Data on visits to physician offices, hospital outpatient departments and hospital emergency departments by selected population characteristics. Please refer to the PDF or Excel version of this table in the HUS 2019 Data Finder (https://www.cdc.gov/nchs/hus/contents2019.htm) for critical information about measures, definitions, and changes over time. Note that the data file available here has more recent years of data than what is shown in the PDF or Excel version. Data for 2017 physician office visits are not available. SOURCE: NCHS, National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey. For more information on the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey, see the corresponding Appendix entries at https://www.cdc.gov/nchs/data/hus/hus17_appendix.pdf.

Visits to physician offices, hospital outpatient departments, and hospital emergency departments, by age, sex, and race: United States

  Description

Data on visits to physician offices, hospital outpatient departments and hospital emergency departments by selected population characteristics. Please refer to the PDF or Excel version of this table in the HUS 2019 Data Finder (https://www.cdc.gov/nchs/hus/contents2019.htm) for critical information about measures, definitions… See the full description on the dataset page: https://huggingface.co/datasets/HHS-Official/visits-to-physician-offices-hospital-outpatient-de.

This dataset tracks the updates made on the dataset "DEV DQS Visits to physician offices, hospital outpatient departments, and hospital emergency departments, by age, sex, and race: United States" as a repository for previous versions of the data and metadata.

The National Hospital Ambulatory Medical Care Survey (NHAMCS), conducted by the National Center for Health Statistics (NCHS), collects annual data on visits to emergency departments to describe patterns of utilization and provision of ambulatory care delivery in the United States. Data are collected from nonfederal, general, and short-stay hospitals from all 50 U.S. states and the District of Columbia, and are used to develop nationally representative estimates. The data include counts and rates of emergency department visits from 2016-2022 for the 10 leading primary diagnoses and reasons for visit, stratified by selected patient and hospital characteristics. Rankings for the 10 leading categories were identified using weighted data from 2022 and were then assessed in prior years.

This dataset tracks the updates made on the dataset "Visits to physician offices, hospital outpatient departments, and hospital emergency departments, by age, sex, and race: United States" as a repository for previous versions of the data and metadata.

The National Hospital Ambulatory Medical Care Survey (NHAMCS) is a national survey that collects information information about the provision and use of ambulatory medical care services in the United States. The survey samples visits to hospital outpatient departments (OPD), hospital emergency departments (ED), and hospital-based ambulatory surgery locations (ASL). The survey has been conducted annually since 1992; since 2018, the survey has only collected data on hospital emergency department visits.

Approximately 500 nationally representative hospitals are selected to provide data on a sample of patient visits each year. Excluded hospitals include federal, hospital units within institutions, and hospitals with fewer than six staffed beds for patient use. Data collected includes patient demographics, conditions treated, services provided, and payment methods. The data is weighted to produce national estimates.

Context

Every year, all U.S. hospitals that accept payments from Medicare and Medicaid must submit quality data to The Centers for Medicare and Medicaid Services (CMS). CMS' Hospital Compare program is a consumer-oriented website that provides information on "the quality of care hospitals are providing to their patients." CMS releases this quality data publicly in order to encourage hospitals to improve their quality and to help consumer make better decisions about which providers they visit.

"Hospital Compare provides data on over 4,000 Medicare-certified hospitals, including acute care hospitals, critical access hospitals (CAHs), children’s hospitals, Veterans Health Administration (VHA) Medical Centers, and hospital outpatient departments"

The Centers for Medicare & Medicaid Services (CMS) uses a five-star quality rating system to measure the experiences Medicare beneficiaries have with their health plan and health care system — the Star Rating Program. Health plans are rated on a scale of 1 to 5 stars, with 5 being the highest.

Content

• Includes the most recent Hospital General Information.csv data for each archive year found on CMS' archive site. Years: 2016-2020

