Data for: Sepsis quality in safety-net hospitals: an analysis of Medicare’s SEP-1 performance measure

This is an analytic flat file that used hospital-specific identifiers to link data from multiple publicly available sources. First, we obtained data on hospital performance on the SEP-1 measure from Medicare’s Hospital Compare website, which publicly reports quality data for hospitals participating in Medicare’s Inpatient Quality Reporting Program (IQRP). The SEP-1 data were reported for the period from January 1, 2017 to September 30, 2017. Second, we obtained data on hospital financial case-mix from the Provider Specific File for public use, which contains information on the proportion of Medicare days accounted for by patients receiving supplemental security income (SSI) payments, the proportion of Medicaid days, and total uncompensated care payments. These data were from the October 2018 update. Third, we obtained data on hospital organizational characteristics from Medicare’s Healthcare Cost Reporting Information System (HCRIS). We used HCRIS data from 2016, the most recent year that reliable data were available. Fourth, we used the Medicare Impact File to obtain information on hospitals’ urban and rural status, as indicated by the US Bureau. Finally, we obtained data on hospitals’ affiliation with health systems from the Compendium of U.S. Health Systems 2016, published by the Agency for Healthcare Research and Quality (AHRQ) as part of the Comparative Health Systems Performance (CHSP) initiative. This dataset contains curated information on U.S. health care delivery systems, including whether a hospital is affiliated with a health system. See accompanying manuscript for description of hospital selection criteria and variable definitions.本数据集为分析型平面文件，通过医院专属标识符关联多渠道公开数据源所得数据。首先，我们从医疗保险（Medicare）的医院对比（Hospital Compare）官网获取了医院SEP-1指标表现数据，该平台公开披露参与医疗保险住院质量报告项目（Inpatient Quality Reporting Program，IQRP）的医院质量信息。本次SEP-1数据的统计时段为2017年1月1日至2017年9月30日。其次，我们从公开版医疗机构专属文件（Provider Specific File for public use）获取了医院财务病例组合数据，该文件包含领取补充保障收入（Supplemental Security Income，SSI）的患者占用医疗保险天数占比、医疗补助计划（Medicaid）天数占比以及总无偿护理费用等相关信息。本次数据来源于2018年10月的更新版本。第三，我们从医疗保险医疗费用报告信息系统（Healthcare Cost Reporting Information System，HCRIS）获取了医院组织特征数据。本次采用的HCRIS数据来自2016年，该年份为可获取可靠数据的最新年度。第四，我们通过医疗保险影响文件（Medicare Impact File）获取了医院的城乡归属状态信息，该分类由美国联邦机构（US Bureau）标注。最后，我们从美国医疗保健研究与质量局（Agency for Healthcare Research and Quality，AHRQ）作为医疗系统绩效对比（Comparative Health Systems Performance，CHSP）计划的一部分所发布的《2016年美国医疗系统汇编》（Compendium of U.S. Health Systems 2016）中，获取了医院的医疗系统隶属关系数据。本数据集包含经整理筛选的美国医疗服务体系相关信息，其中涵盖医院是否隶属于某医疗系统这一内容。有关医院筛选标准与变量定义的详细说明，请参阅随附文稿。