1. Health Care Data Collection
Health Care Data Collection
CENTER
FOR
HEALTH
STATISTICS

2. CHS Core Functions Data Collection and Management
Public Health Research
Health Information Dissemination
Professional and Technical Expertise
CENTER
FOR
HEALTH
STATISTICS

3. Patient Discharge Data Team (THCIC)
Collects and reports on patient discharge data from hospitals to enable individuals in Texas to make informed health care decisions
Collects and disseminates health maintenance organizations data to enable consumer comparisons
Facilitates research into healthcare
quality and charges (costs)
Provides Texas Public Use Data File
(PUDF)

4. Data and Reports Annual Reports Other Reports
Indicators of Inpatient Care in Texas Hospitals, 2006
Quality of Children's Care in Texas Hospitals, 2006
Other Reports
Facts and figures: Statistics on Hospital-Based care in Texas, 2006
Preventable hospitalizations in Texas, 2005

5. CHS Legislative Issues
Update of Agency name – Texas Health Care Information Council to Department of the State Health Services.
Clarify and modify language to be less confusing and more operational. (E.g., Modify language regarding the term Provider Quality Data to be Provider Quality Reports. Establish term for utilization reports from public use data, that do not require facility review.)

6. CHS Legislative Issues
Data sharing/linking initiative
Within the department, using patient identifiers, which is currently not allowed
Benefits
Quality control; 30-day mortality; Cancer research – tracking complications; Linking out and inpatient data files; Tracking patients (state hospitals)

7. Consumer Guide to Health Care
Guide for the consumer on the quality of healthcare and to healthcare billing and pricing practices - SB 1731 requirement

8. Statutory and Data Submission Issues

9. SB 1731 Requirements
Senate Bill 1731 (SB 1731) (80th Texas Legislature)
Amended Chapter 108, Health and Safety Code
SECTION 2.  Subdivision (10), Section ,
Defines  "Health care facility"  
SECTION 3.  Subsection (k), Section ,
Prioritize data collection efforts on inpatient and outpatient surgical and radiological procedures from hospitals, ambulatory surgical centers, and free-standing radiology centers.
(A)  a hospital;
(B)  an ambulatory surgical center licensed under Chapter 243;
(C)  a chemical dependency treatment facility licensed under Chapter 464;
(D)  a renal dialysis facility;
(E)  a birthing center;
(F)  a rural health clinic; [or]
(G)  a federally qualified health center as defined by 42 U.S.C. Section 1396d(l)(2)(B); or 
(H)  a free-standing imaging center.      
Funding provided under House Bill 1 (HB 1) during the Conference Committee as rider to SB 1731

10. Outpatient Rules
Outpatient Data Rules – Adopted November 28, Tex Reg 9694 Texas Register
Effective February 26, 2009
Implementation is scheduled to begin July 1, 2009 (3rd Quarter Data) or

11. Website

12. Technical Requirements
This is where you can download the Technical Specifications Manual.
For you or your vendor.

13. Data Submission Timeline
This provides you a list of quarterly activity due dates

14. Required Format (1) THCIC Requires either
American National Standards Institutes, Accredited Standards Committee X12, National Electronic Data Interchange Transaction Set Implementation Guide, Health Care Claim: Institutional, 837, ASC X12N 837 (004010X096), May 2000 version, and the addenda published by the Washington Publishing Company in October 2002 (ANSI 837 Institutional Guide, X096A1) or

15. Required Format (2) THCIC Requires either
American National Standards Institutes, Accredited Standards Committee X12, National Electronic Data Interchange Transaction Set Implementation Guide, Health Care Claim: Professional, 837, ASC X12N 837 (004010X098), May 2000 version, and the addenda published by the Washington Publishing Company in October 2002 (ANSI 837 Professional Guide, X098A1) which can be purchased and downloaded from the following website:

