The New York State Nursing Home Quality Initiative (NHQI) is an annual evaluation and ranking of eligible Medicaid-certified nursing homes in New York State. Nursing homes are evaluated on their performance in three components: Quality, Compliance, and Efficiency. Nursing homes are awarded points for their performance in each measure and ranked into overall quintiles, the first quintile containing the best performing homes.

The Statewide Planning and Research Cooperative System (SPARCS) is a comprehensive data reporting system which collects patient level detail on patient characteristics, diagnoses, treatments, services, and charges for every hospital discharge from an Article 28 facility; ambulatory surgery discharges from hospital-based ambulatory surgery centers and all other facilities providing ambulatory surgery services; and emergency department visits in New York State. This dataset is a summary of the SPARCS inpatient discharge data.

This table displays the quintile cut points for the measures in the NHQI. Please refer to the data dictionary for more information on determining quintile assignments based on the quintile cut points for specific measures. It is possible to calculate the quintile cut points displayed in this table by using the facility-level data in the NHQI data set. Calculating the overall score quintiles from the data set will result in a slight difference in the quintile values due to adjustments to some facilities’ performances. The New York State Nursing Home Quality Initiative (NHQI) is an annual evaluation and ranking of eligible Medicaid-certified nursing homes in New York State. Nursing homes are evaluated on their performance in three components: Quality, Compliance, and Efficiency. Nursing homes are awarded points for their performance in each measure and ranked into overall quintiles, the first quintile containing the best performing homes. Refer to the Measures document to learn more about the specific measures in the NHQI, and the data sources and time frames used. Changes in measure specifications and the deletion or addition of measures will limit the ability to trend this data over time. The quality measures are based on past data and may not accurately reflect a nursing home’s most current quality performance. Refer to the Overview document for more information on the limitations of this dataset. The information in this dataset is intended to be used in conjunction with other sources for assessing quality of care in nursing homes, including in-person visits to a nursing home. The "About" tab contains additional details concerning this dataset.

All acute care hospitals are required to report certain hospital-acquired infections (HAIs) to the New York State Department of Health (NYSDOH). This includes central line-associated blood stream infections; surgical site infections following colon, hip replacement/revision, coronary artery bypass graft, and hysterectomy; Clostridium difficile infections; and carbapenem-resistant Enterobacteriaceae infections.

New York State's Maternity Information Law requires each hospital to provide information about its childbirth practices and procedures. This information can help you to better understand what you can expect, learn more about your childbirth choices, and plan for your baby's birth.

The Managed Long-Term Care (MLTC) performance data is an annual evaluation (semi-annual prior to 2022) of New York state-certified MLTC plans. Rates are calculated for each performance measure by plan and describe their population, quality of care, and enrollees’ satisfaction. These data also present the statewide demographic profile of MLTC enrollees and statewide rates of emergency room, hospital, and nursing home utilization. Refer to the Measures document to learn more about specific MLTC measures. In the future, as more evaluations are performed, measures can be trended over time. Refer to the Overview document for information on the data sources, time frames, and limitations of this dataset.

As a way of monitoring managed care plan performance and improving the quality of care provided to New York State residents, the New York State Department of Health (NYSDOH) collects data for four types of managed care insurance (commercial HMO, commercial Preferred Provider Organization, Medicaid managed care, and Child Health Plus) on an annual basis.

The Statewide Planning and Research Cooperative System (SPARCS) Inpatient De-identified dataset contains discharge level detail on patient characteristics, diagnoses, treatments, services, charges, and costs.This data contains basic record level detail regarding the discharge; however the data does not contain protected health information (PHI) under Health Insurance Portability and Accountability Act (HIPAA). The health information is not individually identifiable; all data elements considered identifiable have been redacted. For example, the direct identifiers regarding a date have the day and month portion of the date removed.

The datasets contain number of Medicaid PQI hospitalizations (numerator), county Medicaid population (denominator), observed rate, expected number of hospitalizations and rate, and risk-adjusted rate for Agency for Healthcare Research and Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid enrollees beginning in 2011.

