Difference between revisions of "CMS-HCC Disease Interactions"

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(Created page with "These are the disease interactions component of the CMS-HCC Risk Adjustments. {| class="wikitable sortable" !style="background: #e3e3e3;"|Disease Coefficients !style="bac...")
 
 
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|-
 
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|SEPSIS_CARD_RESP_FAIL
 
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|style="background-color: #FFCCCC" |Sepsis*Cardiorespiratory Failure
 
−
|align="center"|0.634
 
−
|align="center"|
 
 
|-
 
|-
 
|CANCER_IMMUNE
 
|CANCER_IMMUNE
 
|style="background-color: #FFCCCC" |Cancer*Immune Disorders
 
|style="background-color: #FFCCCC" |Cancer*Immune Disorders
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|align="center"|1.101
+
|align="center"|0.947
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|align="center"|
+
|align="center"|-
−
|-
+
−
|DIABETES_CHF
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−
|style="background-color: #FFCCCC" |Diabetes*Congestive Heart Failure
+
−
|align="center"|0.237
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|align="center"|0.143
+
 
|-
 
|-
 
|CHF_COPD
 
|CHF_COPD
 
|style="background-color: #FFCCCC" |Congestive Heart Failure*Chronic Obstructive Pulmonary Disease
 
|style="background-color: #FFCCCC" |Congestive Heart Failure*Chronic Obstructive Pulmonary Disease
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|align="center"|0.255
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|align="center"|0.259
−
|align="center"|01.59
+
|align="center"|0.221
 
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|-
 
|CHF_RENAL
 
|CHF_RENAL
 
|style="background-color: #FFCCCC" |Congestive Heart Failure*Renal Disease
 
|style="background-color: #FFCCCC" |Congestive Heart Failure*Renal Disease
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|align="center"|0.201
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|align="center"|0.317
−
|align="center"|
+
|align="center"|-
 
|-
 
|-
 
|COPD_CARD_RESP_FAIL
 
|COPD_CARD_RESP_FAIL
 
|style="background-color: #FFCCCC" |Chronic Obstructive Pulmonary Disease*Cardiorespiratory Failure
 
|style="background-color: #FFCCCC" |Chronic Obstructive Pulmonary Disease*Cardiorespiratory Failure
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|align="center"|0.420
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|align="center"|0.456
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|align="center"|
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|align="center"|0.506
 
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|-
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|CRFAIL_COPD
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|DIABETES_CHF
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|style="background-color: #FFCCCC" |Cardiorespiratory Failure*Chronic Obstructive Pulmonary Disease
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|style="background-color: #FFCCCC" |Diabetes*Congestive Heart Failure
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|align="center"|
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|align="center"|0.182
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|align="center"|0.524
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|align="center"|0.189
 
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|-
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|SEPSIS_PRESSURE_ULCER
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|SEPSIS_CARD_RESP_FAIL
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|style="background-color: #FFCCCC" |Sepsis*Pressure Ulcer
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|style="background-color: #FFCCCC" |Sepsis*Cardiorespiratory Failure
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|align="center"|
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|align="center"|0.214
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|align="center"|0.538
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|align="center"|-
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|-
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−
|SEPSIS_ARTIF_OPENINGS
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|style="background-color: #FFCCCC" |Sepsis*Artificial Openings for Feeding or Elimination*Pressure Ulcer
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−
|align="center"|
+
−
|align="center"|0.453
+
 
|-
 
|-
 
|ARTIF_OPENINGS_PRESSURE_ULCER
 
|ARTIF_OPENINGS_PRESSURE_ULCER
 
|style="background-color: #FFCCCC" |Artificial Openings for Feeding or Elimination*Pressure Ulcer  
 
|style="background-color: #FFCCCC" |Artificial Openings for Feeding or Elimination*Pressure Ulcer  
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|align="center"|
+
|align="center"|-
−
|align="center"|0.361
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|align="center"|0.282
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|-
 +
|ASP_SPEC_BACT_PNEUM_PRES_ULCER
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|style="background-color: #FFCCCC" |Aspiration and Specified Bacterial Pneumonias*Pressure Ulcer
 +
|align="center"|-
 +
|align="center"|0.495
 
|-
 
|-
 
|COPD_ASP_SPEC_BACT_PNEUM
 
|COPD_ASP_SPEC_BACT_PNEUM
 
|style="background-color: #FFCCCC" |Chronic Obstructive Pulmonary Disease*Aspiration and Specified Bacterial Pneumonias
 
|style="background-color: #FFCCCC" |Chronic Obstructive Pulmonary Disease*Aspiration and Specified Bacterial Pneumonias
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|align="center"|
+
|align="center"|-
−
|align="center"|0.249
+
|align="center"|0.319
 
