This study also utilized data from the California Office of Statewide Health and Planning Department (OSHPD) and the Pennsylvania Health Care Cost Containment Council (PHC4).
The Pennsylvania Health Care Cost Containment Council (PHC4) is an independent state agency responsible for addressing the problem of escalating health costs, ensuring the quality of health care, and increasing access to health care for all citizens.
According to the PHC4
report, Lancaster County has a rate of hospitalization for opioid overdose per 100,000 residents of 53.2, relatively low compared to Cambria County, which leads the state with a 102.1 rate, and below the state average of 64.6 admissions.
One of the primary responsibilities of PHC4 is to collect, analyze, and disseminate data and information about the cost and quality of health care in Pennsylvania.
PRHI uses data collected and analyzed by PHC4 to produce reports on provider performance including process and outcome measures.
We use diagnosis-related group, current procedural terminology, and International Classification of Disease, 9th revision, clinical classification codes contained in the PHC4 to create indicator variables for measures of obstetric trauma and of preventable complications during delivery; these variables equal one if the adverse outcome occurred, and zero otherwise.
We use the PHC4 data to compute a Herfindahl index (HHI), defined as the sum of hospitals' squared market shares, where market shares are calculated using the variable radius method to define the market area from which the hospital draws 75 percent of its total patients (Phibbs and Robinson 1993; Gresenz, Rogowski, and Escarce 2004).
A MediQual Atlas score is automatically calculated by PHC4 on most patients admitted to Pennsylvania hospitals but may be absent due to missing clinical data.
The following statement is provided and required by the PHC4:PHC4 has provided these data in an effort to further PHC4's mission of educating the public and containing health care costs in Pennsylvania.
data contains the unique MediQual Atlas[TM] Admission Severity, which is a score of 0-4 that translates across diagnostic groups, describing the risk of in-hospital mortality as derived from 250 key clinical findings on admission such as blood pressure, serum sodium, and hematocrit (Iezzoni 1997).
Maxwell (1998) conducted a survey to solicit senior executives' views of the usefulness and importance of cost and clinical outcomes data gathered for 59 diagnosis-related groups in all acute care hospitals in Pennsylvania as part of that state's Health Care Cost Containment Council's (PHC4
One of the pioneers of state reporting is the Pennsylvania Health Care Cost Containment Council (PHC4