Measure Category

Measure Name

Data Source

Report Period

Parameters

Notes

In-House Services Available?

Acute Med/Surg?

PTF Discharge Cube

Fiscal Year 2008

Presence of Acute VA Inpatient Med Surg ALOS (B3)

A facility is designated as having Acute Medicine or Surgery In-House Services available if there is an average length of stay (ALOS) for the Acute Medicine or Surgery Discharging Bedsections in a VA Hospital setting.

In-House Services Available?

Acute Mental Health?

PTF Discharge Cube

Fiscal Year 2008

Presence of Acute VA Inpatient Mental Health ALOS (C3)

A facility is designated as having Acute Mental Health In-House Services available if there is an average length of stay (ALOS) in the Acute Psychiatry Discharging Bedsections in a VA Hospital setting.

In-House Services Available?

Intensive Care Unit?

FY07-08 HAIG ICU Level Survey Facility List dated Jan 16, 2009

Fiscal Year 2008

Presence of ICU Level (1, 2, 3 or 4)

A facility is designated as having an Intensive Care Unit available if they were assigned an ICU Level of 1 (Complex), 2 (Complex), 3 (Moderate) or 4 (Basic) based on the results of the FY 2007-2008 HAIG ICU Level Survey updated January 16, 2009.

In-House Services Available?

Emergency Dept?

Outpatient Cube

Fiscal Year 2008

Encounters for Primary or Secondary (Credit) Stop Code = 130 Emergency Department.

A facility is designated as having an Emergency Department available if there is outpatient encounter workload recorded using a Primary or Secondary (credit) DSS Identifier of 130-Emergency Department.

In-House Services Available?

Nursing Home Unit?

Treating Specialty Cube

Fiscal Year 2008

BDOC for Station Type=VA Nursing Home; Treating Specialty=NHCU; Includes Census Data

A facility is designated as having VA Nursing Home Services available if there are bed days of care in the Non-Acute Nursing Home Care Unit Treating Specialties in a VA Nursing Home Setting.

Acute Inpatient: Med/Surg

Med Surg Hospital Admissions

Treating Specialty Cube

Fiscal Year 2008

Admissions for Treating Specialty = ACUTE MEDICINE & SURGERY; Station Type = VA Hospital Inpatient; Include Census Data; Exclude Observation Beds

These data are the number of hospital admissions for the Acute Medicine or Surgery Treating Specialties in a VA Inpatient setting and may include patients who have not been discharged (as captured in the VA Inpatient Census files) in the reported timeframe. It does not include patients who were admitted for Acute Medicine or Surgery Observation.

Acute Inpatient: Med/Surg

Med Surg Hospital Admissions per 1,000 Uniques

Treating Specialty Cube
Unique Patients Cube

Fiscal Year 2008

Admissions for Treating Specialty = ACUTE MEDICINE & SURGERY; Station Type = VA Hospital Inpatient; Include Census Data; Exclude Observation Beds

Uniques: All Patients (includes VA, NonVA, Home Dialysis, Observation Beds, or Pharmacy Only file sources)

The rate of Acute Medicine & Surgery VA Hospital Admissions per 1000 Unique Patients is calculated for comparative purposes. Total Facility Uniques includes patients treated in both VA and Non-VA settings (VA Care, Non-VA Care, Home Dialysis, Observation Beds, and Pharmacy Only file sources).

Acute Inpatient: Med/Surg

Med Surg ALOS

PTF Discharge Cube

Fiscal Year 2008

ALOS for Discharging Bedsections = ACUTE MEDICINE & SURGERY (Excluding Observation codes), Source=(0) VA Hospital

These data are the VA hospital average length of stay for patients who were discharged from an Acute Medicine or Surgery bedsection. It does not include patients who were discharged from an observation bed.

Acute Inpatient: Mental Health

Mental Health Hospital Admissions

Treating Specialty Cube

Fiscal Year 2008

Admissions for Treating Specialty = ACUTE PSYCHIATRY Treating Specialties; Station Type = VA Hospital Inpatient; Include Census Data; Exclude Observation Beds

These data are the number of hospital admissions for the Acute Psychiatry Treating Specialties in a VA Inpatient setting and may include patients who have not been discharged (as captured in the VA Inpatient Census files) in the reported timeframe. It does not include patients who were admitted for Acute Psychiatry Observation.

