. Part time other trainees Survey Question Field Description Notes E: TOTAL FACILITY BEDS, UTILIZATION, FINANCES, AND STAFFING (contd.) E.8: Staffing (contd.) E.8.d. Full time registered nurses E.8.d. Part time registered nurses E.8.e. Full time licensed practical or vocational nurses E.8.e. Part time licensed practical or vocational nurses E.8.f. Full time other personnel E.8.f. Part time other personnel E.8.g. Full time total personnel E.8.g. Part time total personnel Calculated Total full time hospital unit personnel Total full time personnel – nursing home full time personnel Calculated Total part time hospital unit personnel Total part time personnel – nursing home part time personnel E.8.h. Total full time nursing home personnel E.8.h. Total part time nursing home personnel HOSPITAL CLASSIFICATION AND LOCATION This data is from the AHA Membership file Registration type code Y=registered hospital Membership code Y=member Membership Short-term, long-term classification code 1=short-term, 2=long-term: See Appendix H Hospital name Name of chief administrator Street address City State Code State 2-digit abbreviation ZIP code Area code Local telephone number ADDITIONAL INFORMATION Medicare Provider Identifier 6-digit number to match HCFA files System Identifier From membership System name From membership Survey Question Field Description Notes ADDITIONAL INFORMATION (contd.) System address From membership System city From membership System state From membership System ZIP code From membership System area code From membership System telephone number From membership System contact's first name From membership System contact's middle name From membership System contact's last name From membership System contact's suffix From membership System contact's title From membership Health System Cluster Code ** NEW FIELD ** AHA derived field, see Appendix G Health Service Area Code and Name Description ** NEW FIELD ** Local health care markets for community-based inpatient care derived by researchers at Dartmouth Medical school for the Dartmouth Atlas of Health Care from a national patient origin study. Each HSA is a cluster of contiguous Zip Codes, the residents of which predominantly use one or more hospitals within the HSA. 3,436 discrete HSAs have been defined. Health Referral Region Code and Name Description ** NEW FIELD ** Regional health care markets for tertiary medical care. Hospital referral regions were defined in the Dartmouth Atlas of Health Care by documenting where residents of hospital service areas received major cardiovascular surgical procedures and neurosurgery. Using these two services as markers for tertiary care, the 3,436 hospital service areas were aggregated into 306 hospital referral regions. Community Hospital Flag Use to foot to Hospital Statistics (is derived using the following formula: state code>10 + mtype=Y + los=1 + chc=1) Y=community hospital, N=not a community hospital Survey Question Field Description Notes ADDITIONAL CALCULATED FIELDS (contd.) Response code 1=yes, 2=no Community hospital code (as defined by AHA membership) 1=community hospital, 2=not a community hospital, see Appendix H Bed size code For code descriptions, see Appendix D Short-term, long-term classification code 1=short-term, 2=long term, see Appendix H Average daily census Admissions/Inpatient Days Adjusted admissions Admissions + (Admissions * (Outpatient Revenue/Inpatient Revenue)) Adjusted patient days Inpatient Days + (Inpatient Days * (Outpatient Revenue/Inpatient Revenue)) Adjusted average daily census Adjusted Inpatient Days/Number of Days in Reporting Period Full time equivalent physicians and dentists All full time equivalent personnel fields are Full time equivalent medical and dental residents and interns calculated by adding full time personnel to Full time equivalent other trainees 0.5 * related part time personnel. Full time equivalent