Population Health Assessment

Ambulatory Surgical Treatment Center and Outpatient Diagnostic Center Data System

Traditionally surgeries were performed in hospitals as inpatient procedures. But in past years, a new trend arose. Concerns about rising hospital costs have led to an increasing proportion of surgeries being performed on an outpatient basis.

With the shift to outpatient surgery a second trend arose. Numerous outpatient surgery facilities were built independent of hospitals. These facilities, called ambulatory surgical treatment centers, specialize in performing outpatient surgeries. They do not offer the full range of services provided by a hospital. An increasing proportion of surgeries are now being performed in these facilities. The Department of Health has been collecting information from UB-04 billing claims on all outpatient surgeries performed in Tennessee hospitals since 1995 and started collecting from Ambulatory Surgical Treatment Centers (ASTC) in 2007.

T. C. A. 68-1-119 requires each licensed ambulatory surgical treatment center (ASTC) and each licensed outpatient diagnostic center (ODC) in the state to report its claims data to the Tennessee Department of Health. Administrative rule 1200-7-4 was promulgated by the Department to carry out this legislative mandate. This data is to be reported quarterly in the appropriate format via third party entities approved by the Department. Personal identifiers are to be kept confidential. Penalties are prescribed for failure to report.

Patient Record Data Systems (PRDS), part of the Division of Population Health Assessment, has been charged by the Department to carry out this project. Each ASTC will transmit its records to the vendor it has selected. Each vendor will send the records it has received from its ambulatory surgical treatment centers to PRDS.

• Ambulatory Surgical Treatment Centers Rules and Regulations

Ambulatory Surgical Treatment Centers User Manuals

• Ambulatory Surgical Treatment Centers System User Manual 2020
  
• Ambulatory Surgical Treatment Centers System User Manual 2018
• Ambulatory Surgical Treatment Centers Data System User Manual 2013
• Ambulatory Surgical Treatment Centers Data System User Manual 2007

Data Submission Forms

• PH-3925 Reporting Method Sheet
  
• PH-4230 Policy Contact Information Sheet
  
• PH-4260 Request For Extension Sheet

HIV Surveillance Reports

HIV Data Dashboard

This interactive tool contains state, regional and county level data on persons newly diagnosed with HIV, persons living with diagnosed HIV and deaths among persons with diagnosed HIV. Select the region, year of interest, number of persons and/or rates if desired. For exact number of persons or rates, please hover your cursor over an image. Depending on browser, it may take a few moments for the data dashboard to load.

Glossary

Cisgender: All persons whose sex assigned at birth is the same as their current gender.

Concurrent Stage 3 HIV (AIDS) diagnosis: Any HIV diagnosis that occurs 12 months or less before an individual is diagnosed as Stage 3 HIV (AIDS).

Date of diagnosis: The date of diagnoses refers to the date a laboratory makes a diagnosis based on the analysis of a specimen.

HIV case: All individuals who have been diagnosed with HIV. Cases can be sub-classified into either HIV cases or stage 3 HIV (AIDS) cases.

Perinatal exposure: Exposure of a child to HIV from an HIV-infected mother during pregnancy, labor, or breastfeeding (through breast milk).   

Rate: The frequency of a defined event in a specified population for a given time period, usually expressed as the number of cases per 100,000 people in a population. The rate is calculated by dividing the number of cases in the population of interest by the total number of people in the population. Then multiply by 100,000 to get the rate per 100,000 people.

HIV Stages 0-2:  This refers to an individual who has been infected with the human immunodeficiency virus (HIV) that is in the early stages of the disease process and has not met the case definition for stage 3 (AIDS). 

HIV Stage 3 (AIDS):  This refers to an individual who has been infected with human immunodeficiency virus (HIV) that is in the later stages of the disease process and has met the case definition for acquired immunodeficiency syndrome (AIDS). 

Transgender: Adjective describing persons whose gender is different that the sex they were assigned at birth. Transgender persons may be men or women, but for the purpose of this report, transgender individuals are categorized separately from non-transgender (or cisgender) men and women.

Abbreviations

AIDS: Acquired Immunodeficiency Syndrome

CDC: Centers for Disease Control and Prevention

eHARS: enhanced HIV/AIDS Reporting System

HIV: Human Immunodeficiency Virus

IDU: Injection Drug Use

MMS: Male-to-Male Sex

MMS + IDU: Male-to-Male Sex and Injection Drug Use

Additional Resources

Fact Sheets for HIV Community Planning Regions

Southwest HIV Community Planning Region - HIV Surveillance Fact Sheet, 2022

West HIV Community Planning Region - HIV Surveillance Fact Sheet, 2022

Middle HIV Community Planning Region - HIV Surveillance Fact Sheet, 2022

Southeast HIV Community Planning Region - HIV Surveillance Fact Sheet, 2022

East HIV Community Planning Region - HIV Surveillance Fact Sheet, 2022

Fact Sheets for Ryan White Transitional Grant Areas

Memphis Ryan White TGA - HIV Surveillance Fact Sheet, 2022

Nashville Ryan White TGA - HIV Surveillance Fact Sheet, 2022

Fact Sheets for Tennessee Public Health Regions

Note: Data suppression rules have been applied in order to prevent backcalculation and protect the confidentiality of persons living with HIV in Tennessee. HIV Surveillance Fact Sheets may not be available for Tennessee Public Health Regions with fewer than 500,000 residents.

