6WDWHZLGH
3ODQQLQJ
$QG
5HVHDUFK
&RRSHUDWLYH
6\VWHP
$QQXDO5HSRUW
9ROXPH
1HZ<RUN6WDWH'HSDUWPHQWRI+HDOWK
0LFKDHO.)O\QQ
*DLO6&KDVH
5REHUW$'DYLV
7HFKQLFDO'LUHFWRU
(GLWRULDO'LUHFWRU
63$5&6&RRUGLQDWRU
,QDQHIIRUWWRUHGXFHWKHFRVWVRISULQWLQJSOHDVHQRWLI\WKHSURGXFHURIWKLVGRFXPHQWLI\RXZLVK\RXUQDPHWREHGHOHWHGIURPRXUPDLOLQJOLVWRULI\RXUDGGUHVV
KDVFKDQJHG
TABLE OF CONTENTS
Volume 1
Page
/,672)7$%/(6 LY
7+(63$5&6'$7$6<67(0 %DFNJURXQG 'DWD6RXUFHV 'DWD3URWHFWLRQ 86,1*7+($118$/63$5&65(3257
([SHFWHG3ULPDU\6RXUFHRI5HLPEXUVHPHQW 6HUYLFH&DWHJRULHV 'LVSRVLWLRQRI3DWLHQW /HQJWKRI6WD\&DOFXODWLRQ 'LDJQRVLV5HODWHG*URXSV $YHUDJH7RWDO&KDUJHRI6WD\ &RXQW\RI5HVLGHQFH 63$5&6'$7$5(48(676 $33(1',&(6
$
8QLYHUVDO'DWD6HW8'6(OHPHQWV&ROOHFWHGE\63$5&6LQ %
8QLYHUVDO'DWD6HW8'6(OHPHQWV'HULYHGIRU &
1HZ<RUN6WDWH+HDOWK6HUYLFH$UHDVDQG&RXQWLHV0DS 7$%/(6 Volume 2
Page
/,672)7$%/(6 LY
7$%/(6 LLL
LIST OF TABLES
Volume 1
Page
6XPPDU\RI+RVSLWDO'DWD'LVFKDUJHV3DWLHQW'D\V$YHUDJH/HQJWKRI6WD\E\+HDOWK
6HUYLFH$UHD+6$ 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\6H[DQG$JH*URXSE\6HUYLFH&DWHJRU\
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\([SHFWHG3ULPDU\6RXUFHRI5HLPEXUVHPHQW
E\6HUYLFH&DWHJRU\ 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\6H[DQG([SHFWHG3ULPDU\6RXUFHRI5HLPEXUVHPHQW
E\$JH*URXS
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\'LVSRVLWLRQRI3DWLHQWE\6HUYLFH&DWHJRU\ 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\6H[DQG'LVSRVLWLRQRI3DWLHQWE\$JH*URXS
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\6H[DQG&RXQW\RI5HVLGHQFHE\$JH*URXS
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\&RXQW\RI+RVSLWDOL]DWLRQDQG+RVSLWDOE\
6HUYLFH&DWHJRU\ 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\&RXQW\RI+RVSLWDOL]DWLRQDQG+RVSLWDOE\([SHFWHG
3ULPDU\6RXUFHRI5HLPEXUVHPHQW
6HOI3D\:RUNHUV
&RPS0HGLFDUH0HGLFDLG%OXH&URVV2WKHU*RYHUQPHQW
,
&RPPHUFLDO1R&KDUJH 2WKHU+02&+$03869$1R)DXOW&RUUHFWLRQV6HOI,QVXUHG6HOI$GPLQLVWHUHG
,,
0HGLFDUH+020HGLFDLG+02 'LVFKDUJHVE\&RXQW\RI+RVSLWDOL]DWLRQDQG+RVSLWDOE\$JH*URXS 'LVFKDUJH5DWH3HUFHQW'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\&RXQW\RI5HVLGHQFHDQG+RVSLWDO
E\6HUYLFH&DWHJRU\ 'LVFKDUJHVE\+RVSLWDODQG&RXQW\RI5HVLGHQFHE\6HUYLFH&DWHJRU\ $
7RS)HGHUDO'5*V'LVFKDUJHV3HUFHQWRI7RWDO$YHUDJH7RWDO&KDUJHRI6WD\ % 7RS3ULQFLSDO'LDJQRVWLF&DWHJRULHV'LVFKDUJHV3HUFHQWRI7RWDO$YHUDJH7RWDO
&KDUJHRI6WD\ LY
Volume 1 (continued)
Page
&
7RS3ULQFLSDO6XUJLFDO3URFHGXUH&DWHJRULHV'LVFKDUJHV3HUFHQWRI7RWDO$YHUDJH
7RWDO&KDUJHRI6WD\ '
7RS6XUJLFDO3URFHGXUH&DWHJRULHV$Q\2FFXUUHQFH'LVFKDUJHV3HUFHQWRI7RWDO
$YHUDJH7RWDO&KDUJHRI6WD\ $
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO0'&E\$JH*URXS %
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO'5*E\$JH*URXS Volume 2
Page
$
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO0'&E\([SHFWHG3ULPDU\6RXUFH
RI5HLPEXUVHPHQW %