registered nurses Full time equivalent licensed practical or vocational nurses Full time equivalent other personnel Full time equivalent total trainees Full time equivalent hospital unit total personnel Full time equivalent nursing home total personnel Full time equivalent total personnel GEOGRAPHIC CODES This data is derived from the AHA Membership file Consolidated metropolitan statistical area code (CMSA) Metropolitan statistical area code (MSA) MSA Name Census bureau MSA name MSA Type Census bureau MSA classification Modified FIPS County Code AHA derived code, see Appendix H FIPS State and County Code Census bureau codes FIPS State code Census bureau state code Survey Question Field Description Notes GEOGRAPHIC CODES This data is derived from the AHA Membership file FIPS County code Census bureau county code County Name Census bureau county name Latitude Latitude of hospital location Longitude Longitude of hospital location Ranking of 100 largest cities Based on 1990 census, see Appendix F MSA Size For code descriptions, see Appendix E APPROVAL AND ACCREDITATION CODES This data is from the AHA Membership file Accreditation by Joint Commission on Accreditation of Health Care Organizations (JCAHO) 1=yes, 2=no Cancer program approved by American College of Surgeons 1=yes, 2=no Residency training approval by Accreditation Council for Graduate Medical Education 1=yes, 2=no Medical school affiliation reported to American Medical Association 1=yes, 2=no Hospital-controlled professional nursing school reported by National League for Nursing 1=yes, 2=no Accreditation by Commission on Accreditation of Rehabilitation Facilities (CARF) 1=yes, 2=no Member of Council of Teaching Hospital of the Association of American Medical Colleges (COTH) 1=yes, 2=no Blue Cross contracting or participating 1=yes, 2=no Medicare certification by the U.S. Department of Health and Human Services 1=yes, 2=no Accreditation by American Osteopathic Association 1=yes, 2=no Internship approved by American Osteopathic Association 1=yes, 2=no Residency approved by American Osteopathic Association 1=yes, 2=no Registered Osteopathic Hospital (member of AOHA) 1=yes, 2=no Registered Osteopathic Hospital (non-member of AOHA) 1=yes, 2=no Catholic church operated 1=yes, 2=no Member of Federation of American Health Care Systems 1=yes, 2=no ESTIMATION CODES (refer to Appendix H for further explanation) 0=reported, 1=estimated, 2=expanded Total facility admissions Total facility inpatient days Hospital unit admissions Hospital unit inpatient days Survey Question Field Description Notes ESTIMATION CODES (contd.) (refer to Appendix H for further explanation) 0=reported, 1=estimated, 2=expanded Nursing home admissions Nursing home inpatient days Total facility Medicare discharges Total facility Medicare days Total facility Medicaid discharges Total facility Medicaid days Hospital unit Medicare discharges Hospital unit Medicare days Hospital unit Medicaid discharges Hospital unit Medicaid days Nursing home Medicare discharges Nursing home Medicare days Nursing home Medicaid discharges Nursing home Medicaid days Births Inpatient surgical operations Outpatient surgical operations Total surgical operations Emergency room visits Other outpatient visits Total outpatient visits Total facility payroll expenses Total facility employee benefits Total facility expenses Hospital unit payroll expenses Hospital unit employee benefits Hospital unit total expenses Nursing home payroll expenses Nursing home employee benefits Nursing home total expenses Full time physicians and dentists Full time medical and dental residents and interns Full time other trainees Full time registered nurses Survey Question Field Description Notes ESTIMATION CODES (contd.) (refer to Appendix H for further explanation) 0=reported, 1=estimated, 2=expanded Full time licensed practical or vocational nurses Full time other personnel