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
| Official URL: http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric | Version: 1.1.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: VbpPerformanceMetricsVS | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.48.10 | ||||
Type of value-based performance reporting performance metric.
References
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric version 📦1.1.0
Expansion performed internally based on codesystem Performance Metric Codes v1.1.0 (CodeSystem)
This value set contains 93 concepts
| System | Code | Display (en) | JSON | XML |
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | avg-risk-score | Average risk score | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | avg-risk-score-market | Market average risk score | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | capitation | Capitation | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | capitation-pmpm | Capitation per member per month | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | dental-capitation | Dental capitation | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | dental-capitation-pmpm | Dental capitation PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | reinsurance-capitation | Reinsurance capitation | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | reinsurance-capitation-pmpm | Reinsurance capitation PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | ccf | Care coordination fee | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | goal-hcc-raf | Goal HCC RAF | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | actual-hcc-raf | Actual HCC RAF | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | earnings-ccf | Earnings CCF | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | performance-ccf | Performance CCF | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | potential-upside-ccf | Potential upside CCF | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | potential-downside-ccf | Potential downside CCF | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | earned-incentive | Earned incentive | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | earnings-qip | Earnings QIP | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | performance-qip | Performance QIP | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | potential-upside-qip | Potential upside QIP | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | potential-downside-qip | Potential downside QIP | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | earnings-ssl | Earnings SSL | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | performance-ssl | performance SSL | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | potential-upside-ssl | Potential upside SSL | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | potential-downside-ssl | potential downside SSL | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | earnings-cap | Earnings capitated | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | performance-cap | Performance capitated | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | potential-upside-cap | Potential upside capitated | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | potential-downside-cap | Potential downside capitated | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | quality-gate-percentage | Quality gate percentage | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | quality-gate-performance-percentage | Quality gate performance percentage | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | interim-pmt-rate | Interim payment rate | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | ibnr-pmpm | IBNR PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-ibnr | Medical IBNR | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | rx-ibnr | Pharmacy IBNR | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-rx-ibnr | Medical pharmacy IBNR | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | revenue | Revenue | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | revenue-pmpm | Revenue PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | avg-revenue-pmpm-market | Market average revenue PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | cost-target | Cost target | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | admin-cost | Administrative cost | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | rx-cost | Pharmacy cost | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | rx-cost-target | Pharmacy cost target | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | rx-cost-pmpm | Pharmacy cost PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | rx-cost-pmpm-target | Pharmacy cost PMPM target | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-cost | Medical cost | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-cost-target | Medical cost target | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-cost-pmpm | Medical cost PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-cost-pmpm-target | Medical cost PMPM target | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-cost-fund | Medical cost fund | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | avg-med-cost-fund-market | Market average medical cost fund | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-rx-cost | Medical pharmacy cost | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-rx-cost-target | Medical pharmacy cost target | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-rx-cost-pmpm | Medical pharmacy cost PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | avg-med-rx-cost-pmpm-market | Market average medical pharmacy cost PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | variance-cost | Variance cost | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-loss-ratio | Medical loss ratio | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-loss-ratio-target | Medical loss ratio target | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-expense-ratio | Medical expense ratio | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-expense-ratio-pmpm | Medical expense ratio PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | member-months | Member months | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | med-member-months | Medical member months | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | rx-member-months | Pharmacy member months | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | adjusted-paid-claim | Adjusted paid claim | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | annual-care-visit-bonus | Annual care visit bonus | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | avg-star-rating-bonus | Average star rating bonus | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | avg-star-rating-improvement-bonus | Average star rating improvement bonus | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | quality-metric-performance-incentive | Quality metric performance incentive | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | quality-pmt-chronic | Quality payment chronic disease management | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | quality-pmt-office-visit | Quality payment annual office visit | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | shared-saving-deficit | Shared saving deficit | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | weighted-avg-star | Weighted average star | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | condition-count | Condition count | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | 1-gap-closed | 1 gap closed | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | 2-gap-closed | 2 gaps closed | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | paid-claim | Paid claim | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | paid-claim-pmpm | Paid claim PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | drg-expense | DRG expense | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | drg-expense-pmpm | DRG expense PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | provider-quality-expense-pmpm | Provider quality expense PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | subrogation-pmpm | Subrogation PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | avg-member-office-visit | Average members with office visit | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | ed-visit | ED visit | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | eligible-member | Eligible members | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | inpatient-acute | Inpatient acute | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | inpatient-admission | Inpatient admission | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | nurse-hotline | Nurse hotline | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | nurse-hotline-pmpm | Nurse hotline PMPM | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | snf-avg-los | Skilled Nursing Facility average length of stay | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | readmission | Readmission | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | snf-admission | Skilled Nursing Facility admission | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | provider-quality-expense | Provider quality expense | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | subrogation | Subrogation | ||
http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric | avg-membership | Average membership |
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 |