| Dimensional Warehouse Model Data Model |
| Description | The analysis of the utilization of ambulatory care services, during the period of analysis. This helps to monitor the increasing trend to relocate previously delivered inpatient services in outpatient settings. |
| Primary Key | |
 Ambulatory Care Utilization Analysis PK |
|
| Dependencies | |
 NONE |
|
| Reverse Dependencies | |
| |
|
| Attribute Details |
Calendar Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Condition Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Geographic Area Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Group Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Health Plan Product Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Number Of Ambulatory ED Visits
| Description | The total number of emergency department Visits (ED), of an ambulatory nature, rendered during the period of analysis. When EDs are a substitute for ambulatory settings such as clinics or physician offices, it may be an indicator towards insufficient access to primary care. This measurement may exclude mental health and chemical dependency visits as well as visits that result in an inpatient admission. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Number Of Ambulatory Procedures
| Description | The number of surgical procedures performed in an ambulatory, setting, such as an hospital outpatient facility or a freestanding surgery center, during the period of analysis. This measurement helps to assess the increasing trend away from inpatient care to specialized outpatient centers, for selected procedures. This measurement may exclude procedures carried out in a physicians office, and also mental health and chemical dependency visits. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Number Of Member Months
| Description | The total number of months that a member has one or more active memberships, in one or more health benefits plans, during the period of analysis. This may be a point in time calculation of the number of members, at a specific date in every month (15th) or it may be rounded sum of the number of months based on each members enrollment dates. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Number Of Members
| Description | The total count of members, during the period of analysis. This may be the total number of people with one or more active memberships at a given point in time during the period, or the average number of people with active memberships over the full period. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Number Of Member Years
| Description | The total number of years that member have one or more active memberships, in one or more health benefits plans, during the period of analysis. This may be a point in time calculation of the number of members, at a specific date in every year (1st of July), be based on the number of member months calculation or may be rounded sum of the number of years based on each members enrollment dates. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Number Of Observation Stays
| Description | The number of observation stays, rendered to members, during the period of analysis. This measurement may exclude stays that result in inpatient admissions and also mental health and chemical dependency services. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Number Of Outpatient Visits
| Description | The total number of outpatient, face-to-face, encounters, of an ambulatory nature, during the period of analysis. This measurement may include, after hours, non-emergency, urgent care, and nursing home visits but may exclude mental health and chemical dependency visits. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Plan Member Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Practitioner Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Procedure Code Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Provider Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Service Dk
| Description | A numeric surrogate key used to uniquely identify entities in the dimensional model. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Surrogate Key Large [LONG] |
| Is Part Of PrimaryKey | true |
| Is Required | true |
| Is Derived | false |
| Is Surrogate Key | false |
Utilization Of Ambulatory Services Per 1000 Member Months
| Description | The average number of selected ambulatory care services, per 1000 member months, during the period of analysis. Formula: [((A or B or C or D)/E)*1000] (see dependencies and their labels for measures used in the formula) |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Utilization Of Ambulatory Services Per 1000 Member Years
| Description | The average number of selected ambulatory care services, per 1000 member years, during the period of analysis. Formula: [((A or B or C or D)/E) * 1000] (see dependencies and their labels for measures used in the formula) |
| Data Type | Standards - Data Domains.ddm/Data Domains/Count [INTEGER] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
| Relationship Details |
Ambulatory Care Utilization Analysis_Calendar Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 | Calendar Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Ambulatory Care Utilization Analysis_Geographic Area Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 | Geographic Area Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Ambulatory Care Utilization Analysis_Plan Member Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Ambulatory Care Utilization Analysis_Condition Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 | Condition Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Ambulatory Care Utilization Analysis_Group Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 | Group Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Ambulatory Care Utilization Analysis_Provider Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Ambulatory Care Utilization Analysis_Practitioner Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 | Practitioner Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Ambulatory Care Utilization Analysis_Procedure Code Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 | Procedure Code Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Ambulatory Care Utilization Analysis_Service Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 | Service Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Ambulatory Care Utilization Analysis_Health Plan Product Dimension_FK
| Is Identifying Relationship | true |
| Child Table | Ambulatory Care Utilization Analysis |
| 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 | Health Plan Product Dimension |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
| Primary Key Details |
Ambulatory Care Utilization Analysis PK
| Key Attribute | Calendar Dk |
| Key Attribute | Geographic Area Dk |
| Key Attribute | Plan Member Dk |
| Key Attribute | Condition Dk |
| Key Attribute | Group Dk |
| Key Attribute | Provider Dk |
| Key Attribute | Practitioner Dk |
| Key Attribute | Procedure Code Dk |
| Key Attribute | Service Dk |
| Key Attribute | Health Plan Product Dk |
| Dimensional Warehouse Model Data Model |