Da Vinci Value-Based Performance Reporting Implementation Guide
1.1.0 - STU 1.1 United States of America flag

Da Vinci Value-Based Performance Reporting Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-vbpr/ and changes regularly. See the Directory of published versions

ValueSet: HCPLAN Framework Categories

Official URL: http://hl7.org/fhir/us/davinci-vbpr/ValueSet/hcplan-framework Version: 1.1.0
Standards status: Trial-use Maturity Level: 1 Computable Name: HCPLANFrameworkVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.48.1

HCPLAN framework categories for value-based performance. HCPLAN framework represents payments from public and private payers to provider organizations.

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem HCPLAN Framework Categories Codes v1.1.0 (CodeSystem)

This value set contains 10 concepts

CodeSystemDisplayDefinition
  2Ahttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 2AFoundational Payments for Infrastructure and Operations, e.g., care coordination fees and payments for HIT investments.
  2Bhttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 2BPay for Reporting, e.g., bonuses for reporting data or penalies for not reporting data.
  2Chttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 2CPay-for-Performance, e.g., bonuses for quality performance.
  3Ahttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 3AAPMs with Shared Savings, e.g., shared savings with upside risk only.
  3Bhttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 3BAPMs with Shared Savings and Downside Risk, e.g., episode-based payments for procedures and comprehensive payments with upside and downside risk.
  3Nhttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 3NRisk Based Payments not linked to quality.
  4Ahttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 4ACondition-Specific Population-Based Payment, e.g., per member per month payments, payments for speciality services, such as oncology or mental health.
  4Bhttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 4BComprehensive Population-Based Payment, e.g., global budgets or full/percent of premium payments.
  4Chttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 4CIntegrated Finance and Delivery System, e.g., global budgets or full/percent of premium payments in integrated systems.
  4Nhttp://terminology.hl7.org/CodeSystem/hcp-lan-apm-frameworkCategory 4NCapitated Payments not linked to quality.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code