Patient Timelines of Standard Initial Run CMS-HCC Results

Object Description

One record per period in which the patient qualified for either the version 24 or version 28 CMS-HCC model; the blended RAF score is generated using the appropriate blending ratio for the calendar year of the period.

Metadata

• Table Name: ursa.so_ursa_hcc_pat_022
• Layer: SYNTHETIC_OBJECT
• Object Type: Complex Timeline
• Temporal Class: Interval (Timeline)
• Case ID: Patient ID
• Interval Start Date: Period Start Date
• Interval End Date: Period End Date
• Primary Key: Patient ID, Period Start Date, Period End Date

Dedicated Precursors

• [SO/URSA-HCC] Patient Timelines of Standard Initial Run CMS-HCC Results, Precursor 1 (Demographic Model Input Periods): One record per patient-period during which the patient was covered by an "Initial Run" MMR record (i.e., with payment month = covered month; excluding months in the second half of the year, which are not scored by CMS in their initial run results). The Simple Timeline object is used to merge contiguous periods in the same calendar year together when the CMS-HCC demographic component values are identical, reducing the record volume sent to the model.
• [SO/URSA-HCC] Patient Timelines of Standard Initial Run CMS-HCC Results, Precursor 2 (Model Inputs): One record per distinct patient-period (for patients with no acceptable qualifying diagnoses in the Initial Run catchment period) or per patient-period-diagnosis (for patients with acceptable qualifying diagnoses); this unusual grain size is the required format for inputs sent to the CMS-HCC model. Patients with a qualifying membership but without any acceptable qualifying diagnosis codes will have a single record for that period, with a diagnosis code value of NULL.
• [SO/URSA-HCC] Patient Timelines of Standard Initial Run CMS-HCC Results, Precursor 3 (Version 24 Model Output):
• [SO/URSA-HCC] Patient Timelines of Standard Initial Run CMS-HCC Results, Precursor 4 (Version 28 Model Output):