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Table 1 Sources and definitions of analysis variables

From: Predicting inpatient hospital payments in the United States: a retrospective analysis

Variable

Description

Age

Age group categories 0–17, 18–35, 36–45, 46–55, 56–64 years

Gender

Female

Race/ethnicity

Non-Hispanic White, Non-Hispanic Black, Hispanic, Other

APR-DRG Severity Index

Patients are classified into one of four severity-of-illness values based on clinical severity (minor, moderate, major, or extreme) according to clinical logic that includes interactions of multiple comorbidities, age, procedure, and principal diagnosis. Newborns and cases that cannot be classified are assigned a value of zero. All others receive a value from 1 to 4, where 4 indicates the greatest severity.

Teaching hospital status

Teaching status of the hospital (yes = 1, no = 0)

Critical access status

Hospital’s status as a critical-access hospital (yes = 1, no = 0). For criteria see https://www.cms.gov/CertificationandComplianc/04_CAHs.asp

Sole community provider status

Hospital’s status as the sole community provider (yes = 1, no = 0). For background information, see: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads//SoleCommHospfctsht508-09.pdf

Rural referral center status

Hospital’s status as a rural referral center (yes = 1, no = 0). For background information, see: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads//Rural_Referral_Center_Fact_Sheet.pdf

Hospital bed size

Number of inpatient beds, represented by four categories: <100, 100–199, 200–499, or 500 or more

Medicare average wage index

Regional wage index

Medicare inpatient days

Medicare average length of stay at the hospital in 2006

Medicare stays

Number of Medicare stays in 2006

Medicaid inpatient days

Medicaid average length of stay at the hospital in 2006

Medicaid stays

Total number of Medicaid stays at the hospital in 2006

Herfindahl-Hirschman Index (HHI) of hospital competition

The sum of the squared market shares of each hospital in the market. The market is defined as every hospital within 15 miles of the hospital at which a stay took place.

DRG Weight

Hospital-level average DRG weight across all included discharges for the payer.

FY2005 Deficit Dollars

FY 2005 deficit projection in millions of dollars (Center on Budget and Policy Priorities; FY 2004 General Fund data from NASBO, Fiscal Survey of the States, December 2003, Table A-3.)

2006 Per Capita Income by State

Income per capita by state in 2006 (Bureau of Economic Analysis, U.S. Department of Commerce, March 2012, Table SA1-3 Personal Income Summary)

Non-Elderly Uninsured Below the FPL

State number of non-elderly uninsured below the FPL. (Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau’s March 2010 and 2011 Current Population Survey)

Working Parents Medicaid Eligibility

State Medicaid eligibility threshold for working parents as a proportion of the FPL. (Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau’s March 2010 and 2011 Current Population Survey)

Medicaid per Capita

2006 Medicaid spending, total and per-capita spending (Public Policy Institute Analysis of Kaiser Family Foundation Data)

CHIP Rate

State Children’s Health Insurance Program. Medicaid/CHIP Participation Rates (Medicaid/CHIP Participation Rates 2011, see: http://www.insurekidsnow.gov/professionals/reports/index.html)

FQHC

Federally Qualified Health Centers (Service Delivery Sites), 2010 (see http://kff.org/other/state-indicator/total-fqhcs-service-delivery-sites/)

  1. Notes: APR-DRG, All-Patient Refined Diagnosis Related Group; CHIP, Children’s Health Insurance Program; FPL, federal poverty level; FQHC, Federally Qualified Health Center; FY, fiscal year; NASBO, National Association of State Budget Officers