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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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