Data Dictionary. Reference Table 18. Reference Table 13 List of updates made to Reference Tables 26

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Pages 2 - 9

Pages 10 -26

Reference Table 1 Admit Source …10

Reference Table 2 Admit Type …12

Reference Table 3 Discharge Status …13

Reference Table 4 Encounter Type …16

Reference Table 5 Ethnicity …17

Reference Table 6 Language …18

Reference Table 7 Payer Grouping …19

Reference Table 8 Place of Service - Inpatient …20

Reference Table 9 Place of Service - Outpatient …21

Reference Table 10 Present on Admission Indicator …23

Reference Table 11 Race …24

Reference Table 12 Sex …25

Reference Table 13 List of updates made to Reference Tables …26

Pages 27

Reference Table 14 Patient Class Mapping …27

Pages 28 - 41

Reference Table 15 List of Hospital ID's - By Facility Name …28

Reference Table 16 List of Hospital ID's - By Hospital ID …35

Pages 42 - 43

Reference Table 17 Crosswalk of Field Names …42

Pages 44 - 48

Reference Table 18 Data Validations …44

Definitions and Data Availability

Data Dictionary

This section provides all data validations that are used in OHA DataTrack. Each batch of data submitted is run against these validations.

This section provides reference tables related to certain data elements. Accepted values and definitions are listed in each section.

This section provides as list of all data elements with their definitions, and the availability for release of each element.

Patient Class Mapping

Hospital ID's

Crosswalk of Field Names

Data Validations

This section provides a crosswalk for different field names used for each data element related to OHA Insight, OHA DataTrack, and the Patient Origin Study (POS) Files.

This section provides a list of Facilities and their associated Hospital ID. This section provides more information on how patient class is populated. Lookup Tables

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Notes:

Data Element Definition Calculated/ Submitted

Data? Data Available For

Release? Insight Standard POS File *as requested Custom POS File *as requested

95% Confidence Level Is the observed vs. expected statistically

significant at the 95% confidence level C Y N N

Address House number and street name of patient

S N N N

Admit Date Date of admission or start of care

S N Y Y

Admit Source Point of Origin for Admission or Visit, a code indicating the point of patient origin for this admission or visit

- See Reference Table 1 for accepted values.

S Y Y Y

Admit Time The time the patient was admitted or start of care

*Note: Data not available on all encounters. S N N Y*

Admit Type Admission Type, a code indicating the priority of this admission/visit

- See Reference Table 2 for accepted values. S Y Y Y

Age Patient age at date of admission C Y Y Y

Arrival Date Arrival date

- Data Field used by CMS and TJC for Care

Measures, and their definitions apply S N N N

Arrival Time Arrival time

Birth Date The patient’s month, day, and complete year of

birth S N Y Y*

Birth Weight The weight of a baby at birth measured in

grams S N N N

Data Element Definition

Calculated/ Submitted

Data?

Data Available For Release?

Data Definitions and Availability

The name of the data field used in OHA Data Systems. The definition for the data element.

C = This data element is calculated from data elements that are submitted. S = This data element is a field that is submitted by Hospitals.

Y = Available for release (when requested)

Y* = Yes with exceptions (See note in corresponding definition field for requirement) N = Not Available for Release

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Insight Standard POS File *as requested Custom POS File *as requested

Data?

County Code A numeric code identifying the county of patient residence, calculated from the patient's

zip code C Y Y Y

CPT Code A five digit code describing non-inpatient procedures and services performed by physicians and hospitals

- CPT and HCPCS Codes are combined in this element

S N N Y

CPT Date The date corresponding to the CPT Code when the procedure or service was performed or occurred

S N N Y

Decision to Admit Date Decision to admit date

- Data Field used by CMS and TJC for Care Measures, and their definitions apply

S N N N

Decision to Admit Time Decision to admit time

S N N N

Diagnosis - Admit The ICD-9 Code describing the initial diagnosis

upon arrival S N N Y

Diagnosis - Primary The ICD-9 Code describing the primary

condition of the patient during the encounter. S Y Y Y

Diagnosis - Secondary The ICD-9 Code describing a secondary

condition of the patient during the encounter. S Y Y Y

Discharge Date The date the patient was discharged

S N Y Y

Discharge Month Month of the Discharge Date C N N Y

Discharge Quarter Quarter of the Discharge Date C Y N Y

Discharge Status Discharge Status or the final place or setting to which the patient was discharged on the day of discharge

S Y Y Y

Discharge Time The time the patient was discharged from care

*Note: Field not required for submission. S N N Y*

Discharge Year Year of the Discharge Date C Y Y Y

DRG A Diagnosis Related Group that organizes ICD-9 codes into a complex, comprehensive system

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Data?

DRG Weight Each DRG has a payment weight assigned to it, based on the average resources used to treat

Medicare patients in that DRG. C N N Y

ED Departure Date ED Departure Date

ED Departure Time ED Departure Time

EM Code E/M Code

Encounter Type The type of visit for this record, specifies Inpatient or Outpatient

- See Reference Table 4 for accepted values. S N N Y

Ethnicity Ethnicity code assigned to patient record - See Reference Table 5 for accepted values. *Note: Field not required for submission. Required for GCHC Hospitals.

S N N Y*

Expected - Length of Stay

Is the benchmark value created from the average length of stay for all patients by each RDRG, DRG, Year and Patient Class.

This Expected LOS excludes outliers, which are three standard deviations away from the mean. The mean also excludes any LOS less than 1 day and greater than 365 days.

C Y N N

Expected Average Charges

Is the benchmark value created from the average of charge for all patients by each RDRG, DRG, Year and Patient Class.

This Expected Charge excludes outliers, which are three standard deviations away from the mean. The mean also excludes any charge less than $700 and greater than $2,000,000.

C Y N N

Expected Mortality Is the benchmark value created from the average mortality for all patients by each RDRG, DRG, Year and Patient Class.

C Y N N

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Data?

Fiscal Year State Fiscal Calendar Year Dates of 7/1/YYYY to

6/30/YYYY C Y N N

Hospital The hospital that submitted this patient record. This is a unique identifier assigned to each hospital by OHA.

- See Reference Table 15 for values

S Y Y Y

ICU Admission Date ICU admission date

ICU Discharge Date ICU discharge date

Language Language code assigned to patient record - See Reference Table 6 for accepted values. Note: Field not required for submission. Required for GCHC Hospitals.

S N N Y*

Last Name Last name of patient S N N N

Length of Stay The length of the patient encounter in days.

C Y Y Y

MDC The Medical Diagnostic Coding that groups

DRGs into similar categories C Y Y Y

MDC - MSDRG The Medical Diagnostic Coding that groups

DRGs into similar categories C Y Y Y

Medical Record Number The number assigned to the patient’s medical/health record by the hospital that distinguishes that patient and their medical record from all other patients.

