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1. Methods for Calculating Patient Travel Distance to Hospital in HCUP Data – Data Supplements (xls file)
   hcup-us.ahrq.gov/reports/methods/MS2021-02-HospDist-DataSuppl.xlsx
   December 03, 2021 - Large central metropolitan 150,352 9,476,906 0.00 0.00 0.00 0.00 0.01 0.03 0.05 0.10 0.14 0.39 340.33 … Large fringe metropolitan 160,809 7,495,376 0.00 0.00 0.00 0.00 0.01 0.02 0.05 0.09 0.16 0.45 340.33 … Large central metropolitan 3,442 227,556 0.00 0.00 0.00 0.00 0.01 0.03 0.06 0.21 0.21 0.24 340.33 9.91 … Large fringe metropolitan 10,138 490,470 0.00 0.00 0.00 0.00 0.00 0.01 0.03 0.05 0.07 0.21 340.33 16.38 … Large central metropolitan 23,729 1,630,172 0.00 0.00 0.00 0.00 0.01 0.03 0.06 0.09 0.11 0.24 340.33

2. sb275-COVD19-HospitalLocation (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb275-COVID19-HospitalLocation.pdf
   December 01, 2020 - Because of the large sample size of the HCUP data, small differences can be statistically significant … , across 13 States, almost 80 percent of COVID-19- related hospitalizations were for patients from large … By September 2020, 42 percent of COVID-19-related hospitalizations were for patients from large metro … ■ The share of COVID-19-related hospitalizations for patients from large metro areas decreased from … ■ COVID-19-related hospitalizations for patients from large metro areas were longer in May and June

3. Healthcare Cost and Utilization Project (HCUP) NIS Notes
   hcup-us.ahrq.gov/db/vars/pl_ur_cat4/nisnote.jsp
   September 01, 2008 - The 12 categories of the UIC are combined into four broader categories that differentiate between large … follows: PL_UR_CAT4 2003 UIC Value Value Description Value Description 1 Large … metropolitan areas with at least 1 million residents 1 Metro - Large metro area of 1 million residents … less than 1 million residents 3 Micropolitan areas 3 Non-Metro - Micropolitan adjacent to large … Variable Description Value Value Description PL_UR_CAT4 Patient Location: Urban-Rural 4 Categories 1 Large

4. Healthcare Cost and Utilization Project (HCUP) KID Notes
   hcup-us.ahrq.gov/db/vars/pl_ur_cat4/kidnote.jsp
   September 01, 2008 - The 12 categories of the UIC are combined into four broader categories that differentiate between large … follows: PL_UR_CAT4 2003 UIC Value Value Description Value Description 1 Large … metropolitan areas with at least 1 million residents 1 Metro - Large metro area of 1 million residents … less than 1 million residents 3 Micropolitan areas 3 Non-Metro - Micropolitan adjacent to large … Variable Description Value Value Description PL_UR_CAT4 Patient Location: Urban-Rural 4 Categories 1 Large

5. Patient Residence Characteristics of Opioid-Related Inpatient Stays and Emergency Department Visits Nationally and by State, 2014 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb226-Patient-Residence-Opioid-Hospital-Stays-ED-Visits-by-State.pdf
   December 01, 2016 - ■ The rate of opioid-related emergency department (ED) visits increased less in large metropolitan … However, over this time period, the rate increased the least in large central metropolitan areas (28 … The rate increased the least in large fringe metropolitan areas (suburbs, 79 percent), followed by large … Opioid-related ED visits increased at a faster rate than did opioid-related inpatient stays in large … The highest rate was seen in— • Large central metropolitan areas for nine States (with an average

6. Emergency Department Visits Related to Suicidal Ideation or Suicide Attempt, 2008-2017 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb263-Suicide-ED-Visits-2008-2017.pdf
   January 01, 2017 - illustrate the variation in the highest rates within the State by patient location (i.e., counties in large … Because of the large sample size of the HCUP data, small differences can be statistically significant … All of DC and RI counties are classified as large metropolitan; IA, ME, MT, ND, NE, NM, SD, VT, and … Metro & Small/Medium Metro† Small/Medium Metro Rural Large Metro & Rural† Small/Medium Metro & … Rural† Large Metro, Small/Medium Metro, & Rural Nonparticipating With Treat- and-Release ED Data

