Medicare Health Outcomes Survey PUF Data Files 2013 to 2015
Health Outcome Survey Public Use Data File PUF 2013 to 2015
Keywords
HOS survey files
HOS latest survey
Medicare Survey file
Health Outcome Survey
HOS
Medicare Health Outcomes Survey 2013 to 2015
Medicare HOS (Health Outcomes Survey) Public Use data files (PUFs) contain the majority of the survey items collected on the HOS instrument (excluding beneficiary identifying information) as well as selected additional administrative variables. PUFs are used for research purposes and to facilitate the dissemination of data collected by the Medicare HOS project for additional research, PUFs have been created for each cohort (combined baseline and two year follow up) of data.
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Last updated:January 20, 2021
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The Medicare HOS is the first patient-reported outcomes measure used in Medicare managed care. The goal of the Medicare HOS program is to gather valid and reliable clinically meaningful data that have many uses, such as for targeting quality improvement activities and resources; monitoring health plan performance and rewarding top-performing health plans; helping beneficiaries make informed healthcare choices; and advancing the science of functional health outcomes measurement. Managed care plans with Medicare Advantage (MA) contracts must participate.
Each spring a random sample of Medicare beneficiaries is drawn and surveyed from each participating Medicare Advantage Organization (MAO) that has a minimum of 500 enrollees (i.e., a survey is administered to a different baseline cohort, or group, each year). Two years later, the baseline respondents are surveyed again (i.e., follow up measurement). Cohort 1 was surveyed in 1998 and was resurveyed in 2000. Cohort 2 was surveyed in 1999 and was resurveyed in 2001, and so on. During the current HOS administration (2016 Round 19), Cohort 19 is surveyed and Cohort 17 is resurveyed using HOS 3.0. For data collection years 1998-2006, the MAO sample size was one thousand. Effective 2007, the MAO sample size was increased to twelve hundred.
The PUFs files have been constructed in accordance with current CMS (Centers for Medicare & Medicaid Services) and Department of Health and Human Services (HHS) policies and other applicable statutes and laws. All identifying information has been excluded from the files, and demographic categories have been aggregated such that identification of any given individual is not possible.
Two distinct categories of PUFs have been generated:
1.Baseline PUFs contain the data collected during a given baseline survey administration.
2.Analytic PUFs contain the merged baseline and follow up files as well as supplemental variables.
– Research Identifiable File
The complete HOS 2013-2015 Cohort 16 Merged Baseline and Follow Up RIF contains all fields, including direct person identifiers, and records for all beneficiaries in the baseline and follow up samples. The scope and subject matter of studies requesting a RIF must assist CMS in monitoring, managing, and improving the Medicare and Medicaid program and the services provided to beneficiaries. Requests for a RIF must be reviewed by the CMS Privacy Board to ensure that beneficiaries’ privacy is protected and the need for identifiable data is justified. CMS must balance the potential risk to beneficiary confidentiality with the probable benefits gained from the completed research. Requestors must also demonstrate the expertise and experience to conduct and complete the proposed study using a RIF.
– Limited Data Set
The HOS 2013-2015 Cohort 16 Merged Baseline and Follow Up LDS contains all records as well as most of the fields in the complete RIF. The LDS includes plan identifiers and plan characteristics. It also contains protected beneficiary level health information such as date of birth; however, specific direct person identifiers are removed, as outlined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Removed fields include the Health Insurance Claim (HIC) number, social security number (SSN), CMS beneficiary link key, beneficiary name, phone number, mailing address, and name of the person who completed the 2013-2015 Cohort 16 Analytic Public Use File Data User’s Guide December 2016 Prepared by Health Services Advisory Group Page 2 survey. Despite these limitations, the LDS is adequate to address most research aims and is the file most often requested by researchers. Since the information is still potentially identifiable, it is subject to the provisions of the Privacy Act of 1974, although LDS requests do not require approval from the CMS Privacy Board. To qualify for an LDS, data requestors must show that their proposed use of the data meets the disclosure provisions for research purposes as defined in the HIPAA and Privacy Acts. The research purpose must relate to projects that could ultimately improve the care provided to Medicare and Medicaid patients and policies that govern their care.