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO'5*E\([SHFWHG3ULPDU\6RXUFH
RI5HLPEXUVHPHQW $
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO0'&E\'LVSRVLWLRQRI3DWLHQW %
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO'5*E\'LVSRVLWLRQRI3DWLHQW $
'LVFKDUJHVE\)HGHUDO0'&E\7RWDO/HQJWKRI6WD\ %
'LVFKDUJHVE\)HGHUDO'5*E\7RWDO/HQJWKRI6WD\ $
'LVFKDUJHV$YHUDJH7RWDO&KDUJHRI6WD\E\6H[DQG)HGHUDO0'&E\$JH*URXS
0DOHV )HPDOHV 7RWDO %
'LVFKDUJHV$YHUDJH7RWDO&KDUJHRI6WD\E\6H[DQG)HGHUDO'5*E\$JH*URXS
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV3DWLHQW'D\V$YHUDJH/HQJWKRI6WD\E\+6$&RXQW\RI+RVSLWDOL]DWLRQ
DQG+6$&RXQW\RI5HVLGHQFH Y
THE SPARCS DATA SYSTEM
BACKGROUND
7KH6WDWHZLGH3ODQQLQJDQG5HVHDUFK&RRSHUDWLYH6\VWHP63$5&6ZDVLPSOHPHQWHGE\WKH1HZ<RUN6WDWH'HSDUWPHQWRI+HDOWKLQZLWKWKHFRRSHUDWLRQ
DQGLQLWLDOILQDQFLDOVXSSRUWRIWKH86'HSDUWPHQWRI+HDOWKDQG+XPDQ6HUYLFHV63$5&6UHFHLYHVSURFHVVHVVWRUHVDQGDQDO\]HVWKHIROORZLQJLQSDWLHQW
KRVSLWDOL]DWLRQGDWDIURPDOO$UWLFOHIDFLOLWLHVLQ1HZ<RUN6WDWHDQGDPEXODWRU\VXUJHU\GDWDIURPKRVSLWDOEDVHGDPEXODWRU\VXUJHU\VHUYLFHVDQGDOORWKHU
IDFLOLWLHVSURYLGLQJDPEXODWRU\VXUJHU\VHUYLFHV
63$5&6FRQWLQXHVWREHDFRPSUHKHQVLYHLQWHJUDWHGLQIRUPDWLRQV\VWHPDYDLODEOHWRDVVLVWKRVSLWDOVDQGRUJDQL]DWLRQVLQWKHKHDOWKFDUHLQGXVWU\ZLWKKHDOWKFDUH
UHVRXUFHSODQQLQJILQDQFLDODQDO\VLVGHFLVLRQPDNLQJDQGVXUYHLOODQFHRI1HZ<RUN6WDWHKRVSLWDODQGDPEXODWRU\VXUJHU\VHUYLFHVDQGFRVWV63$5&6KDVSURYHQ
WREHDQHIIHFWLYHPDQDJHPHQWWRROQRWRQO\IRUWKH'HSDUWPHQWRI+HDOWKEXWDOVRIRUWKHKHDOWKFDUHLQGXVWU\:LGHVSUHDGVXSSRUWDQGDGYLFHIURPPDQ\
RUJDQL]DWLRQVDQGLQGLYLGXDOVLQWKHSXEOLFDQGSULYDWHVHFWRUVKDYHPDGHSRVVLEOHWKHGHYHORSPHQWDQGUHILQHPHQWRI63$5&67KH'HSDUWPHQWRI+HDOWK
FRQWLQXHVWRLQYLWHDFWLYHSDUWLFLSDWLRQLQLPSURYLQJWKHTXDOLW\DQGXVHIXOQHVVRI63$5&6
7KH$QQXDO5HSRUWUHSUHVHQWV63$5&6
VVL[WHHQWKIXOO\HDURIGDWDFROOHFWLRQHIIRUWV7KH$QQXDO5HSRUW6HULHVSUHVHQWVKRVSLWDOLQSDWLHQWVWD\GDWDEDVHG
RQGLVFKDUJHVIRUHDFK\HDUWKURXJKDVHWRIVWDQGDUGVWDWLVWLFDOWDEOHVZKLFKVHUYHWKHQHHGVRIDZLGHVSHFWUXPRIKHDOWKLQIRUPDWLRQXVHUV
DATA SOURCES
)URPWKURXJK63$5&6PDGHXVHRIWZRGDWDVRXUFHVWKH'LVFKDUJH'DWD$EVWUDFW''$DQGWKH8QLIRUP%LOOLQJ)RUP8%),Q63$5&6
EHJDQFROOHFWLQJHVVHQWLDOO\WKHVDPHLQIRUPDWLRQIURPDVLQJOHVRXUFHEDVHGRQWKH8QLYHUVDO'DWD6HW8'6VSHFLILFDWLRQV7KHVHVSHFLILFDWLRQVEOHQGWKH8%
QDWLRQZLGHLQSDWLHQWDQGRXWSDWLHQWELOOLQJUHTXLUHPHQWVZLWKWKHXQLTXHELOOLQJDQGGLVFKDUJHGDWDUHSRUWLQJUHTXLUHPHQWVRI1HZ<RUN6WDWH7KHVLQJOH8'6
GDWDVWUHDPUHTXLUHVWKDWPHGLFDODEVWUDFWLQIRUPDWLRQDQGELOOLQJGDWDDUHPHUJHGEHIRUHWKH\DUHVHQWWR63$5&6
7KLVQHZHOHFWURQLFIRUPDWVWUHDPOLQHVPXOWLSOHGDWDVXEPLVVLRQIRUPDWVLQWRDVLQJOHIRUPDWUHPRYLQJUHGXQGDQWUHSRUWLQJUHTXLUHPHQWVIRUKRVSLWDOVDQGRWKHU
KHDOWKFDUHIDFLOLWLHVZKLOHFRQWLQXLQJWRVXSSRUWWKHP\ULDGRIUHTXHVWVIURPKHDOWKFDUHUHVHDUFKHUVIRUERWKELOOLQJDQGPHGLFDOUHFRUGVGDWD$SSHQGL[$OLVWV
WKH8'6GDWDHOHPHQWVFROOHFWHGE\63$5&6
