Patient Detail

Patient ID

The participant-supplied identifier(s) that identifies the user’s attributed patient based on where they received care.

An individual patient may have many participant-supplied identifiers if they have been treated at multiple care locations over time. Valid values are inclusive of Medical Record Number (MRN) values and other source system identifiers submitted via participants' Admission, Discharge, and Transfer (ADT) HL7 feeds, as well as Medicaid ID values (sometimes referred to as 'A' numbers) shared by the Office of MaineCare Services to uniquely identify its Medicaid members.

Note: Regardless of how many Patient IDs that an individual patient may have, they will only have a single HIN ID assigned.

Patient Name

The first and/or last names of a user’s attributed patient.

Attributed Patients

The count of unique patients who are attributed to the selected Attribution Entity and who meet the criteria of the selected personal characteristics.

For more information about the filters impacting this metric, visit the Insightsreporting dashboard’s filter section.

Patients with Risk

The count of a user’s unique attributed patients who have at least one available predictive risk result (i.e., Risk Class = Low, Moderate, High, or Very High; not Present).

For more information about the predictive risks measured in this metric, visit the Predictive Risk Modeling methodology section.

Patients with Chronic Condition(s)

The count of a user’s unique attributed patients who have at least one chronic condition (i.e., Risk Class = Present).

For more information about the chronic conditions measured in this metric, visit the Predictive Risk Modeling methodology section.

Patients Currently Hospitalized

The count of a user’s unique attributed patients who were admitted to the Inpatient setting in the last 30 days and who are currently hospitalized.

Record of Personal Characteristics by Attributed Patient

HIN ID

The HealthInfoNet-assigned identifier that identifies a unique patient within the HIE’s data warehouse.

Note: This field can be used to join patient records across all patient-level table exports.

Patient Name

The first and last names of the user’s attributed patient.

Date of Birth

The date of birth of the user’s attributed patient.

For more information, visit the Value-Add Field Logic methodology section.

Sex

The sex category of the most recently reported legal/insurance sex value for the user’s attributed patient.

Valid values include Male, Female, X, and Unknown.

For more information, visit the Value-Add Field Logic methodology section.

Race

The race category of the most recently reported race value for the user’s attributed patient.

Valid values include AIAN (American Indian or Alaska Native), Asian, Black (Black or African American), Multi (two or more races), NHPI (Native Hawaiian or Pacific Islander), White, and Unknown.

For more information, visit the Value-Add Field Logic methodology section.

Ethnicity

The ethnicity category of the most recently reported ethnicity value for the user’s attributed patient.

Valid values include Hispanic, Non-Hispanic and Unknown.

For more information, visit the Value-Add Field Logic methodology section.

Street Address

The most recently reported street address for the user’s attributed patient.

For more information, visit the Value-Add Field Logic methodology section.

City/Town

The most recently reported city/town of residence for the user’s attributed patient.

For more information, visit the Value-Add Field Logic methodology section.

State

The most recently reported state of residence for the user’s attributed patient.

For more information, visit the Value-Add Field Logic methodology section.

ZIP Code

The most recently reported ZIP code of residence for the user’s attributed patient.

For more information, visit the Value-Add Field Logic methodology section.

Telephone Number

The most recently reported telephone number for the user’s attributed patient.

For more information, visit the Value-Add Field Logic methodology section.

MaineCare Active Program

The MaineCare program assigned to the user’s attributed patient. This field is updated on a weekly basis based on a value set supplied by MaineCare’s Emergency Department (ED) Collaborative.

Valid values include ED (ED Collaborative Member), GRAD (ED Collaborative Graduate), BHH (Behavioral Health Home Member), BHHGRAD (Behavioral Health Home Graduate), HH (Health Home Member), HHGRAD (Health Home Graduate), and CCU (Case Coordination Unit).

MaineCare Primary Insurance Indicator

The indicator that identifies whether MaineCare (Medicaid) is currently the primary insurer for the user’s attributed patient.

Valid values include Y (i.e., MaineCare as primary insurer), N (i.e., MaineCare as secondary insurer), and Y,N (i.e., MaineCare as both primary and secondary insurer).

Note: Only patients identified as active, eligible MaineCare members at the time of reporting will have a MaineCare primary insurance indicator value. These patients can be identified by setting the MaineCare Eligible Member filter value to Yes.

MaineCare Term Date

The date that identifies the termination of MaineCare (Medicaid) eligibility coverage for the user’s attributed patient.

Note: Only patients identified as active, eligible MaineCare members at the time of reporting will have a MaineCare primary insurance indicator value. These patients can be identified by setting the MaineCare Eligible Member filter value to Yes.

View patient’s MaineCare medications

MaineCare Medications

Shows only the selected patient’s MaineCare medications.

View patient’s NDPP measurement

NDPP Measurement

Shows only the selected patient’s available NDPP measure results.

View patient’s address history

Address History

Shows only the selected patient’s address history information.

View patient’s encounters

Encounter Detail

Shows only the selected patient’s encounter records.

View patient’s performance measurement

Performance Measurement

Shows only the selected patient’s available performance measure results.

View patient’s predicted risks

Risk Detail

Shows only the selected patient’s risk results information.