| Column Name | Data Type | Description | | --- | --- | -- | | Facility ID | Char(6) | Facility Medicare ID | | Facility Name | Char(72) | Name of the facility | | Address | Char(51) | Facility street address | | City | Char(20) | Facility City | | State | Char(2) | Facility State | | ZIP Code | Num(8) | Facility ZIP Code | | County Name | Char(25) | Facility County | | Phone Number | Char(14) | Facility Phone Number | | Hospital Type | Char(34) | What type of facility is it? | | Hospital Ownership | Char(43) | What type of ownership does the facility have? | | Emergency Services | Char(3)) | Does the facility have emergency services Yes/No? | | Meets criteria for promoting interoperability of EHRs | Char(1) | Does facility meet government EHR standard Yes/No? | | Hospital overall rating | Char(13) | Hospital Overall Star Rating 1=Worst; 5=Best. Aggregate measure of all other measures | | Hospital overall rating footnote | Num(8) | | | Mortality national comparison | Char(28) | Facility overall performance on mortality measures compared to other facilities | | Mortality national comparison footnote | Num(8) | | | Safety of care national comparison | Char(28) | Facility overall performance on safety measures compared to other facilities | | Safety of care national comparison footnote | Num(8) | | | Readmission national comparison | Char(28) | Facility overall performance on readmission measures compared to other facilities | | Readmission national comparison footnote | Num(8) | | | Patient experience national comparison | Char(28) | Facility overall performance on pat. exp. measures compared to other facilities | | Patient experience national comparison footnote | Char(8) | | | Effectiveness of care national comparison | Char(28) | Facility overall performance on effect. of care measures compared to other facilities | | Effectiveness of care national comparison footnote | Char(8) | | | Timeliness of care national comparison | Char(28) | Facility overall performance on timeliness of care measures compared to other facilities | | Timeliness of care national comparison footnote| Char(8) | | | Efficient use of medical imaging national comparison | Char(28) | Facility overall performance on efficient use measures compared to other facilities | | Efficient use of medical imaging national comparison footnote | Char(8) | | | Year | Char(4) | cms data release year |

Acknowledgements

A similar dataset called Hospital General Information was previously uploaded to Kaggle. However, that dataset only includes data from one year (2017). I was inspired by this dataset to go a little further and try to add a time dimension. This dataset includes a union of Hospital General Information for the years 2016-2020. The python script used to collect and union all the datasets can be found on my [github[(https://github.com/abrambeyer/cms_hospital_general_info_file_downloader). Thanks to this dataset owner for the inspiration.

Thanks to CMS for releasing this dataset publicly to help consumers find better hospitals and make better-informed decisions.

***All Hospital Compare websites are publically accessible. As works of the U.S. government, Hospital Compare data are in the public domain and permission is not required to reuse them. An attribution to the agency as the source is appreciated. Your ...

A list of hospital outpatient department ratings for the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) survey. For the initial OAS CAHPS Survey reporting period, the survey data were collected from hospital outpatient departments that voluntarily participated in the survey for 4 consecutive quarters from October 2016 through September 2017. The data are updated and reported each quarter with data from the most recently completed quarter replacing the oldest quarter of data.

A list of the state averages for the OAS CAHPS Survey responses. The OAS CAHPS survey collects information about patients’ experiences of care in hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs).

The National Hospital Care Survey (NHCS) is designed to provide accurate and reliable health care statistics that answer key questions of interest to health care and public health professionals, researchers, and health care policy makers. This includes tracking the latest trends affecting hospitals and health care organizations and factors that influence the use of health care resources, the quality of health care, and disparities in health care services provided to population subgroups in the United States. NHCS collects data on patient care in hospital-based settings to describe patterns of health care delivery and utilization in the United States. Settings include inpatient, emergency (EDs), and outpatient departments (OPDs). The survey will provide hospital utilization statistics for the Nation. In addition, NHCS will also be able to monitor national trends in substance use-related ED visits including opioid visits.

This dataset tracks the updates made on the dataset "DQS Visits to physician offices, hospital outpatient departments, and hospital emergency departments, by age, sex, and race: United States" as a repository for previous versions of the data and metadata.

Data on hospital admission, average length of stay, outpatient visits, and outpatient surgery in the United States, by type of ownership and size of hospital. Data are from Health, United States. SOURCE: American Hospital Association (AHA) Annual Survey of Hospitals, Hospital Statistics. Search, visualize, and download these and other estimates from over 120 health topics with the NCHS Data Query System (DQS), available from: https://www.cdc.gov/nchs/dataquery/index.htm.

Abstract

The State Ambulatory Surgery Databases (SASD), State Inpatient Databases (SID), and State Emergency Department Databases (SEDD) are part of a family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP).

HCUP's state-specific databases can be used to investigate state-specific and multi-state trends in health care utilization, access, charges, quality, and outcomes. PHS has several years (2008-2011) and datasets (SASSD, SED and SIDD) for HCUP California available.

Usage

The State Ambulatory Surgery and Services Databases (SASD) are State-specific files that include data for ambulatory surgery and other outpatient services from hospital-owned facilities. In addition, some States provide ambulatory surgery and outpatient services from nonhospital-owned facilities. The uniform format of the SASD helps facilitate cross-State comparisons. The SASD are well suited for research that requires complete enumeration of hospital-based ambulatory surgeries within geographic areas or States.