(DFKKHDOWKFDUHSURYLGHUVXEPLWVLWV63$5&6GDWDLQWKHXQLIRUPFRPSXWHUUHDGDEOHIRUPDWGHVFULEHGLQWKH8'67KHGDWDDUHVHQWWRWKH'HSDUWPHQWRI+HDOWK
HLWKHUGLUHFWO\E\WKHKRVSLWDORUWKURXJKRQHRIDQXPEHURISULYDWHLQIRUPDWLRQSURFHVVLQJVHUYLFHV(YHU\UHFRUGUHFHLYHGLVHGLWHGWRLGHQWLI\HUURUVDQGKRVSLWDOV
DUHQRWLILHGRIUHFRUGVQHHGLQJFRUUHFWLRQ(DFKGDWDHOHPHQWPXVWKDYHDYDOLGYDOXHEHIRUHWKHUHFRUGLVDFFHSWHGE\WKHV\VWHP:KHQDUHFRUGQHHGVFRUUHFWLRQ
WKHKRVSLWDORUSURFHVVLQJVHUYLFHLVQRWLILHG'XSOLFDWHVXEPLVVLRQVDUHFDUHIXOO\VFUHHQHG
DATA PROTECTION
5HJXODWLRQVJRYHUQLQJWKHFRQILGHQWLDOLW\RI63$5&6GDWDZHUHDGRSWHGE\WKH1HZ<RUN6WDWH+RVSLWDO5HYLHZDQG3ODQQLQJ&RXQFLOZLWKWKHDGYLFHRIDOOVHFWRUV
RIWKHKHDOWKFDUHLQGXVWU\7KHUHJXODWRU\WUDFNLQJDQGPRQLWRULQJIXQFWLRQVRI63$5&6DUHDGPLQLVWHUHGE\WKH1HZ<RUN6WDWH'HSDUWPHQWRI+HDOWK7KH
UHVSRQVLELOLW\IRUSURWHFWLQJWKHFRQILGHQWLDOLW\DQGSULYDF\RIGDWDUHODWHGWRSDWLHQWFDUHUHVLGHVZLWKWKH&RPPLVVLRQHURI+HDOWK
7RSURWHFWSDWLHQWSULYDF\SDWLHQWQDPHVDUHRPLWWHGIURPWKH63$5&6GDWDVHW7KHIRFXVRIWKHV\VWHPLVWKHLQFLGHQFHRIGLVHDVHVRUFRQGLWLRQVUHTXLULQJ
KRVSLWDOL]DWLRQUDWKHUWKDQLQGLYLGXDOSDWLHQWV)RUWKLVUHDVRQXVHUVRI63$5&6GDWDFDQQRWDVFHUWDLQWKHQXPEHURILQGLYLGXDOVWUHDWHGIRUDVSHFLILFGLVHDVHRQO\
WKHQXPEHURIKRVSLWDOL]DWLRQVWKDWKDYHRFFXUUHG
USING THE 1995 SPARCS ANNUAL REPORT
'HVFULSWLRQVRIWKHGDWDGLVSOD\HGLQWKHWDEOHVDUHLQFOXGHGEHORZWRDVVLVWLQXVLQJWKHUHSRUW
EXPECTED PRIMARY SOURCE OF REIMBURSEMENT
7KHH[SHFWHGSULPDU\VRXUFHRIUHLPEXUVHPHQWXVHGLQWKH$QQXDO5HSRUWLVREWDLQHGIURPWKH8QLYHUVDO'DWD6HW7KLVGDWDHOHPHQWLVGRFXPHQWHGDWWKH
WLPHRIGLVFKDUJHQRWWKHWLPHRISD\PHQWDQGUHSUHVHQWVWKHEHVWLQIRUPDWLRQDYDLODEOHWRWKHKRVSLWDOZKHQDSDWLHQWOHDYHVWKHIDFLOLW\+RZHYHUJLYHQWKH
FRPSOH[LW\RIUHLPEXUVHPHQWSURFHVVHVHVSHFLDOO\ZKHQDSDWLHQWDSSHDUVWREHHOLJLEOHXQGHUPRUHWKDQRQHWKLUGSDUW\SD\PHQWSODQWKHH[SHFWHGSULPDU\SD\HU
LVQRWDOZD\VWKHXOWLPDWHSULPDU\SD\HU7KHUHPD\DOVREHDELDVWRZDUGXQGHUUHSRUWLQJRIGLVFKDUJHVIRUWKLUGSDUW\SD\HUVZKHQWKHUHDUHGHOD\VLQHVWDEOLVKLQJ
HOLJLELOLW\
6SHFLDOFDUHVKRXOGEHWDNHQLQLQWHUSUHWLQJWDEXODWLRQVRISDWLHQWGD\VE\H[SHFWHGSULPDU\VRXUFHRIUHLPEXUVHPHQW)RUHDFKGLVFKDUJHDVLQJOHSD\HULVUHSRUWHG
DVWKHH[SHFWHGSULPDU\VRXUFHRIUHLPEXUVHPHQW6LQFHPDQ\FDVHVKDYHPXOWLSOHSD\HUVWKHH[SHFWHGSULPDU\SD\HUPD\QRWSD\WKHHQWLUHELOO7KLVLQIRUPDWLRQ
LVGLVSOD\HGRQ7DEOHVDQG
SERVICE CATEGORIES
7KHVHUYLFHFDWHJRULHVXVHGLQWKH$QQXDO5HSRUWDUHEDVHGRQFDWHJRULHVGHYHORSHGE\WKH1HZ<RUN6WDWH'HSDUWPHQWRI+HDOWKDQGDUHGHILQHGLQWHUPV
RIGLDJQRVLVDQGSURFHGXUHFRGHVIURPWKH,QWHUQDWLRQDO&ODVVLILFDWLRQRI'LVHDVHVWK5HYLVLRQ&OLQLFDO0RGLILFDWLRQ,&'&07KLVLQIRUPDWLRQLVGLVSOD\HG
RQ7DEOHVDQG
1856(5<3DWLHQWVZKRVHDJHLVHTXDOWR]HURDQGKDYHDQ,&'&0FRGHRI9999999999
99999RU9DUHFRQVLGHUHGQXUVHU\SDWLHQWV7KHVHFRGHVUHIHURQO\WROLYHERUQLQIDQWV'HILQLWLRQVRIQXUVHU\VHUYLFHFDWHJRU\
DQGQHZERUQDJHFDWHJRU\DUHWKHVDPH
2%67(75,&$/2EVWHWULFDOSDWLHQWVDUHIHPDOHVRIDQ\DJHZLWKDQ,&'&0FRGHZLWKLQWKHUDQJHRIWKURXJK
DQGWKURXJK
