Doc Manual Master App
-----------------------
Division of Health Care Finance and Policy
Two Boylston Street
Boston, Massachusetts 02116-4704
2010
August
ISSUED:
DATE
Outpatient Hospital Observation Database
Documentation Manual
Fiscal Year: 2009
Division of Health Care Finance and Policy
[pic]
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
For your reference, DVD Specifications are listed in the following section to provide the necessary information
to enable users to access files. Regulations:
Copies of Regulation 114.1 CMR 17.00: Requirement for the Submission of Hospital Case Mix and
Charge Data and Regulation 114.1 CMR 2.00: Disclosure of Hospital Case Mix and Charge Data
may be obtained for a fee by faxing a request to the Division at 617-727-7662, or by emailing a request to the
Division at:
Public.Records@state.ma.us. The Regulations also may be found at the Division's website:
Please note that significant changes have been made to the Discharge File Table for 2009.
New fields and values have been added. Please see the new Discharge File Table in Part B. of the Technical
Documentation section.
The Technical Documentation Section includes information on the fields calculated by the Division of Health
Care Finance & Policy (DHCFP), and a data file summary section describing the data that is contained in the file.
Please note that major changes to the data base went into effect beginning October 1, 2006. Implementation of
the changes occurred in two phases. Changes to the record layout only began on October 1, 2006, for Quarter
1. Error edits for the new fields began on January 1, 2007, for Quarter 2. The January, February and March data submissions were processed with edits that counted toward submission pass/fail.
Section II. Technical Documentation
The General Documentation section includes background on the development of the FY2009 Outpatient
Hospital Observation Database, and is intended to provide users with an understanding of the data quality issues connected with the data elements they may decide to examine. This section also contains hospital- reported discrepancies received in response to the data verification process, and supplementary information, including a table of data field names and descriptions, a list of Type A and Type B errors, and a list of hospitals within the database.
INTRODUCTION
This documentation manual consists of two sections; General Documentation and Technical Documentation. This documentation manual is for use with the Outpatient Hospital Observation Database for FY2009(also referred to in this manual as OOA)
Section I. General Documentation
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Where '#' stands for the level of data requested
OA07L#Q1
OA07L#Q2
OA07L#Q3
OA07L#Q4
3. File Naming Conventions
This DVD contains the Final/Full Year 2009 Outpatient Hospital Observation Data Product. It contains
two Microsoft Access (MDB) files.
As an approved applicant, or its agent, you are reminded that you are bound by your application and confidentiality agreement to secure this data in a sufficient manner, so as to protect the confidentiality of the data subjects.
*DVD ROM Device
*Hard Drive with 1.60 GB of space available
2. DVD Contents
1. Hardware Requirements
DVD File Specifications
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
PART F. SUPPLEMENTARY INFORMATION:
Contains data element names, descriptions, and types of errors, hospital addresses, and identification numbers, as specificed in:
Regulation 114.1 CMR 17.08: Outpatient Observation Data Specifications.
PART E. HOSPITALS SUBMITTING DATA:
Lists all hospitals submitting OOA data and those that failed to provide data. Also lists hospital discharge and charge totals by quarter for hospitals submitting data.
PART D. CAUTIONARY USE HOSPITALS:
Lists the hospitals for which the Division did not receive four (4) quarters of acceptable Outpatient Hospital
Observation Data, as specified under Regulation 114.1 CMR 17.00.
1. Summary of Hospital’s OOA Verification Report Responses
2. List of Error Categories
3. Summary of Reported Discrepancies by Category
4. Index of Hospitals Reporting Discrepancies
5. Individual Hospital Discrepancy Documentation
Details hospital responses received as a result of the data verification process. From this section, users can
also learn which hospitals did not verify their data. This section contains the following lists and charts:
PART C. HOSPITAL RESPONSES:
PART B. DATA:
Describes the basic data quality standards as contained in Regulation 114.1 CMR 17.00: Requirement for the Submission of Hospital Case Mix and Charge Data, some general definitions, general data caveats, and information on specific data elements. To ensure that the database is as accurate as possible, the Division strongly encourages hospitals to verify the accuracy of their data as it appears on the Outpatient Hospital Observation Database Verification Report, or to indicate that the hospital found discrepancies in its data. If a hospital finds data discrepancies, the Division requests that the hospital submit written corrections that provide an accurate profile of that hospital’s observation stays.
PART A. BACKGROUND INFORMATION:
Provides a general documentation overview, description of quarterly reporting periods, and information on the development of the Outpatient Hospital Observation Database.
1. GENERAL DOCUMENTATION OVERVIEW
The General Documentation consists of six sections.
PART A. BACKGROUND INFORMATION
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
October 1, 2008 - December 31, 2008
January 1, 2009 - March 31, 2009
April 1, 2009 - June 30, 2009
July 1, 2009 - September 30, 2009
Quarter 1:
Quarter 2: Quarter 3: Quarter 4:
These quarterly reporting intervals were as follows:
Hospitals report data to the Division on a quarterly basis.
All Massachusetts acute care hospitals are required to file data which describes the case mix of their patients
as well as the charges for services provided to their patients in accordance with Regulation 114.1 CMR 17.00.
2. Definition of Quarterly Reporting Periods
Part A. BACKGROUND INFORMATION
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Observation services are those furnished on a hospital’s premises which are reasonable and
necessary to further evaluate the patient’s condition and provide treatment to determine the need for possible admission to the hospital. These services include the use of a bed and periodic monitoring by a hospital’s physician, nursing, and other staff.
The Outpatient Observation Data includes patients who receive outpatient observation services and are not
admitted to the hospital. Outpatient Observation services is defined generally for reporting purposes in the
Case Mix Regulation 114.1 CMR 17.00 as:
The Massachusetts Division of Health Care Finance and Policy began collecting Outpatient Observation Data
in July, 1997. The Division’s collection of Outpatient Observation Data was in response to increasing migration of hospital care to the outpatient observation setting from the traditional inpatient setting. Outpatient Observation patients are observed, evaluated, and treated, if necessary, before they are safely discharged from the hospital.
3. Development of the Outpatient Hospital Observation Database
PART A. BACKGROUND INFORMATION
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
LEVEL VI: Contains all of the deniable data elements.
date and procedure dates.
Contains all Level IV data elements, plus the patient’s beginning service date, and ending service
LEVEL V:
observation sequence number for each UHIN observation record, and may include the number of days between
each subsequent observation stay for each UHIN number.
Contains all Level I data elements, plus the patient UHIN, the mother’s UHIN, the UPN, an
LEVEL IV:
sequence number for each UHIN observation record, and may include the number of days between each
subsequent observation stay for each UHIN number.
observation
Contains all Level I data elements, plus the patient UHIN, the mother’s UHIN, an
LEVEL III:
Contains all Level I data elements, plus the UPN
LEVEL II:
Contains all case mix data elements, except the deniable data elements
LEVEL I:
The six levels include:
Six data levels have been created to correspond to the levels in Regulation 114.5 CMR 2.00; “Disclosure of
Hospital Case Mix and Charge Data”. Higher levels contain an increasing number of the data elements defined as “Deniable Data Elements” in Regulation 114.5 CMR 2.00. The deniable data elements include: the Unique Health Identification Number (UHIN, which is the encrypted patient social security number), the patient medical record number, hospital billing number, Mother’s UHIN, date of birth, beginning and ending dates of service, the Unique Physician Number (UPN, which is the encrypted Massachusetts Board of Registration in Medicine License Number), and procedure dates.
Description of the Data Levels I - VI
3. Development of the Outpatient Hospital Observation Database
PART A. BACKGROUND INFORMATION
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
The Division strives to include data that has passed the one percent compliance standard in the data files we
release to the public. When this is not possible, we include data which did not meet the 1% standard (i.e.
failed the edits). Submissions which have failed are referred to as Cautionary Submissions. Observation stays within submissions that have failed the edit process are assigned a special flag which indicates that the submission failed.
Each hospital receives a quarterly error report displaying invalid outpatient observation stay information.
Quarterly data which does not meet the one percent compliance standard must be resubmitted by the individual hospital until the standard is met.