7. Methods for Calculating Patient Travel Distance to Hospital in HCUP Data (pdf file)
   hcup-us.ahrq.gov/reports/methods/MS2021-02-Distance-to-Hospital.pdf
   May 26, 2021 - The shortest distances were in the Northeast region, New England division, and large central metropolitan … • The median driving distance ranged from 6.79 miles in large central metropolitan areas to 32.10 … central metropolitan 9,456,092 1.66 2.63 (0.04) 0.41 1.71 2.52 Large fringe metropolitan 7,522,861 … central metropolitan –0.7346 Large fringe metropolitan –0.5275 Medium metropolitan –1.4546 Small … However, the impact of imprecise patient location may be greater in ZIP Codes that cover large areas

8. Costs of Emergency Department Visits in the United States, 2017 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb268-ED-Costs-2017.pdf
   January 01, 2017 - Because of the large sample size of the NEDS data, small differences can be statistically significant … ■ Patients aged 18–44 years represented the largest share of aggregate ED costs in large metropolitan … 560 30.8 21.2 Quartile 4 (highest) 13.8 18.1 600 23.2 16.0 Location of patient’s residence Large … Aggregate ED visit costs for large metropolitan areas totaled $39.5 billion in 2017, more than half of … The share of aggregate ED costs in large metropolitan areas was analogous to the overall distribution

9. Most Frequent Principal Diagnoses for Inpatient Stays in U.S. Hospitals, 2018 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb277-Top-Reasons-Hospital-Stays-2018.pdf
   January 01, 2018 - Because of the large sample size of the NIS data, small differences can be statistically significant … For four of the five top diagnoses, mean length of stay and mean cost per stay were highest in large … central metropolitan 1 661,000 653.4 7.5 21,500 Large fringe metropolitan (suburbs) 1 502,300 618.3 … central metropolitan 2 326,000 322.3 5.6 14,400 Large fringe metropolitan (suburbs) 3 267,500 329.3 … central metropolitan 3 262,200 259.2 2.1 16,300 Large fringe metropolitan (suburbs) 2 292,100 359.6

10. Ff 2009 Exhibit5 1 (pdf file)
    hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_1.pdf
    January 01, 2009 - 1,143 1,545 ∞ South 6,171 8,974 1,111 1,561 ∞ West 3,132 4,403 870 1,224 ∞ Patient residence Large … central metro 4,838 6,762 1,081 1,462 ∞ Large fringe metro 3,804 5,510 1,036 1,455 ∞ Medium and …  The rate of female stays was 34-35 percent higher than the rate of male stays in large central metro … The Medicaid program covers childbirth-related stays, resulting in a large difference in the number … central metro 1,482 5,265 774 1,139 ∞ Large fringe metro 1,187 4,310 789 1,138 ∞ Medium and small

11. Healthcare Cost and Utilization Project (HCUP) NEDS Notes
    hcup-us.ahrq.gov/db/vars/hosp_urcat4/nedsnote.jsp
    May 01, 2015 - The 12 categories of the UIC are combined into four broader categories that differentiate between large … Variable Description Value Value Description HOSP_URCAT4 Hospital urban-rural designation 1 Large … micropolitan, (only applicable to the NEDS, beginning in 2011) 8 Metropolitan, collapsed category of large

12. Healthcare Cost and Utilization Project (HCUP) NRD Notes
    hcup-us.ahrq.gov/db/vars/hosp_urcat4/nrdnote.jsp
    August 01, 2015 - The 12 categories of the UIC are combined into four broader categories that differentiate between large … Variable Description Value Value Description HOSP_URCAT4 Hospital urban-rural designation 1 Large … micropolitan, (only applicable to the NEDS, beginning in 2011) 8 Metropolitan, collapsed category of large