36<&+,$75,& 3V\FKLDWULFSDWLHQWVDUHDQ\DJHZLWKDQ,&'&0FRGHZLWKLQWKHUDQJHRIWKURXJK
3(',$75,&3HGLDWULFSDWLHQWVDUHDJH\HDUVDQG\RXQJHUZKRVHSULPDU\GLDJQRVLVLVQHLWKHULQFOXGHGLQWKHQXUVHU\REVWHWULFDORUSV\FKLDWULFFDWHJRULHV
QRUFODVVLILHGE\,&'&0FRGHVWKURXJKJ\QHFRORJLFDORUWKURXJKDERUWLRQ
0(',&$/0HGLFDOSDWLHQWVDUHDJH\HDUVRUROGHUZLWKQRUHSRUWHGSURFHGXUHFRGHRUZLWKUHSRUWHGSURFHGXUHFRGHVJUHDWHUWKDQ7KLVFDWHJRU\
DOVRLQFOXGHVJ\QHFRORJLFDOSDWLHQWV,&'&0FRGHVWKURXJKRIDOODJHVZLWKQRUHSRUWHGSURFHGXUHFRGHRUZLWKUHSRUWHGSURFHGXUHFRGHVJUHDWHU
WKDQ([FOXGHGDUHQHZERUQREVWHWULFDOSV\FKLDWULFDQGSHGLDWULFSDWLHQWVDVGHILQHGDERYH
685*,&$/6XUJLFDOSDWLHQWVDUHDJH\HDUVRUROGHUZLWKDWOHDVWRQHSURFHGXUHFRGHLQWKHUDQJHWKURXJK7KLVFDWHJRU\DOVRLQFOXGHVJ\QHFRORJLFDO
SDWLHQWV,&'&0FRGHVWKURXJKRIDOODJHVZLWKDWOHDVWRQHVXFKSURFHGXUHFRGHDQGDOOSDWLHQWVZKRVHSULQFLSDOGLDJQRVHVDUHFRGHVWKURXJK
DERUWLRQ([FOXGHGDUHQHZERUQREVWHWULFDOSV\FKLDWULFSHGLDWULFDQGPHGLFDOSDWLHQWVDVGHILQHGDERYH
DISPOSITION OF PATIENT
7KH$QQXDO5HSRUWLQFOXGHVGLVSRVLWLRQRISDWLHQWLQIRUPDWLRQZKLFKLVREWDLQHGIURPWKH8QLYHUVDO'DWD6HW,WLGHQWLILHVWKHSDWLHQW·VGHVWLQDWLRQRUVWDWXV
XSRQGLVFKDUJH7KHLQIRUPDWLRQLVGLVSOD\HGRQ7DEOHVDQG7KHFDWHJRULHVXVHGLQWKHUHSRUWLQFOXGHKRPHDQRWKHUDFXWHFDUHKRVSLWDOVNLOOHGQXUVLQJ
IDFLOLW\LQWHUPHGLDWHFDUHIDFLOLW\RWKHULQVWLWXWLRQKRPHKHDOWKVHUYLFHVOHIWDJDLQVWPHGLFDODGYLFHSV\FKLDWULFFKURQLFFDUHDQGGLHG7RUHGXFHWKHQXPEHU
RIFDWHJRULHVGLVSOD\HGLQWKHWDEOHVVRPHDUHJURXSHGWRJHWKHU¶1HRQDWH'LVFKDUJHGWR$QRWKHU+RVSLWDOIRU1HRQDWDO$IWHUFDUH·DQG¶7UDQVIHUUHGWR$QRWKHU
+RVSLWDOIRU7HUWLDU\$IWHUFDUH·DUHLQFOXGHGLQ¶$QRWKHU$FXWH&DUH+RVSLWDO·¶'LVFKDUJHG8QGHU&DUHRI+RPH,93URYLGHU·LVLQFOXGHGLQ¶+RPH+HDOWK
6HUYLFHV·¶$GPLWWHGWR'RPLFLOLDU\&DUH)DFLOLW\·LVLQFOXGHGLQ¶2WKHU,QVWLWXWLRQ·¶'LVFKDUJHGWR,QWHUPHGLDWH&DUH)DFLOLW\IRUWKH0HQWDOO\5HWDUGHG·LVLQFOXGHG
LQ¶,QWHUPHGLDWH&DUH)DFLOLW\·
LENGTH OF STAY CALCULATION
7KH$QQXDO5HSRUWLQFOXGHVOHQJWKRIVWD\LQIRUPDWLRQ63$5&6FDOFXODWHVDOHQJWKRIVWD\IRUHDFKGLVFKDUJHUHFRUGE\VXEWUDFWLQJWKHGDWHRIDGPLVVLRQ
IURPWKHGDWHRIGLVFKDUJH,IDSDWLHQWLVDGPLWWHGDQGGLVFKDUJHGWKHVDPHGD\WKHOHQJWKRIVWD\LVRQHGD\7KLVLQIRUPDWLRQLVGLVSOD\HGRQ7DEOHV
DQG
DIAGNOSIS-RELATED GROUPS
7DEOHVDQGGLVSOD\LQIRUPDWLRQRQ0DMRU'LDJQRVLV&DWHJRULHV0'&VDQG'LDJQRVLV5HODWHG*URXSV'5*V'5*VDUHDFODVVLILFDWLRQV\VWHPXVHG
WRFDWHJRUL]HSDWLHQWGLVFKDUJHDEVWUDFWVLQWRPHDQLQJIXOJURXSLQJV)HGHUDO0'&VDQG'5*VDUHGLVSOD\HGLQWKHWDEOHV1HZ<RUN6WDWH0'&VDQG'5*VDUH
DYDLODEOHXSRQUHTXHVW
7KHWR$QQXDO5HSRUWVXVHGWKHRULJLQDOFDWHJRU\'5*PRGHOZKLFKZDVGHYHORSHGEHIRUHWKHLPSOHPHQWDWLRQRI,&'&0FRGLQJDQGGHSHQGV
RQWKHFRQYHUVLRQRIFRGHVWRHDUOLHUFRGLQJVFKHPHV7KHWRUHSRUWVXVHGYHUVLRQVRIWKHQHZ'5*PRGHOZKLFKZDVGHVLJQHGWRXVH,&'&0
FRGHVGLUHFWO\7KHILUVWQHZ'5*PRGHOKDG'5*VDUUD\HGZLWKLQ0DMRU'LDJQRVWLF&DWHJRULHV0'&V7KLVYHUVLRQZDVXVHGIRUWKHWR
UHSRUWV%HFDXVHRIQHZWHFKQRORJLHVQHZFRGLQJIRUGLVHDVHVDQGWKHXVHRI'5*VIRUUHLPEXUVHPHQWDGMXVWPHQWVKDYHEHHQPDGHWRWKHJURXSLQJPHWKRGRORJ\