About this Dataset
Data Info
Date Created
2012
Last Modified
2015
Version
2015
Update Frequency
Annual
Temporal Coverage
2013-2015
Spatial Coverage
United States
Source
John Snow Labs; Medicare Health Outcome Survey, Centers for Medicare and Medicaid Services (CMS);
Source License URL
Source License Requirements
N/A
Source Citation
N/A
Keywords
HOS survey files, HOS latest survey, Medicare Survey file, Health Outcome Survey, HOS
Other Titles
Medicare Health Outcomes Survey PUF Data Files 2013 to 2015, Health Outcome Survey Public Use Data File PUF 2013 to 2015
Data Fields
Name
Description
Type
Constraints
Unique_Identifier
A unique nine digit randomly assigned code for each beneficiary
string
-
Baseline_Survey_Age_Group_of_Beneficiary
Beneficiary’s age group obtained from the CMS Medicare Enrollment Database
string
-
Baseline_Survey_Race_of_Beneficiary
Survey question of describe your race
string
-
Baseline_Survey_Gender_of_Beneficiary
Survey question of that are you male or female
string
-
Baseline_Survey_Marital_Status_of_Beneficiary
Survey question of current marital status
string
-
Baseline_Survey_Education_Level_of_Beneficiary
Survey question of Education Level
string
-
Baseline_Survey_Body_Mass_Index_Category
Beneficiary’s Body Mass Index Category, calculated from self-reported weight and height. BMI = (weight / height2) * 703
string
-
Baseline_Survey_General_Health
Survey question of How you say your health is
string
-
Baseline_Survey_Moderate_Activities
The following items are about activities you might do during a typical day. Does your health now limit you in these activities. If so, how much Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
The following items are about activities you might do during a typical day. Does your health now limit you in these activities. If so, how much? Climbing several flights of stairs
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Accomplished less than you would like
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health Were limited in the kind of work or other activities
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Accomplished less than you would like
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Didn’t do work or other activities as carefully as usual
string
-
Baseline_Survey_Pain_Interfering_with_Work
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
string
-
Baseline_Survey_Calm_and_Peaceful
Survey question of How much of the time during the past 4 weeks, Have you felt calm and peaceful
string
-
Baseline_Survey_Lots_of_Energy
Survey question of How much of the time during the past 4 weeks, Did you have a lot of energy
string
-
Baseline_Survey_Downhearted_and_Blue
How much of the time during the past 4 weeks, Have you felt downhearted and blue
During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)
string
-
Baseline_Survey_Physical_Health_Comparison
Survey question of Compared to one year ago, how would you rate your physical health in general now.
string
-
Baseline_Survey_Emotional_Problems_Comparison
Compared to one year ago, how would you rate your emotional problems (such as feeling anxious, depressed or irritable) in general now
string
-
Baseline_Survey_Bathing
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person
string
-
Baseline_Survey_Dressing
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person
string
-
Baseline_Survey_Eating
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person
string
-
Baseline_Survey_Getting_In_or_Out_of_Chairs
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Getting in or out of chairs
string
-
Baseline_Survey_Walking
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person Walking
string
-
Baseline_Survey_Using_the_Toilet
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Using the toilet
string
-
Baseline_Survey_Difficulty_Preparing_Meals
Survey question of Because of a health or physical problem, do you have any difficulty doing the following activities
string
-
Baseline_Survey_Difficulty_Managing_Money
Survey question of Because of a health or physical problem, do you have any difficulty doing the following activities
Now thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good. Note: A value of “88” indicates ≥ 100 days.
Now, thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good. Note: A value of “88” indicates ≥ 100 days.
During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation. Note: A value of “88” indicates ≥ 100 days.
There are many ways to treat urinary incontinence including bladder training, exercises, medication and surgery. Have you received these or any other treatments for your current urine leakage problem
In the past 12 months, did you talk with a doctor or other health provider about your level of exercise or physical activity? For example, a doctor or other health provider may ask if you exercise regularly or take part in physical exercise.
In the past 12 months, did a doctor or other health provider advise you to start, increase or maintain your level of exercise or physical activity? For example, in order to improve your health, your doctor or other health provider may advise you to start taking the stairs, increase walking from 10 to 20 minutes every day or to maintain your current exercise program.
A fall is when your body goes to the ground without being pushed. In the past 12 months, did you talk with your doctor or other health provider about falling or problems with balance or walking
Has your doctor or other health provider done anything to help prevent falls or treat problems with balance or walking? Some things they might do include: Suggest that you use a cane or walker, Check your blood pressure lying or standing, Suggest that you do an exercise or physical therapy program, Suggest a vision or hearing testing
string
-
Is_Osteoporosis_Testing_Baseline_Survey
Have you ever had a bone density test to check for osteoporosis, sometimes thought of as “brittle bones”? This test may have been done to your back, hip, wrist, heel or finger.
boolean
-
Baseline_Survey_Who_Completed_This_Survey_Form
Who completed this survey form?
string
-
Baseline_Survey_Disposition
This field contains a character string. Note: For survey disposition codes, M=Mail and T=Telephone
string
-
Baseline_Survey_Round
Survey round code for completed, partially completed, and non-completed surveys by mail or telephone
string
-
Percent_of_Baseline_Survey_Completed
Percent of survey completed. Range: 0 to 100% (value is rounded to the tenths decimal place)
number
level : Ratio
Baseline_Survey_Language
Which language do you speak?
string
enum : Array
(
[0] => 1 = English
[1] => 2 = Spanish
[2] => 3 = Not Applicable
[3] => 4 = Chinese
)
Follow_Up_Survey_General_Health
In general, what would you say your health is?
string
-
Follow_Up_Survey_Moderate_Activities
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
The following items are about activities you might do during a typical day. Does your health now limit you in these activities? If so, how much? Climbing several flights of stairs
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Accomplished less than you would like
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Were limited in the kind of work or other activities
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Accomplished less than you would like
During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)? Didn’t do work or other activities as carefully as usual
string
-
Follow_Up_Survey_Pain_Interfering_with_Work
During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?
string
-
Follow_Up_Survey_Calm_and_Peaceful
These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks… Have you felt calm and peaceful?
string
-
Follow_Up_Survey_Lots_of_Energy
These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks… Did you have a lot of energy?
string
-
Follow_Up_Survey_Downhearted_and_Blue
These questions are about how you feel and how things have been with you during the past 4 weeks. For each question, please give the one answer that comes closest to the way you have been feeling. How much of the time during the past 4 weeks… Have you felt downhearted and blue?