S N N N

Medical/Surgical Medicare categorization of DRG’s as medical or

surgical. C Y N Y

Middle Name Middle name of patient S N N N

MSDRG A Diagnosis Related Group that organizes ICD-9 codes into a complex, comprehensive system

based upon multiple factors C Y Y Y

Outlier The patients determined to be three standard deviations away from the means for each RDRG, DRG, Year and Patient Class for either LOS or Charges.

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Data?

Patient Account Number The patient’s unique alphanumeric number assigned by the hospital to facilitate retrieval of individual’s account of services containing financial billing records and posting of the payment

S N N N

Patient Class Code submitted by the hospital defining the patients class. This code is determined from the Encounter type ID and the Place of Service code given by the hospital.

- See Reference Table 14 for more information

C* Y Y Y

Payer Group (Primary Payer)

Payer group code, a code indicating the responsible party for primary payment

Payer ID Patient's health insurance policy number associated with the primary payer on the record

S N N N

Payer Name Full name of the primary payer on the record

S N N N

Place of Service The place of service that the patient was last seen in before discharge.

- See Reference Tables 8 and 9 for accepted values.

S N N Y

Practitioner - Attending A code identifying the attending practitioner or attending refers to the patient's primary doctor.

*Note: Physician identifying information is not shared amongst hospitals therefore hospitals can request to see their own physician data but cannot see that physicians data from another hospital.

S Y* N Y*

Practitioner - Attributing

A code identifying the primary surgeon of record.

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Data?

Practitioner - Referring A code identifying the referring physician during encounter of care.

S Y* N Y*

Practitioner - Admitting A code identifying the physician who admits the patient.

S Y* N Y*

Present on Admission (POA)

Present on admission indicator related to each

ICD-9 diagnosis S N N Y

Procedure - Primary The ICD-9 code describing the primary procedure performed during the episode of care

S Y Y Y

Procedure - Secondary The ICD-9 code describing the secondary procedures performed during the episode of care.

- See ICD-9 Procedure tab for lookup codes and definitions.

S Y Y Y

Procedure Date - Primary

The date the principal procedure was

performed. S N N Y

Procedure Date - Secondary

The date secondary procedure 2-9 was

performed. S N N Y

Product Group - Diagnosis

A code made of the 1st 3 characters of the primary diagnosis.

- See ICD-9 Diagnosis tab for lookup codes and definitions.

C Y N Y

Product Group - Procedure

A rollup of encounters based on primary procedure. The product group is the first 2 characters of primary procedure.

C N N Y

Product Line - Diagnosis Rollup of primary diagnosis based on general categorization.

- See ICD-9 Diagnosis tab for lookup codes and definitions.

C Y N Y

Product Line - DRG Rollup of DRGs based on general

categorization. C Y Y Y

Product Line - MSDRG Rollup of MSDRGs based on general

categorization. C Y Y Y

Product Line - Procedure Rollup of primary procedures based on general

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Data?

Provider Contact Date Provider contact date

S N N N

Provider Contact Time Provider contact time

S N N N

PTHIC Number The patient's Medicare health insurance claim number

S N N N

Race A self identified classification indicating the race with which the patient most closely identifies.

S N N Y*

RDRG The Refined Diagnosis-Related Group are classes of secondary diagnosis that are disease and procedure specific. Each class represents a different level of utilization for a given principal diagnosis or surgical procedure.

S Y Y Y

Recurring Code that specifies that this episode of the outpatient care is recurring.

*Note: Field not required for submissio n.

S N N Y*

Revenue Charge The sum of charges corresponding to the

Revenue Code S N N N

Revenue Code UB-04 Revenue code S N N N

Severity The severity is the classification assigned using the Refined DRG where each patient is

assigned a rating between 1 and 4 in which 1 is the least complicated and 4 is the most

complicated.

C Y N N

Severity Adjusted Case Mix

This estimates the average resources used to treat each patient by taking the DRG Weight of that patient and multiplying by the Severity Rating.

C Y N N

Sex The sex of the patient's recorded at admission or start of care.

State The state of residence of the patient, based on

the zip code. C Y N Y

Total Charges The total hospital charges for the episode of care, including both covered and non-covered charges.

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Data?

Units of Service Total units of service for the CPT or HCPCS

code provided. S N N N

Zip Code The postal code of the patient's primary

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Code Description Definition

Inpatient: The patient was admitted to this facility. Outpatient: The patient presented for outpatient services.

Examples: Includes patients coming from home or workplace and patients receiving care at home (such as home health services.)

Inpatient: The patient was admitted to this facility.

Outpatient: The patient presented to this facility for outpatient services. 3 Reserved for national assignment. Discontinued effective 10/1/2007.

Inpatient: The patient was admitted to this facility as a hospital transfer from an acute care facility where he or she was an inpatient or outpatient.

Outpatient: The patient was transferred to this facility as an outpatient from an acute care facility.

Usage Note: Excludes transfers from hospital inpatient in the same facility (see Code D) Inpatient: The patient was admitted to this facility as a transfer from a SNF, ICF or ALF where he or she was a resident.

Outpatient: The patient presented to this facility for outpatient or referenced diagnostic services from a SNF, ICF or ALF where he or she was a resident.

Inpatient: The patient was admitted to this facility as a transfer from another type of health care facility not defined elsewhere in this code list.

Outpatient: The patient presented to this facility for services from another health care facility not defined elsewhere in this code list.

7 Discontinued. Effective 7/1/2010.

Inpatient: The patient was admitted to this facility upon the direction of a court of law or upon the request of a law enforcement agency representative.

Outpatient: The patient presented to this facility upon the direction of a court of law or upon the request of a law enforcement agency representative for outpatient or

referenced diagnostic services.

Usage Note: Includes transfers from incarceration facilities. Inpatient: The patient’s Point of Origin is not known. Outpatient: The patient’s Point of Origin is not known.

A Reserved for national assignment. Discontinued effective 10/1/2007.

B Discontinued. Effective 7/1/2010.

C Discontinued. Effective 7/1/2010.

D

Transfer From One Distinct Unit of the Hospital to another Distinct Unit of the Same Hospital Resulting in a

Separate Claim to the Payer

Inpatient: The patient was admitted to this facility as a transfer from hospital inpatient within this hospital resulting in a separate claim to the payer.

Outpatient: The patient received outpatient services in this facility as a transfer from within this hospital resulting in a separate claim to the payer.

Usage Note: For purposes of this code, “Distinct Unit” is defined as a unique level of care at the hospital requiring the issuance of a separate claim to the payer. Examples could include observation services, rehab units, a unit in a critical access hospital, or a swing bed located in an acute hospital.