LQQHZYHUVLRQV7KHUHSRUWXVHGWKHFDWHJRU\UHYLVLRQWKHUHSRUWXVHGWKHFDWHJRU\UHYLVLRQDQGWKHUHSRUWXVHGWKHFDWHJRU\
UHYLVLRQ,QDQGWKHQXPEHURIFDWHJRULHVZDVIRUERWK\HDUVWKRXJKWKH\ZHUHVHSDUDWHUHYLVLRQV7KHUHSRUWXVHGWKHFDWHJRU\UHYLVLRQ
ZKLFKLQYROYHGDPDMRUUHVWUXFWXULQJRIWKHRYHUDOO'5*FODVVLILFDWLRQVFKHPH7KHDQGUHSRUWVXVHGGLIIHUHQWUHYLVLRQVRIWKHFDWHJRULHVZKLFK
LQFRUSRUDWHWKHPDMRUFKDQJHVLQWURGXFHGLQWKHSUHYLRXVUHYLVLRQ7KHUHSRUWXVHGWKHFDWHJRU\UHYLVLRQDQGWKHUHSRUWXVHVWKHFDWHJRU\
UHYLVLRQ
7KHHDUOLHU'5*UHYLVLRQVEHJDQWKHFODVVLILFDWLRQE\FDWHJRUL]LQJDOOSULQFLSDOGLDJQRVHVLQWRPXWXDOO\H[FOXVLYHDQGH[KDXVWLYH0'&VEDVHGRQSUHGHWHUPLQHG
FULWHULD:LWKLQHDFK0'&WKHFULWHULDXVHGWRVHOHFWWKH'5*IRUDUHFRUGLQFOXGHVWKHSULQFLSDOGLDJQRVLVVHFRQGDU\GLDJQRVLVRSHUDWLQJURRPSURFHGXUHVWKH
SUHVHQFHRUDEVHQFHRIDVXEVWDQWLDOFRPRUELGLW\DQGRUFRPSOLFDWLRQDJHDQGGLVFKDUJHVWDWXV,QYDOLGRUFOLQLFDOO\LQFRQVLVWHQWLQIRUPDWLRQLVFODVVLILHGLQHLWKHU
'5*([WHQVLYH2SHUDWLQJ5RRP3URFHGXUH8QUHODWHGWR3ULQFLSDO'LDJQRVLV'5*3ULQFLSDO'LDJQRVLV,QYDOLGDV'LVFKDUJH'LDJQRVLV'5*
8QJURXSDEOH'LVFKDUJHZLWK,QYDOLG'DWD'5*3URVWDWLF2SHUDWLQJ5RRP3URFHGXUH8QUHODWHGWR3ULQFLSDO'LDJQRVLVRU'5*1RQ([WHQVLYH
2SHUDWLQJ5RRP3URFHGXUH8QUHODWHGWR3ULQFLSDO'LDJQRVLV
,QWKHFDVHRIWKH'5*UHYLVLRQZKLFKLQFRUSRUDWHVWKHSUHYLRXV\HDUV
UHVWUXFWXULQJWKHFODVVLILFDWLRQEHJLQVZLWKWKHGHILQLWLRQRIWZHOYH'5*VWKDWDUH
DVVLJQHGGXULQJD
SUH0'&
VFUHHQLQJSURFHVV$IWHUWKLVVFUHHQLQJSURFHVVLVFRPSOHWHGFDVHVQRWDVVLJQHGDUHFDWHJRUL]HGDVSUHYLRXVO\LQWRPXWXDOO\H[FOXVLYH
DQGH[KDXVWLYH0'&V)LYHRIWKHVH
SUH0'&
'5*VDUHQRWDVVLJQHGWRDQ\0'&7KH\DUH'5*/LYHU7UDQVSODQW'5*%RQH0DUURZ7UDQVSODQW
'5*7UDFKHRVWRP\ZLWK0RXWK/DU\Q[RU3KDU\Q['LVRUGHU'5*7UDFKHRVWRP\([FHSWIRU0RXWK/DU\Q[RU3KDU\Q['LVRUGHUDQG'5*
/XQJ7UDQVSODQW7KHRWKHUVHYHQ
SUH0'&
'5*VDUHDVVLJQHGWRRQHRIWZR0'&V7KHVHQHZ0'&VDUH0'&0XOWLSOH6LJQLILFDQW7UDXPDDQG0'&
+XPDQ,PPXQRGHILFLHQF\9LUXV,QIHFWLRQV
'5*VDQGDUHQRWDVVRFLDWHGZLWKDVSHFLILF0'&DQGHDFKFDVHLVUHSRUWHGLQWKHDSSURSULDWH0'&EDVHGRQWKHLU
GLDJQRVHVSURFHGXUHVDQGRWKHUFULWHULD'5*LVUHSRUWHGLQ0'&
)LJXUH$LOOXVWUDWHVWKHPHWKRGRIVHOHFWLQJRQHRIWKHHLJKW'5*VVSHFLILFWR0'&'LVHDVHVDQG'LVRUGHUVRIWKH%ORRGDQG%ORRG)RUPLQJ2UJDQVDQG
,PPXQLW\
AVERAGE TOTAL CHARGE OF STAY
7KH$QQXDO5HSRUWLVWKHILUVWUHSRUWWRGLVSOD\FKDUJHLQIRUPDWLRQ&KDUJHLQIRUPDWLRQLVGLVSOD\HGZLWK0'&'5*GLDJQRVWLFDQGVXUJLFDOSURFHGXUH
GDWDRQ7DEOHVDQG&KDUJHVLQFOXGHERWKWKHFRYHUHGDQGQRQFRYHUHGSRUWLRQVRISDWLHQWVWD\IRUDQFLOODU\VHUYLFHVDQGDFFRPPRGDWLRQV&RYHUHGFKDUJHV
DUHWKRVHFKDUJHVUHLPEXUVDEOHE\WKHSULPDU\SD\HU
COUNTY OF RESIDENCE
7KH$QQXDO5HSRUWGLVSOD\VLQIRUPDWLRQRQSDWLHQWFRXQW\RIUHVLGHQFHRQ7DEOHVDQG7KHUHDUHGLVFKDUJHVFRGHGDVKDYLQJDQXQNQRZQ
FRXQW\RIUHVLGHQFH2YHUILIW\SHUFHQWRIWKHVHGLVFKDUJHVDUHIURPIRXUKRVSLWDOVZKRFRGHGDOOWKHLUGLVFKDUJHVDVKDYLQJDQXQNQRZQFRXQW\RIUHVLGHQFH
'HWDLOHGLQIRUPDWLRQRQWKLVGDWDLVDYDLODEOHE\FRQWDFWLQJWKH63$5&6$GPLQLVWUDWLYH8QLW
SPARCS DATA REQUESTS
