National inpatient hospital costs: The most expensive conditions by payer, 2011

AHRQ_logoA new statistical brief (#160) has been released by the Agency for Healthcare Research and Quality (AHRQ).

National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011 presents data from the Healthcare Cost and Utilization Project (HCUP) on costs of inpatient hospital stays in the United States in 2011. It describes the distribution of costs by expected primary payer and illustrates the conditions accounting for the largest percentage of each payer’s hospital costs. The primary payers examined are Medicare, Medicaid, private insurance, and the uninsured. The hospital costs represent the hospital’s cost to produce the services—not the amount paid for services by payers—and they do not include the physician fees associated with the hospitalization. All differences between estimates noted in the text are statistically significant at the .05 level or better.

HCUP hands-on workshop for data users

Sponsored by the Agency for Healthcare Research and Quality (AHRQ), the free workshop is a one-day course for health services researchers on using HCUP databases and software tools. It is oriented toward intermediate-level data users and/or people who are already familiar with HCUP or other large administrative databases. Computers will be provided and instructor-led programming examples will be presented in SAS. There will be a specific focus on conducting revisit analyses using HCUP. It is highly recommended that attendees review the HCUP Online Overview Course prior to the workshop.

  • Date:  May 8, 2013
  • Time: 9:00am – 4:00pm
  • Location:   AHRQ Conference Center in Rockville, MD

Registration will open March 20.  check the HCUP User Support Website  under What’s New and the HCUP Calendar – Events for registratioin information after that date.

New from HCUP – Interactive maps

From the Agency for Healthcare Research and Quality (AHRQ):

HCUP has created two interactive maps to show detailed graphical information about the Nationwide Inpatient Sample (NIS)  and HCUP’s State Databases .

The NIS’ interactive map  presents information on the availability of the American Hospital Association’s hospital identification number (HCUP element AHAID ) for data years 2000 through 2010. The map also provides a graphical representation of the States participating in HCUP for each data year.

 The State Databases’ interactive map  provides information on the States that include Revisit Variables  for data years 2003 through 2010. Users may select a combination of State Databases (the SID SASD , or SEDD ) and years of interest to see which States had the databases of interest and the Revisit Variables available.

HCUP training – Still time to register for workshop

Want to learn more about HCUP & how to work with its databases?  There are still seats left in the one-day on-site training session 25 April.

The full-day course focuses on the use of HCUP databases and software tools for health services research. The workshop is oriented toward intermediate-level data users or people already familiar with HCUP.  (Familiarity can be gained by taking the Online HCUP Overview Course.) At the workshop, computers will be provided and instructor-led programming examples will be presented in SAS.  There will be a specific focus on conducting revisit analyses using HCUP. HCUP staff experts will be available for questions.  

Registration information is available on the HCUP User Support Website.

Remember that HCUP provides online tutorials as well on the Technical Assistance page.

Remember

HCUP training – Webinars 11 & 18 April

Have you heard of HCUP but don’t know much about it?  Come to a 2-part HCUP webinar hosted by the library that will provide a general overview of its databases and tools.

Overview

  • Date:  11 April
  • Time:  2-3:00
  • Location:  2802 Med Sci II

Products and Tools

  • Date:  18 April
  • Time:  2-3:00
  • Location:  5919 Taubman Health Sciences Library

Please let us know if you plan to attend:  thlibrary@umich.edu.

HCUP Q & A – How do I link to AHA survey data?

From HCUP (Healthcare Cost & Utility Project) e-News:

Q: How do I link the HCUP databases with the American Hospital Association (AHA) Survey Data using the AHA Linkage File?

AIf you have the State Inpatient Databases (SID), State Ambulatory Surgery Databases (SASD) or State Emergency Department Databases (SEDD):

  1. Download the HCUP American Hospital Association (AHA) Linkage Files for your state databases by accessing the AHA Linkage Files page on HCUP-US and reference the header, “How Can Users Obtain HCUP AHA Linkage Files?
  2. Merge your state database with AHA Linkage File by the element HOSPID, the HCUP hospital identifier.
  3. Merge the newly merged database created in step 2 with the AHA Annual Survey database by the element AHAID. AHAID contains the 7 digits hospital identifier used on the AHA Annual Survey database.

If you have the Nationwide Inpatient Sample (NIS) or Kids’ Inpatient Databases (KID):

No AHA Linkage files are available for the NIS and KID. However, HOSPID and AHAID are included in the NIS or KID Hospital Weights Files, which can be linked to the AHA Annual Survey database.

  1. Merge the NIS or KID Core File with the NIS or KID Hospital Weights File by HOSPID.
  2. Merge the newly merged database created in step 1 with the AHA Annual Survey database by AHAID.

Please note that the availability of AHAID in the Hospital Weights Files varies depending on state, as some states restrict the release of the element. Without AHAID, data in the NIS and KID cannot be linked to any data for hospitals included in the AHA Annual Survey database. Refer to Table 2 in the documents Introduction to the NIS, 2009 and Introduction to the KID, 2009 for a list of states restricting AHAID for the 2009 NIS and KID.

The Nationwide Emergency Department Sample (NEDS) cannot be merged with the AHA Annual Survey database.