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    Dept. of State Health Services
    Center for Health Statistics, MC 1898
    PO Box 149347
    Austin, Texas 78714-9347

    Moreton Building, M-660
    1100 West 49th Street
    Austin, TX 78756

    Phone: 512-776-7261
    Fax: 512-776-7740
    Email: thcichelp@dshs.texas.gov

Texas Emergency Department Data

Texas Health Care Information Collection
Center for Health Statistics

Attention THCIC Stakeholders, Health Data Researchers and Healthcare Facilities, 

In response to Coronavirus (COVID-19) emergency requirements THCIC staff will have limited access to providing responses and data requests.

The 2014–15 General Appropriations Act, S.B. 1, 83rd Texas Legislature, Regular Session, 2013 (Article II, Department of State Health Services [DSHS], Rider 93) specified that DSHS shall collect hospital emergency department (ED) data as set forth in Chapter 108, Texas Health and Safety Code (THSC). DSHS currently collects inpatient and outpatient data from hospitals and ambulatory surgical centers. DSHS began collecting ED data from hospitals on January 1, 2015 per 25 Texas Administrative Code (TAC), Sections 421.71-421.78, and in conjunction with the collection of inpatient and outpatient data.

In accordance with Health and Safety Code, Section 108.012(b), "the department may charge a person requesting public use or provider quality data a fee for the data.  The fees may reflect the quantity of information provided and the expense incurred by the department in collecting and providing the data. The executive commissioner by rule and shall be set the fees at a level that will raise revenue sufficient for the operation of the department.  The department may not charge a fee for providing public use data to another Texas state agency.  Chapter 108 may be viewed by clicking here.

The Hospital Emergency Department (ED) Public Use Data Files (PUDF)  include data from Inpatient PUDF and the Outpatient PUDF. The Inpatient PUDF contains patient-level information for patients which were admitted into the hospital for care. The inpatient hospital stay may last several hours to days, weeks or years, depending upon the condition or status of the patient before being discharged, transferred or expired; the Outpatient PUDF contains patient-level information for outpatient services that do not go more than twenty-four (24) hours from the time they are being treated in the hospital or ambulatory surgery center (ASC).

The Hospital ED PUDF is currently available for the first quarter 2016 through second quarter 2020.  The third quarter 2020 is tentatively scheduled to be released June 2021.

Purchasing the Hospital ED PUDF requires a completed Order Form, which includes a Data Use Agreement.  

Information on the data fields is included in the user manual available below.

The 2020 Hospital ED PUDF contains:

Number of Hospitals  Number of Records       
 IP Base  IP Charges OP Base  OP Charges
First quarter, 503 facilities 410,367 records
8,803,361 records
2,483,855 records
20,397,393 records
Second quarter, 489 facilities 347,806 records
7,484,854 records 1,612,607 records
14,724,511 records 

The 2019 Hospital ED PUDF contains:

Number of Hospitals Number of Records         
 IP Base IP ChargesOp BaseOP Charges
First quarter, 491 facilities 406,180 records
8,252,417 records
2,544,659 records
21,413,050 records
Second quarter, 492 facilities
398,940 records
8,017,296 records
2,463,527 records
21,350,818 records
Third quarter, 488 facilities400,377 records8,192,082 records
2,440,133 records
21,130,812 records
Fourth quarter, 489 facilities413,783 records
8,737,281 records
2,638,460 records 21,336,880 records

The 2018 Hospital ED PUDF contains:

Number of HospitalsNumber of Records      

IP Base IP ChargesOP Base OP Charges
First quarter, 496 facilities
409,776 records
7,835,239 records2,500,788 records
19,282,380 records
Second quarter, 487 facilities385,680 records
7,341,105 records
2,359,980 records
19,153,697 records
Third quarter, 492 facilities
382,461 records
7,593,268 records
2,319,929 records
19,275,555 records
Fourth quarter, 497 facilities390,017 records 7.788.331 records2,444,990 records20,692,681 records

The 2017 Hospital ED PUDF contains:

Number of Hospitals Number of Records     
  IP Base IP Charges OP BaseOP Charges 
First Quarter, 491 facilities389,694 records 7,531,666 records  2,369,061 records  18,888,359 records  
Second quarter, 483 facilities 374,777 records 7,068,705 records  2,309,112 records 18,724,107 records 
Third quarter, 441 facilities 368,002 records 6,917,547 records
2,232,450 records  17,951,759 records  
Fourth quarter, 494 facilities 390,192 records 7,347,775 records 2,477,301 records 19,192,622 records 
The 2016 Hospital ED PUDF contains:
Number of Hospitals Number of Records       
 IP Base
IP Charges OP Base OP Charges 
First quarter, 486 facilities 371,668 records 7,149,726 records  2,324,263 records 17,938,585 records 
Second quarter, 487 facilities 364,092 records 7,024,369 records 2,315,466 records 18,261,235 records 
Third quarter, 486 facilities 367,523 records 7,065,645 records  2,275,340 records 18,289,934 records  
Fourth quarter, 486 facilities 368,588 records 7,117,949 records  2,260,107 records 17,847,395 records 

Technical Update

An update has been released for the first quarter 2019 “ED Facility_type1q2019.txt” and “ED Facility_type1q2019_tab.txt” files. A number of facilities that submitted data were not included in those files.  The update contains the correct reporting of the facilities and facility type information for the 1Q2019 Emergency Department Facility Type files. All other data files were correctly reported and in the appropriate data files. Released February 18, 2020

Data Purchasers

The list of organizations includes a variety of organizations that use the data for analysis. The listing includes recipients from 2003 through December 31, 2020. This list is updated annually. (February 12, 2021)

If you have suggestions or comments regarding ED PUDF data, please submit them to THCIC.

Last updated February 12, 2021