Opportunity Score Dataset Specification

The "Opportunity Score Dataset Specification" is designed to manage and analyze opportunity scores within the healthcare sector, providing critical insights into areas for improvement, clinical interventions, or operational efficiencies. This dataset helps healthcare organizations identify potential opportunities to enhance patient care, optimize resource utilization, and improve healthcare outcomes. It adheres to industry standards for data privacy, accuracy, and traceability.

Key Tables

Opportunity Score

Description: Stores aggregated opportunity scores, which represent potential areas for improvement or intervention within healthcare services. This score is derived from multiple data sources and reflects opportunities such as care gaps, clinical outcomes, or cost-saving initiatives. It provides healthcare professionals with a clear view of areas where performance can be enhanced.

Table Schema

Column Name	Is Nullable	Data Type	Description
Member_ID	YES	STRING	Unique identifier assigned to each member or patient.
Finish_Timestamp	YES	TIMESTAMP	Date when the opportunity score was processed or calculated.
Category_Code	YES	INT64	Code assigned to a Member that describes a Member's current overall health.
Category_Description	YES	STRING	Description assigned to a Member that describes a Member’s current overall health.
Opportunity_Score	YES	INT64	Sum of all adjusted Scores excluding Behavioral Health Score.
Total_Opportunity_Score	YES	INT64	Sum of Opportunity_Score and Behavioral_Health_Score.

Opportunity Sub Score

Description: Breaks down the overall opportunity score into subcategories, offering more granular insights into specific aspects of healthcare services or patient care. These sub-scores allow for focused interventions, such as targeting specific patient groups, care settings, or clinical metrics.

Table Schema

Column Name	Is Nullable	Data Type	Description
Member_ID	YES	STRING	Unique identifier for the member.
Finish_Timestamp	YES	TIMESTAMP	Timestamp indicating when the score calculation was completed.
Score_Type	YES	STRING	Type of score being recorded.
Score	YES	INT64	The value of the sub-score assigned to the member.
Visibility_Level	YES	INT64	The level of visibility for the score.

Opportunity Score Log

Description: Captures historical changes and updates to opportunity scores, providing a transparent audit trail. This log tracks any modifications to scores over time, ensuring that adjustments are well-documented and traceable for regulatory compliance and performance analysis.

Table Schema

Column Name	Is Nullable	Data Type	Description
Member_ID	YES	STRING	Unique identifier assigned to each member or patient.
Finish_Timestamp	YES	TIMESTAMP	Date when the opportunity score was processed or calculated.
Category_Code	YES	INT64	Code assigned to a Member that describes a Member's current overall health.
Category_Description	YES	STRING	Description assigned to a Member that describes a Member’s current overall health.
Opportunity_Score	YES	INT64	Sum of all adjusted Scores excluding Behavioral Health Score.
Total_Opportunity_Score	YES	INT64	Sum of Opportunity_Score and Behavioral_Health_Score.

Opportunity Sub Score Log

Description: Records changes and updates to the sub-scores, documenting the evolution of these detailed opportunity metrics. This log supports the monitoring of ongoing improvement efforts and ensures accountability in score calculations.

Table Schema

Column Name	Is Nullable	Data Type	Description
Member_ID	YES	STRING	Unique identifier for the member.
Finish_Timestamp	YES	TIMESTAMP	The timestamp when the scoring process was completed.
Score_Type	YES	STRING	The type of score being recorded.
Score	YES	INT64	The numerical value of the score.
Tenant	YES	STRING	Identifier for the tenant or client associated with the record.
Active_Version	YES	BOOL	The active version of the scoring algorithm or system.
Date	YES	DATE	The date when the score was logged.
Sequence	YES	INT64	The sequence number indicating the order of records.
Source_System_Name	YES	STRING	The name of the system that generated the score.
Source_File_Name	YES	STRING	The name of the file from which the data was sourced.
Source_Timestamp	YES	TIMESTAMP	The timestamp when the source data was generated.
Schema_Version	YES	STRING	The version of the schema used for the record.

Opportunity Sub Score Raw

Description: Contains unprocessed data related to the sub-scores, offering a foundational dataset for in-depth analysis and reporting. This raw data is essential for research, audits, and validation purposes, ensuring accuracy and transparency in how sub-scores are calculated.

Opportunity Score Raw

Description: Stores raw data related to the overall opportunity score, capturing the original inputs used to generate the score. This unprocessed data supports detailed analysis and provides the basis for understanding how opportunities are identified and prioritized.

Summary

This dataset is essential for healthcare organizations aiming to proactively identify areas of improvement, optimize patient care strategies, and enhance operational performance. By tracking and analyzing opportunity scores and their subcomponents, healthcare providers can make informed decisions to drive better outcomes and ensure efficient use of resources.