DOI: 10.3886/icpsr06586
title: National Medical Expenditure Survey, 1987: Institutional Population Component, Linked MADRS Data for Medicare Beneficiaries Sampled in Nursing and Personal Care Homes and Facilities for Persons With Mental Retardation [Research File 36R]
title: Archival Version

description: The National Medical Expenditure Survey (NMES) series 
 provides information on health expenditures by or on behalf of families 
 and individuals, the financing of these expenditures, and each person's 
 use of services. The Institutional Population Component (IPC) is a 
 survey of nursing and personal care homes and facilities for the 
 mentally retarded and residents admitted to those facilities. 
 Information was collected on facilities and their residents at several 
 points during 1987. Use and expenditure estimates for institutionalized 
 persons can be combined with those from the Household Component for 
 composite estimates covering most of the civilian population. 
 Information on facilities and residents was collected from facility 
 administrators and caregivers, with additional information collected 
 from next-of-kin or other knowledgeable respondents. These data were 
 supplemented by Medicare claims information for covered sample persons. 
 Research File 36 provides information from the Medicare Automated Data 
 Retrieval System (MADRS) for a subset of persons from File 1 of 
 NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: INSTITUTIONAL POPULATION 
 COMPONENT, FACILITY USE AND EXPENDITURE DATA FOR NURSING AND PERSONAL 
 CARE HOME RESIDENTS [PUBLIC USE TAPE 17] (ICPSR 6158) and a subset of 
 persons from File 1 of NATIONAL MEDICAL EXPENDITURE SURVEY, 1987: 
 INSTITUTIONAL POPULATION COMPONENT, FACILITY USE AND EXPENDITURE DATA 
 FOR RESIDENTS OF FACILITIES FOR PERSONS WITH MENTAL RETARDATION 
 [RESEARCH FILE 22R] (ICPSR 6467). Six data files are provided for 
 Research File 36R, all of which contain demographic data such as age, 
 sex, and race. Other variables common to all parts are facility type, 
 person number, sample person identifier, reimbursement amount by 
 Medicare, and total charges reported by provider. Parts 1-6 cover, 
 respectively, Part B Payment Records, Part B Outpatient Bill Records, 
 Part B Home Health Bill Records, Part A Inpatient/Skilled Nursing 
 Facilities Bill Records, Part A Home Health Bill Records, and Part A 
Hospice Bill Records.
description: The NMES Institutional Population Component sample was 
 based on a two-stage probability design with facilities selected in the 
 first stage and persons within facilities chosen in the second stage. 
 Three strata were used for the facility sample: nursing and personal 
 care homes with three or more beds, intermediate care facilities for 
 the mentally retarded with 3-15 beds, and all remaining facilities for 
 the mentally retarded with more than 15 beds. A total of 810 nursing 
 and personal care homes and 691 facilities for the mentally retarded 
were sampled.
description: Datasets: 
DS0: Study-Level Files
DS1: NMES IPC 1987 Linked MADRS Data: Part B Payment Records
DS2: NMES IPC 1987 Linked MADRS Data: Part B Outpatient Bill Records
DS3: NMES IPC 1987 Linked MADRS Data: Part B Home Health Bill Records
DS4: NMES IPC 1987 Linked MADRS Data: Part A Inpatient/Skilled Nursing Facilities Bill Records
DS5: NMES IPC 1987 Linked MADRS Data: Part A Home Health Bill Records
DS6: NMES IPC 1987 Linked MADRS Data: Part A Hospice Bill Records
description: All persons (other than staff) who spent one or more nights 
 in 1987 as residents of a nursing or personal care home or a facility 
for the mentally retarded.
description: (1) NMES research files are intended for users who are 
 familiar with NMES public use tapes and have experience analyzing 
 complex survey data. These data files have not been subjected to the 
 same level of editing and quality control as the NMES public use tapes. 
 The data in these files should be analyzed and interpreted with care. 
 (2) These files can be linked to each other and all other public use 
 datasets from the 1987 IPC by using the person identifier (SPERIDX) and 
the facility identifier (OFIDX).