Medicare Fee-For-Service (FFS) Hospital Readmissions: Q2 2016 Q1 2017 State of Please contact Rosalie McGinnis via email at RMcGinnis@hsag.com or by phone at 614.307.1715 for additional information. This material was prepared by Health Services Advisory Group, the Medicare Quality Improvement Organization for, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. OH-11SOW-C.3-08222017-01
Overview Table 1: 30-Day All-Cause Readmission Rates Q2 2016 Q1 2017 1 Baseline Current (CY 2013) Q2 2016 Q3 2016 Q4 2016 Q1 2017 Q2 2016 to Q1 2017 76,671/403,398 17,706/97,272 17,524/95,402 17,563/96,293 18,058/99,567 70,851/388,534 19.0% 18.2% 18.4% 18.2% 18.1% 18.2% Nation 1 18.4% Table 2: Number of Emergency Department (ED) Visits Q2 2016 Q1 2017 Q2 2016 Q3 2016 Q4 2016 Q1 2017 158,953 164,047 152,395 144,703 Table 3: Number of Observation Stays Q2 2016 Q1 2017 Q2 2016 Q3 2016 Q4 2016 Q1 2017 26,273 26,208 24,928 24,069 1 National data are obtained from the Integrated Care for Populations and Communities (ICPC) Quarterly Scorecard and the most recent data available are through December 31, 2016. Page 1
Table 4: All-Cause Average Readmissions Rates by Region Region Average Rate Northeast 18.7% Central 18.5% Southeast 18.5% Southwest 18.1% Northwest 16.8% Page 2
Figure 1: and National Outpatient ED Visits, Observation Stays, and Inpatient Admissions 2,3 2 ED visits and observation stays resulting in an inpatient stay are not included in this calculation. 3 National data are obtained from the ICPC Quarterly Scorecard and the most recent data available are through December 31, 2016. Page 3
Table 5: Discharge Distribution after Inpatient Hospitalization for All Causes Q2 2016 Q1 2017 4 Readmits 30-Day Readmits to Same Hospital 30-Day Readmits to Different Hospital Days to Readmission Setting 30-Day Within 0 3 Days 4 7 Days 8 14 Days 15 21 Days 22 30 Days Group Discharged To Readmit Rate Discharges 30 Days N % N % N % N % N % N % N % Home 16.2% 181,365 29,336 21,348 72.8% 7,988 27.2% 4,660 15.9% 5,518 18.8% 7,425 25.3% 5,793 19.7% 5,940 20.2% SNF* 20.8% 94,498 19,686 14,073 71.5% 5,613 28.5% 2,904 14.8% 3,610 18.3% 5,119 26.0% 3,984 20.2% 4,069 20.7% HHA** 21.3% 70,596 15,005 11,659 77.7% 3,346 22.3% 2,461 16.4% 2,841 18.9% 3,912 26.1% 2,949 19.7% 2,842 18.9% Hospice 2.0% 12,074 239 154 64.4% 85 35.6% 50 20.9% 42 17.6% 58 24.3% 43 18.0% 46 19.2% Other 21.9% 30,001 6,585 3,808 57.8% 2,777 42.2% 1,814 27.5% 992 15.1% 1,419 21.5% 1,142 17.3% 1,218 18.5% Total 18.2% 388,534 70,851 51,042 72.0% 19,809 28.0% 11,889 16.8% 13,003 18.4% 17,933 25.3% 13,911 19.6% 14,115 19.9% *Skilled Nursing Facility (SNF) **Home Health Agency (HHA) Figure 2: 30-Day All-Cause Readmission Rates 5 4 An entry of ND, or missing data point, indicates that data were unavailable for the specified time period. 5 National data are obtained from the ICPC Quarterly Scorecard and the most recent data available are through December 31, 2016. Page 4
