Central Distributor SASD: Description of Data Elements

DISPUNIFORM - Disposition of patient, uniform coding

Documentation Sections:

General Notes

Uniform Values

State Specific Notes

General Notes

DISPUNIFORMindicates the disposition of the patient at discharge (routine, transfer to another hospital, died, etc.). To ensure uniformity of coding across data sources, DISPUNIFORMcombines detailed categories in the more general groups. For example, Transfers to facilities other than short-term hospitals (skilled nursing facilities, intermediate care facilities, and other type of facilities) are coded as DISPUNIFORM= 5. Transfers to Home Health Care (including IV providers and Hospice home care) are coded as DISPUNIFORM= 6. DISPUB04 and DISPUB92 has more detailed categories for transfers and Home Health Care and distinguishes patients that died in the hospital from those that died outside of the hospital. The following table lists how the values of DISPUB04 map to the values of DISPUNIFORM: Coding of DISPUB04 into DISPUNIFORM DISPUB04 DISPUNIFORM Value Description Value Description 1 Discharged to Home or Self Care (Routine Discharge) 1 Routine 21 Court/Law Enforcement 30 Still a patient (allowable value for outpatient data starting in data year 2016) 81 Discharged to Home or Self Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 87 Discharged/Transferred to Court/Law Enforcement with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 2 Discharged/transferred to a Short-Term Hospital for Inpatient Care 2 Transfer to Short-term Hospital 5 Effective 10/1/07: Discharged/transferred to a Designated Cancer Center or Children's Hospital 9 Admitted as an inpatient to this hospital - valid only on outpatient data 43 Discharged/transferred to a Federal Health Care Facility 66 Discharged/transferred to a Critical Access Hospital (CAH) 82 Discharged/Transferred to a Short Term General Hospital for Inpatient Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 85 Discharged/Transferred to a Designated Cancer Center or Children's Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 88 Discharged/Transferred to a Federal Health Care Facility with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 94 Discharged/Transferred to a Critical Access Hospital (CAH) with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 3 Discharged/transferred to a Skilled Nursing Facility (SNF) 5 Transfer Other: Includes Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), Another Type of Facility 4 Discharged/transferred to an Intermediate Care Facility (ICF) 5 Effective prior to 10/1/07: Discharged/transferred to another type of institution not defined elsewhere 51 Hospice - Medical Facility 61 Discharged/transferred to a Hospital-Based Medicare approved Swing Bed 62 Discharged/transferred to an Inpatient Rehabilitation Facility (IRF) including Rehabilitation Distinct part unit of a hospital 63 Discharged/transferred to a Medicare certified Long Term Care Hospital (LTCH) 64 Discharged/transferred to a Nursing Facility certified by Medicaid, but not certified by Medicare 65 Discharged/transferred to a Psychiatric Hospital or Psychiatric distinct part unit of a hospital 69 Discharged/transferred to a Designated Disaster Alternative Care Site (Effective 10/1/13) 70 Effective 10/1/07: Discharged/transferred to another type of institution not defined elsewhere 83 Discharged/Transferred to a Skilled Nursing Facility (SNF) with Medicare Certification with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 84 Discharged/Transferred to a Facility that Provides Custodial or Supportive Care with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 89 Discharged/Transferred to a Hospital-based Medicare Approved Swing Bed with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 90 Discharged/Transferred to an Inpatient Rehabilitation Facility (IRF) including Rehabilitation Distinct Part Units of a Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 91 Discharged/Transferred to a Medicare Certified Long Term Care Hospital (LTCH) with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 92 Discharged/Transferred to a Nursing Facility Certified Under Medicaid but not Certified Under Medicare with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 93 Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 95 Discharged/Transferred to Another Type of Health Care Institution not Defined Elsewhere in the Code List with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 6 Discharged/transferred to Home under care of Organized Home Health Service Organization 6 Home Health Care (HHC) 8 Home IV Provider 50 Hospice-Home 86 Discharged/Transferred to a Home Under Care of Organized Home Health Service Organization with a Planned Acute Care Hospital Inpatient Readmission (Effective 10/1/13) 7 Left Against Medical Advice or Discontinued Care 7 Against Medical Advice (AMA) 20 Expired 20 Died 40 Expired at home 99 Discharge alive, destination unknown 41 Expired in a Medical Facility 42 Expired - place unknown 99 Discharged alive, destination unknown . Missing . Missing .A Invalid .A Invalid The next table lists how the values of DISPUB92 map to the values of DISPUNIFORM: Coding of DISPUB92 into DISPUNIFORM DISPUB92 DISPUNIFORM Value Description Value Description 1 Routine 1 Routine 71 Another institution for outpatient services. Value was added beginning in the 2000 HCUP data. 72 This institution for outpatient services. Value was added beginning in the 2000 HCUP data. 2 Short-term Hospital 2 Transfer to Short-term Hospital 9 Admitted as an inpatient to this hospital. Valid only on outpatient data. Value was added beginning in the 2001 HCUP data. 43 Federal health facility 3 Skilled Nursing Facility (SNF) 5 Transfer Other: Includes Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), Another Type of Facility 4 Intermediate Care Facility (ICF) 5 Another Type of Facility 51 Hospice - Medical Facility 61 Within this institution to a hospital-based Medicare approved swing bed. Value was added beginning in the 2000 HCUP data. 62 Discharge, transferred to another rehabilitation facility including rehabilitation distinct part units of a hospital. Value was added beginning in 2001 HCUP data. 63 Discharge, transferred to a long term care hospital swing bed. Value was added beginning in the 2001 HCUP data. 64 Discharge, transferred to a nursing facility certified by Medicaid, but not certified by Medicare. Value was added beginning in the 2002 HCUP data. 65 Discharge, transferred to a psychiatric hospital or psychiatric distinct unit of a hospital. Value was added beginning in the 2004 HCUP data. 6 Home Health Care (HHC) 6 Home Health Care (HHC) 8 Home IV Provider 50 Hospice-Home 7 Against Medical Advice (AMA) 7 Against Medical Advice (AMA) 20 Died in Hospital 20 Died 40 Died at Home. Prior to the 2001 data, value 40 "Died at Home" was mapped to missing (.). 99 Discharge alive, destination unknown. Value was added beginning in the 2001 data. 41 Died in Medical Facility. Prior to 2001 data, value 41 "Died in Medical Facility" was mapped to missing (.). 42 Died, place unknown. Prior to the 2001 data, value 42 "Died, place unknown" was mapped to missing (.). 99 Discharged alive, destination unknown. Value was added beginning in the 2001 data. . Missing . Missing .A Invalid .A Invalid DISP_X retains the disposition of patient as provided by the data source.