9 Information not

Available

1 Non-health Care

Facility Point of Origin 2 Clinic or Physician’s

Office

6

Transfer From Another Health Care Facility 8 Court/Law Enforcement 4 Transfer From a Hospital (Different Facility) 5 Transfer From a Skilled Nursing Facility (SNF) or Intermediate Care Facility (ICF) or Assisted Living Facility

Reference Table 1

Admit Source

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Inpatient: The patient was admitted to this facility as a transfer from an ambulatory surgery center.

Outpatient: The patient presented to this facility for outpatient or referenced diagnostic services from an ambulatory surgery center.

Inpatient: The patient was admitted to this facility as a transfer from hospice facility. Outpatient: The patient presented to this facility or outpatient or referenced diagnostic services from a hospice facility.

G-Z Reserved for national assignment.

1 Reserved for national assignment. Discontinued effective 10/1/2007. 2 Reserved for national assignment. Discontinued effective 10/1/2007. 3 Reserved for national assignment. Discontinued effective 10/1/2007. 4 Reserved for national assignment. Discontinued effective 10/1/2007.

5 Born Inside this

Hospital A baby is born inside this hospital.

6 Born Outside this

Hospital A baby is born outside of this hospital.

9 Reserved for assignment by the NUBC.

Transfer From Ambulatory Surgery Center

F Transfer From Hospice

Admit Source (Code Structure for Newborns)

Note: Newborn coding structure must be used when the Type of Admission Code 4 is used. E

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1 Emergency

The patient requires immediate medical intervention as a result of severe, life-threatening or potentially disabling conditions. Generally, the patient is admitted through the emergency room.

2 Urgent

The patient requires immediate attention for the care and treatment of a physical or mental disorder. Generally, the patient is admitted to the first available and suitable accommodation.

3 Elective The patient’s condition permits adequate time to schedule the availability of a suitable accommodation.

4 Newborn A baby born within this facility. Use of this code necessitates the use of special Point of Origin/Source of Admission table.

5 Trauma Center

Visit to a trauma center hospital as licensed or designated by the state or local government authority authorized to do so, or as verified by the American College of Surgeons and involving trauma activation. (Use Revenue Code 068x to capture trauma activation charges involving pre-hospital notification.)

6-8 Reserved for national assignment.

9 Information Not

Available The hospital does not have this information in its records.

Admit Type

Definition: The priority of the admission or visit.

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Code 02 07 08 10-19 20 22-29 31-39

Reference Table 3

Discharge Status

Definition: The patient’s status as of the ending service date of the period covered on the record.

01

Discharged to Home or Self Care (routine discharge)

Discharged/transferred to a facility that provides Custodial or Supportive Care

Usage Note: Includes intermediate care facilities (ICFs) if specifically designated at the state level. Also used to designate patients that are discharged/ transferred to a nursing facility with neither Medicare nor Medicaid certification and for discharges/transfers to Assisted Living Facilities. Effective 10/1/2009

04

Discharged/transferred to a Designated Cancer Center or Children’s Hospital

Usage Note: Transfers to non-designated cancer hospitals should use Code 02. A list of (National Cancer Institute) designated cancer centers can be found at http://www3.cancer.gov/cancercenters/centerslist.html. 05

Discharged/transferred to Home Under Care of Organized Home Health Service Organization in Anticipation of Covered Skilled Care

Usage Note: Report this code when the patient is discharged/transferred to home with a written plan of care (tailored to the patient's medical needs) for home care services. Not used for home health services provided by a DME supplier or from a Home IV provider for home IV services.

06

Left Against Medical Advice or Discontinued Care Description/Definition

Discharged/transferred to a Short Term General Hospital for Inpatient Care

Discharged/transferred to Skilled Nursing Facility (SNF) with Medicare Certification in anticipation of Skilled Care

Usage Note: Includes discharge to home, home on oxygen if DME only, any other DME only, group home, foster care, independent living and other residential care arrangements, outpatient programs, such as partial hospitalization or outpatient chemical dependency programs. Effective 10/1/2009

Usage Note: Medicare – Indicates that the patient is discharged/ transferred to a Medicare certified nursing facility. For hospitals with an approved swing bed arrangement, use Code 61 - Swing Bed. For reporting other discharge/transfers to nursing facilities see 04 and 64.

03

Discharged/transferred to Court/Law Enforcement

Usage Note: Includes transfers to incarceration facilities such as jail, prison or other detention facilities. Effective 10/1/2009

21

Reserved for National Assignment Still Patient

Usage Note: Used when the patient is still within the same facility, typically used when billing for leave of absence days or interim bills.

30

Reserved for National Assignment

Admitted as an Inpatient to this Hospital.

Usage Note: For use only on Medicare outpatient claims. Applies only to those Medicare outpatient services 09

Reserved for National Assignment Expired

Expired – Place unknown

Usage Note: For use only on Medicare and TRICARE claims for hospice claims. 42

Reserved for National Assignment Expired at Home

Usage Note: For use only on Medicare and TRICARE claims for hospice care. 40

Expired in a Medical Facility (e.g. hospital, SNF, ICF, or free standing hospice) Usage Note: For use only on Medicare and TRICARE claims for hospice care. 41

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44-49 50 51 52-60 62 64 65 66 67-68 69 70 71-72 73-80 81 82 83 84 85 86 87 88 89 90 91

Discharged/transferred to a Federal Health Care Facility.

Usage Note: Discharges and transfers to a government operated health facility such as a Department of Defense Hospital, a Veteran's Administration hospital or a Veteran's Administration nursing facility. To be used whenever the destination at discharge is a federal health care facility, whether the patient lives there or not. 43

61

Discharged/ transferred to an Inpatient Rehabilitation Facility (IRF) including Rehabilitation Distinct Part Units of a Hospital

Discharged/transferred to a Medicare-certified Long Term Care Hospital (LTCH) Usage Note: For hospitals that meet Medicare criteria for LTCH certification. 63

Discharged/transferred to a Nursing Facility Certified under Medicaid but not Certified under Medicare Reserved for National Assignment

Hospice – Home

Hospice – Medical Facility (Certified) Providing Hospice-Level Care Reserved for National Assignment

Discharged/transferred to a Hospital-Based Medicare Approved Swing Bed

Usage Note: Medicare – Used for reporting patients discharged/transferred to a SNF level of care within the hospital's approved swing bed arrangement.