If one percent or more of the discharges are rejected, then the entire data submission is rejected by the
Division, and the hospital is informed that the submission failed the edit process. These edits primarily check for valid codes, correct formatting, and the presence of required data elements. Please see listing of data elements categorized by error type in the Supplement Section.
Type B: Two errors per outpatient observation stay causes rejection of discharge.
Type A: One error per outpatient observation stay causes rejection of discharge.
The Regulation specifies a one percent error rate, based on the presence of type A and type B errors as follows:
The Regulation requires hospitals to submit outpatient observation data 75 days after the close of each quarter.
The quarterly data is then edited for compliance with regulatory requirements, as specified in Regulation 114.1
CMR 17.00: Outpatient Observation Data Specifications.
1. OUTPATIENT OBSERVATION DATA QUALITY STANDARDS
PART B. DATA
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Average Hours of Service
Observation Type Distribution
Secondary Referring/Transferring Source
Departure Status Gender Distribution Race 2
Ethnicity 2
Top 10 Primary Payors
Top 10 Primary Diagnoses
Observation Visits by Month
Charge Summary
Originating Referral/Transferring Source
Other Primary Caregivers
Top 20 Zip Codes
Race 1
Ethnicity 1
Hispanic Indicator
Top 10 Secondary Payors
Top 10 Principal Procedures
Hospitals have an opportunity to review their data each year. The Division produces a Profile Report for
the hospital to review that contains a series of frequency distribution tables covering selected data elements. A complete listing of all tables is below.
The year-end Outpatient Observation Data verification process is intended to present the hospitals with a
profile of their individual data as retained by the Division. The purpose of this process is to function as a quality control measure for hospitals to review the data they have provided to the Division of Health Care Finance and Policy.
Data Verification Process
1. OUTPATIENT OBSERVATION DATA QUALITY STANDARDS
PART B. DATA
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
If any discrepancies exist (i.e. a “B” response), the Division requests that hospitals provide a written
explanation of the discrepancies, which will be included in this Outpatient Hospital Observation Documentation manual. Hospitals are strongly encouraged by the Division to review their Profile Report for inaccuracies and make necessary corrections so that subsequent quarters of data will be accurate.
Hospital Discrepancies Noted (also known as a “B” response): By checking this category, a hospital
indicates that the data on the report is accurate except for discrepancies noted.
Hospital Agrees (also known as an “A” response): By checking this category, a hospital indicates its
agreement that the data appearing on the Profile Report is accurate and that it represents the hospital’s outpatient observation patient profile.
After reviewing each Profile Report, hospitals are asked to file a response form which provides the
Division with verification that the report has been reviewed. The Profile Report Response Form provides each hospital with two alternatives for their reply:
Data Verification Process - Continued
1. OUTPATIENT OBSERVATION DATA QUALITY STANDARDS
PART B. DATA
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
• Non-comparability of data collection and reporting
• Varying degrees of commitment to quality of data;
• Extent of hospital data processing systems;
• Extent of hospital data processing capabilities;
• Medical Record Coding, consistency, and/or completeness;
Information may not be entirely consistent from hospital to hospital due to differences in:
• Collection and Verification of patient supplied information at the time of arrival;
2. GENERAL DATA CAVEATS
PART B. DATA
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
**Based on these findings, the Division strongly suggests that users perform qualitative checks on the data
prior to drawing conclusions about that data.
ssn_empty = 1
ssn_notninechars = 2 ssn_allcharsequal = 3 ssn_firstthreecharszero = 4 ssn_midtwocharszero = 5 ssn_lastfourcharszero = 6 ssn_notnumeric = 7 ssn_rangeinvalid = 8 ssn_erroroccurred = 9 ssn_encrypterror = 10
Invalid SSNs are assigned 7 or 8 dashes and an error code. The list of error codes are as follows:
Only valid SSNs are encrypted to a UHIN. It is valid for hospitals to report that the SSN is unknown. In these
cases, the UHIN appears as ‘000000001’.
In the past, the Division has found that, on average, 91% of the SSNs submitted are valid when edited for
compliance with rules issued by the Social Security Administration. Staff continually monitors the encryption process to ensure that duplicate UHINs are not inappropriately generated, and that recurring SSNs consistently encrypt to the same UHIN.
Analysis of the UHIN data by the Division has turned up problems with some of the reported data for the
inpatient and outpatient observation stays databases. For a small number of hospitals, little or no UHIN data exists as these hospitals failed to report patients’ social security numbers (SSN). Other hospitals reported the same SSN repeatedly resulting in numerous visits for one UHIN. In other cases, the demographic information (age, sex, etc.) was not consistent when a match did exist with the UHIN. Some explanations for this include assignment of a mother’s SSN to her infant or assignment of a spouse’s SSN to a patient. This demographic analysis shows a probable error rate in the range of 2% - 10%.
3. DIVISION CALCULATED FIELDS
PART B. DATA
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
X
Dana-Farber Cancer Institute
51
X
Cooley Dickinson Hospital
50
X
Clinton Hospital
132
See comment.
X
Children's Hospital Boston
46
X
Caritas St. Elizabeth's Hospital
126
See comment.
X
Caritas St. Anne's Hospital
114
X
Caritas Norwood Hospital
41
X
Caritas Holy Family Hospital and
Medical Center
75
See comment.
X
Caritas Good Samaritan Medical
Center
62
X
Caritas Carney Hospital
42
X
Cape Cod Hospital
39
X
Cambridge Health Alliance
27
X
Brigham and Women's Hospital
22
X
Boston Medical Center
16
X
Beth Israel Deaconess Medical Center
10
X
Beth Israel Deaconess Hospital -
Needham
53
X
Berkshire Medical Center - Berkshire
Campus
7
X
Baystate Medical Center
4
X
Baystate Mary Lane Hospital
6
X
Baystate Franklin Medical Center
5
X
Athol Memorial Hospital
2
Anna Jaques Hospital
1
RESPONSE
HOSPITAL NAME
COMMENTS
'B'
'A'
X
ORG ID
PART C. HOSPITAL RESPONSES
NO
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
X
Mercy Medical Center - Springfield
Campus
119
X
Mercy Medical Center - Providence
Campus
118
X
Mercy Hospital - Springfield Campus
119
X
Massachusetts General Hospital
91
X
Massachusetts Eye and Ear Infirmary
89
X
Martha's Vineyard Hospital
88
X
Lowell General Hospital
85
X
Lawrence General Hospital
83
X
Lahey Clinic Burlington
81
X
Lahey Clinic - Burlington Campus
81
X
Jordan Hospital
79
See comment.
Hubbard Regional Hospital
78
X
Holyoke Medical Center
77
X
Heywood Hospital
73
X
Health Alliance Hospitals, Inc.
71
X
Harrington Memorial Hospital
68
X
Hallmark Health System - Melrose-
Wakefield Hospital
141
X
Hallmark Health System - Lawrence
Memorial Hospital
66
X
Faulkner Hospital
59
X
Falmouth Hospital
40
X
Fairview Hospital
8
Emerson Hospital
57
RESPONSE
HOSPITAL NAME
COMMENTS
'B'
'A'
X
ORG ID
PART C. HOSPITAL RESPONSES
NO
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
X
Southcoast Hospitals Group - St.
Luke's Campus
124
X
Southcoast Hospitals Group - Charlton
Memorial Campus
123
X
South Shore Hospital
122
X
Signature Healthcare Brockton
Hospital
25
X
Saints Memorial Medical Center
115
X
Saint Vincent Hospital
127
X
Quincy Medical Center
112
X
Northeast Health Systems - Addison
Gilbert
109
X
Northeast Health Systems - Beverly
110
X
North Shore Medical Center, Inc.
116
X
North Adams Regional Hospital
107
X
Noble Hospital
106
X
Newton Wellesley Hospital
105
X
New England Baptist Hospital
103
X
Nashoba Valley Medical Center
52
X
Nantucket Cottage Hospital
101
See comment.
X
Mount Auburn Hospital
100
X
Morton Hospital
99
X
Milton Hospital
98
X
Milford Regional Medical Center
97
X
MetroWest Medical Center
49
Merrimack Valley Hospital
70
RESPONSE
X
HOSPITAL NAME
COMMENTS
'B'
'A'
ORG ID
PART C. HOSPITAL RESPONSES
NO
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
X
Winchester Hospital
138
See comment.