Table 6: Discharge Distribution after Inpatient Hospitalization for Acute Myocardial Infarction (AMI) Q2 2016 Q1 2017 6 30-Day Readmits to 30-Day Readmits to Readmits Same Hospital Different Hospital Days to Readmission Setting 30-Day Within 0 3 Days 4 7 Days 8 14 Days 15 21 Days 22 30 Days Group Discharged To Readmit Rate Discharges 30 Days N % N % N % N % N % N % N % Home 13.7% 5,528 760 564 74.2% 196 25.8% 161 21.2% 144 18.9% 209 27.5% 136 17.9% 110 14.5% SNF 24.9% 1,627 405 278 68.6% 127 31.4% 76 18.8% 69 17.0% 118 29.1% 67 16.5% 75 18.5% HHA 23.9% 1,504 359 279 77.7% 80 22.3% 72 20.1% 78 21.7% 90 25.1% 46 12.8% 73 20.3% Hospice 1.8% 271 5 3 60.0% 2 40.0% 2 40.0% 2 40.0% 0 0.0% 0 0.0% 1 20.0% Other 27.0% 701 189 99 52.4% 90 47.6% 79 41.8% 19 10.1% 29 15.3% 31 16.4% 31 16.4% Total 17.8% 9,631 1,718 1,223 71.2% 495 28.8% 390 22.7% 312 18.2% 446 26.0% 280 16.3% 290 16.9% Figure 3: 30-Day AMI Readmission Rates 7 6 An entry of ND, or missing data point, indicates that data were unavailable for the specified time period. 7 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission Reduction Program. The most recent data available are through June 30, 2016. Page 5
Table 7: Discharge Distribution after Inpatient Hospitalization for Heart Failure (HF) Q2 2016 Q1 2017 8 30-Day Readmits to 30-Day Readmits to Readmits Same Hospital Different Hospital Days to Readmission Setting 30-Day Within 0 3 Days 4 7 Days 8 14 Days 15 21 Days 22 30 Days Group Discharged To Readmit Rate Discharges 30 Days N % N % N % N % N % N % N % Home 22.5% 10,328 2,323 1,766 76.0% 557 24.0% 269 11.6% 433 18.6% 621 26.7% 466 20.1% 534 23.0% SNF 26.9% 5,537 1,489 1,101 73.9% 388 26.1% 197 13.2% 262 17.6% 401 26.9% 280 18.8% 349 23.4% HHA 28.8% 5,833 1,680 1,362 81.1% 318 18.9% 228 13.6% 293 17.4% 456 27.1% 358 21.3% 345 20.5% Hospice 2.5% 1,057 26 18 69.2% 8 30.8% 3 11.5% 3 11.5% 6 23.1% 6 23.1% 8 30.8% Other 30.2% 1,265 382 238 62.3% 144 37.7% 97 25.4% 35 9.2% 85 22.3% 82 21.5% 83 21.7% Total 24.6% 24,020 5,900 4,485 76.0% 1,415 24.0% 794 13.5% 1,026 17.4% 1,569 26.6% 1,192 20.2% 1,319 22.4% Figure 4: 30-Day HF Readmission Rates 9 8 An entry of ND, or missing data point, indicates that data were unavailable for the specified time period. 9 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission Reduction Program. The most recent data available are through June 30, 2016. Page 6
Table 8: Discharge Distribution after Inpatient Hospitalization for Coronary Artery Bypass Graft (CABG) Q2 2016 Q1 2017 10 30-Day Readmits to 30-Day Readmits to Readmits Same Hospital Different Hospital Days to Readmission Setting 30-Day Within 0 3 Days 4 7 Days 8 14 Days 15 21 Days 22 30 Days Group Discharged To Readmit Rate Discharges 30 Days N % N % N % N % N % N % N % Home 8.9% 429 38 28 73.7% 10 26.3% 12 31.6% 7 18.4% 12 31.6% 4 10.5% 3 7.9% SNF 19.7% 638 126 95 75.4% 31 24.6% 20 15.9% 31 24.6% 34 27.0% 22 17.5% 19 15.1% HHA 12.5% 1,077 135 109 80.7% 26 19.3% 22 16.3% 23 17.0% 48 35.6% 17 12.6% 25 18.5% Hospice 0.0% 4 0 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND 0 ND Other 22.0% 296 65 52 80.0% 13 20.0% 11 16.9% 14 21.5% 12 18.5% 16 24.6% 12 18.5% Total 14.9% 2,444 364 284 78.0% 80 22.0% 65 17.9% 75 20.6% 106 29.1% 59 16.2% 59 16.2% Figure 5: 30-Day CABG Readmission Rates 11 10 An entry of ND, or missing data point, indicates that data were unavailable for the specified time period. 11 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission Reduction Program. The most recent data available are through June 30, 2016. Page 7