Reserved for Assignment by the NUBC

Discharged to Home or Self Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to a Short Term General Hospital for Inpatient Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to a Skilled Nursing Facility (SNF) with Medicare Certification with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to a Facility that Provides Custodial or Supportive Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to a Designated Cancer Center or Children’s Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital Discharged/transferred to a Critical Access Hospital (CAH)

Reserved for National Assignment

Discharged/transferred to a Designated Disaster Alternative Care Site (Effective 10/1/13)

Discharged/transferred to Another Type of Health Care Institution not Defined Elsewhere in this Code List (See Code 95 for a discharge with a Planned Acute Care Hospital Inpatient Readmission)

Discontinued 4/1/03

Discharged/Transferred to Home Under Care of Organized Home Health Service Organization with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to Court/Law Enforcement with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to a Federal Health Care Facility with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to a Hospital-based Medicare Approved Swing Bed with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to an Inpatient Rehabilitation Facility (IRF) including Rehabilitation Distinct Part Units of a Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to a Medicare Certified Long Term Care Hospital (LTCH) with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

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92 93 94 95 96-99

Discharged/Transferred to a Nursing Facility Certified Under Medicaid but not Certified Under Medicare with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to a Critical Access Hospital (CAH) with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

Discharged/Transferred to Another Type of Health Care Institution not Defined Elsewhere in this Code List with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13)

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I Inpatient

All discharges from Acute Care, Newborns, Medical Rehabilitation, Skilled Nursing Care (including swing beds, long term acute care, inpatient hospice and designated units), and Behavioral Health (including Psychiatric Care and Chemical Dependency Care). Submit all inpatient visits on discharge.

O Outpatient

All patient visits treated on an outpatient basis. A person who is not admitted to the hospital as inpatient, but is registered on the hospital records as an outpatient and receives services (rather than supplies alone) from the hospital. Where a tissue sample, blood sample, or specimen is taken by personnel that are neither employed nor

arranged for by the hospital and is sent to the hospital for performance of tests, the tests are not outpatient hospital services since the patient does not directly receive services from the hospital.

Reference Table 4

Encounter Type

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1 Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

2 Non Hispanic or

Latino Patient is not of Hispanic or Latino ethnicity.

3 Unavailable or

Unknown

Select this category if the patient is unable to physically respond, there is no available family member or caregiver to respond for the patient, or if for any reason, the demographic portion of the medical record cannot be completed.

4 Declined A person who is unwilling to provide an answer to the question of Hispanic or Latino ethnicity.

Reference Table 5

Ethnicity

Definition: The ethnicity code assigned to the patient’s record.

Note: If Hispanic or Latino is being reported under Ethnicity (preferred), do not report Hispanic or Latino under Race (Code “6”).

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1 English A person who's primary language is English.

2 Spanish A person who's primary language is Spanish.

3 Other Some other language not classified on this list.

4 Declined A person not wanting to respond to the question regarding language.

Unknown Attempts to capture race were unattainable due to other circumstances.

Reference Table 6

Language

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A Self Pay The patient has no insurance and is ineligible for governmental assistance. Patient paid for service “out of pocket”. HCAP should be classified under this category.

B Bureau of Workers

Compensation (BWC) Primary payer is the Bureau of Workers Compensation. C Medicare (traditional/

fee-for-service) Primary payer is traditional fee for service Medicare provider. D Medicaid (traditional) Primary payer is traditional Ohio Medicaid provider.

E Other Government Primary payer is a government provider and is NOT Ohio Medicaid or Medicare. (Examples: Champus, Veterans, DOD/Tricare, Indiana Medicaid, etc.)

F Commercial Insurance

Private or group plans including auto insurances. All commercial insurance payers including commercial managed care payers should be classified here. (Examples: Blue Cross Primary, HMO, PPO, Med Mutual, UHC, Blue Cross, Aetna.)

I Other Some other payer not classified in this list.

M Medicaid Managed

Care Non fee for service, Medicaid Managed Care Plan.

O Medicare Managed

Care

Non fee for service, Medicare Managed Care Plan. Blue Cross Crossover should be classified here.

Q Charity

Uncompensated No charge was submitted and the episode was classified as Charity Care.

Payer Grouping

Definition: The financial class (high-level) of the primary payer on the claim.

Reference Table 7

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1 Acute

Medical/Surgical Unit

Assigned to inpatients, including newborns receiving care in the medical/surgical areas of a short-term hospital and not included in any other described level of care.

2 Medical

Rehabilitation Unit

Relatively intense program including cardiology rehab, physical therapy and/or occupational therapy that requires a multidisciplinary coordinated team approach to upgrade the patient’s ability to function. Care is provided in an inpatient setting.

3

Alternate Level of Care (SNF/Swing Bed Skilled)

Maintains an organized professional staff and permanent facilities including inpatient beds that provide continuous nursing and other health-related psychosocial and personal services to patients who are not in an acute phase of illness but who primarily require continued care on an inpatient basis. Long Term Acute Care Hospital (LTACH) patients would also be included in this category.

5 Hospice

Inpatient care or services means short-term, general inpatient care provided either through a contract arrangement with an appropriately licensed and Medicare-certified hospital or long term care facility or directly by a hospice program in its hospice inpatient facility to provide pain control and symptom management that cannot be accomplished in another setting.

Chemical Dependency Care: Provides diagnostic and therapeutic services to patients with alcoholism or other drug dependencies. Includes care for inpatient/resident treatment for patients whose course of treatment involves more intensive care than provided in an outpatient setting or where patient requires supervised withdrawal. Psychiatric Care: Provides acute or long-term inpatient care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems, on the basis of physician’s orders and approved nursing care plans. Long term care may include intensive supervision to the chronically mentally ill, mentally disordered, or other mentally incompetent persons.

Place of Service - Inpatient

Definition: The place of service that the patient was last seen in before discharge.

Reference Table 8

6 Psychiatric/

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3 Observation

Patients put into an observation bed and not admitted as an inpatient, regardless of point of referral. Observation Services are those services furnished by a hospital on its premises, including the use of a bed, periodic monitoring by nursing and other staff, and any other services that are reasonable and necessary to evaluate a patient’s condition or to determine the need for a possible (inpatient) admission to the hospital. Any record with a revenue code in category 0760, 0762, and 0769 including those with a surgical or emergency service revenue code.

2 Outpatient Surgery

Patients seen on an outpatient basis for some billable procedure regardless of whether it was performed in a surgery suite. Any record not classified as Observation AND with a revenue code in categories 036X, 0481, 049X or 0750, or any record from a free

standing ambulatory surgery center.

1 Emergency Room

Patients seen at a hospital based emergency room and treated then released. Any record not classified as Observation or Outpatient Surgery AND with revenue codes 0450, 0451, 0452, 0459.

4 Therapy

Patients seen on an outpatient basis for rehabilitation. Any record not classified as Emergency Room, Outpatient Surgery or Observation AND with revenue codes in categories 041X-044X, or 093X-095X. This includes Respiratory, Physical, Occupational and Speech Therapies, Medical Rehabilitation, Therapeutic Rehabilitation or Athletic Training respectively.

5 Lab/ Radiology

Any record not classified as Emergency Room, Outpatient Surgery or Observation AND with revenue codes in categories 030X, 031X, 032X-035X, 040X, 048X except 481, 061X, 073X-074X or 092X. This includes Diagnostic and Routine Laboratory Testing, Diagnostic and Therapeutic Radiology, Nuclear Medicine, CAT Scans, Imaging, MRIs, EKGs and ECGs, EEGs.