X
UMass. Wing Memorial Hospital
139
X
UMass. Memorial Medical Center
131
X
UMass. Marlborough Hospital
133
X
UMass Memorial
131
X
Tufts Medical Center
104
See comment.
X
Sturdy Memorial Hospital
129
Southcoast Hospitals Group - Tobey
Hospital Campus
145
RESPONSE
HOSPITAL NAME
COMMENTS
'B'
'A'
X
ORG ID
PART C. HOSPITAL RESPONSES
NO
General Documentation
FY2009 Outpatient Hospital Observation Database
Top 10 Principal Procedures
Top 10 Primary Diagnoses
Top 10 Secondary Payors
Top 10 Primary Payors
Hispanic Indicator
Ethnicity 2
Ethnicity 1
Race 2
Race 1
Gender
Top 20 Zipcodes
Departure Status
Other Primary Caregivers
Secondary Referral/Transferring Source
Originating Referral/Transferring Source
Observation Type Distribution
Charge Summary
Hours of Service
Visits by Month
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
UMass. Wing Memorial Hospital
X
X
Tufts Medical Center
X
Sturdy Memorial Hospital
X
X
X
Health Alliance Hospitals, Inc.
X
X
Faulkner Hospital
Children's Hospital Boston
X
Caritas St. Anne's Hospital
X
X
Caritas Holy Family Hospital and
Medical Center
X
Caritas Good Samaritan Medical
Center
PART C. HOSPITAL RESPONSES
Summary of Reported Discrepancies by Category and Hospital
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Children's Hospital Boston
We have resubmitted Q4 data and it has passed.
INDIVIDUAL HOSPITAL DISCREPANCY DOCUMENTATION
PART C. HOSPITAL RESPONSES
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Hubbard Regional Hospital
Hubbard closed on May 1, 2009.
INDIVIDUAL HOSPITAL DISCREPANCY DOCUMENTATION
PART C. HOSPITAL RESPONSES
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Sturdy Memorial Hospital
We have submitted all 4 quarters for 2009 on 6/3/10 to correct the top 20 zipcodes profile report.
INDIVIDUAL HOSPITAL DISCREPANCY DOCUMENTATION
PART C. HOSPITAL RESPONSES
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
UMass. Wing Memorial Hospital
Please note that while the data concurs with the data submitted by Wing on the required submission date there are variances from the data as it exists today. The reason for the changes since the time of submission is due to changes mandated by insurers during the billing process. These billing classification changes occur at timnes several months and even years after the date of service and particularly effect inpatient admissions and observation patients. As of today (5/21/10) Wing Memorial Hospital has seen an increase of 19 observation patients (5.8%) since the date of submission of the data in this report.
INDIVIDUAL HOSPITAL DISCREPANCY DOCUMENTATION
PART C. HOSPITAL RESPONSES
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Massachusetts Eye and Ear Infirmary
PART D. CAUTIONARY USE HOSPITALS
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$6,615,786
$6,356,224
$6,314,222
$7,187,173
$26,473,405
747
720
759
833
3,059
7
7
7
7
Berkshire Medical Center - Berkshire Campus
Berkshire Medical Center - Berkshire Campus
Berkshire Medical Center - Berkshire Campus
Berkshire Medical Center - Berkshire Campus
1
2
3
4
Totals:
$8,907,073
$12,947,810
$15,716,136
$15,271,872
$52,842,891
1,389
1,881
2,035
2,038
7,343
4
4
4
4
Baystate Medical Center
Baystate Medical Center
Baystate Medical Center
Baystate Medical Center
1
2
3
4
Totals:
$657,667
$723,614
$754,365
$821,947
$2,957,593
97
112
115
117
441
6
6
6
6
Baystate Mary Lane Hospital
Baystate Mary Lane Hospital
Baystate Mary Lane Hospital
Baystate Mary Lane Hospital
1
2
3
4
Totals:
$2,647,742
$2,674,900
$2,331,572
$2,697,010
$10,351,224
292
315
279
339
1,225
5
5
5
5
Baystate Franklin Medical Center
Baystate Franklin Medical Center
Baystate Franklin Medical Center
Baystate Franklin Medical Center
1
2
3
4
Totals:
$548,959
$372,340
$456,150
$445,279
$1,822,728
46
35
42
48
171
2
2
2
2
Athol Memorial Hospital
Athol Memorial Hospital
Athol Memorial Hospital
Athol Memorial Hospital
1
2
3
4
Totals:
$948,643
$1,156,592
$1,378,035
$1,433,004
$4,916,274
323
370
378
414
1,485
1
1
1
1
Anna Jaques Hospital
Anna Jaques Hospital
Anna Jaques Hospital
Anna Jaques Hospital
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
1
2
3
4
Totals:
The following is a list of the discharge and charge totals for hospitals submitting fiscal year data by quarter. It
is included here as a means of enabling users to cross check the contents of the electronic file they receive.
Discharge and Charge totals for Hospitals Submitting Data by Quarter
PART E. HOSPITALS SUBMITTING OBSERVATION DATA
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$1,318,982
$1,325,498
257
255
62
62
Caritas Good Samaritan Medical Center - Brockton Campus
Caritas Good Samaritan Medical Center - Brockton Campus
1
2
$887,107
$964,958
$805,413
$569,130
$3,226,608
182
192
164
113
651
42
42
42
42
Caritas Carney Hospital
Caritas Carney Hospital Caritas Carney Hospital Caritas Carney Hospital
1
2
3
4
Totals:
$1,280,321
$1,451,674
$1,704,597
$2,234,921
$6,671,513
156
198
200
253
807
39
39
39
39
Cape Cod Hospital
Cape Cod Hospital Cape Cod Hospital Cape Cod Hospital
1
2
3
4
Totals:
$4,547,568
$4,704,005
$4,884,093
$5,025,314
$19,160,980
511
531
556
568
2,166
27
27
27
27
Cambridge Health Alliance - Cambridge Campus
Cambridge Health Alliance - Cambridge Campus Cambridge Health Alliance - Cambridge Campus Cambridge Health Alliance - Cambridge Campus
1
2
3
4
Totals:
$24,979,524
$28,475,613
$29,994,312
$32,027,482
$115,476,931
1,843
1,989
2,020
2,077
7,929
22
22
22
22
Brigham and Women's Hospital
Brigham and Women's Hospital Brigham and Women's Hospital Brigham and Women's Hospital
1
2
3
4
Totals:
$11,444,670
$10,927,965
$11,482,937
$10,478,517
$44,334,089
1,602
1,636
1,695
1,553
6,486
16
16
16
16
Boston Medical Center - Harrison Avenue Campus