Full time total personnel Part time physicians and dentists Part time medical and dental residents and interns Part time other trainees Part time registered nurses Part time licensed practical or vocational nurses Part time other personnel Part time total personnel Total full time hospital unit personnel Total part time hospital unit personnel Total full time nursing home personnel Total part time nursing home personnel Bad debt expense Revenue, Charity deduction Gross patient revenue, Medicaid Net patient revenue, Medicaid Gross patient revenue, Medicare Net patient revenue Medicare Gross patient revenue, other government Gross patient revenue, other non-government Net patient revenue, other government Net patient revenue, other non-government Gross patient revenue Gross inpatient revenue Gross outpatient revenue Total facility revenue, including bad debt Total facility revenue, excluding bad debt Total hospital revenue, including bad debt Total nursing home revenue, including bad debt Other non-operating revenue Net patient revenue, including bad debt Net patient revenue, excluding bad debt Survey Question Field Description Notes ESTIMATION CODES (contd.) (refer to Appendix H for further explanation) 0=reported, 1=estimated, 2=expanded Hospital net patient revenue, including bad debt Nursing home net patient revenue, including bad debt Other operating revenue, other than tax appropriations Other operating revenue, tax appropriations Gross patient revenue, self-pay Net patient revenue, self-pay Gross patient revenue, 3rd party Net patient revenue, 3rd party Gross patient revenue, sum by source Gross patient revenue, government Gross patient revenue, non-government Net patient revenue, sum by source Net patient revenue, government Net patient revenue, non-government Appendix A Control Code Descriptions Code Description Government, Nonfederal 12 State 13 County 14 City 15 City-county 16 Hospital district or authority Nongovernment, not-for-profit 21 Church operated 23 Other not-for-profit Investor-owned (for-profit) 31 Individual 32 Partnership 33 Corporation Government, federal 41 Air Force 42 Army 43 Navy 44 Public Health Service other than 47 45 Veterans Affairs 46 Federal other than 41-45, 47-48 47 Public Health Service Indian Service 48 Department of Justice Appendix B Service Code Descriptions Code Description 10 General medical and surgical 11 Hospital unit of an institution (prison hospital, college infirmary, etc.) 12 Hospital unit within an institution for the mentally retarded 22 Psychiatric 33 Tuberculosis and other respiratory diseases 44 Obstetrics and gynecology 45 Eye, ear, nose and throat 46 Rehabilitation 47 Orthopedic 48 Chronic disease 49 Other specialty treatment 50 Children's general medical and surgical 51 Children's hospital unit of an institution 52 Children's psychiatric 53 Children's tuberculosis and other respiratory diseases 55 Children's eye, ear, nose and throat 56 Children's rehabilitation 57 Children's orthopedic 58 Children's chronic disease 59 Children's other specialty 62 Institution for mental retardation 82 Alcoholism and other chemical dependency Appendix C AHA State Code Descriptions Code Description Code Description Code Description CENSUS DIVISION 1: NEW ENGLAND CENSUS DIVISION 4: EAST NORTH CENTRAL CENSUS DIVISION 7: WEST SOUTH CENTRAL 11 Maine 41 Ohio 71 Arkansas 12 New Hampshire 42 Indiana 72 Louisiana 13 Vermont 43 Illinois 73 Oklahoma 14 Massachusetts 44 Michigan 74 Texas 15 Rhode Island 45 Wisconsin CENSUS DIVISION 8: MOUNTAIN 16 Connecticut CENSUS DIVISION 5: EAST SOUTH CENTRAL 81 Montana CENSUS DIVISION 2: MID ATLANTIC 51 Kentucky 82 Idaho 21 New York 52 Tennessee 83 Wyoming 22 New Jersey 53 Alabama 84 Colorado 23 Pennsylvania 54 Mississippi 85 New Mexico CENSUS DIVISION 3: SOUTH ATLANTIC CENSUS DIVISION 6: WEST NORTH CENTRAL 86 Arizona 31 Delaware 61 Minnesota 87 Utah 32 Maryland 62 Iowa 88 Nevada 