[Federal Register Volume 59, Number 105 (Thursday, June 2, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-13331]


[[Page Unknown]]

[Federal Register: June 2, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration

 

Privacy Act of 1974; System of Records; Correction

AGENCY: Department of Health and Human Services, Health Care Financing 
Administration.

ACTION: Correction to the notice published for the National Claims 
History Privacy Act System of Records.

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SUMMARY: In the notice document 94-9804 appearing on page 19181, in the 
issue of Friday, April 22, 1994, appendix A was inadvertently left out. 
We are publishing the Appendix below.

    Dated: May 23, 1994.
Richard A. DeMeo,
Privacy Act Officer, Health Care Financing Administration.

                    Appendix A.--Data Elements Contained in the Quality of Care Medpar File                     
----------------------------------------------------------------------------------------------------------------
                   Data element                              Description                     Function           
----------------------------------------------------------------------------------------------------------------
1. Hl Claim Number................................  Encrypted to protect the       To determine the number of   
                                                     identity of the beneficiary.   stays for a beneficiary.    
2. Day of Admission...............................  1--Sunday....................  To facilitate analysis of    
                                                    2--Monday                       admission patterns.         
                                                    3--Tuesday                                                  
                                                    4--Wednesday                                                
                                                    5--Thursday                                                 
                                                    6--Friday                                                   
                                                    7--Saturday                                                 
3. Sex............................................  --male.......................  To measure sex-based         
                                                    --female                        differences.                
                                                    --unknown                                                   
4. Medicare Status Code...........................  Code to show reason for        To examine effectiveness of  
                                                     beneficiary's entitlement.     care for different          
                                                    --aged without ESRD             categories of Medicare      
                                                    --aged with ESRD                beneficiaries.              
                                                    --disabled--without ESRD                                    
                                                    --disabled with ESRD                                        
                                                    --ESRD only                                                 
5. Discharge Destination..........................  --To home, self care.........  To group stays into Diagnosis
                                                    --To short-term hospital        Related Groups (DRGs).      
                                                    --To SNF                                                    
                                                    --To other type facility                                    
                                                    --To home health service                                    
                                                    --Left against medical advice                               
                                                    --Died                                                      
                                                    --Still a patient                                           
6. Medicare Provider Number.......................  Identification number of       To allow for review of care  
                                                     hospital.                      on an institution-specific  
                                                                                    basis.                      
7. Date of Admission..............................  Date, plus/minus 1 to 20       To measure intervals between 
                                                     days*.                         hospital episodes.          
8. Date of Discharge..............................  Date, plus/minus 1 to 20       To measure intervals between 
                                                     days*.                         hospital episodes.          
9. Length of Stay.................................  Number of days in hospital     To examine days of care.     
                                                     stay.                                                      
10. Intensive Care and Coronary Care Days.........  Days in special care units of  To measure outcomes in and   
                                                     hospitals.                     use of special care units.  
11. Total Charges.................................  All charge fields (fields 11-  Charge fields 11-21 are      
                                                     21) are in whole dollars.      included in measure relative
                                                                                    resource use across cases.  
12. Routine Accommodation Charges.................                                                              
13. Intensive Care and Coronary Care Charges......                                                              
14. Total Department (Ancillary) Charges..........                                                              
15. Operating Room Charges........................                                                              
16. Pharmacy Charges..............................                                                              
17. Laboratory Charges............................                                                              
18. Radiology Charges.............................                                                              
19. Supplies Charges..............................                                                              
20. Anesthesia Charges............................                                                              
21. Inhalation Therapy Charges....................                                                              
22. Principal and Other Diagnosis Codes...........  Five ICD-9-CM Codes..........  Fields 22-23 are included to 
                                                                                    identify diagnostic/surgical
                                                                                    information and to group    
                                                                                    stays into DRGs.            
23. Surgical Codes................................  Three ICD-9-CM Volume 3 codes  .............................
24. Date of Surgery...............................  Date plus/minus 1 to 20 days*  To measure intervals between 
                                                                                    admission/discharge and     
                                                                                    surgery                     
25. Blood Furnished...............................  Number of pints..............  To measure outcomes.         
26. Diagnosis Related Group.......................  DRG1-DRG475..................  To define diagnostic groups  
                                                                                    used in the Prospective     
                                                                                    Payment System.             
27. Date of death.................................  Date, plus/minus 1 to 20       To determine mortality rates.
                                                     days*.                                                     
28. Urban/rural residence.........................  1=urban......................  To examine variations in care
                                                    2=rural......................   in urban and rural areas.   
29. Zip-Code......................................  5 digit zip..................  To examine variations in care
                                                                                    in small areas.             
30. Special Unit Code.............................  S--Psychiatric Unit..........  Distinguishes PPS-exempt unit
                                                    T--Rehabilitation Unit          records.                    
                                                    U--Swing-bed Hospital                                       
                                                    V--Alcohol/Drug Unit Blank                                  
31. Beneficiary State of Residence................  Two-position SSA numeric code  To facilitate seasonal       
                                                                                    migration studies.          
32. Source of Admission...........................  Admission Type 1, 2, or 3:...  To allow analysis of         
                                                    1--Physician Referral           admissions and episodes of  
                                                    2--Clinic Referral              care.                       
                                                    3--HMO Referral                                             
                                                    4--Transfer from Hospital                                   
                                                    5--Transfer from SNF                                        
                                                    6--Transfer from Another                                    
                                                     Health Care Facility                                       
                                                    7--Emergency Room                                           
                                                    8--Court/Law Enforcement                                    
                                                    9--Unknown Admission Type 4:                                
                                                    1--Normal Delivery                                          
                                                    2--Premature Delivery                                       
                                                    3--Sick Baby                                                
                                                    4--Extramural                                               
                                                    5--Unknown                                                  
33. Type of Admission.............................  1--Emergency.................  To allow analysis of         
                                                    2--Urgent                       admissions and episodes of  
                                                    3--Elective                     care.                       
                                                    4--Newborn                                                  
                                                    9--Unknown                                                  
34. Number of Diagnosis Codes.....................  1 through 5..................  Enable search of diagnosis   
                                                                                    fields.                     
35. Number of Surgical Codes......................  1 through 3..................  Enable search of surgical    
                                                                                    procedures fields.          
36. Actual Age....................................  Three-position age of          To measure age-based         
                                                     beneficiary based on the       differences.                
                                                     date of admission.                                         
----------------------------------------------------------------------------------------------------------------
*The same random number will be added to all dates in every discharge record occurring for a beneficiary during 
  the year. The random number will range from  1 through 20.                                        

    The following subsets will be available (no combinations): one to 
five States; one to five DRGs; one to five ICD-9-CM codes; and 
standardized subsamples (5, 10, or 20 percent).
[FR Doc. 94-13331 Filed 6-1-94; 8:45 am]
BILLING CODE 4120-03-M