|-
 
|-
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|ASP_SPEC_BACT_PNEUM_PRES_ULCER
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|SCHIZOPHRENIA_CHF
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|style="background-color: #FFCCCC" |Aspiration and Specified Bacterial Pneumonias*Pressure Ulcer
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|style="background-color: #FFCCCC" |Schizophrenia*Congestive Heart Failure
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|align="center"|
+
|align="center"|-
−
|align="center"|0.325
+
|align="center"|0.212
−
|-
+
−
|SEPSIS_ASP_SPEC_BACT_PNEUM
+
−
|style="background-color: #FFCCCC" |Sepsis*Aspiration and Specified Bacterial Pneumonia
+
−
|align="center"|
+
−
|align="center"|0.387
+
 
|-
 
|-
 
|SCHIZOPHRENIA_COPD
 
|SCHIZOPHRENIA_COPD
 
|style="background-color: #FFCCCC" |Schizophrenia*Chronic Obstructive Pulmonary Disease
 
|style="background-color: #FFCCCC" |Schizophrenia*Chronic Obstructive Pulmonary Disease
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|align="center"|
+
|align="center"|-
−
|align="center"|0.187
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|align="center"|0.389
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|-
+
−
|SCHIZOPHRENIA_CHF
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−
|style="background-color: #FFCCCC" |Schizophrenia*Congestive Heart Failure
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−
|align="center"|
+
−
|align="center"|0.220
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|-
 
|-
 
|SCHIZOPHRENIA_SEIZURES
 
|SCHIZOPHRENIA_SEIZURES
 
|style="background-color: #FFCCCC" |Schizophrenia*Seizure Disorders and Convulsions
 
|style="background-color: #FFCCCC" |Schizophrenia*Seizure Disorders and Convulsions
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|align="center"|
+
|align="center"|-
−
|align="center"|0.303
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|align="center"|0.452
 +
|-
 +
|SEPSIS_ARTIF_OPENINGS
 +
|style="background-color: #FFCCCC" |Sepsis*Artificial Openings for Feeding or Elimination*Pressure Ulcer
 +
|align="center"|-
 +
|align="center"|0.553
 +
|-
 +
|SEPSIS_ASP_SPEC_BACT_PNEUM
 +
|style="background-color: #FFCCCC" |Sepsis*Aspiration and Specified Bacterial Pneumonia
 +
|align="center"|-
 +
|align="center"|0.339
 +
|-
 +
|SEPSIS_PRESSURE_ULCER
 +
|style="background-color: #FFCCCC" |Sepsis*Pressure Ulcer
 +
|align="center"|-
 +
|align="center"|0.522
 
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|-
 
|}
 
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Latest revision as of 14:49, 23 April 2014

These are the disease interactions component of the CMS-HCC Risk Adjustments.

Disease Coefficients Description Label Community Factor Institutional Factor
Disease Interactions
CANCER_IMMUNE Cancer*Immune Disorders 0.947 -
CHF_COPD Congestive Heart Failure*Chronic Obstructive Pulmonary Disease 0.259 0.221
CHF_RENAL Congestive Heart Failure*Renal Disease 0.317 -
COPD_CARD_RESP_FAIL Chronic Obstructive Pulmonary Disease*Cardiorespiratory Failure 0.456 0.506
DIABETES_CHF Diabetes*Congestive Heart Failure 0.182 0.189
SEPSIS_CARD_RESP_FAIL Sepsis*Cardiorespiratory Failure 0.214 -
ARTIF_OPENINGS_PRESSURE_ULCER Artificial Openings for Feeding or Elimination*Pressure Ulcer - 0.282
ASP_SPEC_BACT_PNEUM_PRES_ULCER Aspiration and Specified Bacterial Pneumonias*Pressure Ulcer - 0.495
COPD_ASP_SPEC_BACT_PNEUM Chronic Obstructive Pulmonary Disease*Aspiration and Specified Bacterial Pneumonias - 0.319
SCHIZOPHRENIA_CHF Schizophrenia*Congestive Heart Failure - 0.212
SCHIZOPHRENIA_COPD Schizophrenia*Chronic Obstructive Pulmonary Disease - 0.389
SCHIZOPHRENIA_SEIZURES Schizophrenia*Seizure Disorders and Convulsions - 0.452
SEPSIS_ARTIF_OPENINGS Sepsis*Artificial Openings for Feeding or Elimination*Pressure Ulcer - 0.553
SEPSIS_ASP_SPEC_BACT_PNEUM Sepsis*Aspiration and Specified Bacterial Pneumonia - 0.339
SEPSIS_PRESSURE_ULCER Sepsis*Pressure Ulcer - 0.522
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