'HSDUWPHQWRI+HDOWKDQG63$5&6LQIRUPDWLRQLVDYDLODEOHRQWKH:RUOG:LGH:HE
KWWSZZZKHDOWKVWDWHQ\XV
5HTXHVWVWRREWDLQSULQWHGFRSLHVRIWKH$QQXDO5HSRUWVRUTXHVWLRQVUHJDUGLQJ63$5&6GDWDFROOHFWLRQVKRXOGEH
GLUHFWHGWR
63$5&6$'0,1,675$7,9(81,7
%85($82)352'8&7,216<67(060$1$*(0(17
1(:<25.67$7('(3$570(172)+($/7+
(03,5(67$7(3/$=$
$/%$1<1<
3KRQH
)D[
(PDLODOEQ\GKVSDUFV3&0$,/
VSDUFV#KHDOWKVWDWHQ\XV,QWHUQHW
$Q\VSHFLDOL]HGUHTXHVWVIRU63$5&6GDWDVKRXOGEHGLUHFWHGWR
%85($82)%,20(75,&6
1(:<25.67$7('(3$570(172)+($/7+
(03,5(67$7(3/$=$
$/%$1<1<
3KRQH
)D[
(PDLOELRLQIR#KHDOWKVWDWHQ\XV,QWHUQHW
$OO WDEOHV LQFOXGHG LQ WKH $QQXDO 5HSRUW 6HULHV EHJLQQLQJ ZLWK DUH DOVR DYDLODEOH LQ VSUHDGVKHHW IRUPDW 6WDWHZLGH
WDEOHV IRU WKURXJK KDYH EHHQ SXEO LVKHG 7DEOHV IRU WKH ODWHVW WKUHH FRPSOHWH \HDUV DUH DOVR DYDLODEOH RQ WKH :RUOG
:LGH :HE :KHQ VSHFLDOL]HG UHTXHVWV DUH DSSURYHG IRU SURGXFWLRQ D FRVW HVWLPDWH LV SURYLGHG EDVHG RQ WKH DYDLODELOLW\
RIH[LVWLQJUHSRUWVDQGWKHFRVWRIDQDO\VLVSURJUDPPLQJDQGFRPSXWHUWLPH
Figure A. DRG Classification System
MDC 16: Diseases and Disorders of the Blood and Blood-Forming Organs
Operating Room Procedure
Yes
No
Procedure Category
Splenectomy
Age
> 17
Other Operating
Room Procedures
Age
0-17
Principal Diagnosis
Red Blood Cell
Disorders
Age
> 17
Coagulation
Disorders
Age
0-17
Reticuloendothelial
and
Immunity Disorders
Complications or
Comorbidities
Yes
DRG392
DRG393
DRG394
DRG395
DRG396
DRG397
DRG398
No
DRG399
APPENDICES
APPENDIX A
UNIVERSAL DATA SET (UDS) ELEMENTS COLLECTED BY SPARCS IN 1995
$FFLGHQW5HODWHG&RGH
$FFLGHQW5HODWHG'DWH
$FFRPPRGDWLRQV'D\V
$FFRPPRGDWLRQV5DWH
$FFRPPRGDWLRQV7RWDO&KDUJHV
$FFRPPRGDWLRQV7RWDO1RQ&RYHUHG&KDUJHV
$GPLVVLRQ'DWH
$GPLVVLRQ+RXU
$GPLWWLQJ'LDJQRVLV&RGH
$IWHU$QHVWKHVLD,QGLFDWRU
$OWHUQDWH/HYHORI&DUH'D\V
$QFLOODU\5HYHQXH&RGH
$QFLOODU\7RWDO&KDUJHV
$QFLOODU\7RWDO1RQ&RYHUHG&KDUJHV
$WWHQGLQJ3K\VLFLDQ6WDWH/LFHQVH1XPEHU
%ORRG)XUQLVKHG&RGHDQG$PRXQW
&RYHUHG'D\V
'DWH$OWHUQDWH&DUH5HTXLUHG
'LVFKDUJH'DWH
'LVFKDUJH+RXU
'5*1XPEHU%LOOHG
([HPSW8QLW,QGLFDWRU
([SHFWHG3ULQFLSDO5HLPEXUVHPHQW
([SHFWHG5HLPEXUVHPHQW2WKHU
([SHFWHG5HLPEXUVHPHQW2WKHU
([WHUQDO&DXVHRI,QMXU\&RGH
/HDYHRI$EVHQFH'D\V
0HGLFDO5HFRUG1XPEHU
0HWKRGRI$QHVWKHVLD8VHG
0RWKHU
V0HGLFDO5HFRUG1XPEHUIRU1HZERUQ&KLOG
1HRQDWH%LUWK:HLJKW
1HZ<RUN6WDWH3DWLHQW6WDWXVRU'LVSRVLWLRQ
1RQ&RYHUHG'D\V
2SHUDWLQJ3K\VLFLDQ6WDWH/LFHQVH1XPEHU
2WKHU'LDJQRVLV&RGH
2WKHU'LDJQRVLV(PHUJHQW,QGLFDWRU2QVHW
2WKHU3K\VLFLDQ6WDWH/LFHQVH1XPEHU
2WKHU3URFHGXUH&RGH
2WKHU3URFHGXUH'DWH
3DWLHQW%LUWKGDWH
3DWLHQW&RQWURO1XPEHU
3DWLHQW5HVLGHQFH$GGUHVV$GGUHVV/LQH
3DWLHQW5HVLGHQFH$GGUHVV$GGUHVV/LQH
3DWLHQW6H[
3DWLHQW
V&LW\
3DWLHQW
V&RXQW\&RGH
3DWLHQW
V(WKQLFLW\
3DWLHQW
V3RVWDO6HUYLFH=LS&RGH([WHQVLRQ&RGH
3DWLHQW
V5DFH
3DWLHQW
V6WDWH
3D\HU,GHQWLILFDWLRQ
3ODFHRI,QMXU\&RGH
3ODFHPHQWRI%HG,QGLFDWRU
3ROLF\1XPEHU
3UHKRVSLWDO&DUH5HSRUW1XPEHU
3ULQFLSDO'LDJQRVLV&RGH
3ULQFLSDO3URFHGXUH&RGH
