FHIR IG analytics| Package | hl7.fhir.us.davinci-vbpr |
| Resource Type | MeasureReport |
| Id | MeasureReport-vbp-measurereport102.json |
| FHIR Version | R4 |
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Generated Narrative: MeasureReport vbp-measurereport102
Measure Report Category: Value-Based Performance
status: Complete
type: Summary
measure: Example Value-Based Contract - ABC Payer and EveryHospital
subject: Every Hospital
date: 2022-12-31
reporter: Organization ABC Payer
period: 2022-10-01 --> 2022-12-31
group
id
ubip-group-01Payment Stream
- type: Utilization incentive payment
Baseline
- baseline: 250 /10*3 (Details: UCUM code/10*3 = '/10*3')
- period: 2021-01-01 --> 2021-12-31
code: In patient admission
measureScore: 400 /10*3 (Details: UCUM code/10*3 = '/10*3')
group
id
ubip-group-02Payment Stream
- type: Utilization incentive payment
Baseline
- baseline: 180 /10*3 (Details: UCUM code/10*3 = '/10*3')
- period: 2021-01-01 --> 2021-12-31
code: In patient acute
measureScore: 350 /10*3 (Details: UCUM code/10*3 = '/10*3')
group
id
ubip-group-03Payment Stream
- type: Utilization incentive payment
Baseline
- baseline: 51 /10*3 (Details: UCUM code/10*3 = '/10*3')
- period: 2021-01-01 --> 2021-12-31
code: Readmission
measureScore: 120 /10*3 (Details: UCUM code/10*3 = '/10*3')
group
id
ubip-group-04Payment Stream
- type: Utilization incentive payment
Baseline
- baseline: 350 per 100 (Details: UCUM code/100 = '/100')
- period: 2021-01-01 --> 2021-12-31
code: ED visit
measureScore: 300 /100 (Details: UCUM code/100 = '/100')
group
id
ubip-group-05Payment Stream
- type: Utilization incentive payment
Baseline
- baseline: 51 /10*3 (Details: UCUM code/10*3 = '/10*3')
- period: 2021-01-01 --> 2021-12-31
code: Skilled Nursing Facility admission
measureScore: 50 /10*3 (Details: UCUM code/10*3 = '/10*3')
group
id
ubip-group-06Payment Stream
- type: Utilization incentive payment
Baseline
- baseline: 22 d (Details: UCUM coded = 'd')
- period: 2021-01-01 --> 2021-12-31
code: Skilled Nursing Facility average length of stay
measureScore: 15 d (Details: UCUM coded = 'd')
group
id
ssq-group-starscorePayment Stream
- type: Shared savings gated on quality
code: Weighted average star
measureScore: 2.5
group
id
financial-group-01Payment Stream
- type: Utilization incentive payment
Baseline
- baseline: $800.00 (USD)
- period: 2021-01-01 --> 2021-12-31
code: Total medical expense PMPM
measureScore:
group
id
financial-group-02Payment Stream
- type: Utilization incentive payment
Baseline
- baseline: $800.00 (USD)
- period: 2021-01-01 --> 2021-12-31
code: Total medical expense PMPM
measureScore:
evaluatedResource:
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"measure": "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02",
"subject": {
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"display": "Every Hospital"
},
"date": "2022-12-31",
"reporter": {
"reference": "Organization/vbp-payer01"
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"period": {
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"end": "2022-12-31"
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{
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"code": "inpatient-acute"
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"text": "In patient acute"
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"measureScore": {
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"system": "http://unitsofmeasure.org",
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{
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"code": {
"coding": [
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"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code": "readmission"
}
],
"text": "Readmission"
},
"measureScore": {
"value": 120,
"system": "http://unitsofmeasure.org",
"code": "/10*3"
}
},
{
"id": "ubip-group-04",
"extension": [
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"code": "ubip"
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"text": "Utilization incentive payment"
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"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
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{
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"unit": "per 100",
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"valuePeriod": {
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"end": "2021-12-31"
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"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
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"code": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code": "ed-visit"
}
],
"text": "ED visit"
},
"measureScore": {
"value": 300,
"system": "http://unitsofmeasure.org",
"code": "/100"
}
},
{
"id": "ubip-group-05",
"extension": [
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"coding": [
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"text": "Utilization incentive payment"
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{
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"valueQuantity": {
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"system": "http://unitsofmeasure.org",
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"code": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code": "snf-admission"
}
],
"text": "Skilled Nursing Facility admission"
},
"measureScore": {
"value": 50,
"system": "http://unitsofmeasure.org",
"code": "/10*3"
}
},
{
"id": "ubip-group-06",
"extension": [
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"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
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"system": "http://unitsofmeasure.org",
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"code": {
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"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code": "snf-avg-los"
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],
"text": "Skilled Nursing Facility average length of stay"
},
"measureScore": {
"value": 15,
"system": "http://unitsofmeasure.org",
"code": "d"
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},
{
"id": "ssq-group-starscore",
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"coding": [
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],
"code": {
"coding": [
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"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code": "weighted-avg-star"
}
],
"text": "Weighted average star"
},
"measureScore": {
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}
},
{
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"extension": [
{
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"coding": [
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"code": "ubip"
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"text": "Utilization incentive payment"
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}
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"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
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"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
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"code": {
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"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code": "med-cost-pmpm"
}
],
"text": "Total medical expense PMPM"
},
"measureScore": {
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"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
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"code": {
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"text": "Total medical expense PMPM"
},
"measureScore": {
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"evaluatedResource": [
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"valueString": "ssq-group-starscore"
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],
"reference": "MeasureReport/quality-measurereport11"
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{
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"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
"valueString": "ssq-group-starscore"
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{
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"valueString": "ssq-group-starscore"
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"reference": "MeasureReport/quality-measurereport13"
},
{
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"valueString": "ssq-group-starscore"
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"reference": "MeasureReport/quality-measurereport14"
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{
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"valueString": "ssq-group-starscore"
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],
"reference": "MeasureReport/quality-measurereport15"
}
]
}