7 Hospice

Medicare Certified Hospice care provided by the hospital in the patient’s home

residence whether it's a private residence, nursing home, off-site hospital or an assisted living facility. Includes records with but not limited to records with revenue codes in category 065X.

8 Psychiatric/Behavioral Health

Patients seen on an outpatient basis for psychiatric or behavioral health treatment. Records may include but not limited to records with revenue codes 090X-091X.

9 Urgent Care – Off Site Patients seen in an offsite urgent care facility on an outpatient basis. Records may include but not limited to records with revenue codes 0456.

Place of Service - Outpatient

Definition: The outpatient place of service identifies where the patient received treatment. Use one of the following codes in this hierarchy.

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10 Urgent Care – On Site (Fast Track)

Patients seen at a hospital based emergency room then referred to an urgent care site in the hospital. Includes records not previously designated and may include but not limited to records with revenue codes 0456.

Patients seen on an outpatient or physician visit at an off-site hospital based outpatient clinic.

Some of the requirements for a hospital based clinic:

• Off-site clinic must be off the hospital’s main campus but within 35 miles of the main campus.

• Operates under the main provider’s license unless state law mandates separate licensure.

• Has ready access to the hospital and other provider-based clinics’ medical records. • Physicians and staff operating within the clinic are under the same reporting structure as all other hospital departments.

• Incorporated into the hospital’s organizational chart.

Includes records with but not limited to records with revenue codes 051X-052X.

Patients seen on an outpatient or physician visit at an on-site hospital based outpatient clinic.

Some of the requirements for a hospital based clinic: • On-site clinic must be on the hospital’s main campus.

• Operates under the main provider’s license unless state law mandates separate licensure.

• Has ready access to the hospital and other provider-based clinics’ medical records. • Physicians and staff operating within the clinic are under

the same reporting structure as all other hospital departments. • Incorporated into the hospital’s organizational chart.

Includes records with but not limited to records with revenue codes 051X-052X.

6 Other Outpatient

Includes records not previously designated and may include but not limited to records with revenue codes in categories 038X-039X, 046X-047X, 058X-060X, 064X, 066X, 082X-085X, or 088X. This includes Blood Products and Storage, Audiology and Pulmonary, Home Health visits & units, Home Health Oxygen & IV, Preventative Care, 0761 treatment room and 0769 other specialty servicers, Hemodialysis, peritoneum and miscellaneous dialysis.

11 Clinic – Off Site

(23)

Code Y N U W 1

Diagnosis was not present at the time of inpatient admission

Documentation is insufficient to determine if the condition was present at the time of inpatient admission Clinically undetermined, provider unable to clinically determine whether the condition was present at the time of inpatient admission

Unreported/ Not Used, exempt from POA reporting.

Present on Admission Indicator

Diagnosis was present at the time of inpatient admission Description/ Definition

Reference Table 10

(24)

1 White or Caucasian A person having origins in any of the peoples of Europe, North Africa or the Middle East.

2 African American

/Black A person having origins in any of the black racial groups of Africa.

3 American Indian

/Alaska Native

A person having origins in any of the people of North and South America (including Central America) and who maintains tribal affiliation or community attachment.

4 Asian

A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian subcontinent including Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

5 Native Hawaiian

/Other Pacific Islander

A person having origins in any of the original peoples of Hawaii, Guam, Samoa or other Pacific Islands.

6

Hispanic/Latino of Any Race *Please see note

A person of Cuban, Mexican, Puerto Rico, South or Central American or other Spanish culture or origin.

Unknown Attempts to capture race were unattainable due to other circumstances. 9 Declined A person NOT wanting to respond to the question regarding race. *Notes:

- The preferred standard is to report Hispanic or Latino under Ethnicity. If you are unable to report Ethnicity, then please include Hispanic or Latino under Race (Code “6”).

- If documentation indicates the patient has more than one race, and you are only able to submit one race, select the first listed race (ex. Black-White, Indian-White).

Race

Definition: The Race code assigned to the patient’s record.

(25)

Code F M U

Sex

Definition: The sex of the patient as recorded at admission, outpatient service, or start of care.

Reference Table 12

Description/ Definition Female

Male Unknown

(26)

Date Category Reason for Update

10/1/2013 Discharge Status Added codes 81-95; Updated to reflect NUBC standards effective 10/1/2013 1/3/2013 Outpatient Place of

Service Updated code usage; Added hierarchy to definition to prioritize observation patients 5/27/2014 Language

Corrected definitions for values 4 and 5 (Descriptions were correct; Definitions were switched.)

List of Updates

(27)

Encounter Type Place of Service Patient Class

I - Inpatient 1 - Acute Medical/Surgical Unit I – Inpatient

I - Inpatient 2 - Medical Rehabilitation Unit I – Inpatient

I - Inpatient 3 - Alternate Level of Care (SNF/Swing Bed Skilled) S – Inpatient SNF

I - Inpatient 5 - Inpatient Hospice I – Inpatient

I - Inpatient 6 - Inpatient Psychiatric/ Behavior Health I – Inpatient

Encounter Type Place of Service Patient Class

O - Outpatient 1 - Emergency room E – Emergency

O - Outpatient 2 - Outpatient surgery U – Ambulatory Surgery

O - Outpatient 3 - Observation B – Observation

O - Outpatient 4 - Therapy H – Outpatient Rehabilitation

O - Outpatient 5 - Lab/ Radiology L – Lab

O - Outpatient 6 - Other Outpatient O – Outpatient

O - Outpatient 7 - Hospice O – Outpatient

O - Outpatient 8 - Psychiatric/ Behavior Health P – Outpatient Pysch

O - Outpatient 9 - Urgent Care - Off Site G – Urgent Care

O - Outpatient 10 - Urgent Care - On Site F – Fast Track ER

O - Outpatient 11 - Clinic - Off Site C – Clinic

O - Outpatient 12 - Clinic - On Site C – Clinic

The data submission process changed starting with 2012 Discharge Data. The new format included a change in the way that the "Patient Class" was collected for each patient encounter. Prior to 2012 data, hospitals grouped each encounter into one patient class. For 2012 and later data, hospitals grouped each patient encounter into an "Encounter Type" (Inpatient or Outpatient), and a "Place of Service" to further define the type of patient.

OHA has created a mapping for the process of submitting patient class back to the older patient class categories. This was done to not interfere with the existing data systems, including Insight and the POS Files that many hospitals receive. The tables below show the mapping from the Encounter Type and Place of Service codes used in the new file format to the Patient Classes shown in Insight and the POS Files.

Please Note:

- The definitions for the Encounter Type and Place of Service can be found in Reference Tables 4, 8 and 9.

- Prior to 2012 data, the Patient Class included a category for "Recurring". This no longer exists as a category under Place of Service.