Table 9: Discharge Distribution after Inpatient Hospitalization for Pneumonia (PNE) Q2 2016 Q1 2017 12 30-Day Readmits to 30-Day Readmits to Readmits Same Hospital Different Hospital Days to Readmission Setting 30-Day Within 0 3 Days 4 7 Days 8 14 Days 15 21 Days 22 30 Days Group Discharged To Readmit Rate Discharges 30 Days N % N % N % N % N % N % N % Home 15.7% 9,260 1,456 1,155 79.3% 301 20.7% 241 16.6% 239 16.4% 367 25.2% 305 20.9% 304 20.9% SNF 23.2% 7,017 1,631 1,220 74.8% 411 25.2% 257 15.8% 298 18.3% 421 25.8% 359 22.0% 296 18.1% HHA 23.4% 3,995 934 766 82.0% 168 18.0% 159 17.0% 166 17.8% 247 26.4% 189 20.2% 173 18.5% Hospice 1.9% 1,443 27 16 59.3% 11 40.7% 3 11.1% 4 14.8% 7 25.9% 6 22.2% 7 25.9% Other 22.4% 1,889 424 261 61.6% 163 38.4% 114 26.9% 52 12.3% 97 22.9% 65 15.3% 96 22.6% Total 18.9% 23,604 4,472 3,418 76.4% 1,054 23.6% 774 17.3% 759 17.0% 1,139 25.5% 924 20.7% 876 19.6% Figure 6: 30-Day PNE Readmission Rates 13 12 An entry of ND, or missing data point, indicates that data were unavailable for the specified time period. 13 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission Reduction Program. The most recent data available are through June 30, 2016. Page 8
Table 10: Discharge Distribution after Inpatient Hospitalization for Chronic Obstructive Pulmonary Disease (COPD) Q2 2016 Q1 2017 14 Readmits 30-Day Readmits to Same Hospital 30-Day Readmits to Different Hospital Days to Readmission Setting 30-Day Within 0 3 Days 4 7 Days 8 14 Days 15 21 Days 22 30 Days Group Discharged To Readmit Rate Discharges 30 Days N % N % N % N % N % N % N % Home 19.2% 11,805 2,271 1,801 79.3% 470 20.7% 375 16.5% 321 14.1% 575 25.3% 468 20.6% 532 23.4% SNF 27.1% 3,556 962 727 75.6% 235 24.4% 147 15.3% 142 14.8% 259 26.9% 227 23.6% 187 19.4% HHA 26.9% 4,653 1,252 1,049 83.8% 203 16.2% 199 15.9% 195 15.6% 315 25.2% 289 23.1% 254 20.3% Hospice 2.7% 599 16 14 87.5% 2 12.5% 2 12.5% 2 12.5% 7 43.8% 3 18.8% 2 12.5% Other 27.3% 1,137 310 203 65.5% 107 34.5% 78 25.2% 46 14.8% 60 19.4% 58 18.7% 68 21.9% Total 22.1% 21,750 4,811 3,794 78.9% 1,017 21.1% 801 16.6% 706 14.7% 1,216 25.3% 1,045 21.7% 1,043 21.7% Figure 7: 30-Day COPD Readmission Rates 15 14 An entry of ND, or missing data point, indicates that data were unavailable for the specified time period. 15 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission Reduction Program. The most recent data available are through June 30, 2016. Page 9
Table 11: Discharge Distribution after Inpatient Hospitalization for Total Hip/Knee Replacement (THA/TKA) Q2 2016 Q1 2017 16 30-Day Readmits to 30-Day Readmits to Readmits Same Hospital Different Hospital Days to Readmission Setting 30-Day Within 0 3 Days 4 7 Days 8 14 Days 15 21 Days 22 30 Days Group Discharged To Readmit Rate Discharges 30 Days N % N % N % N % N % N % N % Home 3.0% 5,456 162 97 59.9% 65 40.1% 47 29.0% 25 15.4% 38 23.5% 23 14.2% 29 17.9% SNF 5.9% 4,946 290 190 65.5% 100 34.5% 51 17.6% 40 13.8% 81 27.9% 