3ULQFLSDO3URFHGXUH'DWH
3URFHGXUH&RGLQJ0HWKRG
3URYLGHU,GHQWLILFDWLRQ1XPEHU
6RXUFHRI$GPLVVLRQ
6RXUFHRI3D\PHQW&RGH
63$5&6$FFRPPRGDWLRQ&RGH
63$5&6&ROOHFWRU&RGH
63$5&6,GHQWLILFDWLRQ1XPEHU
6SHFLDO3URJUDP',6
6SHFLDO3URJUDP)3
6SHFLDO3URJUDP3+&
6SHFLDO3URJUDP6)3
6WDWHPHQW&RYHUV3HULRG)URP'DWH
6WDWHPHQW&RYHUV3HULRG7KUX'DWH
6XUSOXV&DWDVWRU5HF0RQWKO\,QF&RGH$PW
7RWDO$FFRPPRGDWLRQV&KDUJHV
7RWDO$FFRPPRGDWLRQV1RQ&RYHUHG&KDUJHV
7RWDO$FXWH&HUWLILHG'D\V
7RWDO$QFLOODU\&KDUJHV
7RWDO$QFLOODU\1RQ&RYHUHG&KDUJHV
7RWDO&KDUJHV
7RWDO/HDYHRI$EVHQFH'D\V
7RWDO1RQ&RYHUHG&KDUJHV
7UDQVDFWLRQ&RGH
7\SHRI$GPLVVLRQ
7\SHRI$OWHUQDWH&DUH5HTXLUHG
7\SHRI%LOO
8QLTXH3HUVRQDO,GHQWLILHU
8QVFKHGXOHG6FKHGXOHG$GPLVVLRQ
:RUNHUV
&RPSHQVDWLRQ1R)DXOW,QGLFDWRU$PW
APPENDIX B
UNIVERSAL DATA SET (UDS) ELEMENTS DERIVED FROM SUBMITTED DATA IN 1995
$GPLW'LVFKDUJH:HHNGD\
$JH
$JHLQ'D\V
&XUUHQW1HZDQG3ULRU1HZ<RUN0'&DQG'5*
&XUUHQW1HZDQG3ULRU)HGHUDO0'&DQG'5*
+HDOWK6HUYLFH$UHD
+RVSLWDO&RXQW\
/HQJWKRI6WD\
1HZ1HZ<RUN0'&DQG'5*
1HZ)HGHUDO0'&DQG'5*
1HZERUQ)ODJ
2SHUDWLQJ&HUWLILFDWH1XPEHU
3RVW2SHUDWLYH'D\V
3ULRU1HZ<RUN0'&DQG'5*
3ULRU)HGHUDO0'&DQG'5*
6DPH'D\'LVFKDUJH,QGLFDWRU
6HUYLFH&DWHJRU\
7RWDO$OWHUQDWH/HYHORI&DUH'D\V
APPENDIX C
Figure B. New York State Health Service Areas and Counties
CLINTON
FRANKLIN
ST LAWRENCE
ESSEX
HSA-3
JEFFERSON
HSA-5
LEWIS
OSWEGO
ORLEANS
NIAGARA
WAYNE
WASHINGTON
ONEIDA
WYOMING
YATES
ALLEGANY
CATTARAUGUS
CAYUGA
MADISON
SARATOGA
MONTGOMERY
SCHENECTADY
SENECA
CORTLAND
TOMPKINS
SCHUYLER
HSA-1
FULTON
ONONDAGA
HSA-2
ONTARIO
LIVINGSTON
ERIE
WARREN
HERKIMER
MONROE
GENESEE
CHAUTAUQUA
HAMILTON
RENSSELAER
OTSEGO
CHENANGO
ALBANY
SCHOHARIE
STEUBEN
TIOGA
CHEMUNG
COLUMBIA
GREENE
HSA-4
DELAWARE
BROOME
ULSTER
SULLIVAN
DUTCHESS
HSA-6
1 - WESTERN NY
5 - NORTHEASTERN NY
2 - FINGER LAKES
6 - MID-HUDSON
3 - CENTRAL NY
7 - NEW YORK CITY
4 - NY-PENN
8 - NASSAU-SUFFOLK
PUTNAM
ORANGE
ROCKLAND
HSA-7
NEW YORK
BRONX
NASSAU
QUEENS
RICHMOND
WESTCHESTER
KINGS
SUFFOLK
HSA-8
TABLES 1-14: Return to 1995 Annual Report Page Listing
(www.health.state.ny.us/nysdoh/sparcs/ars95.htm)
6WDWHZLGH
3ODQQLQJ
$QG
5HVHDUFK
&RRSHUDWLYH
6\VWHP
$QQXDO5HSRUW
9ROXPH
1HZ<RUN6WDWH'HSDUWPHQWRI+HDOWK
0LFKDHO.)O\QQ
*DLO6&KDVH
5REHUW$'DYLV
7HFKQLFDO'LUHFWRU
(GLWRULDO'LUHFWRU
63$5&6&RRUGLQDWRU
,Q DQ HIIRUW WR UHGXFH WKH FRVWV RI SULQWLQJ SOHDVH QRWLI\ WKH SURGXFHU RI WKLV GRFXPHQW LI \RX ZLVK \RXU QDPH WR EH GHOHWHG
IURPRXUPDLOLQJOLVWRULI\RXUDGGUHVVKDVFKDQJHG
TABLE OF CONTENTS
Volume 1
Page
/,672)7$%/(6 LY
7+(63$5&6'$7$6<67(0
%DFNJURXQG 'DWD6RXUFHV 'DWD3URWHFWLRQ 86,1*7+($118$/63$5&65(3257
([SHFWHG3ULPDU\6RXUFHRI5HLPEXUVHPHQW 6HUYLFH&DWHJRULHV 'LVSRVLWLRQRI3DWLHQW /HQJWKRI6WD\&DOFXODWLRQ 'LDJQRVLV5HODWHG*URXSV $YHUDJH7RWDO&KDUJHRI6WD\ &RXQW\RI5HVLGHQFH 63$5&6'$7$5(48(676 $33(1',&(6
$
8QLYHUVDO'DWD6HW8'6(OHPHQWV&ROOHFWHGE\63$5&6LQ %
