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Medicaid Chronic Conditions, Inpatient Admissions and Emergency Room Visits by County: Beginning 2012
health.data.ny.gov | Last Updated 2016-12-13T21:25:28.000ZThis dataset contains information on selected chronic health conditions in the Medicaid population at the county level. The chronic health conditions were identified through 3M Clinical Risk Group software and Medicaid enrollment/eligibility, encounter, claim and pharmacy data over a 12-month period.
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Managed Care Individual Provider Network Data: December 31, 2016
health.data.ny.gov | Last Updated 2017-06-07T16:49:28.000ZThe primary purpose for the Provider Network Data System is to collect data needed to evaluate the provider networks including physicians, hospitals, labs, home health agencies, durable medical equipment providers, etc., for all types of health plans in New York State. Beginning in 2017, the PNDS includes Medicaid Managed Care (MMC), HIV Special Need Plans (SNP), Health and Recovery Plans (HARP), Child Health Plus (CHP), Programs of All-Inclusive Care for the Elderly (PACE), Non-PACE Managed Long-Term Care (MLTC) plans, Qualified Health Plans (QHP), Essential Plans (EP), and commercial plans (commercial plan reporting will be incomplete until Q2 2017). This dataset reflects individual provider data. Provider Network Data System information is self-reported by health plans. The PNDS data dictionary can be found at http://www.health.ny.gov/health_care/managed_care/docs/dictionary.pdf. To use the NYS Provider & Health Plan Look-Up Tool, click on the following link, https://pndslookup.health.ny.gov/.
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Nursing Home Profiles Quality Data: Beginning 2020
health.data.ny.gov | Last Updated 2024-02-09T14:00:21.000ZThe Nursing Homes Profiles quality data provides a consumer-friendly product that allows patients and their families to understand how the New York State Nursing Homes perform within five specific domains of care and overall. The domains (Preventive Care, Quality of Care, Quality of Life, Resident Safety and Resident Status) encompass twenty-four different quality measures. A Domain Rating assesses performance over all the measures within that domain, with 5 stars indicating the highest performance and 1 star the lowest performance. The Overall Rating is a normalized star rating based on the Nursing Homes' performance across the five domains. The normalization of the Overall Rating resets the distribution, with the highest performing Nursing Homes across all the domains having 5 stars and the lowest performing Nursing Homes across the five domains having 1 star. New York’s Nursing Home Domain Rating differs from CMS’ 5-star rating in data reporting period and in methodology.
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Sub-County Data for Selected Health Outcomes in New York State, 2008-2012
health.data.ny.gov | Last Updated 2021-09-09T19:48:33.000ZThis dataset includes average annual crude and age-adjusted rates for asthma, chronic obstructive pulmonary disease (COPD) and myocardial infarction (MI) in New York State at sub-county resolution for the time period 2008-2012. Emergency Department (ED) visit and hospitalization data for these health outcomes in NYS were generated from the Statewide Planning and Research Cooperative System (SPARCS) database which collects information on discharges from hospitals in NYS. </br> The data reflect people who have a health condition that is serious enough to require a hospital admission or ED visit and do not include conditions managed through visit to a primary care physician. Data show the number of hospitalizations or ED visits rather than the number of patients who were admitted or seen for each illness. </br> For more information, visit https://health.ny.gov/environmental/public_health_tracking/.
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Health Home Quality Measures: Beginning 2013
health.data.ny.gov | Last Updated 2019-08-07T19:18:45.000ZThis dataset contains measures that evaluate the quality of care delivered by Health Homes for the Centers for Medicare & Medicaid Services (CMS) Core Set and Health Home State Plan Amendment (SPA). To support ongoing assessment of the effectiveness of the Health Home model, the CMS has established a recommended Core Set of health care quality measures that it intends to promulgate in the rulemaking process. The data used in the Health Home Quality Measures are taken from the following sources: • Medicaid Data Mart: Claims and encounters data generated from the Medicaid Data Warehouse (MDW). • QARR Member Level Files: Sample of the health plan eligible member’s quality. • New York State Delivery System Inform Incentive Program (DSRIP) Data Warehouse: Claims and encounters data generated from the Medicaid Data Warehouse (MDW). Please refer to the Overview document for additional information.
