HPMS: Grievances

Primary Data Source: CareHub

Note that a deidentified version of this report will be available to download.

Field	Data Type	Description	Source
Organization	Text	The high level organization name.	PACE Health Plan Setup Form
Contract Number	Text	The H number of the organization.	PACE Health Plan Setup Form
Center	Text	The name of the specific site to which the participant is attributed.	CareHub
Team	Text	If applicable, the team to which the participant is attributed.	CareHub
PCP Name	Text	The name of the primary care provider to which the participant is attributed.	CareHub
Collection Year	Text	In the format of YYYY	CareHub: Based on Date Received
Collection Quarter	Text	One of the following: Q1 Q2 Q3 Q4	CareHub: Based on Date Received
Elation Patient Id	Text	The ID of the patient in Elation.	CareHub
Member Id	Text	The PACE organization’s member id for the participant.	CareHub
First Name	Text		CareHub
Middle Name	Text		CareHub
Last Name	Text		CareHub
DOB	Date	In the format of MM/DD/YYYY.	CareHub
Grievance Source	Text	Options: Caregiver Family Participant	CareHub
Location	Text	Options: - Alternative Care Setting - Assisted Living Facility - Contracted Physician's Office - Hospital - Inpatient Hospice - Nursing Facility - PACE Center - Participant Home	CareHub
Grievance Type	Text	Options - Activities - Communication - Contracted Specialist - Dietary - Disenrollment - Enrollment - Home Care - Contracted Facility (Hospital, SNF, etc.) - Marketing - Medical Care - Medication - PACE Services - Supplies - Transportation - Other	CareHub
Grievance Type Other	Text	Description if “Other” is selected as the Grievance Type	CareHub
Specific Issue	Text	Various drop down options corresponding to HPMS accepted values.	CareHub
Resolution	Text	Options according to HPMS: • Resolved to Participant’s Satisfaction • Alternative Resolution	CareHub
Alternative Resolution	Text	Description if “Alternative Resolution” is selected for the Resolution	CareHub
Actions Taken	Text	Value as recorded.	CareHub
Date Created	Date	In the format of MM/DD/YYYY.	CareHub: Value is the Date Received entered on the Grievance