8QLYHUVDO'DWD6HW8'6(OHPHQWV'HULYHGIRU &
1HZ<RUN6WDWH+HDOWK6HUYLFH$UHDVDQG&RXQWLHV0DS 7$%/(6 Volume 2
Page
/,672)7$%/(6 LY
7$%/(6 LLL
LIST OF TABLES
Volume 1
Page
6XPPDU\RI+RVSLWDO'DWD'LVFKDUJHV3DWLHQW'D\V$YHUDJH/HQJWKRI6WD\E\+HDOWK
6HUYLFH$UHD+6$ 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\6H[DQG$JH*URXSE\6HUYLFH&DWHJRU\
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\([SHFWHG3ULPDU\6RXUFHRI5HLPEXUVHPHQW
E\6HUYLFH&DWHJRU\ 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\6H[DQG([SHFWHG3ULPDU\6RXUFHRI5HLPEXUVHPHQW
E\$JH*URXS
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\'LVSRVLWLRQRI3DWLHQWE\6HUYLFH&DWHJRU\ 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\6H[DQG'LVSRVLWLRQRI3DWLHQWE\$JH*URXS
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\6H[DQG&RXQW\RI5HVLGHQFHE\$JH*URXS
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\&RXQW\RI+RVSLWDOL]DWLRQDQG+RVSLWDOE\
6HUYLFH&DWHJRU\ 'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\&RXQW\RI+RVSLWDOL]DWLRQDQG+RVSLWDOE\([SHFWHG
3ULPDU\6RXUFHRI5HLPEXUVHPHQW
6HOI3D\:RUNHUV
&RPS0HGLFDUH0HGLFDLG%OXH&URVV2WKHU*RYHUQPHQW
,
&RPPHUFLDO1R&KDUJH 2WKHU+02&+$03869$1R)DXOW&RUUHFWLRQV6HOI,QVXUHG6HOI$GPLQLVWHUHG
,,
0HGLFDUH+020HGLFDLG+02 'LVFKDUJHVE\&RXQW\RI+RVSLWDOL]DWLRQDQG+RVSLWDOE\$JH*URXS 'LVFKDUJH5DWH3HUFHQW'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\&RXQW\RI5HVLGHQFHDQG+RVSLWDO
E\6HUYLFH&DWHJRU\ 'LVFKDUJHVE\+RVSLWDODQG&RXQW\RI5HVLGHQFHE\6HUYLFH&DWHJRU\ $
7RS)HGHUDO'5*V'LVFKDUJHV3HUFHQWRI7RWDO$YHUDJH7RWDO&KDUJHRI6WD\ % 7RS3ULQFLSDO'LDJQRVWLF&DWHJRULHV'LVFKDUJHV3HUFHQWRI7RWDO$YHUDJH7RWDO
&KDUJHRI6WD\ LY
Volume 1 (continued)
&
Page
7RS3ULQFLSDO6XUJLFDO3URFHGXUH&DWHJRULHV'LVFKDUJHV3HUFHQWRI7RWDO$YHUDJH
7RWDO&KDUJHRI6WD\ ' 7RS6XUJLFDO3URFHGXUH&DWHJRULHV$Q\2FFXUUHQFH'LVFKDUJHV3HUFHQWRI7RWDO
$YHUDJH7RWDO&KDUJHRI6WD\ $
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO0'&E\$JH*URXS %
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO'5*E\$JH*URXS Volume 2
Page
$
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO0'&E\([SHFWHG3ULPDU\6RXUFH
RI5HLPEXUVHPHQW %
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO'5*E\([SHFWHG3ULPDU\6RXUFH
RI5HLPEXUVHPHQW $
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO0'&E\'LVSRVLWLRQRI3DWLHQW %
'LVFKDUJHV$YHUDJH/HQJWKRI6WD\E\)HGHUDO'5*E\'LVSRVLWLRQRI3DWLHQW $
'LVFKDUJHVE\)HGHUDO0'&E\7RWDO/HQJWKRI6WD\ %
'LVFKDUJHVE\)HGHUDO'5*E\7RWDO/HQJWKRI6WD\ $
'LVFKDUJHV$YHUDJH7RWDO&KDUJHRI6WD\E\6H[DQG)HGHUDO0'&E\$JH*URXS
0DOHV )HPDOHV 7RWDO %
'LVFKDUJHV$YHUDJH7RWDO&KDUJHRI6WD\E\6H[DQG)HGHUDO'5*E\$JH*URXS
0DOHV )HPDOHV 7RWDO 'LVFKDUJHV3DWLHQW'D\V$YHUDJH/HQJWKRI6WD\E\+6$&RXQW\RI+RVSLWDOL]DWLRQ
DQG+6$&RXQW\RI5HVLGHQFH Y
TABLES 15-19: Return to 1995 Annual Report Page Listing
(www.health.state.ny.us/nysdoh/sparcs/ars95.htm)
© Copyright 2026 Paperzz