Texas State Health Plan: 1985, Appendix A Page: 4
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each 12 month period with all hospitals asked to submit data on all patients
during a specified week in each quarter. Approximately 98.5% of all hospitals
surveyed in the studies submitted data for at least one quarter. Information
collected on patients covered county of residence, sex, ethnicity, age, and
type of service (e.g., obstetrics, pediatrics, etc.). Although all hospitals
were given the same criteria for classifying patients into service types,
there is a possibility that these criteria were not used consistently by all
hospitals. However, since projections are not provided by service or for
individual hospitals, this should not be a serious problem. Data from both
POD studies, excluding the first quarter of 1979,* were added together and
this combined data set was used in the analysis described below.
The TDH also requests that all hospital facilities complete the Hospital Data
Questionnaire each year. Among the data collected in this questionnaire is
information concerning the number of patient days accumulated over the year
for each of several services for the reporting facility. These data are also
used in the analyses presented below.
The population figures used in projecting beds for 1989 are from the TDH
population projections. These population projections are based on the
assumption that in-migration will continue through the 1980's at the same rate
as the 1970's.
Computation of Use Rates The combined POD data set was used to determine, for
each facility, what percentage of the facility's patient days to allocate back
to each county based on patient residence. In other words, the POD data were
used to develop a pattern for each facility that could be used to allocate
patient days reported on the Hospital Data Questionnaire back to the patient's
county of residence.
Because the POD studies collected information on each patient's age, sex and
race, it was possible to allocate patient days back to counties of origin
retaining this information. Four age groups were used: ages 0-14, ages
15-44, ages 45-64, and ages 65 and over. Ethnic groups were white
(non-hispanic), black and hispanic. All 24 combinations of sex, age and race
were used when allocating patient days back to counties.
Before developing patterns for allocation of patient days, however, it was
necessary to adjust the admission patterns obtained from the POD studies to
take into account the differing lengths of stay of the various age groups.
Therefore, admission patterns were weighted based upon the average length of
stay (ALOS) reported for the Southern United States* for the four age group
*The first quarter of the 1979-1980 Study involved a different data
collection plan from the other three quarters and from the 1981-82 Study, and
was excluded for this reason.
**National Center for Health Statistics. B. J. Haupt: Utilization of
Short-Stay Hospitals: Annual Summary. Vital and Health Statistics. Series
13, No. 64 DHHS Pub. No. (PHS) 82-1725. Public Health Service. Washington.
Government Printing Office, March 1982. (Texas data needed for calculation of
ALOS by age group and sex combinations are not available.)4
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Texas. Statewide Health Coordinating Council. Texas State Health Plan: 1985, Appendix A, report, 1985; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1586722/m1/148/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.