Boston Medical Center - Harrison Avenue Campus Boston Medical Center - Harrison Avenue Campus Boston Medical Center - Harrison Avenue Campus
1
2
3
4
Totals:
$26,044,579
$29,509,905
$29,569,227
$27,377,049
$112,500,760
1,885
2,082
2,076
2,072
8,115
10
10
10
10
Beth Israel Deaconess Medical Center - East Campus
Beth Israel Deaconess Medical Center - East Campus Beth Israel Deaconess Medical Center - East Campus Beth Israel Deaconess Medical Center - East Campus
1
2
3
4
Totals:
$1,027,289
$1,471,364
$1,500,341
$1,695,135
$5,694,129
145
183
207
230
765
53
53
53
53
Beth Israel Deaconess Hospital - Needham
Beth Israel Deaconess Hospital - Needham Beth Israel Deaconess Hospital - Needham Beth Israel Deaconess Hospital - Needham
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
1
2
3
4
Totals:
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$2,156,346
$2,578,864
$2,293,619
$2,508,214
215
257
269
314
50
50
50
50
Cooley Dickinson Hospital
Cooley Dickinson Hospital Cooley Dickinson Hospital Cooley Dickinson Hospital
1
2
3
4
$1,066,324
$1,028,140
$1,197,258
$1,186,877
$4,478,599
116
110
135
127
488
132
132
132
132
Clinton Hospital
Clinton Hospital Clinton Hospital Clinton Hospital
1
2
3
4
Totals:
$10,505,361
$10,366,571
$10,623,863
$14,497,285
$45,993,080
568
555
551
712
2,386
46
46
46
46
Children's Hospital Boston
Children's Hospital Boston Children's Hospital Boston Children's Hospital Boston
1
2
3
4
Totals:
$1,770,289
$2,021,602
$2,130,496
$1,832,110
$7,754,497
287
337
361
302
1,287
126
126
126
126
Caritas St. Elizabeth's Medical Center
Caritas St. Elizabeth's Medical Center
Caritas St. Elizabeth's Medical Center
Caritas St. Elizabeth's Medical Center
1
2
3
4
Totals:
$1,884,108
$1,823,464
$1,710,230
$2,012,807
$7,430,609
214
225
201
228
868
114
114
114
114
Caritas Saint Anne's Hospital
Caritas Saint Anne's Hospital
Caritas Saint Anne's Hospital
Caritas Saint Anne's Hospital
1
2
3
4
Totals:
$2,819,559
$2,158,914
$2,156,412
$1,754,576
$8,889,461
390
384
402
314
1,490
41
41
41
41
Caritas Norwood Hospital
Caritas Norwood Hospital
Caritas Norwood Hospital
Caritas Norwood Hospital
1
2
3
4
Totals:
$2,845,193
$3,434,656
$3,709,129
$3,126,997
$13,115,975
389
426
465
400
1,680
75
75
75
75
Caritas Holy Family Hospital and Medical Center
Caritas Holy Family Hospital and Medical Center
Caritas Holy Family Hospital and Medical Center
Caritas Holy Family Hospital and Medical Center
1
2
3
4
Totals:
$1,171,647
$1,211,014
$5,027,141
248
241
1,001
62
62
Caritas Good Samaritan Medical Center - Brockton Campus
Caritas Good Samaritan Medical Center - Brockton Campus
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
3
4
Totals:
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$2,359,342
357
68
Harrington Memorial Hospital
1
$3,657,357
$3,294,172
$3,743,014
$3,577,237
$14,271,780
679
688
684
710
2,761
141
141
141
141
Hallmark Health System - Melrose-Wakefield Hospital Campus
Hallmark Health System - Melrose-Wakefield Hospital Campus
Hallmark Health System - Melrose-Wakefield Hospital Campus
Hallmark Health System - Melrose-Wakefield Hospital Campus
1
2
3
4
Totals:
$708,648
$814,422
$1,012,527
$870,032
$3,405,629
102
125
130
132
489
66
66
66
66
Hallmark Health System - Lawrence Memorial Hospital Campu
Hallmark Health System - Lawrence Memorial Hospital Campu
Hallmark Health System - Lawrence Memorial Hospital Campu
Hallmark Health System - Lawrence Memorial Hospital Campu
1
2
3
4
Totals:
$5,763,228
$6,527,345
$6,152,954
$6,359,493
$24,803,020
309
324
352
352
1,337
59
59
59
59
Faulkner Hospital
Faulkner Hospital
Faulkner Hospital
Faulkner Hospital
1
2
3
4
Totals:
$2,141,328
$2,362,367
$2,069,576
$2,118,847
$8,692,118
184
199
202
204
789
40
40
40
40
Falmouth Hospital
Falmouth Hospital Falmouth Hospital Falmouth Hospital
1
2
3
4
Totals:
$499,007
$449,632
$373,252
$505,093
$1,826,984
63
60
63
77
263
8
8
8
8
Fairview Hospital
Fairview Hospital Fairview Hospital Fairview Hospital
1
2
3
4
Totals:
$2,951,655
$2,734,765
$3,061,203
$3,194,864
$11,942,487
357
347
383
381
1,468
57
57
57
57
Emerson Hospital
Emerson Hospital Emerson Hospital Emerson Hospital
1
2
3
4
Totals:
$63,429
$107,068
$79,142
$80,055
$329,694
4
9
8
8
29
51
51
51
51
Dana-Farber Cancer Institute
Dana-Farber Cancer Institute Dana-Farber Cancer Institute Dana-Farber Cancer Institute
1
2
3
4
Totals:
$9,537,043
1,055
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
Totals:
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$4,333,909
$4,236,717
$4,408,173
$4,561,261
$17,540,060
847
883
899
1,000
3,629
83
83
83
83
Lawrence General Hospital
Lawrence General Hospital
Lawrence General Hospital
Lawrence General Hospital
1
2
3
4
Totals:
$11,657,244
$12,343,951
$13,924,048
$13,509,560
$51,434,803
1,148
1,196
1,289
1,130
4,763
81
81
81
81
Lahey Clinic -- Burlington Campus
Lahey Clinic -- Burlington Campus
Lahey Clinic -- Burlington Campus
Lahey Clinic -- Burlington Campus
1
2
3
4
Totals:
$5,344,837
$4,447,362
$2,987,624
$2,778,412
$15,558,235
741
634
478
418
2,271
79
79
79
79
Jordan Hospital
Jordan Hospital
Jordan Hospital
Jordan Hospital
1
2
3
4
Totals:
$1,073,810
$989,568
$2,063,378
223
203
426
78
78
Hubbard Regional Hospital
Hubbard Regional Hospital
1
2
Totals:
$1,829,487
$2,254,237
$2,010,434
$3,229,964
$9,324,122
260
330
310
438
1,338
77
77
77
77
Holyoke Medical Center
Holyoke Medical Center Holyoke Medical Center Holyoke Medical Center
1
2
3
4
Totals:
$1,369,527
$1,449,671
$1,506,675
$1,555,908
$5,881,781
367
397
383
417
1,564
73
73
73
73
Heywood Hospital
Heywood Hospital Heywood Hospital Heywood Hospital
1
2
3
4
Totals:
$2,159,671
$1,887,443
$1,990,054
$1,907,568
$7,944,736
595
537
554
516
2,202
71
71
71
71
Health Alliance Hospitals, Inc.
Health Alliance Hospitals, Inc. Health Alliance Hospitals, Inc.
Health Alliance Hospitals, Inc.
