The data is classified by Health Service Area and county. Patients age group, gender, race and ethnicity are listed and contains information on the admission, diagnosis, procedure and discharge, as well as payment and costs. The dataset also indicates abortion records. This data is from the Statewide Planning and Research Cooperative System (SPARCS), a reporting system that protects confidentiality and privacy of patient’s data under Section 28.16 of the Public Health Law (PHL). Inpatient data must be submitted to SPARCS by all Article 28 facilities. “[The Statewide Planning and Research Cooperative System] SPARCS is a comprehensive all payer data reporting system established in 1979 as a result of cooperation between the healthcare industry and government. The system was initially created to collect information on discharges from hospitals. SPARCS currently collects patient level detail on patient characteristics, diagnoses and treatments, services, and charges for each hospital inpatient stay and outpatient (ambulatory surgery, emergency department, and outpatient services) visit; and each ambulatory surgery and outpatient services visit to a hospital extension clinic and diagnostic and treatment center licensed to provide ambulatory surgery services.
The enabling legislation for SPARCS is located under Section 28.16 of the Public Health Law (PHL). The regulations pertaining to SPARCS are under Section 400.18 of Title 10 (Health) of the Official Compilation of Codes, Rules, and Regulations of the State of New York (NYCRR).”
“The Statewide Planning and Research Cooperative System (SPARCS) Inpatient De-identified dataset contains discharge level detail on patient characteristics, diagnoses, treatments, services, charges and costs. This data contains basic record level detail regarding the discharge; however the data does not contain protected health information (PHI) under Health Insurance Portability and Accountability Act (HIPAA). The health information is not individually identifiable; all data elements considered identifiable have been redacted. For example, the direct identifiers regarding a date have the day and month portion of the date removed.”
“Discharges that are identified as Abortion will have some information redacted; Facility ID, Facility Name, Health Service Area, Hospital County, Operating Certificate, Admission and Discharge Day of Week, and all provider license numbers. Patient zip code is limited to the first three digits. Zip codes for population size less than 20,000 are blank. Out of State are “OOS’. Patient age is presented in age groups: 0 to 17, 18 to 29, 30 to 49, 50 to 69, and 70 or Older.”
“Secondary diagnoses and procedures, as well as revenue codes have been excluded from this file. When interpreting New York’s data, it is important to keep in mind that variations in cost may be attributed to many factors. Some of these include overall volume, teaching hospital status, facility specific attributes, geographic region and quality of care provided. Additionally, costs derived from billing data are based upon a ratio that is submitted by a facility to the state and may not necessarily reflect a final price of the service delivered. Cost data presented in this dataset was calculated using facility specific 2010 audited RCCs file.”