The State Inpatient Databases (SID) are State-specific files that contain all inpatient care records in participating states. Together, the SID encompass more than 95 percent of all U.S. hospital discharges. The uniform format of the SID helps facilitate cross-state comparisons. In addition, the SID are well suited for research that requires complete enumeration of hospitals and discharges within geographic areas or states.

The State Emergency Department Databases (SEDD) are a set of longitudinal State-specific emergency department (ED) databases included in the HCUP family. The SEDD capture discharge information on all emergency department visits that do not result in an admission. Information on patients seen in the emergency room and then admitted to the hospital is included in the State Inpatient Databases (SID)

SASD, SID, and SEDD each have **Documentation **which includes:

• Description of the Database
• Restrictions on Use
• File Specifications and Load Program
• Data Elements
• Additional Resources for Data Elements
• ICD-10-CM/PCS Data Included in the Dataset Starting with 2015
• Known Data Issues
• HCUP Tools: Labels and Formats
• HCUP Supplemental Files
• Obtaining HCUP Data

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Before Manuscript Submission

All manuscripts (and other items you'd like to publish) must be submitted to

phsdatacore@stanford.edu for approval prior to journal submission.

We will check your cell sizes and citations.

For more information about how to cite PHS and PHS datasets, please visit:

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Documentation

The HCUP California inpatient files were constructed from the confidential files received from the Office of Statewide Health Planning and Development (OSHPD). OSHPD excluded inpatient stays that, after processing by OSHPD, did not contain a complete and “in-range” admission date or discharge date. California also excluded inpatient stays that had an unknown or missing date of birth. OSHPD removes ICD-9-CM and ICD-10-CM diagnoses codes for HIV test results. Beginning with 2009 data, OSHPD changed regulations to require hospitals to report all external cause of injury diagnosis codes including those specific to medical misadventures. Prior to 2009, OSHPD did not require collection of diagnosis codes identifying medical misadventures.

**Types of Facilities Included in the Files Provided to HCUP by the Partner **

California supplied discharge data for inpatient stays in general acute care hospitals, acute psychiatric hospitals, chemical dependency recovery hospitals, psychiatric health facilities, and state operated hospitals. A comparison of the number of hospitals included in the SID and the number of hospitals reported in the AHA Annual Survey is available starting in data year 2010. Hospitals do not always report data for a full calendar year. Some hospitals open or close during the year; other hospitals have technical problems that prevent them from reporting data for all months in a year.

**Inclusion of Stays in Special Units **

Included with the general acute care stays are stays in skilled nursing, intermediate care, rehabilitation, alcohol/chemical dependency treatment, and psychiatric units of hospitals in California. How the stays in these different types of units can be identified differs by data year. Beginning in 2006, the information is retained in the HCUP variable HOSPITALUNIT. Reliability of this indicator for the level of care depends on how it was assigned by the hospital. For data years 1998-2006, the information was retained in the HCUP variable LEVELCARE. Prior to 1998, the first

Total-Other-Finance-Cost Time Series for Select Medical Holdings. Select Medical Holdings Corporation, through its subsidiaries, operates critical illness recovery hospitals, rehabilitation hospitals, and outpatient rehabilitation clinics in the United States. It operates through three segments: Critical Illness Recovery Hospital, Rehabilitation Hospital, and Outpatient Rehabilitation. The Critical Illness Recovery Hospital segment consists of hospitals that provide services for heart failure, infectious disease, respiratory failure and pulmonary disease, surgery requiring prolonged recovery, renal disease, neurological events, and trauma. Its Rehabilitation Hospital segment offers therapy and rehabilitation treatments, including rehabilitative services for brain and spinal cord injuries, strokes, amputations, neurological disorders, orthopedic conditions, pediatric congenital or acquired disabilities, and cancer. The Outpatient Rehabilitation segment operates rehabilitation clinics that provide physical, occupational, and speech rehabilitation programs and services; and specialized programs, such as functional programs for work related injuries, hand therapy, pelvic health rehabilitation, post-concussion rehabilitation, pediatric and cancer rehabilitation, and athletic training services. Select Medical Holdings Corporation was founded in 1996 and is headquartered in Mechanicsburg, Pennsylvania.

