Care Access Rating IndChild Care Access Rating IndGeographical ProximityPCP Satisfaction Rating IndPrescription Ease Rating IndProvider Communication Rating IndSpecialist Satisfaction Rating IndStaff Satisfaction Rating Ind
| Business Data Model Data Model |
| Description | A relationship between a plan member and a provider. For example: John Doe prefers Dr. Luigi as his primary care physician. |
| Relationship | |
 Plan Member / Provider Rltnp_Plan Member_FK |
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| Plan Member / Provider Rltnp_Provider_FK |
|
| Dependencies | |
 NONE |
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| Reverse Dependencies | |
| |
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| Attribute Details |
Care Access Rating Ind
| Description | Indicates the member's rating of the healthcare provider with respect to access to needed care. For example: A big problem A small problem Not a problem |
| Data Type | Standards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Child Care Access Rating Ind
| Description | Indicates the member's rating of the healthcare provider with respect to access to needed pediatric care. For example: A big problem A small problem Not a problem |
| Data Type | Standards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Geographical Proximity
| Description | The distance, in miles, that the member has to travel to come into contact with the healthcare provider. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Number Decimal [DECIMAL(10,4)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
PCP Satisfaction Rating Ind
| Description | Indicates the member's rating of the healthcare provider with respect to perceptions of their PCP (general doctor, specialist doctor, nurse practitioner, physician assistant). For example: Enrollees rate their personal health provider on a scale from 0 to 10 where 0 is the worst personal health provider possible and 10 is the best personal health provider possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 10 7 and 8 and 6 and lower. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Prescription Ease Rating Ind
| Description | Indicates the member's rating of the healthcare provider with respect to the ease of obtaining prescription medicine. For example: A big problem A small problem Not a problem |
| Data Type | Standards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Provider Communication Rating Ind
| Description | Indicates the member's rating of the healthcare provider with respect to how often their doctors or other health providers communicated well with them. For example: Always Usually Sometimes Never |
| Data Type | Standards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Specialist Satisfaction Rating Ind
| Description | Indicates the member's rating of the healthcare provider with respect to perceptions of their specialist. For example: Enrollees rate care on a scale from 0 to 10where 0 is the worst specialist possible and 10 is the best specialist possible. Responses are grouped by rating: percentages are reported for ratings of 9 and 107 and 8and 6 and lower. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Staff Satisfaction Rating Ind
| Description | Indicates the member's rating of the healthcare provider with respect to courtesy, respect, and helpfulness from the medical office staff. For example: Usually satisfied, Always satisfied, Never satisfied Sometimes satisfied, |
| Data Type | Standards - Data Domains.ddm/Data Domains/Alphanumeric Small [VARCHAR(6)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
| Relationship Details |
Plan Member / Provider Rltnp_Plan Member_FK
| Is Identifying Relationship | true |
| Child Table | Plan Member / Provider |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Plan Member |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Plan Member / Provider Rltnp_Provider_FK
| Is Identifying Relationship | true |
| Child Table | Plan Member / Provider |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Provider |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
| Business Data Model Data Model |