1
2
3
4
Totals:
$2,772,500
$3,733,552
$4,209,516
$13,074,910
426
576
547
1,906
68
68
68
Harrington Memorial Hospital
Harrington Memorial Hospital
Harrington Memorial Hospital
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
2
3
4
Totals:
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$7,157,348
$7,641,670
$8,584,885
875
1,001
1,098
97
97
97
Milford Regional Medical Center
Milford Regional Medical Center
Milford Regional Medical Center
1
2
3
$11,776,738
$12,120,672
$12,314,121
$11,897,868
$48,109,399
1,262
1,332
1,326
1,220
5,140
49
49
49
49
MetroWest Medical Center - Framingham Campus
MetroWest Medical Center - Framingham Campus MetroWest Medical Center - Framingham Campus MetroWest Medical Center - Framingham Campus
1
2
3
4
Totals:
$1,275,699
$1,456,621
$1,389,552
$1,518,885
$5,640,757
196
208
209
228
841
70
70
70
70
Merrimack Valley Hospital
Merrimack Valley Hospital Merrimack Valley Hospital Merrimack Valley Hospital
1
2
3
4
Totals:
$5,202,550
$5,455,063
$6,957,028
$7,163,822
$24,778,463
587
641
758
796
2,782
119
119
119
119
Mercy Medical Center - Springfield Campus
Mercy Medical Center - Springfield Campus Mercy Medical Center - Springfield Campus Mercy Medical Center - Springfield Campus
1
2
3
4
Totals:
$14,057,175
$15,297,514
$17,764,768
$17,223,292
$64,342,749
757
849
955
992
3,553
91
91
91
91
Massachusetts General Hospital
Massachusetts General Hospital Massachusetts General Hospital Massachusetts General Hospital
1
2
3
4
Totals:
$6,947,932
$10,147,909
$9,906,745
$27,002,586
484
743
712
1,939
89
89
89
Massachusetts Eye and Ear Infirmary
Massachusetts Eye and Ear Infirmary
Massachusetts Eye and Ear Infirmary
2
3
4
Totals:
$925,112
$1,149,410
$1,357,110
$1,945,581
$5,377,213
97
112
124
184
517
88
88
88
88
Martha's Vineyard Hospital
Martha's Vineyard Hospital Martha's Vineyard Hospital Martha's Vineyard Hospital
1
2
3
4
Totals:
$1,802,802
$2,078,326
$1,722,372
$1,874,297
$7,477,797
251
303
275
270
1,099
85
85
85
85
Lowell General Hospital
Lowell General Hospital Lowell General Hospital Lowell General Hospital
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
1
2
3
4
Totals:
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$15,460,755
$15,364,725
$15,144,334
$15,346,990
$61,316,804
1,147
1,153
1,184
1,164
4,648
105
105
105
105
Newton-Wellesley Hospital
Newton-Wellesley Hospital
Newton-Wellesley Hospital
Newton-Wellesley Hospital
1
2
3
4
Totals:
$415,788
$372,615
$430,701
$360,108
$1,579,212
66
55
65
61
247
103
103
103
103
New England Baptist Hospital
New England Baptist Hospital
New England Baptist Hospital
New England Baptist Hospital
1
2
3
4
Totals:
$1,767,772
$1,713,262
$1,742,022
$1,615,489
$6,838,545
215
193
205
200
813
52
52
52
52
Nashoba Valley Medical Center
Nashoba Valley Medical Center
Nashoba Valley Medical Center
Nashoba Valley Medical Center
1
2
3
4
Totals:
$380,812
$255,628
$487,170
$590,120
$1,713,730
58
43
67
66
234
101
101
101
101
Nantucket Cottage Hospital
Nantucket Cottage Hospital
Nantucket Cottage Hospital
Nantucket Cottage Hospital
1
2
3
4
Totals:
$3,834,285
$3,650,926
$4,216,903
$3,776,547
$15,478,661
744
740
808
749
3,041
100
100
100
100
Mount Auburn Hospital
Mount Auburn Hospital
Mount Auburn Hospital
Mount Auburn Hospital
1
2
3
4
Totals:
$3,447,425
$2,543,491
$2,440,927
$2,453,691
$10,885,534
524
427
365
370
1,686
99
99
99
99
Morton Hospital and Medical Center
Morton Hospital and Medical Center
Morton Hospital and Medical Center
Morton Hospital and Medical Center
1
2
3
4
Totals:
$1,082,459
$1,251,776
$1,171,197
$1,173,427
$4,678,859
176
210
205
205
796
98
98
98
98
Milton Hospital
Milton Hospital Milton Hospital Milton Hospital
1
2
3
4
Totals:
$8,659,307
$32,043,210
1,086
4,060
97
Milford Regional Medical Center
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
4
Totals:
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$3,910,752
$4,208,349
655
673
115
115
Saints Medical Center
Saints Medical Center
1
2
$12,480,205
$11,898,188
$12,734,044
$10,368,635
$47,481,072
1,636
1,543
1,598
1,347
6,124
127
127
127
127
Saint Vincent Hospital
Saint Vincent Hospital Saint Vincent Hospital Saint Vincent Hospital
1
2
3
4
Totals:
$2,421,332
$2,211,157
$2,346,139
$2,401,647
$9,380,275
319
290
298
303
1,210
112
112
112
112
Quincy Medical Center
Quincy Medical Center Quincy Medical Center Quincy Medical Center
1
2
3
4
Totals:
$2,156,597
$2,868,076
$2,956,798
$3,171,449
$11,152,920
605
736
764
805
2,910
110
110
110
110
Northeast Hospital Corporation - Beverly Campus
Northeast Hospital Corporation - Beverly Campus Northeast Hospital Corporation - Beverly Campus Northeast Hospital Corporation - Beverly Campus
1
2
3
4
Totals:
$392,018
$553,176
$445,788
$636,596
$2,027,578
92
116
91
119
418
109
109
109
109
Northeast Hospital Corporation - Addison Gilbert Campus
Northeast Hospital Corporation - Addison Gilbert Campus Northeast Hospital Corporation - Addison Gilbert Campus Northeast Hospital Corporation - Addison Gilbert Campus
1
2
3
4
Totals:
$6,277,281
$5,119,083
$4,576,664
$4,205,312
$20,178,340
686
581
499
448
2,214
116
116
116
116
North Shore Medical Center, Inc. - Salem Campus
North Shore Medical Center, Inc. - Salem Campus North Shore Medical Center, Inc. - Salem Campus North Shore Medical Center, Inc. - Salem Campus
1
2
3
4
Totals:
$1,873,703
$2,083,154
$2,344,921
$1,896,994
$8,198,772
252
266
309
262
1,089
107
107
107
107
North Adams Regional Hospital
North Adams Regional Hospital North Adams Regional Hospital North Adams Regional Hospital
1
2
3
4
Totals:
$566,832
$422,029
$398,587
$530,787
$1,918,235
86
79
75
101
341
106
106
106
106
Noble Hospital
Noble Hospital Noble Hospital Noble Hospital
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
1
2
3
4
Totals:
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$2,747,756
$2,568,963
$2,509,910
$2,669,488
366
346
371
338
104
104
104
104
Tufts Medical Center
Tufts Medical Center Tufts Medical Center Tufts Medical Center
1
2
3
4
$3,806,916
$3,395,505
$3,393,691
$3,579,603
$14,175,715
561
485
489
514
2,049
129
129
129
129
Sturdy Memorial Hospital
Sturdy Memorial Hospital Sturdy Memorial Hospital Sturdy Memorial Hospital
1
2
3
4
Totals:
$1,073,692
$900,626
$968,766
$961,507
$3,904,591
193
186
186
189
754
145
145
145
145
Southcoast Hospitals Group - Tobey Hospital Campus
Southcoast Hospitals Group - Tobey Hospital Campus Southcoast Hospitals Group - Tobey Hospital Campus Southcoast Hospitals Group - Tobey Hospital Campus
1
2
3
4
Totals:
$3,912,684
$4,254,034
$5,375,105
$6,056,349
$19,598,172
587
656
761
829
2,833
124
124
124
124
Southcoast Hospitals Group - St. Luke's Campus
Southcoast Hospitals Group - St. Luke's Campus
Southcoast Hospitals Group - St. Luke's Campus
Southcoast Hospitals Group - St. Luke's Campus
1
2
3
4
Totals:
$5,048,268
$4,875,807
$4,785,470
$5,283,365
$19,992,910
748
778
770
762
3,058
123
123
123
123
Southcoast Hospitals Group - Charlton Memorial Campus
Southcoast Hospitals Group - Charlton Memorial Campus
Southcoast Hospitals Group - Charlton Memorial Campus
Southcoast Hospitals Group - Charlton Memorial Campus
1
2
3
4
Totals:
$9,049,860
$9,438,572
$9,504,665
$10,910,019
$38,903,116
1,096
1,100
1,092
1,274
4,562
122
122
122
122
South Shore Hospital
South Shore Hospital
South Shore Hospital
South Shore Hospital
1
2
3
4
Totals:
$3,377,277
$3,920,412
$3,505,596
$3,883,278
$14,686,563
466
543
486
524
2,019
25
25
25
25
Signature Healthcare Brockton Hospital
Signature Healthcare Brockton Hospital
Signature Healthcare Brockton Hospital
Signature Healthcare Brockton Hospital
1
2
3
4
Totals:
$3,877,709
$3,668,969
$15,665,779
709
637
2,674
115
115
Saints Medical Center
Saints Medical Center
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
3
4
Totals:
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August 2010
$1,391,092,152
158,199
TOTALS - ALL HOSP
$4,170,776
$4,882,405
$5,240,139
$4,180,066
$18,473,386
833
985
1,074
908
3,800
138
138
138
138
Winchester Hospital
Winchester Hospital Winchester Hospital Winchester Hospital
1
2
3
4
Totals:
$396,050
$596,727
$671,453
$627,286
$2,291,516
58
86
89
91
324
139
139
139
139
UMass Wing Memorial Hospital
UMass Wing Memorial Hospital UMass Wing Memorial Hospital UMass Wing Memorial Hospital
1
2
3
4
Totals:
$22,363,732
$26,300,553
$30,837,166
$31,038,184
$110,539,635
2,736
3,039
3,224
3,002
12,001
131
131
131
131
UMass Memorial Medical Center - University Campus
UMass Memorial Medical Center - University Campus UMass Memorial Medical Center - University Campus UMass Memorial Medical Center - University Campus
1
2
3
4
Totals:
$2,092,282
$1,826,515
$1,904,473
$2,191,404
$8,014,674
226
198
211
234
869
133
133
133
133
UMass Marlborough Hospital
UMass Marlborough Hospital UMass Marlborough Hospital UMass Marlborough Hospital
1
2
3
4
Totals:
$10,496,117
1,421
Total Charges
Total Discharges
ORG ID
Hospital Name
Qtr.
