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Barnes Jewish Hospital-St Louis (pdf) - Illinois Department of ...

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<strong>Barnes</strong> <strong>Jewish</strong> <strong>Hospital</strong><br />

<strong>St</strong> <strong>Louis</strong>, MO<br />

SAFETY NET ADJUSTMENT PAYMENT<br />

For the Period <strong>of</strong> July 1, 2011 through June 30, 2012<br />

<strong>Hospital</strong> <strong>St</strong>atistics:<br />

Your hospital’s Health Service Area (HSA):<br />

Your hospital’s Medicaid Inpatient Utilization Rate (MIUR):<br />

Your hospital’s Combined Medicaid Inpatient Utilization Rate (CMIUR):<br />

Your hospital’s fiscal year 2000 licensed beds:<br />

Your hospital’s fiscal year 2000 total obstetrical care (OB) admissions:<br />

Your hospital’s fiscal year 2000 total obstetrical care (OB) days:<br />

Your hospital’s fiscal year 2000 average length <strong>of</strong> stay (alos):<br />

Your hospital’s fiscal year 2000 general care admissions:<br />

Your hospital’s fiscal year 2000 total days:<br />

Your hospital’s fiscal year 2000 occupancy rate:<br />

N/A<br />

N/A<br />

N/A<br />

N/A<br />

N/A<br />

N/A<br />

N/A<br />

N/A<br />

N/A<br />

N/A<br />

Your hospital’s number <strong>of</strong> graduate medical education programs from the<br />

2000-2001 Graduate Medical Education Directory: N/A<br />

Your hospital’s number <strong>of</strong> obstetrical graduate medical education programs<br />

from the 2000-2001 Graduate Medical Education Directory:<br />

N/A<br />

Qualifying Criteria:<br />

(<strong>Hospital</strong>s located outside <strong>of</strong> <strong>Illinois</strong>, County-owned hospitals, hospitals operated by<br />

the University <strong>of</strong> <strong>Illinois</strong>, psychiatric, and long term stay hospitals are not eligible for<br />

payments associated with qualifying criteria 1 – 4)<br />

1. For a hospital that has, as <strong>of</strong> October 1, 2001, a MIUR equal to or greater than 40%,<br />

the rate is the sum <strong>of</strong> the amounts for each <strong>of</strong> the following criteria for which it qualifies:<br />

A. Qualifying hospital base rate: N/A<br />

B. Rehabilitation hospital, as described in 89 Ill. Adm. 149.50(c)(2): N/A<br />

C. Children’s hospital, as described in 89 Ill. Adm. 149.50(c)(3): N/A<br />

D. Children’s hospital that has a MIUR greater than or equal to 80% that is:<br />

i. Located within HSA 6 or HSA 7: N/A<br />

ii. Located outside HSA 6 or HSA 7:<br />

N/A<br />

SNAP Attach Page 10

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