Profile Picture Open Data NY - DOH

created Feb 5 2016

updated Aug 24 2016

Description

The dataset contains hospital stroke designation and Coverdell registry participation status, acute stroke discharges counts (numerators, denominators), observed, expected and risk-adjusted acute stroke in-hospital/30-day post admission mortality rates with corresponding 95% confidence intervals. Mortality rates risk adjustment was based on the methodology developed by the New York State Department of Health.
The purpose of this data set is reporting of hospital-specific risk adjusted acute stroke mortality rates (RAMR) to inform hospitals, to aid initiatives to improve hospital quality performance and measurement, and to identify performance outliers for public reporting. The "About" tab contains additional details concerning this dataset.

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Category
Health
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Tags
sparcs, stroke, mortality, all payer, inpatient
Licensing and Attribution
Data Provided By
New York State Department of Health
Source Link
http://www.health.ny.gov/statistics/sparcs/
Dataset Summary
Time Period
Beginning 2013
Posting Frequency
Annually
Dataset Owner
Division of Information and Statistics
Coverage
Statewide
Granularity
Hospital PFI
Units
In-Hospital/30-Day Post Admission Mortality Rate per 100 Stroke Discharges: Observed Stroke Mortality Rate = (Number of Death / Stroke Discharges)*100; Expected Stroke Mortality Rate = (Expected Number of Death / Stroke Discharges)*100; Risk Adjusted Stroke Mortality Rate (RAR) = (Observed Stroke Mortality Rate / Expected Stroke Mortality Rate)*Statewide Observed Rate*100; Mortality outcome definition: The in-hospital/30-day mortality outcome (Number of Deaths) is a composite measure and is defined as one of the following: (1) in-hospital death during the stroke admission; (2) death within 30 days post inpatient admission for stroke; (3) cases when patient who was admitted for an acute stroke, was discharged to hospice care and died within 30 days.
Organization
Office of Quality and Patient Safety
Data Frequency
Calendar Year
Notes
Notes
#1) Risk adjustment methodology was developed by NYS DOH using 3MTM All Patient Refined Diagnosis Related Groups (APR-DRGs), Version 30.; #2) Measurement of the 30-days post acute stroke admission outcome was possible through matching of the inpatient SPARCS discharges with Vital Records data. #3) Stroke Center Designation and participation in the Paul Coverdell National Acute Stroke Registry (NASR) reflects hospital status during the evaluation time period and might not reflect the most current information.
Disclaimers
Limitations
Hospital discharges for out of state residents, those admitted from hospice, transfers from acute care hospitals and discharges within 30 days post initial acute stroke discharge were excluded from this measure. This measure was calculated only for patients 18 years of age or older. Risk adjusted stroke mortality rates presented only for hospitals with 30 or more stroke discharges in a measurement time period.
Dataset Information
Agency
Health, Department of
Local Data
County Filter
Yes
County_Column
hospital_county
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