16. Required Format (3)
A rule of thumb: If a facility or vendor submits a HIPAA compliant ANSI 837 Institutional Guide or Professional Guide formatted file with the additional required fields listed below, then that data file should pass the audits at our data collection vendor SYSTEM 13.
THCIC ID Number
Patient Race Code
Patient Ethnicity Code

17. Required 837 Inst Data (1) Patient Name: (2) Patient Address:
(3) Patient Birth Date;
(4) Patient Sex;
(5) Patient Race (A new data element);
(6) Patient Ethnicity (A new data element);
(7) Patient Social Security Number;
(8) Patient Account Number;
(9) Patient Medical Record Number;
(10) Claim Filing Indicator Code (primary and secondary);
(11) Payer Name - Primary and secondary (if applicable, for both);
(12) National Plan Identifier
(13) Type of Bill (Facility Type Code plus Claim Frequency Code);

18. Required 837 Prof Data (1) Patient Name: (2) Patient Address:
(3) Patient Birth Date;
(4) Patient Sex;
(5) Patient Race (A new data element);
(6) Patient Ethnicity (A new data element);
(7) Patient Social Security Number;
(8) Patient Account Number;
(9) Patient Medical Record Number (if applicable);
(10) Claim Filing Indicator Code (Payer Source - primary and secondary (if applicable for secondary payer source);
(11) Payer Name - Primary and secondary (if applicable, for both);

19. Required 837 Data
Manual of current technical specifications for reporting and correcting data can be found here.

20. Revenue Codes
The following list of revenue codes is taken from Chapter 421 of the Texas Administrative Code: § Event Files--Records, Data Fields and Codes. (f) Facilities shall submit the required minimum data set to DSHS for each patient who has one or more of the following revenue codes for services rendered to the patient in the facility.

21. Revenue Codes
Full list of revenue codes can be found here.

22. SB 1731 Progress

23. Outpatient Services Data
Collected from over 500 hospitals licensed or owned by the state
Collected from over 350 ASCs licensed by the state
Exemptions
Most facilities located in counties with population less than 35,000
Facilities that do not seek reimbursement for providing medical services

24. Submission Requirements
Information on outpatient data collection

25. System 13 Website
All Screenshots are concepts – not final

26. Data submission – data entry
(Concept)
This map shows the counties where hospitals are required to report data.
Counties with no hospital had a total population of 498,164 in 2000.
Counties where the hospitals are not required to report had a total population of over 1.2 million in 2000.

27. Data correction (Concept)
This map shows the counties where hospitals are required to report data.
Counties with no hospital had a total population of 498,164 in 2000.
Counties where the hospitals are not required to report had a total population of over 1.2 million in 2000.

28. Data Processing Processes available at System13: Data submission
File upload
Data entry
Data Correction
Data Certification
Systems available for testing May-June 2009
Training available June 2009

29. Outpatient Data Files Public Use Data File (PUDF):
Record for each patient having a surgical or radiological procedure
Data suppression to protect patient confidentiality

30. Data File Data file will include: Basic patient demographic data
Service date
Diagnosis codes
Procedure codes
Revenue codes
Up to 390 data elements collected per patient record

31. Data File Data calculated or assigned: County Aggregate charges
3M Clinical Risk Groups
Uniform Physician Identifier

32. Public Use Data File

33. Public Use Data File

34. Research Data Data for Research: Available with approval of IRB
Access to data not included in PUDF
Date of birth
Access to data suppressed in PUDF
Age, ZIP code
Access to confidential data not permitted
Patient name, Social Security Number
Physician name, license number or NPI

35. Is SB a big deal?

36. Contact Center for Health Statistics http://www.dshs.state.tx.us/chs/
Hospital Inpatient Discharge Data Program
Sylvia Cook / Bruce Burns / Ramdas Menon
512–458–7111 x 6438
Center for Health Statistics - Mail Code 1898
1100 W. 49th Street
Austin, TX 78756