51 17.6% 67 23.1% HHA 3.5% 7,693 267 158 59.2% 109 40.8% 59 22.1% 70 26.2% 55 20.6% 40 15.0% 43 16.1% Hospice 20.0% 5 1 1 100.0% 0 0.0% 0 0.0% 0 0.0% 1 100.0% 0 0.0% 0 0.0% Other 6.3% 1,077 68 41 60.3% 27 39.7% 12 17.6% 9 13.2% 20 29.4% 12 17.6% 15 22.1% Total 4.1% 19,177 788 487 61.8% 301 38.2% 169 21.4% 144 18.3% 195 24.7% 126 16.0% 154 19.5% Figure 8: 30-Day THA/TKA Readmission Rates 17 16 An entry of ND, or missing data point, indicates that data were unavailable for the specified time period. 17 National data are obtained from the Hospital Compare website and are calculated using the 30-day risk adjustment standardized methodology for the CMS Hospital Readmission Reduction Program. The most recent data available are through June 30, 2016. Page 10
Methodology and Data Source Information The dashboard provides information regarding your state s all-cause, acute myocardial infarction (AMI), heart failure (HF), coronary artery bypass graft (CABG), pneumonia (PNE), chronic obstructive pulmonary disease (COPD), and total hip/knee replacement (THA/TKA) 30-day readmissions. Rates are calculated using hospital inpatient claims for Medicare Fee-For-Service (FFS) beneficiaries. Planned readmissions are excluded from this analysis. Data in this report are limited to Medicare FFS Part-A data for discharges from April 1, 2016, to March 31, 2017. 18 International Classification of Diseases (ICD)-10 codes are used to calculate rates starting from October 2015. Readmission rates in this report are not calculated using the 30-day risk standardized methodology for the Centers for Medicare & Medicaid Services (CMS) Hospital Readmission Reduction Program or found on hospitalcompare.hhs.gov. Readmission rates are updated quarterly with the most current time period s data. As more mature data become available, historic data may change slightly to reflect the updated data. The time periods illustrated in this document are examples only and may not reflect the most current data period. Pages 1 through 3 contain the following information. 1 Summary table 3 Regional map 2 Emergency department (ED) visits and observation stays tables 4 Outpatient ED visits, observation stays, and inpatient admissions graphs 1 Example Dashboard (Pages 1 through 3) 2 18 The Complete Standard Analytical Table (CSAT) data file was used for this analysis. The CSAT data file is provided to HSAG by CMS. The CSAT data file includes Part A and Part B claims for FFS beneficiaries. Please note that the results obtained from CSAT may vary from your own state s results. Page A
3 4 Example Outpatient ED Visits, Observation Stays, and Inpatient Admissions Dashboard Page B
1 Summary Table The summary table contains your state s Baseline and Current 30-day readmission rates, including the numerator and denominator for each quarter. All rates are calculated from Medicare inpatient claims for FFS beneficiaries. See page E for measure definitions. The summary table also includes the national rate. Due to availability of the data, the national rates may be calculated from a different time period. 