Memphis/Shelby County Public Health Region - HIV Surveillance Fact Sheet, 2022

West Tennessee Public Health Region - HIV Surveillance Fact Sheet, 2022

Mid-Cumberland Public Health Region - HIV Surveillance Fact Sheet, 2022

Nashville/Davidson County Public Health Region - HIV Surveillance Fact Sheet, 2022

Chattanooga/Hamilton County Public Health Region - HIV Surveillance Fact Sheet, 2022

East Tennessee Public Health Region - HIV Surveillance Fact Sheet, 2022

Knoxville/Knox County Public Health Region - HIV Surveillance Fact Sheet, 2022

Hospital Discharge Data System

How many appendectomies were performed in Tennessee hospitals? What was the average charge? How long was the average patient hospitalized? These questions and many other can be answered using data from the Hospital Discharge Data System or HDDS.HDDS receives information from UB-92 (HCFA-1450) forms on all inpatient discharges and other selected patient visits from Tennessee hospitals. Each form contains information on patient diagnoses, procedures performed on the patient, charges for services provided, and selected patient demographics.HDDS data can be used to learn about hospitalizations from hundreds of causes. Patients can be compared by sex and age. Different hospitals can be compared for usage and charges. Patterns of hospitalization can be compared in different parts of the State and among different segments of the population.

TDH Hospital Discharge Data System Webinar PowerPoint Presentation

• Introduction
• Processing hospital data into the HDDS A
• Processing hospital data into the HDDS B
• Data-Availability
• Submitting HDDS data requests
• Using HDDS data

Tennessee Emergency Department Visit Reports

• Tennessee Emergency Department Visits (2012)
• Tennessee Emergency Department Visits (2011)
• Tennessee Emergency Department Visits (2010)
• Tennessee Emergency Department Visits (2009)
• Tennessee Emergency Department Visits (2008)

Data Submission Forms

• PH-3924 Transmittal Information Sheet
  
• PH-3925 Reporting Method Sheet
  
• PH-4230 Policy Contact Information Sheet
  
• PH-4260 Request For Extension Sheet

Hospital Discharge User Manuals

• Hospital Discharge User Manual 2020
  
• Hospital Discharge User Manual 2018
• Hospital Discharge User Manual 2011
• Hospital Discharge User Manual 2005

Tennessee Hospital Charge Reports

• Tennessee Hospital Charge Reports 2013
• Tennessee Hospital Charge Reports 2012
• Tennessee Hospital Charge Reports 2011
• Tennessee Hospital Charge Reports 2010
• Tennessee Hospital Charge Reports 2009
• Tennessee Hospital Charge Reports 2008
• Tennessee Hospital Charge Reports 2007

Injury Surveillance Program

The Injury Surveillance Program (ISP) collects injury reports from partners within the Department of Health and crash reports from partners at the Department of Safety and Homeland Security. The ISP has a data system that ties the injury reports together with the crash reports for anyone that has been in a crash and then goes to the hospital or dies in Tennessee. This data system shows why and how residents and visitors are getting hurt in car crashes on Tennessee roads. Using this, the ISP and its partners can figure out how to help stop bad crashes from happening in Tennessee in the future.

The Tennessee Department of Health’s Injury Surveillance Program receives funding from Tennessee’s Highway Safety Office.

To request data or statistics from Tennessee’s Injury Surveillance Program, please visit the data request system website.

For more information about Tennessee’s Injury Surveillance Program, please e-mail Injury.Surveillance@tn.gov.

Reports and Publications

Related Pages

• Hospital Discharge Data System
• Death Statistics
• TN Department of Safety & Homeland Security – Crash Data

Joint Annual Reports (JAR)

The Health Statistics Facilities unit collects data from a variety of licensed health facilities through annual reports known as Joint Annual Reports (JARs). Data collected include facility locations, services provided, patient origin by county, and financial indicators. The blank forms show the data requested by facility type.

General Inquiries:  Contact Trent Sansing 615-253-4702,  Trent.Sansing@tn.gov

Tennessee's Most Popular Baby First Names by Year

Occupational Health Surveillance Program

The Occupational Health Surveillance Program seeks to identify and understand the health and safety risks that Tennessee workers face. We come to this understanding through analysis of the available data related to health and workers, as well as collaborating with others concerned about workers' safety. Based on our analysis, we provide insight to improve prevention and outreach efforts.

The Tennessee Department of Health receives funding from the National Institute for Occupational Safety and Health’s (NIOSH) State Surveillance Program.  