NAPSG Foundation simply changed the symbology based on bed utilization and filter set to Hospital Type is not 'Psychiatric Hospital'. NAPSG Foundation is not the host of this dataset, see notes below for more details.Also - it is not clear how often the bed utilization rate updates, but it is now presumed to be 4x per year. THIS IS NOT A REAL-TIME DATASET.Definitive Healthcare is the leading provider of data, intelligence, and analytics on healthcare organizations and practitioners. In this service, Definitive Healthcare provides intelligence on the numbers of licensed beds, staffed beds, ICU beds, and the bed utilization rate for the hospitals in the United States. Please see the following for more details about each metric, data was last updated on 17 March 2020:Number of Licensed beds: is the maximum number of beds for which a hospital holds a license to operate; however, many hospitals do not operate all the beds for which they are licensed. This number is obtained through DHC Primary Research. Licensed beds for Health Systems are equal to the total number of licensed beds of individual Hospitals within a given Health System. Number of Staffed Bed: is defined as an "adult bed, pediatric bed, birthing room, or newborn ICU bed (excluding newborn bassinets) maintained in a patient care area for lodging patients in acute, long term, or domiciliary areas of the hospital." Beds in labor room, birthing room, post-anesthesia, postoperative recovery rooms, outpatient areas, emergency rooms, ancillary departments, nurses and other staff residences, and other such areas which are regularly maintained and utilized for only a portion of the stay of patients (primarily for special procedures or not for inpatient lodging) are not termed a bed for these purposes. Definitive Healthcare sources Staffed Bed data from the Medicare Cost Report or Proprietary Research as needed. As with all Medicare Cost Report metrics, this number is self-reported by providers. Staffed beds for Health Systems are equal to the total number of staffed beds of individual Hospitals within a given Health System. Total number of staffed beds in the US should exclude Hospital Systems to avoid double counting. ICU beds are likely to follow the same logic as a subset of Staffed beds. Number of ICU Beds - ICU (Intensive Care Unit) Beds: are qualified based on definitions by CMS, Section 2202.7, 22-8.2. These beds include ICU beds, burn ICU beds, surgical ICU beds, premature ICU beds, neonatal ICU beds, pediatric ICU beds, psychiatric ICU beds, trauma ICU beds, and Detox ICU beds. Bed Utilization Rate: is calculated based on metrics from the Medicare Cost Report: Bed Utilization Rate = Total Patient Days (excluding nursery days)/Bed Days AvailablePotential Increase in Bed Capacity: This metric is computed by subtracting “Number of Staffed Beds from Number of Licensed beds” (Licensed Beds – Staffed Beds). This would provide insights into scenario planning for when staff can be shifted around to increase available bed capacity as needed. Hospital Definition: Definitive Healthcare defines a hospital as a healthcare institution providing inpatient, therapeutic, or rehabilitation services under the supervision of physicians. In order for a facility to be considered a hospital it must provide inpatient care. Hospital types are defined by the last four digits of the hospital’s Medicare Provider Number. If the hospital does not have a Medicare Provider Number, Definitive Healthcare determines the Hospital type by proprietary research. Hospital Types:· Short Term Acute Care Hospital (STAC)o Provides inpatient care and other services for surgery, acute medical conditions, or injurieso Patients care can be provided overnight, and average length of stay is less than 25 days· Critical Access Hospital (CAH)o 25 or fewer acute care inpatient bedso Located more than 35 miles from another hospitalo Annual average length of stay is 96 hours or less for acute care patientso Must provide 24/7 emergency care serviceso Designation by CMS to reduce financial vulnerability of rural hospitals and improve access to healthcare· Religious Non-Medical Health Care Institutionso Provide nonmedical health care items and services to people who need hospital or skilled nursing facility care, but for whom that care would be inconsistent with their religious beliefs· Long Term Acute Care Hospitalso Average length of stay is more than 25 dayso Patients are receiving acute care - services often include respiratory therapy, head trauma treatment, and pain management· Rehabilitation Hospitalso Specializes in improving or restoring patients' functional abilities through therapies· Children’s Hospitalso Majority of inpatients under 18 years old· Psychiatric Hospitalso Provides inpatient services for diagnosis and treatment of mental illness 24/7o Under the supervision of a physician· Veteran's Affairs (VA) Hospital o Responsible for the care of war veterans and other retired military personnelo Administered by the U.S. VA, and funded by the federal government· Department of Defense (DoD) Hospitalo Provides care for military service people (Army, Navy, Air Force, Marines, and Coast Guard), their dependents, and retirees (not all military service retirees are eligible for VA services) For more information please visit - https://www.definitivehc.com/ - or contact sales@definitivehc.com

On an annual basis (individual hospital fiscal year), individual hospitals and hospital systems report detailed facility-level data on services capacity, inpatient/outpatient utilization, patients, revenues and expenses by type and payer, balance sheet and income statement.