Totals:
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Anna Jaques Hospital
Athol Memorial Hospital
Baystate Franklin Medical Center Baystate Mary Lane Hospital Baystate Medical Center
Berkshire Medical Center - Berkshire Campus Beth Israel Deaconess Hospital - Needham Beth Israel Deaconess Medical Center
Boston Medical Center
Brigham and Women's Hospital Cambridge Health Alliance Cape Cod Hospital
Caritas Carney Hospital
Caritas Good Samaritan Medical Center
Caritas Holy Family Hospital and Medical Center
Caritas Norwood Hospital Caritas St. Anne's Hospital Caritas St. Elizabeth's Hospital Children's Hospital Boston Clinton Hospital
Cooley Dickinson Hospital
Dana-Farber Cancer Institute
Emerson Hospital Fairview Hospital Falmouth Hospital Faulkner Hospital
Hallmark Health System - Lawrence Memorial Hospital Hallmark Health System - Melrose-Wakefield Hospital Harrington Memorial Hospital
Health Alliance Hospitals, Inc. Heywood Hospital
Holyoke Medical Center
Hubbard Regional Hospital
Jordan Hospital
Lahey Clinic - Burlington Campus
Lahey Clinic Burlington Lawrence General Hospital Lowell General Hospital Martha's Vineyard Hospital
Massachusetts Eye and Ear Infirmary
PART E. HOSPITALS SUBMITTING OBSERVATION DATA
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Massachusetts General Hospital
Mercy Hospital - Springfield Campus
Mercy Medical Center - Springfield Campus
Merrimack Valley Hospital MetroWest Medical Center Milford Regional Medical Center Milton Hospital
Morton Hospital
Mount Auburn Hospital Nantucket Cottage Hospital Nashoba Valley Medical Center New England Baptist Hospital Newton Wellesley Hospital Noble Hospital
North Adams Regional Hospital
North Shore Medical Center, Inc. Northeast Health Systems - Beverly Northeast Health Systems - Addison Gilbert Quincy Medical Center
Saint Vincent Hospital
Saints Memorial Medical Center Signature Healthcare Brockton Hospital South Shore Hospital
Southcoast Hospitals Group - Charlton Memorial Campus Southcoast Hospitals Group - St. Luke's Campus Southcoast Hospitals Group - Tobey Hospital Campus Sturdy Memorial Hospital
Tufts Medical Center
UMass Memorial
UMass. Marlborough Hospital UMass. Memorial Medical Center UMass. Wing Memorial Hospital Winchester Hospital
PART E. HOSPITALS SUBMITTING OBSERVATION DATA
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Berkshire Medical Center - Hillcrest Campus
Cambridge Health Alliance - Somerville Campus
Cambridge Health Alliance - Whidden Memorial
Caritas Good Samaritan Medical Ctr - Norcap Lodge Campus
Kindred Hospital - Boston
Kindred Hospital - North Shore
Mercy Medical Center - Providence Campus
PART E. HOSPITALS SUBMITTING OBSERVATION DATA
Hospitals that Do Not See Outpatient Observation Patients
General Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY -August, 2010
Please refer to for
Outpatient Observation Data Specifications.
The following are the required data elements that hospitals must report to the Division in accordance with the
Case Mix Regulation 114.1 CMR 17.00.
Supplement I. Data Element Field Names, Descriptions, and Error Categories
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
,
142
27
Cambridge Health Alliance - Whidden
Memorial
,
143
27
Cambridge Health Alliance - Somerville
Campus
27
27
65 Beacon Street
Somerville, MA 02143
Cambridge Health Alliance
22
22
75 Francis St
Boston, MA 02115
Brigham and Women's Hospital
16
16
88 East Newton St
Boston, MA 02118
Boston Medical Center
10
10
330 Brookline Avenue
Boston, MA 02215
Beth Israel Deaconess Medical Center
53
53
148 Chestnut Street
Needham, MA 02192
Beth Israel Deaconess Hospital - Needham
9
7
165 Tor Court Rd
Pittsfield, MA 01201
Berkshire Medical Center - Hillcrest
Campus
7
7
725 North Street
Pittsfield, MA 01201
Berkshire Medical Center - Berkshire
Campus
4
4
3601 Main Street
Springfield, MA 01107-1116
Baystate Medical Center
6
85 South Street
Ware, MA 01082
Baystate Mary Lane Hospital
5
164 High Street
Greenfield, MA 01301
Baystate Franklin Medical Center
2
2
2033 Main Street
Athol, MA 01331
Athol Memorial Hospital
1
1
25 Highland Ave
Newburyport, MA 01950
Anna Jaques Hospital
Org ID
Site
ID
Filing
Hospital Address
Current Organization Name
Supplement II. Hospital Addresses, ORG ID and Service Site ID Numbers
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
40
100 Ter Heun Drive
Falmouth, MA 02540
Falmouth Hospital
8
29 Lewis Avenue
Great Barrington, MA 01230
Fairview Hospital
57
Route 2
Concord, MA 01742
Emerson Hospital
51
44 Binney Street
Boston, MA 02115
Dana-Farber Cancer Institute
50
30 Locust Street
Northampton, MA 01060-5001
Cooley Dickinson Hospital
132
201 Highland Street
Clinton, MA 01510
Clinton Hospital
46
300 Longwood Avenue
Boston, MA 02115
Children's Hospital Boston
126
736 Cambridge Street
Brighton, MA 02135
Caritas St. Elizabeth's Hospital
114
795 Middle Street
Fall River, MA 02721
Caritas St. Anne's Hospital
41
800 Washington Street
Norwood, MA 02062
Caritas Norwood Hospital
75
70 East Street
Methuen, MA 01844
Caritas Holy Family Hospital and Medical
Center
4460
71 Walnut Avenue
Foxboro, MA 02035
Caritas Good Samaritan Medical Ctr -
Norcap Lodge Campus
62
235 North Pearl Street
Brockton, MA 02301
Caritas Good Samaritan Medical Center
42
2100 Dorchester Avenue
Dorchester, MA 02124
Caritas Carney Hospital
39
27 Park Street
Hyannis, MA 02601
Cape Cod Hospital
Supplement II. Hospital Addresses, ORG ID and Service Site ID Numbers
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
85
295 Varnum Avenue
Lowell, MA 01854
Lowell General Hospital
83
One General Street
Lawrence, MA 01842-0389
Lawrence General Hospital
,
81
81
Lahey Clinic Burlington
81
81
41 Mall Road
Burlington, MA 01805
Lahey Clinic - Burlington Campus
135
15 King St
Peabody, MA 01960
Kindred Hospital - North Shore
136
1515 Commonwealth Avenue
Boston, MA 02135
Kindred Hospital - Boston
79
275 Sandwich Street
Plymouth, MA 02360
Jordan Hospital
78
340 Thompson Road
Webster, MA 01570
Hubbard Regional Hospital
77
575 Beech Street
Holyoke, MA 01040
Holyoke Medical Center
73
242 Green Street
Gardner, MA 01440
Heywood Hospital
71
600 Hospital Road
Leominster, MA 01453-8004
Health Alliance Hospitals, Inc.