Inpatient

Outpatient

Patient Class Mapping

(28)

Facility Name Hospital ID

Acuity Specialty Hospital-Ohio Valley 266

Adams County Regional Medical Center 185

Adena Greenfield Medical Center 090

Adena Medical Center 026

Adena Pike Medical Center 183

Advanced Specialty Hospital of Greenbriar Rehabilitation 446

Affinity Medical Center 119

Affinity Medical Center - Doctors Campus 120

Akron Children's Hospital 003

Akron General Edwin Shaw Rehab 196

Akron General Medical Center 002

Alliance Community Hospital 005

Alliance Primary Care, Inc. 430

Appalachian Behavioral Healthcare - Cambridge Campus 271

Ashtabula County Medical Center 008

Atrium Medical Center 126

Aultman Hospital 023

Aultman Orrville Hospital 138

Aultman West 242

Bariatric Care Center of Ohio 224

Barnesville Hospital 011

Bedford Medical Center Campus 013

Beeghly Oaks 226

Belmont Community Hospital 014

Belmont Pines Hospital 210

Berger Health System 039

Bethesda Arrow Springs 262

Bethesda Butler Hospital 354

Bethesda North Hospital 197

Bethesda Oak Hospital 027

Blanchard Valley Health System 425

Blanchard Valley Hospital 082

Bluffton Hospital 017

Bucyrus Community Hospital 020

Cabell Huntington Hospital 360

Cambridge Health & Rehab. Center 350

Chalmers P. Wylie VA Ambulatory Care Center 218

Champaign Mercy Health Services, McAuley Center 297

Cincinnati Children's Hospital Medical Center 028

Cincinnati Children's Liberty Campus 363

Cleveland Clinic 041

Cleveland Clinic Children's Hospital For Rehabilitation 223

CMH Regional Health System - Clinton Memorial Hospital 188

Columbus Community Hospital 061

Reference Table 15

(29)

Community Health Partners, East Campus 107 Community Hospitals & Wellness Centers - Archbold Hospital 429

Community Hospitals & Wellness Centers-Bryan Hospital 019

Community Hospitals & Wellness Centers - Montpelier 408

Community Memorial Hospital 094

Coshocton County Memorial Hospital 067

Cottingham Retirement 214

Dayton Children's Hospital 070

Dayton Heart Hospital 215

Dayton Rehab Institute 203

Dayton VA Medical Center 217

Deaconess Health Care 401

Deaconess Hospital 030

Deaconess Hospital - Cleveland 043

Deaconess Long Term Care of Ohio 332

Dearborne County Hospital 261

Dettmer Hospital 170

Diley Ridge Medical Center 139

Doctors Hospital North 058

Doctors Hospital of Nelsonville 132

Doctors Hospital Ohio Health 264

Drake Center, Inc. 219

Drake Pavilion at the Christ Hospital 428

Dublin Methodist Hospital 216

Dupont Hospital 179

East Liverpool City Hospital 079

East Ohio Regional Hospital 117

Elmwood Healthcare Center At the Springs 244

EMH Amherst Hospital 006

Euclid Hospital 081

Fairfield Medical Center 100

Fairview Hospital 044

Fayette County Memorial Hospital 181

Fayette Memorial Hospital 254

Firelands Regional Medical Center 152

Firelands Regional Medical Center - South Campus 153

Fisher-Titus Medical Center 134

Fort Hamilton Hospital 092

Forum Health 343

Forum Health Western Reserve Care System-Southside 192

Fox Run Hospital 221

Franciscan at St. John 293

Franciscan Health System of Dayton 278

Fulton County Health Center 182

Galion Community Hospital 085

Gateway Rehab 236

Genesis Healthcare System/Bethesda 194

Genesis Healthcare System/Good Samaritan 195

(30)

Good Samaritan Hospital 071

Good Samaritan Western Ridge 184

Grace Hospital 045

Grady Memorial Hospital 076

Grand Lake Health System 159

Grandview Medical Center 072

Grant Medical Center 059

Greene Memorial Hospital 190

Hardin Memorial Hospital 097

Harrison Community Hospital 021

Harrison MediCenter 263

Health Recovery Services 241

HealthSouth Rehabilitation Hospital At Drake 494

Heartland Behavioral Healthcare 230

Heather Hill Care Communities 318

Henry County Hospital 131

Highland District Hospital 095

Hillcrest Hospital 122

Hillside Rehabilitation Hospital 205

Hocking Valley Community Hospital 104

Holzer Gallipolis 086

Holzer Medical Center-Jackson 229

Huron Hospital 046

Institute For Orthopedic Surgery 432

Kettering Behavioral Medicine Center 238

Kettering Medical Center 098

Kindred Gateway Hospital of Cleveland 409

Kindred Hospital Dayton 402

Kindred Hospital Lima 232

King's Daughters Medical Center Kentucky 250

King's Daughters Medical Center Ohio 495

Knox Community Hospital 130

Lake Health Tripoint Medical Center 141

Lakewood Hospital 099

Licking Memorial Hospital 133

LifeCare Hospital of Dayton 311

Lima Memorial Health System 101

Lindner Center of HOPE 303

Lodi Community Hospital 103

Louis Stokes Cleveland VA Medical Center 259

Lutheran Hospital 047

Lutheran Hospital of Indiana 147

Madison County Hospital 105

Magruder Hospital 146

Mahoning Valley Hospital - Trumbull Campus 426

Margaret Mary Hospital 265

Marietta Memorial Hospital 113

(31)

Marymount Hospital 087

Mary Rutan Hospital 015

McCullough-Hyde Memorial Hospital 140

MedCenter Hospital 115

MedCentral Health System 068

MedCentral - Mansfield Hospital 110

MedCentral - Shelby Hospital 155

Medical Center of Newark 361

Medina Hospital 123

Memorial Hospital of Union County 118

Mental Health Services for Clark County 208

Mercer Health 056

Mercy Allen Hospital 136

Mercy Health Anderson Hospital 034

Mercy Healthcare Center 165

Mercy Health Clermont Hospital 012

Mercy Health Fairfield Hospital 206

Mercy Health Mt. Airy Hospital - CLOSED 035

Mercy Health Western Hills Hospital 036

Mercy Hospital of Defiance 272

Mercy Hospital of Hamilton 093

Mercy Medical Center 024

Mercy Memorial Hospital 173

Mercy Regional Medical Center 106

Mercy St. Anne Hospital 237

Mercy St. Charles Hospital 137

Mercy St. Vincent Medical Center 168

Mercy Tiffin Hospital 163

Mercy Willard Hospital 187

MetroHealth System 042

Miami Valley Hospital 073

Miami Valley Hospital South 144

Morrow County Hospital 129

Mount Carmel East 198

Mount Carmel New Albany Surgical Hospital 353

Mount Carmel St. Ann's 066

Mount Carmel West 060

Mt. Orab Medical Center 128

Nationwide Children's Hospital 057

Neil Kennedy Recovery Unit 435

Northside Medical Center 200

Oak Hill Community Medical Center 135

OhioHealth O'Bleness Hospital 009

Ohio Hospital for Psychiatry 357

Ohio Valley Medical Center 274

Paulding County Hospital 143

Peoples Hospital 111

PHS Mt. Sinai University Circle 048

(32)

