Available Datasets for Public Use
Main_Content
HSCRC collects various data sets from all acute care
hospitals and licensed specialty hospitals. By legislative mandate (COMAR
10.37.04, 10.37.01.08 and 10.37.06), these hospitals in Maryland are required
to submit to the Commission both financial and confidential patient-level
administrative data (referred to as “case mix data”) on all inpatient and
outpatient hospital visits.
Hospitals submit various financial schedules that provide
information on hospital financial conditions and utilization on a monthly and
annual basis. Annual and Monthly reports are described below.
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Report Name
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Report Description
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Annual Reports
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Annual Report of Revenue, Expenses, and Volumes
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This report contains detailed cost, volume, revenue, and
staffing data by hospital department and is used for rate setting,
productivity reports, and to align approved rates to ensure rates are related
to costs during the reported fiscal year. Available by request.
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Audited Financial Statements
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This report is the hospital’s CPA approved annual
financial statements that are reconciled to Annual Report of Revenue,
Expenses, and Volume to ensure accuracy and used to monitor and disclose the
financial condition of hospitals during the reported fiscal year.
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Annual Debt Collection/Financial Assistance Report
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This report describes the hospital’s debt collection and
financial assistance activities during the reported fiscal year.
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Community Benefit Report
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This report provides detailed information on hospital’s
charitable activities within its communities during the reported fiscal year.
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Monthly Reports
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Revenue and Volumes Report
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This report contains billed charges and related volumes by
rate center, resident status and Medicare payer, provided in the calendar
month reported and is used for a number of activities including:
·
Rate compliance and rate setting
methodologies
·
Monitoring the financial performance
of hospitals on a monthly basis
·
In preparation of the annual cost
report
·
Monitoring and compliance by other
state agencies
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Unaudited Financial Statements
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This report is the monthly income statement and balance
sheet data that is used to monitor the financial conditions of hospitals on a
monthly basis.
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The case mix data includes the following demographic,
financial and clinical information.
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Demographic:
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Financial
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Clinical
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Patient identifiers (Medical Record Number, Patient
Account Number and Unique Patient ID (EID)) *
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Payer source
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Dates of service*
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Physician identifiers (National Provider ID (NPI) and
Masked MedCHi ID*)
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Total charges
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Principle and secondary diagnosis and procedure codes
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Date of birth*
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UB04 billing information
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Source and nature of admission
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Sex
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Discharge status of patient
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Race and ethnicity
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Types of services provided
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Country of birth and preferred spoken language
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Flag for diagnosis present on admission (POA)
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Residency (zip code and derived county code based on
reported zip code)
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Marital status
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Center_Content
The inpatient and outpatient data sets are abstracted from
the medical record of each of the state’s approximately 700,000 inpatient
discharges and 5.7 million outpatient visits annually. Hospitals report clinic,
surgery and emergency room data as part of the outpatient dataset.