The Institutional Cost Report (ICR) is a uniform report completed by New York hospitals to report income, expenses, assets, liabilities, and statistics to the Department of Health (DOH). Under DOH regulations, (Part 86-1.2), Article 28 hospitals are required to file financial and statistical data with DOH annually. The data filed is part of the ICR and is received electronically through a secured network. This data is used to develop Medicaid rates, assist in the formulation of reimbursement methodologies, and analyze trends. The ICR is a comprehensive compilation of exhibits that have been modified over time that users should consider when using the ICR dataset. It is possible that data is updated subsequent to posting on this website; therefore the data could become obsolete. To get the details related to the exhibits and data elements, please refer to the blank ICR form, the ICR Table of Contents, the ICR Instructions and the Glossary of Terms, Acronyms, and Abbreviations which are in the Supporting Information section of this site. The data posted as edited contains desk edit adjustments by DOH personnel. In 2009, this information was not audited; however effective with the 2010 ICR, all ICRs will be audited by a Certified Public Accounting Firm annually.

This map shows the total incentive payments disbursed to Eligible Professionals (EPs) and Eligible Hospitals (EHs) by county beginning in 2011, through the NY Medicaid Electronic Health Records (EHR) Incentive Program, a CMS Promoting Interoperability Program. The darker shading represents the counties that have received the most payments.
Authorized by the American Recovery and Reinvestment Act (ARRA) of 2009, this program provides multi-year financial incentives to EPs and EHs who adopt, implement, or upgrade, and subsequently demonstrate meaningful use, of Certified Electronic Health Record Technology (CEHRT).
For more information please visit: https://www.health.ny.gov/ehr.

Note: The final update to this dataset was on 7/31/2023. The dataset is representative of financial incentive payments disbursed to Eligible Professionals (EPs) and Eligible Hospitals (EHs) by the NY Medicaid Electronic Health Records (EHR) Incentive Program, a CMS Promoting Interoperability Program. Authorized by the American Recovery and Reinvestment Act (ARRA) of 2009, this program provides multi-year financial incentives to EPs and EHs who adopt, implement, or upgrade, and subsequently demonstrate meaningful use of Certified Electronic Health Record Technology (CEHRT).

The Statewide Planning and Research Cooperative System (SPARCS) Inpatient De-identified dataset contains discharge level detail on patient characteristics, diagnoses, treatments, services, and charges. This data contains basic record level detail regarding the discharge; however the data does not contain protected health information (PHI) under Health Insurance Portability and Accountability Act (HIPAA). The health information is not individually identifiable; all data elements The Statewide Planning and Research Cooperative System (SPARCS) Inpatient De-identified dataset contains discharge level detail on patient characteristics, diagnoses, treatments, services, charges and costs. This data contains basic record level detail regarding the discharge; however the data does not contain protected health information (PHI) under Health Insurance Portability and Accountability Act (HIPAA). The health information is not individually identifiable; all data elements considered identifiable have been redacted. For example, the direct identifiers regarding a date have the day and month portion of the date removed.

The datasets contain number of Medicaid PQI hospitalizations (numerator), county Medicaid population (denominator), observed rate, expected number of hospitalizations and rate, and risk-adjusted rate for Agency for Healthcare Research and Quality Prevention Quality Indicators – Adult (AHRQ PQI) for Medicaid enrollees beginning in 2011.

This dataset is one of two datasets that contain observed and expected rates for Agency for Healthcare Research and Quality Prevention Quality Indicators – Adult (AHRQ PQI) beginning in 2009. The observed rates and expected rates for each AHRQ PQI is presented by either resident county (including a statewide total) or resident zip code (including a statewide total).

The Statewide Planning and Research Cooperative System (SPARCS) Inpatient De-identified dataset contains discharge level detail on patient characteristics, diagnoses, treatments, services, charges, and costs. This data contains basic record level detail regarding the discharge; however the data does not contain protected health information (PHI) under Health Insurance Portability and Accountability Act (HIPAA). The health information is not individually identifiable; all data elements considered identifiable have been redacted. For example, the direct identifiers regarding a date have the day and month portion of the date removed.

The dataset contains Potentially Preventable Readmission observed, expected, and risk adjusted rates by hospital for Medicaid enrollees beginning in 2011.

