AIRS Hospital Discharge Reporting

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Overview

HD Visits
AIRS Questions

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Sheet 1: HD Visits

STATE	2013 Hospital Discharge Data
	SM Weight		N of Hosp. Visits*	2013 Pop.	Crude Rate
Total					#DIV/0!
Age groups
.Under 5 years					#DIV/0!
.5 to 9 years					#DIV/0!
.10 to 14 years					#DIV/0!
.15 to 17 years					#DIV/0!
.18 to 19 years					#DIV/0!
.20 to 24 years					#DIV/0!
.25 to 29 years					#DIV/0!
.30 to 34 years					#DIV/0!
.35 to 39 years					#DIV/0!
.40 to 44 years					#DIV/0!
.45 to 49 years					#DIV/0!
.50 to 54 years					#DIV/0!
.55 to 59 years					#DIV/0!
.60 to 64 years					#DIV/0!
.65 to 69 years					#DIV/0!
.70 to 74 years					#DIV/0!
.75 to 79 years					#DIV/0!
.80 to 84 years					#DIV/0!
.85 years or more					#DIV/0!
*First listed Dx only (code 493)					#DIV/0!
*Only provide hospitalizations that occurred among in-state residents				Age-adjusted Rate per 100,000
***GO TO NEXT EXCEL SHEET LABELED 'AIRS QUESTIONS'***

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Sheet 2: AIRS Questions

Questions (Previously in AIRS):
1. Number of Hospitals in Your State:
2. Number of Licensed Hospital Beds in Your State:
3. For the 2013 Data, Number of Hospitals that Provided Data to the Agency:
4. For the 2013 Data, Number of Beds in Hospitals that Provided Data to the Agency:
5. Types of Hospitals Not Contained in This Data (Check All that Apply):
	Veteran’s Administration Hospitals
	Military Hospitals
	Psychiatric/Mental Health Hospitals
	Prison Hospitals
	Indian Health Service Hospital
	Other; Specify:
6. Select State(s) if Data Include Hospital Discharges for In-state Residents that Occurred in Out-of-State Hospitals:
	Dataset excludes out-of-state hospitalizations
	Alabama
	Alaska
	Arizona
	Arkansas
	California
	Colorado
	Connecticut
	Delaware
	District of Columbia
	Florida
	Georgia
	Hawaii
	Idaho
	Illinois
	Indiana
	Iowa
	Kansas
	Kentucky
	Louisiana
	Maine
	Maryland
	Massachusetts
	Michigan
	Minnesota
	Mississippi
	Missouri
	Montana
	Nebraska
	Nevada
	New Hampshire
	New Jersey
	New Mexico
	New York
	North Carolina
	North Dakota
	Ohio
	Oklahoma
	Oregon
	Pennsylvania
	Rhode Island
	South Carolina
	South Dakota
	Tennessee
	Texas
	Utah
	Vermont
	Virginia
	Washington
	West Virginia
	Wisconsin
	Wyoming
7. Location of Data for an Emergency Department Visit Resulting in a Hospital Admission (Select One Only):
	Emergency Department Data File Only
	Hospital Discharge Data File Only
	Both The Emergency Department Data File and The Hospital Discharge Data File
	Unknown
	Other; Specify:
	None of the Above
Additional Technical Notes: