American Hospital Directory - Profile Definitions and Methodology

Profile Definitions and Methodology

Estimated Patient Volumes

The report you are viewing for Norton Hospital with period ending 12/31/2023 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)

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) = 1.8* *per AHRQ/HCUP statistics for year 2020 (most current available as of 3/6/2024).
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)