Occupational Health Indicator Reports 

Report of Tennessee Occupational Health Indicators 2013 - 2017

Other Projects 

• Environmental analysis of Daily Emergency Departments Visits in Shelby County
• Air Pollutants and Chronic Obstructive Pulmonary disease Emergency Department Visits Outcomes in Shelby County, Tennessee
• Applying Text Mining in Industry and Occupation Narratives Conversion 
•  Analysis of COVID-19 deaths by occupation and industry

Reports, Presentations, & Publications

Publications

Adolescent Pregnancy

2013     2012     2011     2010     2009

Adult Emergency Oral Health Care

2008

Annual Report Health Agency

2015

Annual Report on Hospital Statistics

2015     2014     2013     2012     2011     2010     2009

Annual Report on Tennessee Financial Integrity Act

2016     2015     2014     2013     2012     2011     2010     2009     2008

Behaviroral Risk Factor Surveillance System

2013     2011     2009     2007     2005     2004

Tennessee Births

2013     2012     2011     2010     2009

Tennessee Birth Defects

2014-2018     2012-2017     2011-2016     2010-2015     2009-2013     2008-2012     2006-2010     2005-2009     2004-2008     2003-2007     2002-2006

Cancer in Tennessee

2016-2020     2015-2019     2012-2016     2011-2015     2010-2014     2009-2013     2008-2012     2007-2011    2006-2010      2005-2009     2004-2008     2003-2007     2002-2006

Centers for Diabetes Prevention and Health Improvement Operations and Financial Status Annual Report

2010     2009     2008     2007

Charitable Clinic Pharmacy Pilot Program

2009     2008     2007

Child Fatalities in Tennessee Report

2022     2021     2020     2019     2016     2015     2014     2013     2012     2011     2010     2009     2008

Clostridium Difficile Infections

Clostridium Difficile Infections in Tennessee Hospitals 2002-2011

Controlled Substance Monitoring Database Annual Report

2024     2023     2022     2021     2020     2019     2018     2017     2016     2015     2014     2013     2012     2011     2010     2009     2008

Tennessee Deaths

2013     2012     2011     2010     2009

Diabetes Action Report

2021     2019     2017

Domestic Violence Reporting Data System Annual Report

2011     2010     2009

Drug Poisonings in Tennessee

2022     2021     2020     2019     2018     2017     2016     2015     2014     2013

Drive to the Top 10

Drive Your County to Top Ten Report

EMS and BLHCF Annual Report on Pediatric Emergency Care

2021     2020     2019     2018     2017     2015     2014     2013     2012     2011     2010     2009

Federal Block Grant Annual Report

2014     2013     2012     2010     2009     2008

HealthCare Safety Net Annual Report

2024     2023     2022     2021     2020      2019     2018     2017     2016     2015     2014     2013     2012     2011     2010     2009

Healthy Start Annual Report

2010     2009     2008

HIV-AIDS Prevention

HIV-AIDS Prevention Curricula Report

Home Visiting Program Annual Report

2022     2021     2019     2018     2017     2016     2015     2014     2013     2012     2011     2010     2009     

Hospital Discharge Data

2005-2012

Tennessee Hospital Data

2013     2012     2011     2010     2009

Infectious Diseases in Children

Infectious Diseases in Children 2009-2013

Immunization Rates

2019     2018     2017     2016     2015     2014     2013     2012     2011     2010     2009

Tennessee Maternal Mortality

2022     2021     2018     2017

MSRA Annual Report

2010     2007

Men's Health

2013     2012     2011     2010     2009

Nursing Home Inspection and Enforcement Activities Report

2022     2021     2020     2019     2018     2017     2016     2015     2014     2013     2012     2011     2010     2009     2008     2007     2006     2005     2004     2003

Nursing Home Trends

2013     2012     2011     2010     2009

Oral Health Services

2020     2019     2018     2017     2016     2015     2014     2013     2012     2010     2009     2008

Perinatal Advisory Committee Legislative Report

2012

Prescription Drug Abuse and Pain Management Clinics

2023     2022     2021     2020     2019     2018     2017     2015     2014

Report of Complaints Relative to Rental Premises Unfit for Habitation

2009

Report to Legislature: Incidents of Abuse, Neglect, and Misappropriation

2011

Septicemia or Sepsis

Septicemia or Sepsis Inpatient Care in Tennessee Hospitals 2010-2012

Statistical Outliers Report

2021

State Health Plan

2017 - 2018     2016     2015

State Plan Design to Reduce Asthma on TN School Children

2010

Trauma Care in Tennessee

2019     2018     2017     2016     2014     2013     2012     2011     2010

Traumatic Brain Injury

 (Jan-Jun) 2014     (Jan-Jun) 2011     

Traumatic Brain Injury Annual Report

2021     2019     2018     2017     2016     2015     2014     2013     2012     2011     2010     2009     2008     2007

Vital Statistics

2013     2012     2011     2010     V2009     2008

Women's Health

2013     2012     2011     2010

Women's Health Care and Infant Mortality Report

2012     2011