Pomegranate Health Systems 212

Pomerene Hospital 127

ProMedica Bay Park Hospital 344

ProMedica Bixby Hospital 273

ProMedica Defiance Regional Hospital 075

ProMedica Flower Hospital 162

ProMedica Fostoria Community Hospital 083

ProMedica Herrick Hospital 275

Promedica Memorial Hospital 084

ProMedica St. Luke's Hospital 121

ProMedica Toledo Children's Hospital 209

ProMedica Toledo Hospital 169

Quorum Health Resources 315

Regency Hospital Of Toledo 358

Regency North Central Ohio - Akron 436

Reid Hospital 302

Richland Hospital 112

Richmond Medical Center Campus 049

Riverside Mercy Hospital 167

Riverside Methodist Hospital 063

River Valley Health System 096

River Valley Health System Behavioral Health Services 235

Riverview Health Institute 445

Robinson Memorial Hospital 150

Rookwood Medical Center 496

Ross County Health District 260

Saint Luke's Medical Center 052

Salem Regional Medical Center 151

Samaritan Hospital 007

Selby General Hospital 114

Select Specialty Hospital - Cincinnati 437

Select Specialty Hospital - Cleveland 440

Select Specialty Hospital - Columbus 314

Select Specialty Hospital (Mount Carmel West) 225

Select Specialty Hospital - NE Ohio/Akron 220

Select Specialty Hospital - Riverside 438

Select Specialty Hospital - Youngstown 439

Select Specialty Hospital - Zanesville 391

Sharon Regional Health System 364

Shepherd Hill Hospital 493

Shriners Hospitals for Children 239

Soin Medical Center 231

Southeastern Ohio Regional Medical Center 022

Southeast Psychiatric Hospital 211

Southern Ohio Medical Center 148

South Pointe Hospital 180

Southview Medical Center 199

Southwest Community Health Foundation 296

(33)

Southwest Regional Medical Center 089

Specialty Hospital of Lorain 331

Springfield Regional Medical Center 157

Springfield Regional Medical Center - Fountain Blvd. Campus 158

St. Elizabeth Boardman Health Center 306

St. Elizabeth Covington 281

St. Elizabeth Edgewood 283

St. Elizabeth Florence 256

St. Elizabeth Fort Thomas 252

St. Elizabeth Grant 277

St. Elizabeth Health Center 191

St. Elizabeth Hospitals 251

St. John Medical Center 186

St. Joseph Health Center 176

St. Joseph Hospital 166

St. Rita's Medical Center 102

St. Vincent Charity Medical Center 053

Summa Akron City Hospital 001

Summa Barberton Hospital 010

Summa St. Thomas Hospital 497

Summa Wadsworth-Rittman Hospital 175

Summa Western Reserve Hospital 069

Sycamore Medical Center 124

Ten Lakes Center 491

Test Facility 999

The Bellevue Hospital 016

The Christ Hospital 029

The Franciscan at St. Clare 290

The Jewish Hospital 033

The Maria-Joseph Living Care Center 258

The Medical Center At Elizabeth Place 074

The Ohio State University Harding Hospital 222

The Ohio State University Hospital 062

The Ohio State University Hospital East 065

The Ohio State University James Cancer Hospital 207

The Ohio State University Ross Heart Hospital 356

The Orthopedic Hospital 154

The University of Toledo Medical Center 164

Three Gables Surgery Center 355

Tod Children's Hospital 202

Trihealth Evendale Hospital 498

Trinity Hospital Twin City 077

Trinity Medical Center East 160

Trinity Medical Center West 161

Trumbull Memorial Hospital 177

UHHS Saint Michael Hospital 330

Union Hospital 078

University Hospitals Ahuja Medical Center 149

(34)

University Hospitals Conneaut Medical Center 064

University Hospitals Elyria Medical Center 080

University Hospitals Geauga Medical Center 025

University Hospitals Geneva Medical Center 088

University Hospitals Parma Medical Center 142

University Hospitals Rainbow Babies & Children's Hosp. 204

University of Cincinnati Medical Center 038

Upper Valley Medical Center 171

Van Wert County Hospital 174

Veterans Affairs Medical Center Chillicothe 257

Veterans Memorial Hospital 145

Warren County Hospital 262

Warren General Hospital 178

Wayne HealthCare 091

West Chester Hospital 362

West Medical Center 201

Wilson Memorial Hospital 156

Windsor-Laurelwood Center for Behavioral Medicine 228

Wood County Hospital 018

Wooster Community Hospital 189

Wright Patterson Medical Center 325

Wyandot Memorial Hospital 172

(35)

Facility Name Hospital ID

Summa Akron City Hospital 001

Akron General Medical Center 002

Akron Children's Hospital 003

Alliance Community Hospital 005

EMH Amherst Hospital 006

Samaritan Hospital 007

Ashtabula County Medical Center 008

OhioHealth O'Bleness Hospital 009

Summa Barberton Hospital 010

Barnesville Hospital 011

Mercy Health Clermont Hospital 012

Bedford Medical Center Campus 013

Belmont Community Hospital 014

Mary Rutan Hospital 015

The Bellevue Hospital 016

Bluffton Hospital 017

Wood County Hospital 018

Community Hospitals & Wellness Centers-Bryan Hospital 019

Bucyrus Community Hospital 020

Harrison Community Hospital 021

Southeastern Ohio Regional Medical Center 022

Aultman Hospital 023

Mercy Medical Center 024

University Hospitals Geauga Medical Center 025

Adena Medical Center 026

Bethesda Oak Hospital 027

Cincinnati Children's Hospital Medical Center 028

The Christ Hospital 029

Deaconess Hospital 030

The Jewish Hospital 033

Mercy Health Anderson Hospital 034

Mercy Health Mt. Airy Hospital - CLOSED 035

Mercy Health Western Hills Hospital 036

University of Cincinnati Medical Center 038

Berger Health System 039

Cleveland Clinic 041

MetroHealth System 042

Deaconess Hospital - Cleveland 043

Fairview Hospital 044

Grace Hospital 045

Huron Hospital 046

Lutheran Hospital 047

PHS Mt. Sinai University Circle 048

List of Hospital ID's

- By Hospital ID

(36)

