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An easy way to calculate CCBHC measurements.

Project description

CCBHC Measurements

Table of Contents

Purpose

This package is designed to simplify CCBHC reporting by automating the measurement process. It accepts all relevant clinical —such as PHQ-9s, AUDITs, and SDOH screenings— and insurance data and returns a labeled DataFrame indicating whether each patient meets the criteria for the chosen CCBHC measurements. The package is designed to be comprehensive in that you can give it ALL your historical data and it will output EVERY patient labeled in EVERY Measurement Year for a given Measurement. Take a look at this DEP-REM-6 example:

simple example of how the package works

Click here for the more detailed DEP-REM-6 example pdf

1. Data Processing

Our code is simple:

  1. Import the Measurement you want to calculate.
  2. Give it the required data (downloaded excel reports from your EHR, query data from SQL, or whatever)
  3. Run get_all_submeasures(). Under the hood, get_all_submeasures() determines which data meets the Measurments criteria and which does not.
  4. Export your data to your preferred tool for analysis. If you want to keep it in pandas, you already have it. If you want to use Excel, or Power BI, you can export it there as well!

2. Dashboard Display

We've also created a base Power BI file as a foundation for a dashboard. Check out the dashboard folder here.

Dashboard Picture

Currently Supported Measurements

The definition for these Measurements can be found at https://www.samhsa.gov/sites/default/files/ccbhc-quality-measures-technical-specifications-manual.pdf

IMPORTANT We unsure if we will be implementing the I-SERV Measurement and its SubMeasures. We would like to hear your thoughts on the matter, feel free to email us and let us know what you think.

Moving forward, our focus will shift from the SAMHSA-required measurements to those mandated by New York State.

Code Demonstration

This is a basic demonstration for the Dep-Rem-6 Measurement, see here for more in depth demonstrations

import pandas as pd
import ccbhc_measurements as ccbhc

- Step 1: Load in the data into Pandas Dataframes

all_inclusive_excel_file = r"../file/path/to/Dep Rem Data.xlsx"
phq_data = pd.read_xlsx(all_inclusive_excel_file, sheet_name = "phq9")
diagnosis_data = pd.read_xlsx(all_inclusive_excel_file, sheet_name = "diagnosis")
demographic_data = pd.read_xlsx(all_inclusive_excel_file, sheet_name = "demographic")
insurance_data = pd.read_xlsx(all_inclusive_excel_file, sheet_name = "insurance")

- Step 2: Ensure that the dataframes follows the correct schema

Dep Rem 6 Required Data Input and Output Diagram

phq_data = phq_data[["patient_id","patient_DOB","encounter_id","encounter_datetime","total_score"]].copy()
diagnosis_data = diagnosis_data[["patient_id","encounter_datetime","diagnosis"]].copy()
demographic_data = demographic_data[["patient_id","race","ethnicity"]].copy()
insurance_data = insurance_data[["patient_id","insurance","start_datetime","end_datetime"]].copy()

- Step 3: Calculate Dep-Rem

submeasure_data = [phq_data,diagnosis_data,demographic_data,insurance_data]
measure = ccbhc.Dep_Rem(submeasure_data)
results = measure.get_all_submeasures()
for name, data in results.items():
    data.to_excel(name+".xlsx", index=False)
Example Data Output:
patient_id patient_measurement_year_id encounter_id age medicaid numerator numerator_reason
1 1-2024 1 18+ FALSE TRUE Has Remission
2 1-2025 3 18+ FALSE FALSE Remission Period not Reached
3 3-2024 4 18+ FALSE FALSE No PHQ-9 Follow Up
4 4-2024 5 18+ FALSE FALSE No Remission

- Step 4: Create a Dashboard in Power BI (Optional)

We've created an example dashboard in Power BI for easy implementation but feel free to use the analysis tool of your choice. Feel free to download it from the dashboard folder.

De-panda-cies

License

CC BY-NC-SA 4.0

Installation

Binary installers for the latest released version are available at the Python Package Index (PyPI)

# PyPI
pip install ccbhc_measurements

Contributors

  • Alex Gursky - Data Engineer
  • Max Friedman - Data Engineer
  • Yisroel Len - Director of Data Analytics & CCBHC Project Evaluator

Contributions and Discussions

Feel free to add and create you own Measurements. All Measurements should follow this uml and you can use this guide to show you how to do it!

Send us your recomendations, bugs, questions or feedback at agursky@pesachtikvah.com


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