68
100 South Street
Southbridge, MA 01550
Harrington Memorial Hospital
141
585 Lebanon Street
Melrose, MA 02176
Hallmark Health System - Melrose-
Wakefield Hospital
66
170 Governors Avenue
Medford, MA 02155
Hallmark Health System - Lawrence
Memorial Hospital
59
1153 Centre Street
Jamaica Plain, MA 02130
Faulkner Hospital
Supplement II. Hospital Addresses, ORG ID and Service Site ID Numbers
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
103
125 Parker Hill Avenue
Boston, MA 02120
New England Baptist Hospital
52
52
200 Groton Road
Ayer, MA 01432
Nashoba Valley Medical Center
101
57 Prospect St
Nantucket, MA 02554
Nantucket Cottage Hospital
100
330 Mt. Auburn St.
Cambridge, MA 02238
Mount Auburn Hospital
99
88 Washington St
Taunton, MA 02780
Morton Hospital
98
199 Reedsdale Rd
Milton, MA 02186
Milton Hospital
97
14 Prospect Street
Milford, MA 01757
Milford Regional Medical Center
49
49
115 Lincoln Street
Framingham, MA 01701
MetroWest Medical Center
70
140 Lincoln Avenue
Haverhill, MA 01830-6798
Merrimack Valley Hospital
119
271 Carew Street
Springfield, MA 01102
Mercy Medical Center - Springfield
Campus
118
118
1233 Main St
Holyoke, MA 01040
Mercy Medical Center - Providence
Campus
,
0
119
Mercy Hospital - Springfield Campus
91
55 Fruit Street
Boston, MA 02114
Massachusetts General Hospital
89
243 Charles Street
Boston, MA 02114-3096
Massachusetts Eye and Ear Infirmary
88
Linton Lane
Oak Bluffs, MA 02557
Martha's Vineyard Hospital
Supplement II. Hospital Addresses, ORG ID and Service Site ID Numbers
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
129
211 Park Street
Attleboro, MA 02703
Sturdy Memorial Hospital
145
43 High Street
Wareham, MA 02571
Southcoast Hospitals Group - Tobey
Hospital Campus
124
101 Page Street
New Bedford, MA 02740
Southcoast Hospitals Group - St. Luke's
Campus
123
363 Highland Avenue
Fall River, MA 02720
Southcoast Hospitals Group - Charlton
Memorial Campus
122
55 Fogg Road
South Weymouth, MA 02190
South Shore Hospital
25
25
680 Centre Street
Brockton, MA 02402
Signature Healthcare Brockton Hospital
115
One Hospital Drive
Lowell, MA 01852
Saints Memorial Medical Center
127
20 Worcester Ctr. Blvd.
Worcester, MA 01608
Saint Vincent Hospital
112
114 Whitwell Street
Quincy, MA 02169
Quincy Medical Center
109
Northeast Health Systems - Addison Gilbert 298 Washington St
Gloucester, MA 01930
110
85 Herrick Street
Beverly, MA 01915
Northeast Health Systems - Beverly
116
116
81 Highland Avenue
Salem, MA 01970
North Shore Medical Center, Inc.
107
Hospital Avenue
North Adams, MA 02147
North Adams Regional Hospital
106
115 West Silver Street
Westfield, MA 01086
Noble Hospital
105
2014 Washington St
Newton, MA 02162
Newton Wellesley Hospital
Supplement II. Hospital Addresses, ORG ID and Service Site ID Numbers
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
138
41 Highland Avenue
Winchester, MA 01890
Winchester Hospital
139
40 Wright Street
Palmer, MA 01069-1187
UMass. Wing Memorial Hospital
130
131
120 Front Street
Worcester, MA 01608
UMass. Memorial Medical Center
133
57 Union Street
Marlborough, MA 01752-9981
UMass. Marlborough Hospital
,
131
131
UMass Memorial
104
750 Washington Street
Boston, MA 02111
Tufts Medical Center
Supplement II. Hospital Addresses, ORG ID and Service Site ID Numbers
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Please refer to for the list of
Outpatient Observation Data Specifications regarding the Numerical Source of Payment.
Supplement III. Numerical Source of Payment List
Technical Documentation
FY2009 Outpatient Hospital Observation Database
January
1992
-Leonard Morse Hospital
-Framingham Union
MetroWest Medical Center
October
1989
-Holden District Hospital
-Worcester Hahnemann
-Worcester Memorial
Medical Center of Central
Massachusetts
January
1995
-Lahey
-Hitchcock (NH)
Lahey Clinic
November
1994
-Burbank Hospital
-Leominster Hospital
Health Alliance Hospitals, Inc.
October
1997
-Lawrence Memorial
-Hospital Malden Hospital
-Unicare Health Systems
(Note: Unicare was formed in July 1996 as a result of the merger of Melrose-Wakefield and Whidden Memorial Hospital)
Hallmark Health Systems
NOTE: As of July 2001 includes only
Lawrence Memorial & Melrose-Wakefield
October
1993
-Cardinal Cushing Hospital
-Goddard Memorial
Good Samaritan Medical Center
July 1996
-Cambridge Hospital
-Somerville Hospital
Cambridge Health Alliance
NOTE: As of July 2001, Cambridge Health Alliance included Cambridge, Somerville, Whidden, & Malden’s 42
Psych beds. Malden now closed. Cambridge & Somerville submitted data separately in the past. This year
they are submitting under one name. In future years, they may use the Facility Site Number to identify each individual facility’s discharges.
July 1996
-Boston University Med. Ctr.
-Boston City Hospital
-Boston Specialty/Rehab
Boston Medical Center
October
1996
-Beth Israel Hospital
-N.E. Deaconess Hospital
Beth Israel Deaconess Medical Center
July 1996
-Berkshire Medical Center
-Hillcrest Hospital
-Fairview Hospital
Berkshire Health System
DATE
Names of
Original Entities
Name of
New Entity
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Mergers - Alphabetical List
Supplement IV. Mergers, Name Changes, Closures, Conversions, Non-Acute Care Hospitals
Technical Documentation
FY2009 Outpatient Hospital Observation Database
April
1999
-UMMC
-Memorial
-Memorial-Hahnemann
UMass. Memorial Medical Center
June 1996
-Charlton Memorial Hospital
-St. Luke’s Hospital
-Tobey Hospital
Southcoast Health Systems
June 1997
-Mercy Medical Center
-Providence Hospital
Sisters of Providence Health System
October
1992
-St. John’s Hospital
-St. Joseph’s Hospital
Saints Memorial Medical Center
March
2004
-North Shore Medical Center
(dba Salem Hospital) and
-Union Hospital
NOTES:
1. Salem Hospital merged with North Shore Children’s Hospital in April 1988
2. Lynn Hospital merged with
Union Hospital in 1986 to form
Atlanticare
North Shore Medical Center
October
1996
-Beverly Hospital
-Addison Gilbert Hospital
Northeast Health Systems
DATE
Names of
Original Entities
Name of
New Entity
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Mergers - Alphabetical List
Supplement IV. Mergers, Name Changes, Closures, Conversions, Non-Acute Care Hospitals
Technical Documentation
FY2009 Outpatient Hospital Observation Database
Essent Health Care purchased this facility in September
2001
Haverhill Municipal (Hale) Hospital
Merrimack Valley Hospital
Framingham Union Hospital Leonard Morse Hospital / Columbia MetroWest Medical Center
MetroWest Medical Center – Framingham Union Hospital & Leonard Morse Hospital
Lahey Hitchcock Clinic
Lahey Clinic Hospital
Vencor Hospitals – Boston & North
Shore
Kindred Hospitals – Boston & North Shore
Bon Secours Hospital
Holy Family Hospital
Lawrence Memorial Hospital
Melrose-Wakefield Hospital
Hallmark Health Lawrence Memorial Hospital & Hallmark Health Melrose-Wakefield Hospital
February 2004
Children’s Hospital
Children’s Hospital Boston
St. Elizabeth’s Medical Center
Caritas St. Elizabeth’s Medical
Center
Norwood Hospital
Southwood Hospital
Good Samaritan Med. Ctr.
Caritas Norwood, Caritas Southwood, Caritas Good Samaritan Medical Center
Cardinal Cushing Hospital
Goddard Memorial Hospital
Caritas Good Samaritan Medical
Center
Cape Cod Hospital
Falmouth Hospital
Cape Cod Health Care Systems
Malden now closed.
