Data

Available Datasets for Public Use

HSCRC collects various data sets from all acute care hospitals and licensed specialty hospitals. By legislative mandate (COMAR 10.37.04, 10.37.01.08 and 10.37.06), these hospitals in Maryland are required to submit to the Commission both financial and confidential patient-level administrative data (referred to as “case mix data”) on all inpatient and outpatient hospital visits.

 

Financial Data

 

Hospitals submit various financial schedules that provide information on hospital financial conditions and utilization on a monthly and annual basis. Annual and Monthly reports are described below.

Report Name

Report Description

​Annual Reports

Annual Report of Revenue, Expenses, and Volumes

 

This report contains detailed cost, volume, revenue, and staffing data by hospital department and is used for rate setting, productivity reports, and to align approved rates to ensure rates are related to costs during the reported fiscal year. Available by request.

Audited Financial Statements

 

This report is the hospital’s CPA approved annual financial statements that are reconciled to Annual Report of Revenue, Expenses, and Volume to ensure accuracy and used to monitor and disclose the financial condition of hospitals during the reported fiscal year.

Annual Debt Collection/Financial Assistance Report

 

This report describes the hospital’s debt collection and financial assistance activities during the reported fiscal year.

Community Benefit Report

This report provides detailed information on hospital’s charitable activities within its communities during the reported fiscal year.

Monthly Reports

Revenue and Volumes Report

 

This report contains billed charges and related volumes by rate center, resident status and Medicare payer, provided in the calendar month reported and is used for a number of activities including:

·         Rate compliance and rate setting methodologies

·         Monitoring the financial performance of hospitals on a monthly basis

·         In preparation of the annual cost report

·         Monitoring and compliance by other state agencies

Unaudited Financial Statements

 

This report is the monthly income statement and balance sheet data that is used to monitor the financial conditions of hospitals on a monthly basis.

 

Patient-Level Case Mix Data

 

The case mix data includes the following demographic, financial and clinical information.

Demographic:

Financial

Clinical

Patient identifiers (Medical Record Number, Patient Account Number and Unique Patient ID (EID)) *

Payer source

Dates of service*

Physician identifiers (National Provider ID (NPI) and Masked MedCHi ID*)

Total charges

Principle and secondary diagnosis and procedure codes

Date of birth*

UB04 billing information

Source and nature of admission

Sex

 

Discharge status of patient

Race and ethnicity

 

Types of services provided

Country of birth and preferred spoken language

 

Flag for diagnosis present on admission (POA)

Residency (zip code and derived county code based on reported zip code)

 

 

Marital status

 

 

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The inpatient and outpatient data sets are abstracted from the medical record of each of the state’s approximately 700,000 inpatient discharges and 5.7 million outpatient visits annually. Hospitals report clinic, surgery and emergency room data as part of the outpatient dataset.​​​​​​​​​