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

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

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Barnes Jewish Hospital St Louis, MO E. Hospital located in Illinois that had an MIUR equal to or greater than the statewide mean plus one-half standard deviation as of July 1, 1999, provided more than 15,000 total days in fiscal year 1998, and which does not qualify under criteria A, B, C or D above: Qualifying hospital base rate: N/A N/A F. Hospital that had an MIUR greater than 40 percent as of July 1, 1999, provided more than 7,500 days in fiscal year 1998, provided obstetrical care as of July 1, 2001, and which does not qualify under A, B, C, D or E above: Qualifying hospital base rate: N/A N/A G. Illinois teaching hospital with 25 or more graduate medical education programs on July 1, 1999, that is affiliated with a Regional Alzheimer’s Disease Assistance Center as designated by the Alzheimer’s Disease Assistance Act, that had an MIUR less than 25 percent on July 1, 1999, and provided 75 or more Alzheimer days for patients diagnosed as having disease: Qualifying hospital with an MIUR greater than 19.75%: Qualifying hospital with an MIUR equal to or less than 19.75%: Qualifying hospital base rate: N/A N/A N/A N/A H. Hospital that does not qualify under sections A, B, C, D, E, F, or G above, and had an MIUR greater than 50 percent on July 1, 1999: Qualifying hospital base rate: N/A N/A I. Hospital that does not qualify under sections A, B, C, D, E, F, G or H above, and had an MIUR greater th four days, provided more than 4,200 total days and provided 100 or more Alzheimers days for patients diagnosed as having the disease. Qualifying hospital base rate: N/A N/A 1 Your hospital’s total DHA rate: N/A 2 Your hospital’s fiscal year 1998 total days: N/A 3 Your hospital’s annual DHA payment {Line 1 * Line 2}: N/A PLEASE NOTE: Your actual final payment amount may vary due to rounding. DHA Attach Page 20

Barnes Jewish Hospital St Louis, MO RURAL CRITICAL HOSPITAL ADJUSTMENT PAYMENTS For the Period of July 1, 2011 through June 30, 2012 Hospital Is Excluded By Rule. FY’09 RCHAP Total Admits Multiplier RCHAP 1. Your hospital’s CHAP base period obstetrical care admissions: N/A $1,367 N/A 2. Your hospital’s CHAP base period general care admissions: N/A $138 N/A 3. The greater of Line 1 or Line 2: N/A 4. Maximum number of obstetrical care admissions for all hospitals: N/A 5. Your hospital’s total RCHAP {Line 3 plus Line 4}: N/A PLEASE NOTE: Your quarterly payment may vary due to rounding.

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

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

E. <strong>Hospital</strong> located in <strong>Illinois</strong> that had an MIUR equal to or greater than the statewide mean plus<br />

one-half standard deviation as <strong>of</strong> July 1, 1999, provided more than 15,000 total<br />

days in fiscal year 1998, and which does not qualify under criteria A, B, C or D above:<br />

Qualifying hospital base rate:<br />

N/A<br />

N/A<br />

F. <strong>Hospital</strong> that had an MIUR greater than 40 percent as <strong>of</strong> July 1, 1999, provided more than<br />

7,500 days in fiscal year 1998, provided obstetrical care as <strong>of</strong> July 1, 2001, and which does<br />

not qualify under A, B, C, D or E above:<br />

Qualifying hospital base rate:<br />

N/A<br />

N/A<br />

G. <strong>Illinois</strong> teaching hospital with 25 or more graduate medical education programs on July 1,<br />

1999, that is affiliated with a Regional Alzheimer’s Disease Assistance Center as designated<br />

by the Alzheimer’s Disease Assistance Act, that had an MIUR less than 25 percent on<br />

July 1, 1999, and provided 75 or more Alzheimer days for patients diagnosed as having disease:<br />

Qualifying hospital with an MIUR greater than 19.75%:<br />

Qualifying hospital with an MIUR equal to or less than 19.75%:<br />

Qualifying hospital base rate:<br />

N/A<br />

N/A<br />

N/A<br />

N/A<br />

H. <strong>Hospital</strong> that does not qualify under sections A, B, C, D, E, F, or G above, and had<br />

an MIUR greater than 50 percent on July 1, 1999:<br />

Qualifying hospital base rate:<br />

N/A<br />

N/A<br />

I. <strong>Hospital</strong> that does not qualify under sections A, B, C, D, E, F, G or H above, and had<br />

an MIUR greater th four days, provided more than 4,200 total days and provided 100 or more Alzheimers<br />

days for patients diagnosed as having the disease.<br />

Qualifying hospital base rate:<br />

N/A<br />

N/A<br />

1 Your hospital’s total DHA rate: N/A<br />

2 Your hospital’s fiscal year 1998 total days: N/A<br />

3 Your hospital’s annual DHA payment {Line 1 * Line 2}:<br />

N/A<br />

PLEASE NOTE: Your actual final payment amount may vary due to rounding.<br />

DHA Attach Page 20

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