2 ED Visits and Observation Stays Tables The ED visits and observations stays tables provide the count of ED visits and observations stays, respectively, for each quarter in the current report period. ED visits and observation stays resulting in an inpatient stay are not included in the counts. 3 Regional Map The state of was divided into five regions: Northeast, Northwest, Central, Southeast, and Southwest. Aggregate readmission rates are calculated for each region using the hospitals located in the region. The table shows regional readmission rates for each region. 4 Outpatient ED Visits, Observation Stays, and Inpatient Admissions The two graphs depict the volume of outpatient ED visits, observation stays, and inpatient admissions for the state and the nation. The purpose of each is to monitor acute care utilization at the state and national levels. The counts are calculated for quarterly periods from Medicare acute care claims for FFS beneficiaries. Claims are classified based on hierarchy rules similar to Medicare bundled payment rules. Each encounter counts as only one of three types: (1) inpatient admission, (2) observation stay, or (3) ED visit. Therefore, ED visits and observation stays that result in an inpatient stay are counted as an inpatient stay. ED visits that result in an observation stay, but not an inpatient stay, are counted as an observation stay. Page C
Pages 4 through 10 provide the following data for all-cause and disease-specific 30-day readmissions: 5 Discharge distribution table 6 Line graph Example Dashboard (discharge distribution and line graph) 5 6 5 Discharge Distribution Table The discharge distribution table shows the 30-day readmission rates by discharge setting, the proportion of readmissions that occurred back to your hospital or another hospital, and the number of days from discharge to readmission. Readmissions from home, skilled nursing facilities (SNFs), home health agencies (HHAs), and hospice are determined by the patient discharge status on the index hospitalization claim. All other discharge status codes are bucketed into the Other category. Results for the state and your hospital s region are provided for comparison. 6 Line graph The purpose of the readmission graph is to track readmission rates over time. The Line Graph shows your state s improvement in relation to nation. Rates are calculated quarterly. Page D
Measure Definitions All-Cause 30-Day Readmission Rates All-cause readmission rates are calculated as the percentage of hospital admissions that occurred within 30 days of an index admission for any condition. Each hospital admission within 30 days following an index admission is considered a readmission (e.g., a beneficiary with four readmissions in the measurement period counts as four separate readmissions). Any beneficiary who dies in the hospital or is transferred to another hospital on the same day is excluded from your facility s calculation. Readmissions from home, SNFs, HHAs, and hospice are determined by the patient discharge status on the index hospitalization claim. Planned Readmissions A planned readmission is a readmission within 30 days of discharge from a short-term acute care hospital