Due to the large size of the complete dataset, a selected set of data representing a wide range of commonly used data items, has been created that can be easily managed and downloaded. The selected data file includes general hospital information, utilization data by payer, revenue data by payer, expense data by natural expense category, financial ratios, and labor information.

There are two groups of data contained in this dataset: 1) Selected Data - Calendar Year: To make it easier to compare hospitals by year, hospital reports with report periods ending within a given calendar year are grouped together. The Pivot Tables for a specific calendar year are also found here. 2) Selected Data - Fiscal Year: Hospital reports with report periods ending within a given fiscal year (July-June) are grouped together.

The NHAMCS provides data from samples of patient records selected from emergency departments (EDs) and outpatient departments (OPDs) of a national sample of hospitals. The resulting national estimates describe the use of hospital ambulatory medical care services in the United States. For the 1998 survey, data were collected from 239 OPDs and 398 EDs. Among the variables included are age, race, and sex of the patient, reason for the visit, physician's diagnoses, cause of injury (ED only), surgical procedures (OPD only), medication therapy, and expected source of payment.

The 2008 Hospital Report Card was mandated by the FY08 Appropriations Act, and focused on Congressionally-mandated metrics applicable to general patient populations. The 2009 VHA Facility Quality and Safety Report report, not required by Congress, shifts to Veteran-centered metrics, and includes information related to infrastructure, care provided in outpatient and hospital settings, quality of care within given patient populations, accreditation status, patient satisfaction and patient outcomes for FY2008. The data in this report have been compiled from multiple sources throughout VHA. This dataset includes composite scores reflecting quality of care for outpatients (NEXUS) and inpatients (ORYX). Quality of outpatient care is further stratified by comparison of outpatient care by gender, age, and mental health diagnosis.

ObjectiveThis study aimed to examine the epidemiology of seizures, clinical outcomes, and antiseizure medication treatment patterns among seizure patients treated in United States hospitals.DesignA retrospective cross-sectional study was conducted using data from a large geographically diverse hospital discharge database.Setting860 acute care hospitals in the United States.ParticipantsPatients aged ≥18 years with an outpatient emergency department or inpatient visit between 1 July 2016–31 December 2019 were included.InterventionNone.Main outcomes and measuresKey outcomes included prevalence of seizure, seizure type, admission point of origin, intensive care unit admission, discharge status, and injectable antiseizure medication utilization. Seizures were identified by the International Classification of Disease, Tenth Revision, Clinical Modification diagnosis codes.ResultsAmong 36,598,627 unique emergency department outpatients (72,372,464 outpatient visits) and 16,543,592 unique inpatients (24,923,489 inpatient admissions) analyzed, seizure was present in 2.1% of outpatients (1.87% of outpatient visits) and 4.9% of inpatients (4.8% of inpatient admissions). In overall seizure patients, 49.1% were unclassified, 4.4% had generalized onset, 2.9% had focal onset, and 42.8% were categorized as other (including 38.5% with convulsion). Among seizure-associated inpatient admissions,

ObjectiveThis study aimed to examine the epidemiology of seizures, clinical outcomes, and antiseizure medication treatment patterns among seizure patients treated in United States hospitals.DesignA retrospective cross-sectional study was conducted using data from a large geographically diverse hospital discharge database.Setting860 acute care hospitals in the United States.ParticipantsPatients aged ≥18 years with an outpatient emergency department or inpatient visit between 1 July 2016–31 December 2019 were included.InterventionNone.Main outcomes and measuresKey outcomes included prevalence of seizure, seizure type, admission point of origin, intensive care unit admission, discharge status, and injectable antiseizure medication utilization. Seizures were identified by the International Classification of Disease, Tenth Revision, Clinical Modification diagnosis codes.ResultsAmong 36,598,627 unique emergency department outpatients (72,372,464 outpatient visits) and 16,543,592 unique inpatients (24,923,489 inpatient admissions) analyzed, seizure was present in 2.1% of outpatients (1.87% of outpatient visits) and 4.9% of inpatients (4.8% of inpatient admissions). In overall seizure patients, 49.1% were unclassified, 4.4% had generalized onset, 2.9% had focal onset, and 42.8% were categorized as other (including 38.5% with convulsion). Among seizure-associated inpatient admissions,