Health Care Resources Finder

 

 

What is the Health Care Resources Finder?

 

The Washington Health Care Resources Finder provides access to an inventory of facilities through which health care is delivered in Washington.  Facility lists are compiled by combining various agency administrative data sets, business association membership data sets, and other sources of health care facility data. The existence of a health care facility is verified through a process that involves on-line search and/or direct phone calls. For each type of facility, the list contains business name and address (street address, city, state, and zip).

 

 

Facility Type

 

·         Ambulatory Surgical Centers: These are distinct facilities that provide short-term surgical services to patients not requiring hospitalization. ASC services are those that generally do not exceed 90 minutes in length and do not require more than four hours recovery time.  ASC services are performed by licensed physicians in a safe and sanitary environment. Each Center has emergency equipment and trained personnel.  The ACS list is compiled using agency data from DOH and L&I and membership list from the Washington Ambulatory Surgery Center Association.

 

·         Hospitals: These are health facilities which provide medical services over a continuous period of twenty-four hours or more, for observation, diagnosis, or care.  The hospital list is compiled using agency data from DOH and L&I and membership list from Washington State Hospital Association.

 

1.      Available Beds: Beds that are setup and ready to use for patients.

2.      Average Length of Stay:  Average number of days spent in the hospital per admission.

 

·         Kidney Dialysis Centers/Kidney Centers: This type of facilities includes those that provide hemodialysis or peritoneal dialysis treatment and/or training to patients as well as kidney transplant centers.  The dialysis/kidney center list is compiled using agency data from DOH and L&I and membership list from Northwest Renal Network.

 

1.      CN Approved Stations: Number of Certificate of Need approved dialysis stations

2.      Patients Per Station: Number of dialysis patients per CN Approved station.  Patient-per-station standards are pursuant to WAC 246-310-284(5).

 

·         Nursing Homes:  A nursing home is a facility that provides convalescent or chronic care, or both, for a period in excess of twenty-four consecutive hours for three or more patients not related by blood or marriage to the operator, who by reason of illness or infirmity, are unable properly to care for themselves. This type of facilities does not include hospitals or boarding homes.  The nursing home list is compiled using agency data from DSHS, DOH, and L&I and membership list from Washington Health Care Association.

 

1.      Total Beds: Total number of licensed beds

2.      Title 18 and 19 Beds: Number of beds approved for both Title XVIII (Health Insurance for the Aged and Disabled) and Title XIX (Medical Assistance Programs) clients

 

·         Freestanding Diagnostic Imaging Centers:   A “freestanding” imaging center is one that provides imaging for medical diagnostic purposes only (or more than 50 percent of the facility’s business is preventative screening or diagnostic imaging, with a correspondingly limited amount of therapeutic or treatment work). Imaging centers “nested” in a patient care facility, but with different ownership and/or management than the patient care facility, do fall into this definition. 

 

Diagnostic imaging centers that are located in a patient care facility and share ownership or management with that facility; and imaging centers owned or managed by organizations also providing direct care, such as Group Health, are not “freestanding” imaging centers, by our definition.

 

This definition takes in a range of types of preventative and diagnostic imaging facilities, including units providing mammography, nuclear medicine,  (radionuclide imaging), medical ultrasound, CT scanning, MRIs, X-rays, PET scans and so on.

 

The diagnostic imaging center list is compiled using agency data from DOH and L&I and group membership list from Washington State Radiology Society.

 

·         Freestanding Laboratories: We define a “freestanding lab” to be a medical facility that conducts clinical tests of human specimens and one not owned by an entity that provides direct care.  Freestanding medical labs for research purposes only are not included by this definition.  The lab list is compiled using agency data from DOH and L&I and the list of Washington labs downloaded from CDC’s website Clinical Laboratory Improvement Act (CLIA).

 

·         Trauma Centers: A trauma center is a medical facility (usually a hospital) designated as such by the Department of Health for treating trauma patients.  Trauma means a major single or multisystem injury that requires immediate medical or surgical intervention or treatment to prevent death or permanent disability.  A medical facility can be designated for one or any combination of the three types of trauma services listed below.  Definitions of each level of trauma service, can be found at (http://www.doh.wa.gov/hsqa/emstrauma/download/rcws/70-168-015.pdf)."

 

 

1.      Adult Level: One of five levels (I-V) designated by the Washington State Department of Health for acute care. .

2.      Pediatric Level: One of three levels (IP,IIP,IIIP) designated by the Washington State Department of Health for pediatric acute care.

3.      Rehab Level: One of three levels (IR, IIR, IIIR) designated by the Washington State Department of Health for trauma rehabilitative services.  Codes IPR, IIPR, and IIIPR are also used to designate pediatric rehabilitative facilities.

 

 

Geography

 

·         City: Refers to the city in which the facility is located. 

·         County: Refers to the county in which the facility is located. 

·         Hospital Service Area: Hospital Service Areas (HSA) represent local catchments (or “markets”) for community-based inpatient care.  HSAs were defined by the Dartmouth Atlas project after analyzing the patterns of utilization of local hospitals by Medicare patients at the zip code level.  Zip codes were assigned to the hospital in which most Medicare patients from the zip code received care.  HSAs with overlapping or indeterminate catchments were combined or reassigned to other HSAs to achieve areal contiguity.  More information is available at the Dartmouth Atlas website, www.dartmouthatlas.org.

·         Hospital Referral Region: Health Referral Regions (HRR) represent larger tertiary care markets.  HRRs are aggregations of HSAs, with the constraints that each HRR includes at least one HSA where major cardiovascular and neurosurgical procedures are performed, that each has a population of at least 120,000, and that each exhibits geographic contiguity.  See the Dartmouth Atlas website for more information, www.dartmouthatlas.org. 

 

·         Legislative District: Refers to the Washington State Legislative District in which the facility is located.

·         ZIP Code: Refers to the zip code in which the facility is located.  It should be remembered that zip code “boundaries” can often change from one year to the next.  The zip code boundaries in this report were current as of 2008.