33 District of Columbia 63 Missouri CENSUS DIVISON 9: PACIFIC 34 Virginia 64 North Dakota 91 Washington 35 West Virginia 65 South Dakota 92 Oregon 36 North Carolina 66 Nebraska 93 California 37 South Carolina 67 Kansas 94 Alaska 38 Georgia 95 Hawaii 39 Florida ASSOCIATED AREAS 03 Marshall Islands 04 Puerto Rico 05 Virgin Islands 06 Guam 07 American Samoa Appendix D Bed Size Code Descriptions Code Description 1 6-24 beds 2 25-49 beds 3 50-99 beds 4 100-199 beds 5 200-299 beds 6 300-399 beds 7 400-499 beds 8 500 or more beds Appendix E MSA Size Code Descriptions Code Description 0 Non metropolitan area 1 Under 100,000 population 2 100,000 to 250,000 population 3 250,000 to 500,000 population 4 500,000 to 1,000,000 population 5 1,000,000 to 2,500,000 population 6 Over 2,500,000 Appendix F City Rank Code Descriptions Code Description Code Description Code Description 001 NEW YORK, NY 035 ALBUQUERQUE, NM 069 BAKERSFIELD, CA 002 LOS ANGELES, CA 036 KANSAS CITY, MO 070 STOCKTON, CA 003 CHICAGO, IL 037 FRESNO, CA 071 BIRMINGHAM, AL 004 HOUSTON, TX 038 VIRGINIA BEACH, VA 072 JERSEY CITY, NJ 005 PHILADELPHIA, PA 039 ATLANTA, GA 073 NORFOLK, VA 006 PHOENIX AZ 040 SACRAMENTO, CA 074 BATON ROUGE, LA 007 SAN DIEGO, CA 041 OAKLAND, CA 075 HIALEAH, FL 008 DALLAS, TX 042 MESA, AZ 076 LINCOLN, NE 009 SAN ANTONIO, TX 043 TULSA, OK 077 GREENSBORO, NC 010 DETROIT, MI 044 OMAHA, NE 078 PLANO, TX 011 SAN JOSE, CA 045 MINNEAPOLIS, MN 079 ROCHESTER, NY 012 INDIANAPOLIS, IN 046 HONOLULU, HI 080 GLENDALE, AZ 013 SAN FRANCISCO, CA 047 MIAMI, FL 081 AKRON, OH 014 JACKSONVILLE, FL 048 COLORADO SPRINGS, CO 082 GARLAND, TX 015 COLUMBUS, OH 049 SAINT LOUIS, MO 083 MADISON, WI 016 AUSTIN, TX 050 WICHITA, KS 084 FORT WAYNE, IN 017 BALTIMORE, MD 051 SANTA ANA, CA 085 FREMONT, CA 018 MEMPHIS, TN 052 PITTSBURGH, PA 086 SCOTTSDALE, AZ 019 MILWAUKEE, WI 053 ARLINGTON, TX 087 MONTGOMERY, AL 020 BOSTON, MA 054 CINCINNATI, OH 088 SHREVEPORT, LA 021 WASHINGTON, DC 055 ANAHEIM, CA 089 AUGUSTA, GA 022 NASHVILLE, TN 056 TOLEDO, OH 090 LUBBOCK, TX 023 EL PASO, TX 057 TAMPA, FL 091 CHESAPEAKE,VA 024 SEATTLE, WA 058 BUFFALO, NY 092 MOBILE, AL 025 DENVER, CO 059 SAINT PAUL, MN 093 DES MOINES, IA 026 CHARLOTTE,NC 060 CORPUS CHRISTI, TX 094 GRAND RAPIDS, MI 027 FOR WORTH, TX 061 AURORA, CO 095 RICHMOND, VA 028 PORTLAND, OR 062 RALEIGH, NC 096 YONKERS, NY 029 OKLAHOMA CITY, OK 063 NEWARK, NJ 097 SPOKANE, WA 030 TUCSON, AZ 064 LEXINGTON, KY 098 GLENDALE CA 031 NEW ORLEANS, LA 065 ANCHORAGE, AK 099 TACOMA, WA 032 LAS VEGAS, NV 066 LOUISVILLE, KY 100 IRVING, TX 033 CLEVELAND, OH 067 RIVERSIDE, CA 034 LONG BEACH, CA 068 SAINT PETERSBURG, FL Appendix G Health System Cluster Code Descriptions Recent research using existing theory and AHA Annual Survey data identified a reliable set of five distinct groups of health systems that share common strategic/structural features. This new identification system was developed jointly by the American Hospital Association's Health Research and Educational Trust and Health Forum, and the University of California-Berkeley. For further information on the development of the taxonomy please see: Bazzoli, GJ; Shortell, SM; Dubbs, N; Chan,C; and Kralovec, P; "A Taxonomy of Health Networks and Systems: Bringing Order Out of Chaos" Health Services Research, February; 1999. A health system is assigned to one of five categories based on how much they differentiate and centralize their hospital services, physician arrangements, and provider-based insurance products. Differentiation refers to the number of different products or services that the organization offers. Centralization refers to whether decision-making and service delivery emanates from the system level more so than individual hospitals. Code Label Description 1 Centralized Health System A delivery system in which the system centrally organizes individual hospital service delivery, physician arrangements, and insurance product development. The number of different products/services that are offered across the system is moderate. 