New Hampshire

Organization(s)
New Hampshire Department of Health & Human Service
Organizational Website
www.dhhs.nh.gov/
Organization Type
Public Agency
Organization Contact Name
Andrew Chalsma
Organization Contact Email
achalsma@dhhs.state.nh.us
Sent Survey
Responded to Survey
State Mandate
Yes
Hospital Data Collection- Inpatient Data
Mandatory
Hospital Data Collection- Ambulatory Surgery
Mandatory
Hospital Data Collection- Emergency Department
Mandatory
Hospital Data Collection- Observation
Mandatory
Hospital Data Collection- APCD
Mandatory
PUF- Inpatient Data
Mandatory
PUF- Ambulatory Surgery
Mandatory
PUF- Emergency Department
Mandatory
PUF- Observation
Mandatory
PUF- APCD
Mandatory
URL for Data Dictionary
http://www.nhchis.org/MiscFiles/PublicUseDataDictionaryV2.pdf
Legislation/Law/Statute
NH RSA 126:25-30 (Health Care Data)
Rule/Regulation/Code
CHAPTER He-C 1500  DATA SUBMISSION AND RELEASE OF HEALTH CARE FACILITY DISCHARGE DATA
RSA 400-A:15 I; RSA 420-G:14
Cost of PUF
$0
PUF elements support AHRQ QI release
Yes
Public Quality Reports/Website
NH Health Cost
NH CHIS
Link to Public Quality Reports/Website
http://www.nhhealthcost.org/
http://www.nhchis.org
Other Quality Reports
Medicaid Business & Policy Publications
Other Quality Reports Links
http://www.dhhs.nh.gov/ombp/publications.htm
UB 04 Format- for inpatient
Includes geocode
Name
No
Date of Birth
Yes
Race/Ethnicity
R
Gender
Yes
ST Address
No
Zipcode
Yes
Medical Record No.
No
Patient SSN
Yes
Newborn Birthweight
No
Mom's Madien Name
No
Collect Physician Name (First, Middle, Last)
Yes
Collect NPI
Yes
Collect Physician State License Number
Yes
Attending Physician
Yes
Operating Physician
Yes
Other Physician
No