Profile Definitions and Methodology
Estimated Patient Volumes
The report you are viewing for Norton Hospital with period ending 12/31/2021 uses the 2552-10 format.
HCRIS version:
1996
2010
Patient volumes are estimated using data from a hospital's most recent Medicare Cost Report, Medicare
inpatient claims data (MedPAR), and Medicare outpatient claims data (OPPS). Estimates are rounded to
the nearest hundred.
Inpatient Surgeries = MedicareSurgeries / (MedicareDischarges / TotalDischarges)
where:
MedicareSurgeries =
number of Medicare inpatient claims for surgical DRGs (MedPAR)
MedicareDischarges =
total number of Medicare discharges per the hospital's most recent cost report (W/S S-3, part 1, line 14, column 13)
TotalDischarges =
total number of discharges (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 14, column 15)
Outpatient Surgeries = MedicareSurgeries / (MedicareDays / TotalDays)
where:
MedicareSurgeries =
number of Medicare outpatient claims with revenue code 360 or 361 (OPPS)
MedicareDays =
total Medicare patient days per the hospital's most recent cost report (W/S S-3, part 1, line 7, column 6)
TotalDays =
total patient days (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 7, column 8)
Births = NurseryDays / AvgLOS
where:
NurseryDays =
number of patient days for nursery per the hospital's most recent cost report (W/S S-3, part 1, line 13, column 8)
AvgLOS =
national average length of stay for normal newborns (MS-DRG 795) and prematurity without major problems (MS-DRG 792) = 2.0*
*per AHRQ/HCUP statistics for year 2018 (most current available as of 8/8/2022) .
Outpatient Visits = MedicareClaims / (MedicareDays / TotalDays)
where:
MedicareClaims =
total number of Medicare outpatient claims (OPPS)
MedicareDays =
total Medicare patient days per the hospital's most recent cost report (W/S S-3, part 1, line 7, column 6)
TotalDays =
total patient days (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 7, column 8)
Emergency Room Visits (not admitted) = MedicareERClaims / (MedicareDays / TotalDays)
where:
MedicareERClaims =
total number of Medicare outpatient claims with revenue code 45x (OPPS)
MedicareDays =
total Medicare patient days per the hospital's most recent cost report (W/S S-3, part 1, line 7, column 6)
TotalDays =
total patient days (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 7, column 8)
Emergency Room Visits (admitted) = MedicareIPClaimsWithER / (MedicareDischarges / TotalDischarges)
where:
MedicareIPClaimsWithER =
Number of Medicare inpatient claims with charges for emergency services (MedPAR)
MedicareDischarges =
total number of Medicare discharges per the hospital's most recent cost report (W/S S-3, part 1, line 14, column 13)
TotalDischarges =
total number of discharges (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 14, column 15)
Patient volumes are estimated using data from a hospital's most recent Medicare Cost Report, Medicare
inpatient claims data (MedPAR), and Medicare outpatient claims data (OPPS). Estimates are rounded to
the nearest hundred.
Inpatient Surgeries = MedicareSurgeries / (MedicareDischarges / TotalDischarges)
where:
MedicareSurgeries =
number of Medicare inpatient claims for surgical DRGs (MedPAR)
MedicareDischarges =
total number of Medicare discharges per the hospital's most recent cost report (W/S S-3, part 1, line 12, column 13)
TotalDischarges =
total number of discharges (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 12, column 15)
Outpatient Surgeries = MedicareSurgeries / (MedicareDays / TotalDays)
where:
MedicareSurgeries =
number of Medicare outpatient claims with revenue code 360 or 361 (OPPS)
MedicareDays =
total Medicare patient days per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 4)
TotalDays =
total patient days (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 6)
Births = NurseryDays / AvgLOS
where:
NurseryDays =
number of patient days for nursery per the hospital's most recent cost report (W/S S-3, part 1, line 11, column 6)
AvgLOS =
national average length of stay for normal newborns (MS-DRG 795) and prematurity without major problems (MS-DRG 792) = 2.0*
*per AHRQ/HCUP statistics for year 2018 (most current available as of 8/8/2022) .
Outpatient Visits = MedicareClaims / (MedicareDays / TotalDays)
where:
MedicareClaims =
total number of Medicare outpatient claims (OPPS)
MedicareDays =
total Medicare patient days per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 4)
TotalDays =
total patient days (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 6)
Emergency Room Visits (not admitted) = MedicareERClaims / (MedicareDays / TotalDays)
where:
MedicareERClaims =
total number of Medicare outpatient claims with revenue code 45x (OPPS)
MedicareDays =
total Medicare patient days per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 4)
TotalDays =
total patient days (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 6)
Emergency Room Visits (admitted) = MedicareIPClaimsWithER / (MedicareDischarges / TotalDischarges)
where:
MedicareIPClaimsWithER =
Number of Medicare inpatient claims with charges for emergency services (MedPAR)
MedicareDischarges =
total number of Medicare discharges per the hospital's most recent cost report (W/S S-3, part 1, line 12, column 13)
TotalDischarges =
total number of discharges (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 12, column 15)