Reported Performance / Experience
The NYPORTS has published two ‘annual ’ reports, the Annual Report 1999 was released in 2001 and the Annual Report 2000/2001 was released in 2003. Subsequent reports have not been released to the public through mid-2006.
As demonstrated in the table below, the number of reports submitted to NYPORTS increased from 16,939 cases in 1999 to 28,689 in 2001. Subsequent reports have not been issue by NYPORTS through mid-2006. The New York discharge numbers in SPARCS confirms 1999, 2000, and 2001 hospital utilization information, which is used in the table below to provide calculations of events per 100,000 discharges and events per 100,000 patient-days. It should be noted that definitions for several of the NYPORTS codes changed between 1999 and 2001. Data in the 2001 report demonstrated some regional variations with reporting.
Comparative hospital reportable event performance data for the 11 states that publish any aggregate state data on reportable events are available. New York and Tennessee report ‘adverse events’ using Occurrence Codes based on International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) taxonomy of administrative data. However, NYPORTS measures 54 specified events compared to Tennessee's 45.
Two states (Connecticut, Minnesota) report NQF-events. Four states (Maine, Pennsylvania, Utah, Washington) utilize varying numbers and versions of JCAHO's ‘voluntary reportable sentinel events’. Florida, Massachusetts, and Colorado utilize unique state reportable event definitions.
New York's population-adjusted occurrence reporting rate is signficantly larger than that of other states. Except for Pennsylvania, whose 2005 reported serious events were 40% of population-adjusted 2001 adverse events reported by New York, the occurrence rates for states reporting NQF events and JCAHO events are much lower than the ‘adverse events’ published by New York.
While under-reporting obviously occurs in several states, the major significant message to be garnered from these comparative data is that there is lack of standardization of reported events and their definitions across States.