Richmond Medical Center Campus 049

Saint Luke's Medical Center 052

St. Vincent Charity Medical Center 053

University Hospitals Case Medical Center 054

Mercer Health 056

Nationwide Children's Hospital 057

Doctors Hospital North 058

Grant Medical Center 059

Mount Carmel West 060

Columbus Community Hospital 061

The Ohio State University Hospital 062

Riverside Methodist Hospital 063

University Hospitals Conneaut Medical Center 064

The Ohio State University Hospital East 065

Mount Carmel St. Ann's 066

Coshocton County Memorial Hospital 067

MedCentral Health System 068

Summa Western Reserve Hospital 069

Dayton Children's Hospital 070

Grandview Medical Center 072

Miami Valley Hospital 073

The Medical Center At Elizabeth Place 074

ProMedica Defiance Regional Hospital 075

Grady Memorial Hospital 076

Trinity Hospital Twin City 077

Union Hospital 078

East Liverpool City Hospital 079

University Hospitals Elyria Medical Center 080

Euclid Hospital 081

Blanchard Valley Hospital 082

ProMedica Fostoria Community Hospital 083

Promedica Memorial Hospital 084

Galion Community Hospital 085

Holzer Gallipolis 086

Marymount Hospital 087

University Hospitals Geneva Medical Center 088

Southwest Regional Medical Center 089

Adena Greenfield Medical Center 090

Wayne HealthCare 091

Fort Hamilton Hospital 092

Mercy Hospital of Hamilton 093

Community Memorial Hospital 094

Highland District Hospital 095

River Valley Health System 096

Hardin Memorial Hospital 097

Kettering Medical Center 098

Lakewood Hospital 099

(37)

Lima Memorial Health System 101

St. Rita's Medical Center 102

Lodi Community Hospital 103

Hocking Valley Community Hospital 104

Madison County Hospital 105

Mercy Regional Medical Center 106

Community Health Partners, East Campus 107

MedCentral - Mansfield Hospital 110

Peoples Hospital 111

Richland Hospital 112

Marietta Memorial Hospital 113

Selby General Hospital 114

MedCenter Hospital 115

Marion General Hospital 116

East Ohio Regional Hospital 117

Memorial Hospital of Union County 118

Affinity Medical Center 119

Affinity Medical Center - Doctors Campus 120

ProMedica St. Luke's Hospital 121

Hillcrest Hospital 122

Medina Hospital 123

Sycamore Medical Center 124

Southwest General Health Center 125

Atrium Medical Center 126

Pomerene Hospital 127

Mt. Orab Medical Center 128

Morrow County Hospital 129

Knox Community Hospital 130

Henry County Hospital 131

Doctors Hospital of Nelsonville 132

Licking Memorial Hospital 133

Fisher-Titus Medical Center 134

Oak Hill Community Medical Center 135

Mercy Allen Hospital 136

Mercy St. Charles Hospital 137

Aultman Orrville Hospital 138

Diley Ridge Medical Center 139

McCullough-Hyde Memorial Hospital 140

Lake Health Tripoint Medical Center 141

University Hospitals Parma Medical Center 142

Paulding County Hospital 143

Miami Valley Hospital South 144

Veterans Memorial Hospital 145

Magruder Hospital 146

Lutheran Hospital of Indiana 147

Southern Ohio Medical Center 148

University Hospitals Ahuja Medical Center 149

Robinson Memorial Hospital 150

(38)

Firelands Regional Medical Center 152

Firelands Regional Medical Center - South Campus 153

The Orthopedic Hospital 154

MedCentral - Shelby Hospital 155

Wilson Memorial Hospital 156

Springfield Regional Medical Center 157

Springfield Regional Medical Center - Fountain Blvd. Campus 158

Grand Lake Health System 159

Trinity Medical Center East 160

Trinity Medical Center West 161

ProMedica Flower Hospital 162

Mercy Tiffin Hospital 163

The University of Toledo Medical Center 164

Mercy Healthcare Center 165

St. Joseph Hospital 166

Riverside Mercy Hospital 167

Mercy St. Vincent Medical Center 168

ProMedica Toledo Hospital 169

Dettmer Hospital 170

Upper Valley Medical Center 171

Wyandot Memorial Hospital 172

Mercy Memorial Hospital 173

Van Wert County Hospital 174

Summa Wadsworth-Rittman Hospital 175

St. Joseph Health Center 176

Trumbull Memorial Hospital 177

Warren General Hospital 178

Dupont Hospital 179

South Pointe Hospital 180

Fayette County Memorial Hospital 181

Fulton County Health Center 182

Adena Pike Medical Center 183

Good Samaritan Western Ridge 184

Adams County Regional Medical Center 185

St. John Medical Center 186

Mercy Willard Hospital 187

CMH Regional Health System - Clinton Memorial Hospital 188

Wooster Community Hospital 189

Greene Memorial Hospital 190

St. Elizabeth Health Center 191

Forum Health Western Reserve Care System-Southside 192

Genesis Healthcare System/Bethesda 194

Genesis Healthcare System/Good Samaritan 195

Akron General Edwin Shaw Rehab 196

Bethesda North Hospital 197

Mount Carmel East 198

Southview Medical Center 199

Northside Medical Center 200

(39)

Tod Children's Hospital 202

Dayton Rehab Institute 203

University Hospitals Rainbow Babies & Children's Hosp. 204

Hillside Rehabilitation Hospital 205

Mercy Health Fairfield Hospital 206

The Ohio State University James Cancer Hospital 207

Mental Health Services for Clark County 208

ProMedica Toledo Children's Hospital 209

Belmont Pines Hospital 210

Southeast Psychiatric Hospital 211

Pomegranate Health Systems 212

Youngstown Osteopathic Hospital 213

Cottingham Retirement 214

Dayton Heart Hospital 215

Dublin Methodist Hospital 216

Dayton VA Medical Center 217

Chalmers P. Wylie VA Ambulatory Care Center 218

Drake Center, Inc. 219

Select Specialty Hospital - NE Ohio/Akron 220

Fox Run Hospital 221

The Ohio State University Harding Hospital 222

Cleveland Clinic Children's Hospital For Rehabilitation 223

Bariatric Care Center of Ohio 224

Select Specialty Hospital (Mount Carmel West) 225

Beeghly Oaks 226

Glenbeigh Health Sources 227

Windsor-Laurelwood Center for Behavioral Medicine 228

Holzer Medical Center-Jackson 229

Heartland Behavioral Healthcare 230

Soin Medical Center 231

Kindred Hospital Lima 232

River Valley Health System Behavioral Health Services 235

Gateway Rehab 236

Mercy St. Anne Hospital 237

Kettering Behavioral Medicine Center 238

Shriners Hospitals for Children 239

Health Recovery Services 241

Aultman West 242

Elmwood Healthcare Center At the Springs 244

King's Daughters Medical Center Kentucky 250

St. Elizabeth Hospitals 251

St. Elizabeth Fort Thomas 252

Fayette Memorial Hospital 254

St. Elizabeth Florence 256

Veterans Affairs Medical Center Chillicothe 257

The Maria-Joseph Living Care Center 258

Louis Stokes Cleveland VA Medical Center 259

Ross County Health District 260