HPMS: Fire / Other Disasters

Primary Data Source: CareHub Incidents

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 incident date recorded
Collection Quarter	Text	One of the following: Q1 Q2 Q3 Q4	CareHub: Based on incident date recorded
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
Age	Text	Age of the patient at the time of the incident.	Calculated based on the date of the incident and the participant’s birthday
Gender	Text	Participant gender.	CareHub
Enrollment Date	Date	In the format of MM/DD/YYYY.	CareHub
Incident Date	Date	In the format of MM/DD/YYYY.	CareHub
Type of Disaster	Text	Value as recorded	CareHub
Location of Incident	Text	Value as recorded	CareHub
Was the Participant Hospitalized?	Text	Value as recorded.	CareHub
Participant’s Current Status	Text	Value as recorded.	CareHub
Center Attendance	Text	Value as recorded.	CareHub
Significant Diagnosis	Text	Value(s) as recorded, if more than one, comma separated	CareHub
Contributing Factors	Text	Value(s) as recorded, if more than one, comma separated	CareHub
Actions Taken	Text	Value(s) as recorded, if more than one, comma separated	CareHub
Ongoing Improvements	Text	Value(s) as recorded, if more than one, comma separated	CareHub