New York Medicaid Children Hospitalization Quality by Zip Code

$179 / year

This dataset displays the number of Medicaid Pediatric Quality Indicators (PDI) hospitalizations by zip code of The Agency for Healthcare Research and Quality (AHRQ). It covers patients from 2 to 17 years old, from 2011 to 2014. Risk-adjusted rates are included.

Complexity

The dataset contains number of Medicaid PDI hospitalizations (numerator), zip Medicaid population (denominator), observed rate, expected number of hospitalizations and rate, and risk-adjusted rate for Agency for Healthcare Research and Quality Pediatric Quality Indicators – Pediatric (AHRQ PDI) for Medicaid enrollees beginning in 2011.

The Agency for Healthcare Research and Quality (AHRQ) Pediatric Quality Indicators (PDIs) are a set of population based measures that can be used with hospital inpatient discharge data to identify ambulatory care sensitive conditions. These are conditions where 1) the need for hospitalization is potentially preventable with appropriate outpatient care, or 2) conditions that could be less severe if treated early and appropriately. Both the Urinary Tract Infection and Gastroenteritis PDIs include admissions for patients aged 3 months through 17 years. The asthma PDI includes admissions for patients aged 2 through 17 years. Eligible admissions for the Diabetes Short-term Complications PDI includes admissions for patients aged 6 through 17 years.

The rates were calculated using Medicaid inpatient hospital data for the numerator and Medicaid enrollment in the county or zip code for the denominator.

The observed counts and rates, expected counts and rates, risk-adjusted rates and the difference between the number of observed and expected PDI hospitalizations for each AHRQ PDI are presented by either resident county (including a statewide total) or resident zip code (including a statewide total).

Rates are based on hospital inpatient discharges and county or zip code Medicaid population for each calendar year beginning with 2011.

Calculations:
PDI Measure / Discharges
1) Observed Rate= Medicaid PDI hospitalizations / Medicaid enrollee (zip code) population *100,000
2) Expected Rate= Expected PDI hospitalizations/ Medicaid enrollee (zip code) population *100,000
3) Risk Adjusted PDI Rate= observed PDI rate/ expected PDI rate*statewide PDI rate
4) Difference in Hospitalizations=Medicaid PDI hospitalizations – Expected PDI hospitalizations

To calculate rates, New York State Medicaid county or zip code population was used in the denominator. Rates were adjusted using age group, gender and race/ethnicity.

Hospital discharges that did not have an accurate New York State zip code that could be mapped to a New York State county were excluded from both datasets.”

Description source: Data.ny.gov, N.Y. (2016). New York State Department of Health | Health Data NY. Retrieved 27 October, 2016

Date Created

2014-06-05

Last Modified

2016-06-09

Version

2016

Update Frequency

Annual

Temporal Coverage

2011-2014

Spatial Coverage

New York

Source

John Snow Labs; New York Department of Health;

Source License URL

Source License Requirements

N/A

Source Citation

Data.ny.gov, N.Y. (2016). New York State Department of Health | Health Data NY. Retrieved 27 October, 2016

Keywords

New York Medicaid Data, Children Hospitalization Quality, Medicaid Pediatric Quality Indicators, Medicaid PDI Hospitalizations, Population Based Measures, Medicaid Data, Quality Measures Data, New York Statistics, Hospitalization by Zip Code, PDI Data, Inpatient Data

Other Titles

Pediatric Prevention Quality Indicators, Quality-Safety-Costs on Pediatric Patients, PDI for Pediatric Discharges

NameDescriptionTypeConstraints
Discharge_YearThe year of both the hospital PDI discharge and the Medicaid zip code population used in calculation of rates.date-
Zip_CodeThe patient’s zip code at time of discharge. Hospital discharges that did not have an accurate New York State zip code were excluded. Three digit zip code.string-
PDI_NumberThe value code assigned to the PDI measure.string-
PDI_NameThe descriptive name of the PDI measure.string-
Medicaid_PDI_HospitalizationsTotal number of Medicaid enrollee admissions in a zip code population that meet the criteria for a specific PDI.numberlevel : Ratio
Zip_Code_Medicaid_PopulationTotal number of Medicaid enrollees in a zip code population.numberlevel : Ratio
Observed_RateThe number of PDI discharges in the county divided by the zip code Medicaid population, multiplied by 100,000.numberlevel : Ratio
Expected_PQI_HospitalizationsTotal number of expected admissions based on the characteristics of the zip code that would meet the criteria for a specific PDI.numberlevel : Ratio
Expected_RateThe number of expected PDI discharges in the zip code, adjusted by age, gender and race/ethnicity divided by the county Medicaid population, multiplied by 100,000.numberlevel : Ratio
Risk_Adjusted_RateRisk adjusted rate per 100,000 people. The observed PDI rate divided by the expected PDI rate, multiplied by the statewide PDI rate.numberlevel : Ratio
Difference_In_HospitalizationsThe difference between the observed number of PDI hospitalizations and the expected number of PDI hospitalizations.numberlevel : Ratio
Discharge_YearZip_CodePDI_NumberPDI_NameMedicaid_PDI_HospitalizationsZip_Code_Medicaid_PopulationObserved_RateExpected_PQI_HospitalizationsExpected_RateRisk_Adjusted_RateDifference_In_Hospitalizations
2011StatewidePDI_14Asthma50351586543317.36
2012StatewidePDI_14Asthma55041679359327.74
2012StatewidePDI_14Asthma55041679359327.74
2012StatewidePDI_14Asthma55041679359327.74
2012StatewidePDI_14Asthma55041679359327.74
2012StatewidePDI_14Asthma55041679359327.74
2012StatewidePDI_14Asthma55041679359327.74
2012StatewidePDI_14Asthma55041679359327.74
2012StatewidePDI_14Asthma55041679359327.74
2012StatewidePDI_14Asthma55041679359327.74