Acute Inpatient: Mental Health

Mental Health Hospital Admissions per 1,000 Uniques

Treating Specialty Cube
Unique Patients Cube

Fiscal Year 2008

Admissions for Treating Specialty = ACUTE PSYCHIATRY Treating Specialties; Station Type = VA Hospital Inpatient; Include Census Data; Exclude Observation Beds

Uniques: All Patients (includes VA, NonVA, Home Dialysis, Observation Beds, or Pharmacy Only file sources)

The rate of Acute Mental Health VA Hospital Admissions per 1000 Unique Patients is calculated for comparative purposes. Total Facility Uniques includes patients treated in both VA and Non-VA settings (VA Care, Non-VA Care, Home Dialysis, Observation Beds, and Pharmacy Only file sources).

Acute Inpatient: Mental Health

Mental Health ALOS

PTF Discharge Cube

Fiscal Year 2008

Discharging Bedsections = ACUTE PSYCHIATRY (Excluding Observation Codes), Source=(0) VA Hospital

These data are the VA hospital average length of stay for patients who were discharged from an Acute Psychiatry bedsection. It does not include patients who were discharged from an observation bed.

Outpatient

Outpatient Visits

Outpatient Cube

Fiscal Year 2008

Visit Date = FY 2008
Measure = Visits

An outpatient "Visit" is used for the purpose of reporting services provided to a veteran and/or patient in a 24-hour period; for example, the visit of an outpatient to one or more clinics or units within 1 calendar day at the facility level, including the station number and the suffix identifiers. One visit is 1 person seen in 1 day at one location station (sta3) or substation (sta6).

Unique Patients

Unique Patients

Unique Patient Cube

Fiscal Year 2008

All Patients (includes VA, NonVA, Home Dialysis, Observation Beds, or Pharmacy Only file sources)

This is the count of unique patients at the National, VISN, or Facility level who received care in a VA or Non VA setting (VA Care, Non-VA Care, Home Dialysis, Observation Beds, and Pharmacy Only file sources) during the reported timeframe.

Medical Center Staffing

MD FTEE per 1,000 Uniques

FMS 830 887 Finance Cube

Fiscal Year 2008

FTEE for Admin Office = (10) Veterans Health Admin.; Fund = MED CARE; VA Budget Object Code (BOC) = 1081 (Full Time Physicians) & 1082 (Part Time Physicians); Report Type = FMS 830 Data

This is the staffing rate of Full and Part-Time Physician FTEE (Full Time Equivalent Employees in VA Budget Object Code 1081-Full Time or 1082-Part Time) per 1,000 Total Facility Unique patients. This does not include Medical Residents, Trainees, Physicians in a without compensation status, or Contract Physicians.

Medical Center Staffing

RN FTEE per 1,000 Uniques

FMS 830 887 Finance Cube

Fiscal Year 2008

FTEE for Admin Office = (10) Veterans Health Admin; Fund = MED CARE; VA Budget Object Code (BOC) = 1061 (Registered Nurses); Report Type = FMS 830 Data

This is the staffing rate of Registered Nurse FTEE (Full Time Equivalent Employees in VA Budget Object Code 1061) per 1,000 Total Facility Unique patients. This does not include Nurse Trainees, Contract Nurses, or other Nursing staff such as Nurse Practioners, Clinical Nurse Specialists, Licensed Practical Nurses, Nursing Assistants, etc.

Medical Center Staffing

Total FTEE per 1,000 Uniques

FMS 830 887 Finance Cube

Fiscal Year 2008

FTEE for Admin Office = (10) Veterans Health Admin; Fund = Medical Care; VA Budget Object Code (BOC) = All Personal Services (includes Administrative & Clincial Staff); Report Type = FMS 830 Data

This is the staffing rate of Total FTEE (Full Time Equivalent Employees in all Personal Services 1000 series VA Budget Object Codes) per 1,000 Total Facility Unique patients. This may include Trainees and some Residents but does not include Contract Employees.