|
Strong Care
|
| Study Number |
U04_98 |
| Background of Dataset |
| Purpose of the Data Set |
To provide billing information of members of the
Strong Care HMO for a given year that used Strong Memorial or
Highland based providers. |
| Criteria(s) for Inclusion/Exclusion |
Includes three file types: membership,
claims, and diagnoses and procedures for 1998. |
| Age Range Included |
All. |
| Method(s) of Data Gathering |
N/A |
| Sampling Frame/Design |
N/A |
| Limitation(s) of Study |
N/A |
|
Year(s) Available
|
1998. |
| Number of Observations |
70,000 claims. |
| Unit of Observation |
Claim. |
| Publisher(s) |
Strong Care. |
| Contact Information/Web Address |
http://www.urmc.rochester.edu/strong_care.htm |
| Condition of Use |
This is confidential data that requires authorization
from Strong Care. Use of data upon approval of request. |
| Contents of Database |
|
Key Linking Variables
|
|
|
Patient identifier
|
Yes. |
|
Physician identifier
|
Yes. |
|
Health facility identifier
|
Yes. |
|
Geographic identifier
|
Zipcode. |
|
Other identifier
|
|
| Demographics Information |
|
|
Sex
|
Yes. |
|
Race
|
N/A |
|
Geographic location
|
Zipcode. |
|
Income
|
N/A |
|
Education
|
N/A |
|
Employment status
|
N/A |
|
Others
|
Gender. |
| Access/Utilization Information |
|
| Unit of Utilization |
|
| Source of Information |
|
|
Self reported
|
|
|
Parent
|
|
|
Medical provider
|
|
|
Billing/encounters
|
Yes. |
|
Other source
|
|
| Health Insurance Information |
|
|
Insurance status
|
|
|
Insurance type
|
Yes: All claims are for Strong Care. |
|
Other information
|
|
| Health Care Utilization |
|
| >Type |
Claims data divided into "in-network"
and "out-network" visits. |
| 1) Outpatient |
|
|
Date of visits
|
Yes. |
|
Number of visits
|
Could be calculated from claims. |
|
Referrals information
|
Yes. |
|
Specialty visits
|
Yes. |
|
Other outpatient utilization
|
|
|
2) Inpatient
|
|
|
Admission/discharge dates
|
Yes. |
|
Number of admissions
|
|
|
Length of stay
|
Yes. |
|
Admission status (transfer, ER admissions...etc)
|
|
|
Discharge status
|
Yes. |
|
Other information
|
|
|
3) Emergency room
|
|
|
Date of visits
|
Yes. |
|
Number of visits
|
|
|
Other information
|
|
|
4) Pharmacy
|
|
|
Date of prescription
|
|
|
Drug information
|
|
|
Other information
|
|
|
5) Other utilization
|
|
|
Home care services
|
Yes. |
|
Long term care
|
|
|
Other services
|
|
| >Medical Codes |
|
|
CPT codes
|
Yes. |
|
ICD-9 codes
|
Yes. |
|
DRG codes
|
Yes. |
|
Other codes
|
|
| Health Care Facility Information |
N/A |
| Physician Information |
N/A |
| Cost/Expenditure Information |
|
|
Unit of cost
|
Claim. |
|
Charges/costs/payments
|
Yes. |
|
Total
|
Yes. |
|
Allied and additional services
|
Yes. |
|
Pharmacy
|
|
|
Out-of-pocket payments
|
Yes. |
|
Other information
|
Billing information. |
| Other Information |
|
| |
|