During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?
string
-
Follow_Up_Survey_Physical_Health_Comparison
Compared to one year ago, how would you rate your physical health in general now?
string
-
Follow_Up_Survey_Emotional_Problems_Comparison
Compared to one year ago, how would you rate your emotional problems (such as feeling anxious, depressed or irritable) in general now?
string
-
Follow_Up_Survey_Bathing
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Bathing
string
-
Follow_Up_Survey_Dressing
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Dressing
string
-
Follow_Up_Survey_Eating
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Eating
string
-
Follow_Up_Survey_Getting_In_or_Out_of_Chairs
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Getting in or out of chairs
string
-
Follow_Up_Survey_Walking
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Walking
string
-
Follow_Up_Survey_Using_the_Toilet
Because of a health or physical problem, do you have any difficulty doing the following activities without special equipment or help from another person? Using the toilet
string
-
Follow_Up_Survey_Difficulty_Preparing_Meals
Because of a health or physical problem, do you have any difficulty doing the following activities. Preparing meals
string
-
Follow_Up_Survey_Difficulty_Managing_Money
Because of a health or physical problem, do you have any difficulty doing the following activities. Managing Money
Now, thinking about your physical health, which includes physical illness and injury, for how many days during the past 30 days was your physical health not good. (Please enter a number between “0” and “30” days. If no days, please enter “0” days.)
Now, thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good.
During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation.
There are many ways to treat urinary incontinence including bladder training, exercises, medication and surgery. Have you received these or any other treatments for your current urine leakage problem
In the past 12 months, did you talk with a doctor or other health provider about your level of exercise or physical activity? For example, a doctor or other health provider may ask if you exercise regularly or take part in physical exercise.
In the past 12 months, did a doctor or other health provider advise you to start, increase or maintain your level of exercise or physical activity? For example, in order to improve your health, your doctor or other health provider may advise you to start taking the stairs, increase walking from 10 to 20 minutes every day or to maintain your current exercise program.
A fall is when your body goes to the ground without being pushed. In the past 12 months, did you talk with your doctor or other health provider about falling or problems with balance or walking
Has your doctor or other health provider done anything to help prevent falls or treat problems with balance or walking? Some things they might do include: Suggest that you use a cane or walker, Check your blood pressure lying or standing, Suggest that you do an exercise or physical therapy program, Suggest a vision or hearing testing
string
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Is_Osteoporosis_Testing_Done_Follow_Up_Survey
Have you ever had a bone density test to check for osteoporosis, sometimes thought of as “brittle bones”? This test may have been done to your back, hip, wrist, heel or finger.
boolean
-
Follow_Up_Survey_Hours_of_Sleep
During the past month, on average, how many hours of actual sleep did you get at night? (This may be different from the number of hours you spent in bed)
string
-
Follow_Up_Survey_Sleep_Quality
During the past month, how would you rate your overall sleep quality
string
-
Follow_Up_Survey_Language_Spoker_At_Home
What language do you mainly speak at home (The language under option 4 is not specified in the PUF)
string
-
Follow_Up_Survey_Who_Completed_This_Survey_Form
Who completed this survey form?
string
-
Follow_Up_Survey_Disposition
Survey disposition code. Note: For survey disposition codes, M=Mail and T=Telephone
string
-
Followup_Survey_Round
Survey round code for completed, partially completed, and non-completed surveys by mail or telephone
string
-
Percent_of_Follow_Up_Survey_Completed
Percent of survey completed. Range: 0 to 100% (value is rounded to the tenths decimal place)
number
level : Ratio
Followup_Survey_Language
Survey Language used
string
-
Cohort_Identifier
Cohort in which the HOS surveys contained in this data file were submitted
string
-
Analytic_CMS_Region
Derived from the August 2014 HPMS Plan Contract List for the Cohort 15 Analytic PUF.
string
-
Is_Sample_Indicator_Follow_Up
Indicates if the record was included in the Cohort 15 Follow Up sample
boolean
-
Analytic_Sample_Indicator
Indicates status of the record in the analytic file
string
-
Data Preview
Unique Identifier
Baseline Survey Age Group of Beneficiary
Baseline Survey Race of Beneficiary
Baseline Survey Gender of Beneficiary
Baseline Survey Marital Status of Beneficiary
Baseline Survey Education Level of Beneficiary
Baseline Survey Body Mass Index Category
Baseline Survey General Health
Baseline Survey Moderate Activities
Baseline Survey Climbing Several Flights of Stairs
Baseline Survey Physical Health Limiting Accomplishment
Baseline Survey Physical Health Limiting Activities
Demos