that is a scheduled part of the patient s plan of care. Planned readmissions are excluded from this report. Condition-Specific 30-Day Readmission Rates When calculating disease-specific readmission rates, an admission is included if the principal diagnosis/procedure code for the admission specifies that disease (i.e., AMI, HF, CABG, PNE, COPD, and THA/TKA). Condition-specific readmissions include all-cause admissions that occur within 30 days of an index admission for the specific condition (e.g., a beneficiary with an index admission of AMI who is readmitted for a urinary tract infection (UTI) is considered an AMI readmission). Any beneficiary who dies in the hospital or is transferred to another hospital on the same day is excluded from your facility s calculation. The following table lists the codes used to identify the discharges for AMI, HF, CABG, PNE, COPD, and THA/TKA. ED Visits and Observation Stays The following table lists the codes used to identify ED visits and observations stays. Revenue Codes ED Visits 0450, 0451, 0452, 0456, 0459, 0981 HCPCS Observation Stays 0762, 0760 AND G0378 Page E
Hospitals by Region Central BERGER HOSPITAL BUCYRUS COMMUNITY HOSPITAL DILEY RIDGE MEDICAL CENTER DOCTORS HOSPITAL DUBLIN METHODIST HOSPITAL DUBLIN SPRINGS FAIRFIELD MEDICAL CENTER FAYETTE COUNTY MEMORIAL HOSPITAL GALION COMMUNITY HOSPITAL GRADY MEMORIAL HOSPITAL GRANT MEDICAL CENTER HARDIN MEMORIAL HOSPITAL JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE KNOX COMMUNITY HOSPITAL LICKING MEMORIAL HOSPITAL MADISON COUNTY HOSPITAL INC MARION GENERAL HOSPITAL MEMORIAL HOSPITAL MORROW COUNTY HOSPITAL MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL MOUNT CARMEL ST. ANN'S MOUNT CARMEL WEST OHIO HOSPITAL FOR PSYCHIATRY OHIO STATE UNIVERSITY HOSPITALS OHIOHEALTH MANSFIELD HOSPITAL OHIOHEALTH SHELBY HOSPITAL RIVERSIDE METHODIST HOSPITAL TWIN VALLEY BEHAVIORAL HEALTHCARE UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER WOODS AT PARKSIDE,THE WYANDOT MEMORIAL HOSPITAL Northeast AFFINITY MEDICAL CENTER AKRON GENERAL MEDICAL CENTER ALLIANCE COMMUNITY HOSPITAL ASHTABULA COUNTY MEDICAL CENTER AULTMAN HOSPITAL AULTMAN ORRVILLE HOSPITAL CLEAR VISTA HEALTH & WELLNESS CLEVELAND CLINIC CLEVELAND CLINIC AVON HOSPITAL CRYSTAL CLINIC ORTHOPAEDIC CENTER EAST LIVERPOOL CITY HOSPITAL EUCLID HOSPITAL FAIRVIEW HOSPITAL GENERATIONS BEHAVIORAL HEALTH - GENEVA GLENBEIGH HEALTH SOURCES HEARTLAND BEHAVIORAL HEALTHCARE HIGHLAND SPRINGS HILLCREST HOSPITAL LAKE HEALTH LAKEWOOD HOSPITAL LODI COMMUNITY HOSPITAL LUTHERAN HOSPITAL MARYMOUNT HOSPITAL MEDINA HOSPITAL MERCY ALLEN HOSPITAL MERCY MEDICAL CENTER MERCY REGIONAL MEDICAL CENTER METROHEALTH SYSTEM NORTHCOAST BEHAVIORAL HEALTHCARE NORTHFIELD CAMPUS NORTHSIDE MEDICAL CENTER PARMA COMMUNITY GENERAL HOSPITAL SALEM REGIONAL MEDICAL CENTER SOUTH POINTE HOSPITAL SOUTHWEST GENERAL HEALTH CENTER ST. ELIZABETH BOARDMAN HEALTH CENTER ST. ELIZABETH YOUNGSTOWN HOSPITAL ST. JOHN MEDICAL CENTER ST. JOSEPH WARREN HOSPITAL ST. VINCENT CHARITY MEDICAL CENTER SUMMA HEALTH SYSTEM SUMMA WESTERN RESERVE HOSPITAL SURGICAL HOSPITAL AT SOUTHWOODS TRUMBULL MEMORIAL HOSPITAL UH CLEVELAND