Difference between revisions of "CMS-HCC Disease Interactions"

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|style="background-color: #FFCCCC" |Congestive Heart Failure*Renal Disease
 
|style="background-color: #FFCCCC" |Congestive Heart Failure*Renal Disease
 
|align="center"|0.317
 
|align="center"|0.317
|align="center"|
+
|align="center"|-
 
|-
 
|-
 
|COPD_CARD_RESP_FAIL
 
|COPD_CARD_RESP_FAIL
Line 41: Line 41:
 
|style="background-color: #FFCCCC" |Sepsis*Cardiorespiratory Failure
 
|style="background-color: #FFCCCC" |Sepsis*Cardiorespiratory Failure
 
|align="center"|0.214
 
|align="center"|0.214
|align="center"|
+
|align="center"|-
 
|-
 
|-
 
|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  
|align="center"|
+
|align="center"|-
 
|align="center"|0.282
 
|align="center"|0.282
 
|-
 
|-
 
|ASP_SPEC_BACT_PNEUM_PRES_ULCER
 
|ASP_SPEC_BACT_PNEUM_PRES_ULCER
 
|style="background-color: #FFCCCC" |Aspiration and Specified Bacterial Pneumonias*Pressure Ulcer
 
|style="background-color: #FFCCCC" |Aspiration and Specified Bacterial Pneumonias*Pressure Ulcer
|align="center"|
+
|align="center"|-
 
|align="center"|0.495
 
|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
|align="center"|
+
|align="center"|-
 
|align="center"|0.319
 
|align="center"|0.319
 
|-
 
|-
 
|SCHIZOPHRENIA_CHF
 
|SCHIZOPHRENIA_CHF
 
|style="background-color: #FFCCCC" |Schizophrenia*Congestive Heart Failure
 
|style="background-color: #FFCCCC" |Schizophrenia*Congestive Heart Failure
|align="center"|
+
|align="center"|-
 
|align="center"|0.212
 
|align="center"|0.212
 
|-
 
|-
 
|SCHIZOPHRENIA_COPD
 
|SCHIZOPHRENIA_COPD
 
|style="background-color: #FFCCCC" |Schizophrenia*Chronic Obstructive Pulmonary Disease
 
|style="background-color: #FFCCCC" |Schizophrenia*Chronic Obstructive Pulmonary Disease
|align="center"|
+
|align="center"|-
 
|align="center"|0.389
 
|align="center"|0.389
 
|-
 
|-
 
|SCHIZOPHRENIA_SEIZURES
 
|SCHIZOPHRENIA_SEIZURES
 
|style="background-color: #FFCCCC" |Schizophrenia*Seizure Disorders and Convulsions
 
|style="background-color: #FFCCCC" |Schizophrenia*Seizure Disorders and Convulsions
|align="center"|
+
|align="center"|-
 
|align="center"|0.452
 
|align="center"|0.452
|-
 
|SEPSIS_PRESSURE_ULCER
 
|style="background-color: #FFCCCC" |Sepsis*Pressure Ulcer
 
|align="center"|
 
|align="center"|0.538
 
 
|-
 
|-
 
|SEPSIS_ARTIF_OPENINGS
 
|SEPSIS_ARTIF_OPENINGS
 
|style="background-color: #FFCCCC" |Sepsis*Artificial Openings for Feeding or Elimination*Pressure Ulcer
 
|style="background-color: #FFCCCC" |Sepsis*Artificial Openings for Feeding or Elimination*Pressure Ulcer
 
|align="center"|
 
|align="center"|
|align="center"|0.453
+
|align="center"|0.553
 
|-
 
|-
 
 
 
 
|SEPSIS_ASP_SPEC_BACT_PNEUM
 
|SEPSIS_ASP_SPEC_BACT_PNEUM
 
|style="background-color: #FFCCCC" |Sepsis*Aspiration and Specified Bacterial Pneumonia
 
|style="background-color: #FFCCCC" |Sepsis*Aspiration and Specified Bacterial Pneumonia
 
|align="center"|
 
|align="center"|
|align="center"|0.387
+
|align="center"|0.339
 +
|-
 +
|SEPSIS_PRESSURE_ULCER
 +
|style="background-color: #FFCCCC" |Sepsis*Pressure Ulcer
 +
|align="center"|
 +
|align="center"|0.522
 
|-
 
|-
 
 
|}
 
|}

Revision as of 14:48, 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