2016 COMPENDIUM OF US HEALTHCARE SYSTEMS

HCIN 543
CHRISTOPHER MANAOIS
Compendium of US Health Systems
 Composed of 626 Health Systems
 At least one hospital and at least one group of physicians who provide
comprehensive care WHAT
 Connected to each other and with the hospital through common
ownership or joint management DATABASES
ARE USED?

Physician Compare National Database

 Published by the Centers for Medicare & Medicaid Services (CMS)
 Contains information on individual eligible professionals
Certified Healthcare Safety Professional (CHSP)
 Premiere safety credential for healthcare safety

HEALTH SYSTEM TABLETABLES & DATA DICTIONARIES

 Provider Enrollment and Chain/Ownership System (PECOS)
 Electronic portal where providers enroll in Medicare

Medicare Data on Provider Practice and Specialty (MD-

PPAS)
 Assigns Medicare providers to practices based on tax information

Tax Identification Name (TIN)

 Legal name of where services are billed

PHYSICIAN GROUP TABLE

TABLES & DATA DICTIONARIES
National Provider Identifier (NPI)
 Unique identifier for HIPAA Administrative Simplification
Standard covered providers

PHYSICIAN TABLE
TABLES & DATA DICTIONARIES
ER DIAGRAM,
RELATIONSHIPS
Primary Keys
Health System- health_sys_id
Physician Group- PAC ID
Physician Info- NPI
Relationships
One-to-Many
QUERY
QUESTIONS
QUERY
QUESTIONS
(CONT’D)
QUERY QUESTIONS
(CONT’D)
 Report 1:

REPORTS
 Report 2:

REPORTS
(CONT’D)
 Report 3:

REPORTS
(CONT’D)
 FORMS, WHO CAN UTILIZE THEM?

Form 1

Audience for this

database:
 Insurance Companies
Form 2
 Fellow Physicians
 Healthcare Facilities
providing Medicare Services
 Patients

Form 3
REFERENCES

Agency for Healthcare Research and Quality (n.d.). Compendium of U.S. Health
Systems. Retrieved from https://www.ahrq.gov/chsp/data-
resources/compendium.html

Data.Medicare.gov (n.d.). Physician Compare National Downloadable File.

Retrieved from https://data.medicare.gov/Physician-Compare/Physician-Compare-
National-Downloadable-File/mj5m-pzi6/data