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Rehabilitation Dataset Directory: Dataset Profile

Dataset: Health care Cost & Utilization Project (HCUP): Nationwide Inpatient Sample (NIS) (HCUP-NIS)

Basic Information
Dataset Full Name Health care Cost & Utilization Project (HCUP): Nationwide Inpatient Sample (NIS)
Dataset Acronym HCUP-NIS
Summary The NIS is the largest all-payer database. It contains information related to inpatient stays, including both clinical and administrative (charge) information. The 2014 NIS lists all discharge data from 4,411 hospitals located in 44 states and the District of Columbia. The large sample size of the NIS enables analyses of rare conditions, such as some congenital anomalies (e.g., spina bifida), and special patient populations. The data files are adjusted for severity of medical conditions using tools developed by AHRQ.
Key Terms Utilization and Cost of Hospital Services, Health Care Cost Inflation, Comparative Effectiveness Research, Access and Quality of Care
Study Design Longitudinal
Data Type(s) Administrative
Sponsoring Agency/Entity Department of Health and Human Services (HHS) Agency for Health care Research and Quality (AHRQ)
Health Conditions/Disability Measures
Health Condition(s)

ICD-9/10 diagnostic codes
Disability Measures NA
Measures/Outcomes of Interest
Topics Primary and secondary diagnoses, Primary and secondary procedures, Admission and discharge status, Patient demographics (e.g., gender, age, race, median income for ZIP Code), Expected payment source, Total charges, Length of stay, Hospital characteristics (e.g., ownership, size, teaching status).
Sample
Sample Population Hospitals
Sample Size/Notes 8,000,000 (±) hospital inpatient stays
Unit of Observation Hospital & Patient
Continent(s) North America
Countries

United States
Geographic Coverage National* (1988 has data from 8 states and 2017 has data from 47 states and the District of Columbia)
Geographic Specificity Hospital Zip Code
Data Collection
Data Collection Mode Administrative
Years Collected 1988-present
Data Collection Frequency Annual
Strengths and Limitations
Strengths Only national hospital database containing charge information on all patients, regardless of payer, and the uninsured. Data is weighted to determine national estimates. Patient severity adjustment is available. Comprehensive documentation and training available through AHRQ. Data can be linked with other datasets like American Hospital Association (AHA) survey and Area Resource File (ARF). Trend analysis can be conducted.
Limitations Information is limited to inpatient stays. Clinical details are limited (e.g., intensity of rehabilitation intervention).
Data Details
Primary Website https://www.ahrq.gov/research/data/hcup/index.html
Data Access https://www.hcup-us.ahrq.gov/tech_assist/centdist.jsp
Data Access Requirements Data Use agreement, $ Cost
Summary Tables/Reports

Briefs:

https://www.hcup-us.ahrq.gov/reports/statbriefs/statbriefs.jsp


Reports: 

https://www.hcup-us.ahrq.gov/reports.jsp
Data Components
  • National (Nationwide) Inpatient Sample (NIS)
  • Kids' Inpatient Database (KID)
  • Nationwide Emergency Department Sample (NEDS) 
  • Nationwide Readmissions Database (NRD)
Similar/Related Dataset(s)

Nationwide Readmission Database (NRD)


Health care Cost & Utilization Project (HCUP): Kids' Inpatient Database (KID)


Health care Cost & Utilization Project (HCUP): State Inpatient Database (SID)
Selected Papers
Other Papers https://www.hcup-us.ahrq.gov/reports/spotlights.jsp
Technical NIS Documentation:
https://www.hcup-us.ahrq.gov/db/nation/nis/nisdbdocumentation.jsp

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The Rehabilitation Research Cross-dataset Variable Catalog has been developed through the Center for Large Data Research & Data Sharing in Rehabilitation (CLDR). The Center for Large Data Research and Data Sharing in Rehabilitation involves a consortium of investigators from the University of Texas Medical Branch, Cornell University's Yang Tan Institute (YTI), and the University of Michigan. The CLDR is funded by NIH - National Institute of Child Health and Human Development, through the National Center for Medical Rehabilitation Research, the National Institute for Neurological Disorders and Stroke, and the National Institute of Biomedical Imaging and Bioengineering. (P2CHD065702).

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Acknowledgements: This tool was developed through the efforts of William Erickson and Arun Karpur, and web designers Jason Criss and Jeff Trondsen at Cornell University. Many thanks to graduate students Kyoung Jo Oh and Yeong Joon Yoon who developed much of the content used in this tool.

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