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Uniform Values

Variable Description Value Value Description DISPUNIFORM Disposition of patient, uniform coding 1 Routine 2 Transfer to short-term hospital 5 Transfer other: includes Skilled Nursing Facility (SNF), Intermediate Care Facility (ICF), and another type of facility 6 Home Health Care (HHC) 7 Against medical advice (AMA) 20 Died in hospital 21 Discharged/transferred to court/law enforcement 99 Discharged alive, destination unknown, beginning in 2001 . Missing .A Invalid

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State Specific Notes

California Beginning in 2015, DISPUB04 is coded into DISPUNIFORM. Florida Florida (2003 - 2004) DISP_X DISPUniform Beginning in 2003 Value Description Value Description 01 Home 1 Routine 02 Short term general hospital 2 Transfer to short-term hospital 03 Skilled nursing facility 5 Transfer other: includes skilled nursing facility, intermediate care facility, and other types of facility --   6 Home health care --   7 Against medical advice --   20 Died in hospital --   99 Discharged alive, destination unknown (beginning in 2001 data) 04, Blank Other, Missing . Missing (includes died outside of hospital) Any values not documented by the data source .A Invalid There is not enough detail in the coding of DISP_X to code the HCUP variable DISPUB92. Kentucky Beginning in 2009, certain hospitals are not required to report discharge status. These hospitals will have missing values for DISPUB04, DISP_X, and DISPUNIFORM Maryland Maryland (Prior to July 1, 2001) DISP_X DISPUniform Value Description Value Description 01 Home or self-care 1 Routine 05 Acute care general hospital 2 Transfer to short-term hospital 06 Other health care facility 5 Transfer other: includes skilled nursing facility, intermediate care facility, and other types of facility 10 Rehabilitation facility 11 Rehabilitation unit of other hospital 12 On-site distinct rehabilitation unit 13 Transfer to nursing facility 14 On-site psychiatric unit (inpatient only) 15 On-site sub-acute unit (inpatient only) 16 Other sub-acute care facility (inpatient only) 03 Home health care 6 Home health care 08 Left against medical advice 7 Against medical advice 07 Died 20 Died --   99 Discharged alive, destination unknown, beginning in 2001 09, 99, Blank Unknown . Missing (includes died outside of hospital) 02 Do not use .A Invalid 04 Do not use Any values not documented by the data source There is not enough detail in the coding of DISP_X to code the HCUP variable DISPUB92. New Jersey Beginning in 2003, the variable DISPUniform became available in the New Jersey SASD file. Beginning in 1999, the variable DISPUniform is not included on the New Jersey SASD file. Prior to 1999, DISPUniform has a constant value for all records due to the definition of same-day surgery discharges in the New Jersey data. All patients who received same-day surgery services were discharged to home or self-care (DISPUniform = 1). North Carolina Between 2010-2011, source value 21, Discharged/transferred to court/law enforcement, was incorrectly mapped to invalid.

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