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Health Home Adult Health: Potentially Preventable Readmissions and Prevention Quality Indicator- Chronic Composite
health.data.ny.gov | Last Updated 2019-08-07T19:18:45.000ZThis column chart shows performance measure rates of adult health by Health Home for potentially preventable readmissions and prevention quality indicator- chronic composite. The base dataset contains measures that evaluate the quality of care delivered by Health Homes for the Centers for Medicare & Medicaid Services (CMS) Core Set and Health Home State Plan Amendment (SPA). To support ongoing assessment of the effectiveness of the Health Home model, the CMS has established a recommended Core Set of health care quality measures that it intends to promulgate in the rule making process. Please refer to the Overview document for additional information.
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Health Home Utilization- Nursing Facility
health.data.ny.gov | Last Updated 2019-09-27T00:05:48.000ZThis column chart illustrates the number of short-stay admissions to a nursing facility by Health Home. The New York State Department of Health (NYSDOH) collects annual data on children’s and adults’ use of health services. This information complements the Health Home Quality Measures information collected for the State Plan Amendment (SPA) and Core Set of health care quality measures. Utilization measures are designed to capture the frequency of certain services. NCQA does not view higher or lower services counts as better or worse performance. Please refer to the Overview document for additional information.
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Medicaid Inpatient Prevention Quality Indicators (PDI) for Pediatric Discharges by Patient County: Beginning 2011
health.data.ny.gov | Last Updated 2016-12-16T16:16:51.000ZThe datasets contain number of Medicaid PDI hospitalizations (numerator), county or zip Medicaid population (denominator), observed rate, expected number of hospitalizations and rate, and risk-adjusted rate for Agency for Healthcare Research and Quality Pediatric Quality Indicators – Pediatric (AHRQ PDI) for Medicaid enrollees beginning in 2011. The Agency for Healthcare Research and Quality (AHRQ) Pediatric Quality Indicators (PDIs) are a set of population based measures that can be used with hospital inpatient discharge data to identify ambulatory care sensitive conditions. These are conditions where 1) the need for hospitalization is potentially preventable with appropriate outpatient care, or 2) conditions that could be less severe if treated early and appropriately. Both the Urinary Tract Infection and Gastroenteritis PDIs include admissions for patients aged 3 months through 17 years. The asthma PDI includes admissions for patients aged 2 through 17 years. Eligible admissions for the Diabetes Short-term Complications PDI includes admissions for patients aged 6 through 17 years.
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PA: Percentage of Births that are Preterm Trending Statewide: Beginning 2008
health.data.ny.gov | Last Updated 2022-05-20T15:17:38.000ZThis chart shows the trend of percentage of preterm births in New York State. This chart is based on the Prevention Agenda Tracking Indicators state level trend data set posted on this site. Each dataset consists of 58 state-level health tracking indicators and 31 sub-indicators for the Prevention Agenda 2019-2024: New York State’s Health Improvement Plan. A health tracking indicator is a metric through which progress on a certain area of health improvement can be assessed. The indicators are organized by the Priority Area of the Prevention Agenda as well as the Focus Area under each Priority Area. Priority areas include Chronic Disease; Health and Safe Environment; Healthy Women, Infants and Children; Mental Health and Substance Abuse; and HIV, STDs, Vaccine Preventable Diseases and Healthcare Associated Infections. The most recent year dataset includes the most recent state level data for all indicators. The trend dataset includes the most recent state level data and historical data, where available. Each dataset also includes the Prevention Agenda 2017 state targets for the indicators. Sub-indicators are included in these datasets to measure health disparities among racial, ethnic, and socioeconomic groups and persons with disabilities. For more information, check out: http://www.health.ny.gov/prevention/prevention_agenda/2013-2017/. The "About" tab contains additional details concerning this dataset.
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Managed Care Health Plan Profile
health.data.ny.gov | Last Updated 2024-01-18T18:01:26.000ZThe plan profile data contains information about managed care plans serving New York State residents including the number of current enrolling members and counties/regions of the state they currently serve. Customer service telephone numbers are included along with their website address. Also included are NCQA accreditation ratings. These are important things to consider when choosing a managed care plan. Data on the ratings of each plan can be found in the Managed Care Regional Consumer Guide located at, https://health.data.ny.gov/Health/Managed-Care-Regional-Consumer-Guide/44t3-4uep. The "About" tab contains additional details concerning this dataset.