Date	Hospital	Area/s Affected	Change in Reporting
07/12/06	St. Elizabeth	Skilled Nursing, Live Births, Surgery, Cardiac, SUPPLEMENTAL REPORTS ALSO AFFECTED	The St. Elizabeth (Grant, North and South) will be broken out in the THUS tool.  3rd Quarter 2005 does not have information in these areas for all the St. E’s because the hospitals were not counted separately.
08/01/06	Clinton Memorial	Freestanding ED	CMH now shows freestanding numbers when they did not before going to the THUS webtool.  CMH has an urgent care, open from 4-10 and it is off-site.
03/29/07	Mercy Fairfield	Outpatient Caths	Mercy Fairfield has now entered into a joint venture with their physicians on some of those procedures.  Those joint venture cases will not appear in our THUS tool which could explain the drop in cases. Also, the fact that we will be including the new codes for cardiac caths (88.50-88.58) may help produce an increase in this category.
04/04/07	Mercy Mt. Airy	Obstetrics, Neonatal I, Neonatal II, Neonatal III, Live Births, SUPPLEMENTAL REPORTS ALSO AFFECTED	The newborn unit has closed down in Mt. Airy. They started decreasing deliveries at Mt. Airy in the fall of 2005 and closed the service in January of 2006.
04/16/07	Middletown	Outpatient Freestanding Surgery, SUPPLEMENTAL REPORTS ONLY	Middletown does not have outpatient surgery.  They will have outpatient surgery when they move to their new campus in 2008
04/05/07	St. Elizabeth North	Adult Med/Surgery, Emergency, SUPPLEMENTAL REPORTS ALSO AFFECTED	St. Elizabeth no longer has Med/Surg patients at their North unit.  They have gradually decreased until going to zero.  The Critical Care Unit (CCU) closed in November of 2005.  The Transitional Care Unit (TCU) North closed June of 2006.  The Hospice Unit closed March of 2007.  Those patients are now at the South unit.  The North unit still has an Emergency department, but all ED admits are now counted in the South Unit.  The North unit only has outpatient testing services, an ED department and skilled nursing.
04/5/07	Clinton Memorial	Neonatal II, Neonatal III,  SUPPLEMENTAL REPORTS ONLY	Clinton Memorial only cares for level I Neonatalnewborns.  The level II and level III Neonatal cases would be transferred to a different facility.
04/12/07	Drake	Rehabilitation, SUPPLEMENTAL REPORTS ONLY	The past four 6-month periods of reporting for Drake shows 683-777 admits and 15,682 - 20,019 patient days for Rehabilitation. The Health Alliance suggested that in the past, Drake was reporting all their patients and patient days, including SNF and their long term acute care patients and days.  The Health Alliance's records show, for the period of Jul-Dec 06, a total of 969 admits and 17,517 days, which is comprised of include skilled nursing, the long-term medically complex, and med/surg level 4 patients & days. The Health Alliance will continue reporting Drake’s rehabilitation numbers in this way.
06/28/07	Mercy Western Hills and Mercy Mt. Airy	Skilled Nursing	On June 1st, 2007, the skilled nursing unit for these hospitals closed.
12/10/07	Atrium Medical Center	Outpatient Freestanding Surgery, SUPPLEMENTAL REPORTS ONLY	Atrium Medical Center - formerly Middletown Regional Hospital - now has Outpatient Surgeries.
07/03/08	Mercy Anderson	Outpatient Surgical Cases - Quarterly Reports	Mercy Health Partners has taken ownership of a former Mercy/JV surgery center on the Mercy Anderson campus. All Mercy Anderson outpatient surgical cases are now at this facility, and Mercy Anderson is reporting them as such.