Hallmark Health Systems – Malden
& Whidden
Cambridge Health Alliance – Malden & Whidden
Cambridge Hospital
Somerville Hospital
Cambridge Health Alliance – (now includes Cambridge, Somerville & Whidden)
Now Closed.
New England Memorial Hospital
Boston Regional Medical Center
Boston City Hospital
University Hospital
Boston Medical Center – Harrison Avenue Campus
July 2002
-Glover Memorial
-Deaconess-Glover Hospital
Beth Israel Deaconess Needham
-Beth Israel Hospital
-New England Deaconess Hospital
Beth Israel Deaconess Medical
Center
Date
Original Entities
Name of New Entity
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Name Changes - Alphabetical List
Supplement IV. Mergers, Name Changes, Closures, Conversions, Non-Acute Care Hospitals
Technical Documentation
FY2009 Outpatient Hospital Observation Database
June 2002. Now closed.
Waltham-Weston Hospital
Deaconess Waltham Hospital
Waltham Hospital
Wing Memorial Hospital
UMass. Memorial – Wing
Memorial Hospital
Marlborough Hospital
UMass. Memorial – Marlborough Hospital
Health Alliance Hospitals, Inc.
UMass. Memorial – Health
Alliance Hospital
Clinton Hospital
UMass. Memorial – Clinton Hospital
January 2008
Tufts New England Medical Center, New England Medical Center
Tufts Medical Center
Charlton Memorial Hospital
St. Luke’s Hospital
Tobey Hospital
Southcoast Health Systems
Quincy City Hospital
Quincy Hospital
Union Hospital
North Shore Medical Center - Union
Salem Hospital
North Shore Children’s Hospital
North Shore Medical Center - Salem
Beverly Hospital
Addison Gilbert Hospital
Northeast Health Systems
January 2003
Nashoba Community Hospital
Deaconess-Nashoba
Nashoba Valley Medical Center
Nashoba Valley Hospital
Milford-Whitinsville Hospital
Milford Regional Medical Center
Date
Original Entities
Name of New Entity
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Name Changes - Alphabetical List
Supplement IV. Mergers, Name Changes, Closures, Conversions, Non-Acute Care Hospitals
Technical Documentation
FY2009 Outpatient Hospital Observation Database
Hubbard closed on May 1, 2009
Hubbard Regional
Hospital
May 2009
Waltham
July 2003
Symmes
August 1999
Malden
April 1999
Boston Regional
February 1999
Burbank
March 1997
Inpatient acute beds now at Brigham & Women’s
Dana Farber
January 1997
Lynn
1996
Goddard
November 1996
Providence
October 1996
Ludlow
December 1994
St. Joseph’s
October 1994
Winthrop
June 1994
Heritage
June 1994
Saint Margaret’s
July 1993
Amesbury
May 1993
Worcester City
September 1991
St. Luke’s
Middleborough
July 1990
Outpatient only now.
Hunt
June 1990
Mass. Osteopathic
September 1990
Sancta Maria
June 1989
Comments
Hospital Name
Date
2010
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August,
NOTE: Subsequent to closure, some hospitals may have reopened for used other than an acute hospital (e.g.,
health care center, rehabilitation hospital, etc.)
Closures
Supplement IV. Mergers, Name Changes, Closures, Conversions, Non-Acute Care Hospitals
Technical Documentation
FY2009 Outpatient Hospital Observation Database
Non-acute care hospital
Vencor – Kindred Hospital
North Shore
Non-acute care hospital
Vencor – Kindred Hospital
Boston
Converted to non-acute care hospital
Heritage Hospital
Converted to non-acute care hospital
Fairlawn Hospital
COMMENTS
HOSPITAL
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
Conversions and Non-Acute Care Hospitals
Supplement IV. Mergers, Name Changes, Closures, Conversions, Non-Acute Care Hospitals
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
4. If the observation did not pass the edits then the AgeOfPatient is set to zero and the AgeUnits field is left
blank.
3. If the age in weeks is less than or equal to 51 then the DateDiff function is used to determine the age in
weeks of the patient by subtracting the Date of Birth from the End of Service Date and the AgeUnits is set to
“Weeks”.
2. If the age in weeks is greater than 51 then the DateDiff function is used to determine the age in years of the
patient by subtracting the Date of Birth from the End of Service Date and the AgeUnits is set to “Years”.
1. If the observation passed the edits then the DateDiff function is used to determine the age in weeks of the
patient by subtracting the Date of Birth from the End of Service Date.
Detailed Description:
If the observation did not pass the edits for any reason the age is not calculated and the AgeOfPatient field is
set to zero and the AgeUnits field is left blank.
AgeOfPatient is calculated using the DateDiff Function in Access, which subtracts the date of birth (DOB)
from the End_Date. Age is calculated to the nearest year (the remainder is dropped) if patient is at least 1 year old. The AgeUnits field is assigned a value of ‘YEARS’. Age is calculated to the nearest week (the
remainder is dropped) if a patient is less than 1 year old. The AgeUnits field is assigned a value of ‘WEEKS’.
Brief Description:
1. Age Calculation
SECTION II TECHNICAL DOCUMENTATION
Part A. Calculated Field Documentation
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY -August, 2010
If the observation did not pass the edits then the ObsSeqNo is set to zero.
3.
2. The sequence number is calculated by incrementing a counter from 1 to nnn, where a sequence number of
1 indicates the first observation stay for a PT_ID and nnn indicates the last observation stay for the PT_ID.
1. The file is sorted by PT_ID (Unique Patient ID also known as the UHIN) and End_Date.
Detailed Description:
If the observation did not pass the edits for any reason the Observation Sequence Number is not calculated
and the ObsSeqNo field is set to zero.
The file is sorted by PT_ID (Unique Patient ID also known as the UHIN) and End Date. The Observation
Sequence Number (ObsSeqNo) is then calculated by incrementing a counter for each of the PT_ID’s observation stays.
Brief Description:
2. Observation Sequence Number Calculation
SECTION II TECHNICAL DOCUMENTATION
Part A. Calculated Field Documentation
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
If the observation did not pass the edits then the NoofDaysBtwObs is set to zero.
5.
Step 3 is repeated for all subsequent observation stays until the PT_ID changes.
4.
(NoofDaysBtwObs) is calculated by using the DateDiff Function in Access, which subtracts the previous
observation end date from the current End_Date.
If a second occurrence of a PT_ID is found then the Number of Days Between Observation Stays
3.
If this is the first occurrence of a PT_ID the Number of Days Between Observation Stays is set to zero.
2.
The file is sorted by PT_ID (Unique Patient ID also known as the UHIN) and End_Date.
1.
Detailed Description:
If the observation did not pass the edits for any reason the Number of Days Between Observation Stays is not
calculated and the Noof DaysBtwObs field is set to zero.
The file is sorted by PT_ID (Unique Patient ID also known as the UHIN) and End Date. For PT_IDs with 2
or more observation stays the Number of Days Between Observation Stays (NoofDaysBtwObs) is calculated using the DateDiff Function in Access which subtracts the previous observation end date from the current End_Date.
Brief Description:
3. Number of Days Between Observation Stays Calculation
SECTION II TECHNICAL DOCUMENTATION
Part A. Calculated Field Documentation
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
The Outpatient Observation database is now in Microsoft Access. The record layout can be obtained by going
into the Design command of the database.
Please note: There are certain fields that are considered Deniable Data Elements. Depending on the level of data purchased, these fields may not be present on the file.
1. Outpatient Observation .MDB File Structure
SECTION II TECHNICAL DOCUMENTATION
Part B. Data File Structure
Technical Documentation
FY2009 Outpatient Hospital Observation Database
MA DIVISION OF HEALTH CARE FINANCE AND POLICY - August, 2010
The data codes for the required data elements that hospitals must report to the Division in accordance with
Case Mix Regulation 114.1 CMR 17.00 can be found at:
Each recipient for outpatient observation data has been granted approval by the Division to receive a certain level of data. Please note that the higher levels contain an increasing number of Deniable Data Elements.
2. Outpatient Observation Data Codes
SECTION II TECHNICAL DOCUMENTATION
Part B. Data File Summary
Technical Documentation
FY2009 Outpatient Hospital Observation Database
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