13. Facts and Figures Exhibit 5.1
    hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit5_1.jsp
    January 01, 2009 - central metro 4,838 6,762 1,081 1,462ξ Large fringe metro 3,804 5,510 1,036 1,455ξ … across all areas of patient residence: The largest difference between females and males was in large … The rate of female stays was 34-35 percent higher than the rate of male stays in large central metro, … The Medicaid program covers childbirth-related stays, resulting in a large difference in the number of … central metro 1,482 5,265 774 1,139ξ Large fringe metro 1,187 4,310 789 1,138ξ

14. 2004 HCUP Nationwide Inpatient Sample (NIS) Comparison Report
    hcup-us.ahrq.gov/db/nation/nis/reports/2004niscomparisonrpt.jsp
    May 01, 2016 - One of the most distinctive features of the NIS is that its large sample size allows for the study of … Both the NIS and NHDS include large numbers of discharges without race information. … The NIS provides a large sample of Medicare discharges both in managed care and fee-for-service plans … The NIS contains charges for each hospital stay, all payers, and a large sample of discharges. … The NIS offers a large sample that enables study of low incidence disorders and less common procedures

15. Title: (pdf file)
    hcup-us.ahrq.gov/datainnovations/CAAbstractFinal.pdf
    September 29, 2013 - September 30, 2010, to September 29, 2013 Grant Number: R01 HS19963-01 California is home to a large … A large percentage of these individuals are linguistically isolated.

16. Healthcare Cost and Utilization Project (HCUP) KID Notes
    hcup-us.ahrq.gov/db/vars/hosp_bedsize/kidnote.jsp
    September 01, 2008 - CATEGORIES (Beginning in 2000) Location and Teaching Status Hospital Bedsize Small Medium Large … CATEGORIES (Prior to 2000) Location and Teaching Status Hospital Bedsize Small Medium Large … Variable Description Value Value Description HOSP_BEDSIZE Bedsize of hospital 1 Small 2 Medium 3 Large

17. Coronary Artery Disease, Acute Myocardial Infarction, and Ischemic Stroke Rates Among Inpatient Stays, 2001-2014 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb241-Coronary-Artery-AMI-Stroke-Hospital-Stays-2001-2014.pdf
    January 01, 2014 - ■ The rate of ASCVD stays among adults in 2014 was 31.2 percent lower in large metropolitan areas … ■ The rate of stays for AMI was 40.1 percent lower in large metropolitan areas than in rural areas … metropolitan 7 The rate of ASCVD stays in large metropolitan areas was 31.2 percent lower than … The 12 categories of the UIC are combined into 4 broader categories that differentiate between large … The location of patients’ residence is set to large metropolitan for patients who are homeless.

18. HCUP Statistical Brief #126: Circumcisions Performed in U.S. Community Hospitals, 2009 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb126.pdf
    February 01, 2012 - ■ Circumcision rates were lowest in large central metropolitan areas (41.2 percent). … In both 2005 and 2009, circumcision rates were lowest in large central metropolitan areas (the most … The highest circumcision rate in 2005 was large fringe metropolitan areas (suburbs)—68.8 percent—but … central metro 43.0* 41.2 a, b, c Large fringe metro (suburbs)† 68.8* 62.3 a Medium and … central metro and large fringe metro, b = large central metro and medium-small metro, c = large central

19. Microsoft Word - 2008_3.doc (pdf file)
    hcup-us.ahrq.gov/reports/methods/2008_03.pdf
    January 01, 2008 - Physician services, separately billed, can be a large component of ambulatory surgey services. … Investor owned hospitals have significantly lower CCR, while large size of hospital, urban location … The size of these three state effects was as large as any other determinants except the Medicare and … Physician services, separately billed, are a large component of ambulatory surgery services. … State effects are large in 3 of 8 states relative to the effects of other hospital variables.

20. 2005 HCUP Nationwide Inpatient Sample (NIS) Comparison Report
    hcup-us.ahrq.gov/db/nation/nis/reports/2005niscomparisonrpt.jsp
    November 01, 2015 - The NIS offers a large sample that enables study of low incidence disorders and less common procedures … Statistics can be calculated for large groups ranging from the inpatient population of the United States … Urban, teaching 751 157 751 Small 216 45 204 Medium 245 52 228 Large … The NIS provides a large sample size that tends to yield estimates with much smaller standard errors … The NIS provides a large sample of Medicare discharges both in managed care and fee-for-service plans