MEDICAL CENTER UH GEAUGA MEDICAL CENTER UHHS MEMORIAL HOSPITAL OF GENEVA UHHS RICHMOND HEIGHTS HOSPITAL UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER WINDSOR LAURELWOOD CENTER FOR BEHAVIORAL MEDICINE WOOSTER COMMUNITY HOSPITAL Northwest ARROWHEAD BEHAVIORAL HEALTH BAY PARK COMMUNITY HOSPITAL BELLEVUE HOSPITAL BLANCHARD VALLEY HOSPITAL BLUFFTON HOSPITAL COMMUNITY HOSPITALS AND WELLNESS CENTERS COMMUNITY HOSPITALS AND WELLNESS CENTERS COMMUNITY MEMORIAL HOSPITAL DEFIANCE REGIONAL MEDICAL CENTER FIRELANDS REGIONAL MEDICAL CENTER FISHER-TITUS HOSPITAL FLOWER HOSPITAL FOSTORIA COMMUNITY HOSPITAL FULTON COUNTY HEALTH CENTER GRAND LAKE HEALTH SYSTEM H B MAGRUDER MEMORIAL HOSPITAL HENRY COUNTY HOSPITAL, INC INSTITUTE FOR ORTHOPAEDIC SURGERY LIMA MEMORIAL HEALTH SYSTEM MEMORIAL HOSPITAL MERCER COUNTY JOINT TOWNSHIP COMMUNITY HOSPITAL MERCY HOSPITAL OF DEFIANCE MERCY ST. ANNE HOSPITAL MERCY ST. CHARLES HOSPITAL MERCY ST. VINCENT MEDICAL CENTER MERCY TIFFIN HOSPITAL MERCY WILLARD HOSPITAL NORTHWEST OHIO PSYCHIATRIC HOSPITAL PAULDING COUNTY HOSPITAL RIDGEVIEW BEHAVIORAL HOSPITAL SOJOURN AT SENECA ST. LUKE'S HOSPITAL ST. RITA'S MEDICAL CENTER TOLEDO HOSPITAL THE UNIVERSITY OF TOLEDO MEDICAL CENTER VAN WERT COUNTY HOSPITAL Page F
WOOD COUNTY HOSPITAL Southeast ADAMS COUNTY REGIONAL MEDICAL CENTER ADENA PIKE MEDICAL CENTER ADENA REGIONAL MEDICAL CENTER APPALACHIAN BEHAVIORAL HEALTH CARE BARNESVILLE HOSPITAL ASSOCIATION, INC BELMONT COMMUNITY HOSPITAL CAMBRIDGE BEHAVIORAL HOSPITAL COSHOCTON REGIONAL MEDICAL CENTER EAST OHIO REGIONAL HOSPITAL GENESIS HOSPITAL GREENFIELD AREA MEDICAL CENTER HARRISON COMMUNITY HOSPITAL HIGHLAND DISTRICT HOSPITAL HOCKING VALLEY COMMUNITY HOSPITAL HOLZER MEDICAL CENTER HOLZER MEDICAL CENTER JACKSON KINGS DAUGHTERS MEDICAL CENTER OHIO MARIETTA MEMORIAL HOSPITAL OHIOHEALTH O'BLENESS HOSPITAL POMERENE HOSPITAL SELBY GENERAL HOSPITAL SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER SOUTHERN OHIO MEDICAL CENTER TEN LAKES CENTER, LLC THREE GABLES SURGERY CENTER UNION HOSPITAL TRINITY HOSPITAL TWIN CITY Southwest TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST ACCESS HOSPITAL DAYTON, LLC ASSURANCE HEALTH CINCINNATI LLC ATRIUM MEDICAL CENTER BECKETT SPRINGS BETHESDA NORTH CHRIST HOSPITAL CLINTON MEMORIAL HOSPITAL FORT HAMILTON HUGHES MEMORIAL HOSPITAL GOOD SAMARITAN HOSPITAL GOOD SAMARITAN HOSPITAL GRANDVIEW HOSPITAL & MEDICAL CENTER GREENE MEMORIAL HOSPITAL HAVEN BEHAVIORAL HOSPITAL OF DAYTON JEWISH HOSPITAL, LLC KETTERING MEDICAL CENTER LINDNER CENTER OF HOPE MARY RUTAN HOSPITAL MCCULLOUGH-HYDE MEMORIAL HOSPITAL MEDICAL CENTER AT ELIZABETH PLACE MENTAL HEALTH SERVICES FOR CLARK AND MADISON COS MERCY HEALTH - WEST HOSPITAL MERCY HOSPITAL ANDERSON MERCY HOSPITAL CLERMONT MERCY HOSPITAL FAIRFIELD MERCY MEMORIAL HOSPITAL MIAMI VALLEY HOSPITAL OHIO VALLEY MEDICAL CENTER, LLC SOIN MEDICAL CENTER SPRINGFIELD REGIONAL MEDICAL CENTER SUMMIT BEHAVIORAL HEALTHCARE SYCAMORE MEDICAL CENTER TRIHEALTH EVENDALE HOSPITAL UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC UPPER VALLEY MEDICAL CENTER WAYNE HOSPITAL WEST CHESTER HOSPITAL, LLC WILSON MEMORIAL HOSPITAL Page G