2 Centralized Physician/Insurance Health System A delivery system with highly centralized physician arrangements and insurance product development. Within this group, hospital services are relatively decentralized with individual hospitals having discretion over the array of services they offer. The number of different products/services that are offered across the system is moderate. 3 Moderately Centralized Health System A delivery system that is distinguished by the presence of both centralized and decentralized activity for hospital services, physician arrangements, and insurance product development. For example, a system within this group may have centralized care of expensive, high technology services, such as open heart surgery, but allows individual hospitals to provide an array of other health services based on local needs. The number of different products/services that are offered across the system is moderate. 4 Decentralized Health System A delivery system with a high degree of decentralization of hospital services, physician arrangements, and insurance product development. Within this group, systems may lack an overarching structure for coordination. Service and product differentiation is high, which may explain why centralization is hard to achieve. In this group, the system may simply serve a role in sharing information and providing administrative support to highly developed local delivery systems centered around hospitals. 5 Independent Hospital System A delivery system with limited differentiation; hospital services, physician arrangements, and insurance product development. These systems are largely horizontal affiliations of autonomous hospitals. blank Sufficient data from the 1998 Annual Survey were not available to determine a cluster assignment. Appendix H Additional Explanation of Codes and Fields Estimation Codes Code Description 0 The value was reported by the hospital 1 The value was estimated since no value was reported by the hospitals 2 The value has been expanded, since the reported value is associated with a reporting period of less than 1 full year ? If the hospital did not respond to the survey (RESP=2), the following fields were obtained from previously reported data. AHA ID Hospital Name Bed Size code Control/Ownership CEO Name Length of Stay code Primary Service code Address CMSA code Number of Bassinets City MSA code Total Beds State County code Membership Type ZIP code City Rank Long term/Short term flag Area code MSA Size Control Code – Membership Telephone number All accreditation and affiliation flags Service Code - Membership Community Hospital Flag (CHC) (MAPP1 through MAPP17) ? All fields with corresponding estimation fields have been estimated or expanded. Other fields, such as facilities and services were left blank. ? If the separate units code (SUNITS) is 2, all short-term and long-term data fields are blank. Modified FIPS County Code County codes generally are odd numbers assigned to an alphabetical listing of the counties within a state. Baltimore City is included in Baltimore County, St Louis City is included in St Louis County, and the independent cities in Virginia are each included in the contiguous counties. Kalawao County, Hawaii is included in Maui County. The four Alaska Judicial Divisions were used as counties. Long term/Short term Flag (LOS) If a separate long-term unit is reported and long-term admissions are greater than one-half of total admissions, then LOS is 2; otherwise LOS is 1. If a separate long-term unit is not reported and the ratio of inpatient days to admissions is 30 or more, then LOS is 2; otherwise LOS is 1. American Hospital Association Annual Survey Database FY2000 Edition Prepared by Health Forum, L.L.C. Page 1 of 27 An American Hospital Association Company