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NASS Description of Data Elements
The Nationwide Ambulatory Surgery Sample (NASS) is a set of ambulatory surgery databases included in the HCUP family. These databases are created by AHRQ through a Federal-State-Industry partnership.
 
NASS_STRATUM - NASS sample stratum
 
Documentation Sections:
General Notes
Uniform Values
General Notes
 

NASS_STRATUM is a four-digit stratum identifier used to sample hospitals for the NASS. NASS_STRATUM includes the hospital's census region, bedsize category, location/teaching status, and ownership. Information was obtained from the AHA Annual Survey of Hospitals.

States, by U.S. Census Bureau Region and Census Division

  • Region 1 (Northeast)
    • Division 1 (New England) Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut
    • Division 2 (Mid Atlantic) New York, Pennsylvania, New Jersey
  • Region 2 (Midwest) (Prior to June 1984, the Midwest Region was designated as the North Central Region)
    • Division 3 (East North Central) Wisconsin, Michigan, Illinois, Indiana, Ohio
    • Division 4 (West North Central) Missouri, North Dakota, South Dakota, Nebraska, Kansas, Minnesota, Iowa
  • Region 3 (South)
    • Division 5 (South Atlantic) Delaware, Maryland, District of Columbia, Virginia, West Virginia, North Carolina, South Carolina, Georgia, Florida
    • Division 6 (East South Central) Kentucky, Tennessee, Mississippi, Alabama
    • Division 7 (West South Central) Oklahoma, Texas, Arkansas, Louisiana
  • Region 4 (West)
    • Division 8 (Mountain) Idaho, Montana, Wyoming, Nevada, Utah, Colorado, Arizona, New Mexico
    • Division 9 (Pacific) Alaska, Washington, Oregon, California, Hawaii

U.S. Census Bureau. Census Bureau Regions and Divisions with State FIPS Codes. http://www2.census.gov/geo/pdfs/maps-data/maps/reference/us_regdiv.pdf. Accessed August 8, 2015.

  • A metropolitan statistical area is considered urban, and a non-metro statistical area is rural.
  • Teaching hospitals have an AMA-approved residency program, are a member of the Council of Teaching Hospitals (COTH) or have a ratio of full-time equivalent interns and residents to beds of .25 or higher.
  • Control categories include government nonfederal (public), private not-for-profit (voluntary), and private investor-owned (proprietary). When there were enough hospitals of each type to allow it, hospitals were stratified as public, voluntary, and proprietary. This stratification was used for Southern rural, Southern urban nonteaching, and Western urban nonteaching. For smaller strata, the Midwestern rural and Western rural hospitals, a collapsed stratification of public versus private was used, with the voluntary and proprietary hospitals combined to form to form a single "private" category. For all other combinations of region, location, and teaching status, no stratification based on control was advisable given the number of hospitals in these cells.
  • Bedsize assesses the number of short-term acute beds in a hospital.

The hospital's bedsize category is nested within census region, location, and teaching status.

BEDSIZE CATEGORIES
Location and Teaching Status Hospital Bedsize
Small Medium Large
NORTHEAST REGION
Rural 1-49 50-99 100+
Urban, nonteaching 1-124 125-199 200+
Urban, teaching 1-249 250-424 425+
MIDWEST REGION
Rural 1-29 30-49 50+
Urban, nonteaching 1-74 75-174 175+
Urban, teaching 1-249 250-374 375+
SOUTHERN REGION
Rural 1-39 40-74 75+
Urban, nonteaching 1-99 100-199 200+
Urban, teaching 1-249 250-449 450+
WESTERN REGION
Rural 1-24 25-44 45+
Urban, nonteaching 1-99 100-174 175+
Urban, teaching 1-199 200-324 325+

Some strata were combined for sampling and weight calculations. Consequently, a given hospital's actual value for a stratifier may differ from those indicated by the value of NASS_STRATUM. Each hospital's individual stratifier values are contained in separate variables:

Stratifier NASS Data Element
Census Division HOSP_REGION
Bedsize Category HOSP_BEDSIZE
Location and Teaching Status HOSP_LOCTEACH
Ownership HOSP_CONTROL

For detailed information about the NASS sampling design, see the year-specific Introduction to the Nationwide Ambulatory Surgery Sample.

 
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Uniform Values
VariableDescriptionValueValue Description
NASS_STRATUMNASS sample stratumCensus RegionNorth (1)
Midwest (2)
South (3)
West (4)
Bed size categorySmall (1)
Medium (2)
Large (3)
Location and teaching statusRural (1)
Urban nonteaching (2)
Urban teaching (3)
Rural or Urban nonteaching (4)
All location and teaching status types (0)
OwnershipLocal and State government (1)
Voluntary, not for profit (2)
Proprietary, for profit (3)
Local and State government or Voluntary, not for profit (4)
All Ownership Types (0)
 
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Internet Citation: HCUP NASS Description of Data Elements. Healthcare Cost and Utilization Project (HCUP). August 2019. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/db/vars/nass_stratum/nassnote.jsp.
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Last modified 8/14/19