Hospitalizations for all ambulatory care sensitive conditions, for congestive heart failure, and for pneumonia.

Defines whether a medical center is accreditated by Joint Commission and/or CARF, and laboratory accreditation.

Veterans Health Administration 2010 Facility Quality and Safety Report

Number of admissions by bed section, admissions per 1000 uniques, and average length of stay by bed sections. Total number of outpatient visits, number of unique patients and number of outpatient endoscopies.

This database is part of the National Medical Information System (NMIS). The Patient Treatment File (PTF) contains a record for each inpatient care episode provided under VA auspices in VA and non-VA facilities nationwide. Each episode contains data on admission, diagnosis, procedures, surgical episodes, and disposition (discharge) information and Diagnostic Related Group (DRG). Each transfer is recorded to allocate days of care properly to the service(s) responsible for that care. Recurring and special purpose reports are used for studies on patient movement trends, diagnostic frequency, workload, budget preparation, Diagnostic Related Group (DRG) assignment and accreditation requirements. Reports are available for online access via Roger's Software Development's (RSD) Online Report Viewing. Several large data files are installed on-line at the Austin Information Technology Center for remote access. Selected data can be downloaded to perform end user processing, including report generation. Information is received from a variety of modules in Veterans Health Information Systems and Technology Architecture. This batch system is written in Common Business Oriented Language and ALC. Processing is done on a daily, weekly, and monthly basis.

The Medical Care Cost Recovery National Database (MCCR NDB) provides a repository of summary Medical Care Collections Fund (MCCF) billing and collection information used by program management to compare facility performance. It stores summary information for Veterans Health Administration (VHA) receivables including the number of receivables and their summarized status information. This database is used to monitor the status of the VHA's collection process and to provide visibility on the types of bills and collections being done by the Department. The objective of the VA MCCF Program is to collect reimbursement from third party health insurers and co-payments from certain non-service-connected (NSC) Veterans for the cost of medical care furnished to Veterans. Legislation has authorized VHA to: submit claims to and recover payments from Veterans' third party health insurance carriers for treatment of non-service-connected conditions; recover co-payments from certain Veterans for treatment of non-service-connected conditions; and recover co-payments for medications from certain Veterans for treatment of non-service-connected conditions. All of the information captured in the MCCR NDB is derived from the Accounts Receivable (AR) modules running at each medical center. MCCR NDB is not used for official collections figures; instead, the Department uses the Financial Management System (FMS).

The Home Based Primary Care (HBPC) database receives and compiles data from local Hospital Based Home Care (HBHC) sanctioned programs at Veterans Affairs Medical Centers (VAMCs) that run home care programs under the Home Based Primary Care program. The primary purpose is to provide HBPC management with case mix, case load, and other performance information. The HBPC information system is referred to as HBC at the VA Austin Information Technology Center and as HBHC at the local level. The HBHC automated a paper-based system of reporting home care episodes. When an admission form is completed, an episode is opened and input into HBHC for a potential home care patient. The patient is evaluated and accepted to or rejected from the program. When a patient leaves the program for any reason an episode is closed and a discharge form completed and input into HBHC. HBHC runs a nightly extract of information within the Veterans Health Information Systems and Technology Architecture. Extractions include information on all Patient Care Encounters (PCEs) with the patient and home visits made by home care providers. Details of which provider(s) made the visit, the date, any diagnosis and any procedures performed are included. Each local application sends its data to the Austin HBC database on a monthly basis. A monthly report is prepared based on this information identifying the active cases at each VAMC. A more detailed quarterly report is produced that includes national comparisons among sites.

The Emergency Department Integration Software (EDIS) is a VHA-wide application used to track and manage the delivery off care to patients in the Emergency Care System (ECS). This critical IT solution directly supports the Major Initiative 'Enhance the Veteran Experience and Access to Healthcare (EVEAH). EDIS v1.0 is currently being deployed in each VHA hospital and is scheduled for deployment completion by 7/31/2011. The application improves emergency department care by introducing the systematic collection, display and reporting on patient status information. It is able to integrate with Appointment Management and Patient Care Encounter within VistA. EDIS v2.0 is currently being planned and will provide enhancements, better functionality and improved reports.