The Nursing Home Cost Report (RHCF) is a uniform report completed by New York nursing homes to report income, expenses, assets, liabilities, and statistics to the Department of Health (DOH). Under DOH regulations, (Part 86-2.2), nursing homes are required to file financial and statistical data with DOH annually. The data filed is part of the cost report and is received electronically through a secured network. This data is used to develop Medicaid rates, assist in the formulation of reimbursement methodologies, and analyze trends. For more information, check out: http://www.health.ny.gov/facilities/nursing/ or go to the “About “ tab.

This version of the Institutional Cost Report (ICR) has been audited by a Certified Public Accounting Firm. The ICR is a uniform report completed by New York State hospitals to report income, expenses, assets, liabilities, and statistics to the the Department of Health (DOH). Under DOH regulations, (Part 86-1.2), Article 28 hospitals are required to file financial and statistical data with DOH annually. The data filed is part of the ICR and is received electronically through a secured network. This data is used to develop Medicaid rates, assist in the formulation of reimbursement methodologies, and analyze trends. For more information, check out: http://www.health.ny.gov/facilities/hospital/index.htm.

The New York State Department of Health (NYSDOH) collects annual data on children’s and adults’ use of health services. This information complements the quality of care and member satisfaction information collected through an annual public reporting system called the Quality Assurance Reporting Requirements (QARR). Utilization measures are designed to capture the frequency of certain services provided by health plans. NCQA does not view higher or lower services counts as better or worse performance. Plans with fewer than 30 eligible events are excluded from the statistical calculations of the percentiles.

The Nursing Home Cost Report (RHCF) is a uniform report completed by New York nursing homes to report income, expenses, assets, liabilities, and statistics to the Department of Health (DOH). Under DOH regulations, (Part 86-2.2), nursing homes are required to file financial and statistical data with DOH annually. The data filed is part of the cost report and is received electronically through a secured network. This data is used to develop Medicaid rates, assist in the formulation of reimbursement methodologies, and analyze trends. For more information, check out: http://www.health.ny.gov/facilities/nursing/ or go to the “About “ tab.

This dataset contains information on selected chronic health conditions in the Medicaid population at the county level. The chronic health conditions were identified through 3M Clinical Risk Group software and Medicaid enrollment/eligibility, encounter, claim and pharmacy data over a 12-month period.

The datasets contain number of Medicaid PDI hospitalizations (numerator), county or zip Medicaid population (denominator), observed rate, expected number of hospitalizations and rate, and risk-adjusted rate for Agency for Healthcare Research and Quality Pediatric Quality Indicators – Pediatric (AHRQ PDI) for Medicaid enrollees beginning in 2011. The Agency for Healthcare Research and Quality (AHRQ) Pediatric Quality Indicators (PDIs) are a set of population based measures that can be used with hospital inpatient discharge data to identify ambulatory care sensitive conditions. These are conditions where 1) the need for hospitalization is potentially preventable with appropriate outpatient care, or 2) conditions that could be less severe if treated early and appropriately. Both the Urinary Tract Infection and Gastroenteritis PDIs include admissions for patients aged 3 months through 17 years. The asthma PDI includes admissions for patients aged 2 through 17 years. Eligible admissions for the Diabetes Short-term Complications PDI includes admissions for patients aged 6 through 17 years.

This data set contains statewide Medicaid beneficiary counts by valid NYS five-digit zip code. Also in this file are counts of beneficiaries who are dual eligible for Medicaid and Medicare, total inpatient admissions, and total emergency room visits.

This version of the Institutional Cost Report (ICR) has been audited by a Certified Public Accounting Firm. The ICR is a uniform report completed by New York State hospitals to report income, expenses, assets, liabilities, and statistics to the the Department of Health (DOH). Under DOH regulations, (Part 86-1.2), Article 28 hospitals are required to file financial and statistical data with DOH annually. The data filed is part of the ICR and is received electronically through a secured network. This data is used to develop Medicaid rates, assist in the formulation of reimbursement methodologies, and analyze trends. For more information, check out: http://www.health.ny.gov/facilities/hospital/index.htm.