Cohort definitions

A cohort in Clinical Analytics scorecards is a profile with a predefined set of profile filters. This saves you time defining certain common high cost, high volume, or high risk profiles of interest.

Use cohorts

To use the following cohorts:

  • Profile filters: Any of the following cohorts can be used as a Scorecards Profile. In the Profile Editor, add a Cohort as a Profile Filter. With this option, you can further customize the profile with additional filters.
  • Statistical Process Control: Add a Statistical Process Control section to a Scorecard and select a cohort from the dropdown. Within this section, the cohort is not customizable and must be used as-is. When drilling into a chart in the SPC section, you can select to create a profile of the encounters you're drilling into so you can analyze and customize further. See About the Statistical Process Control section for more details.

Available cohorts

The following list contains the cohorts currently available to you in Scorecards. In Clinical Analytics, the cohorts are listed alphabetically to save you time searching for the cohort you need. We have organized them by category here for your convenience. Click a cohort name to see its detailed definition.

Orthopedic

Cardiovascular

Neurology

Pulmonology

General Surgery

Gastrointestinal Surgery

Women and Infants

Sepsis Cohorts

We will be expanding this list, so be sure to check back again soon and contact Support if you have suggestions for another cohort you would like to see in Clinical Analytics.

Cohort Definition Source
Release Version 7.3 Cohorts Follows a CMS Definition? Procedure and/or Diagnosis Codes MS-DRGs APR-DRGs
Coronary Artery Bypass Graft (CABG) Cohort Yes √    
Heart Failure Cohort Yes √    
Medical Treatment of Acute Myocardial Infarction (AMI) Cohort Yes, but limited to medical treatment (No PCI) √    
Percutaneous Coronary Intervention (PCI) Cohort No; defined by PCI procedure codes √    
Elective Total Hip Arthroplasty (THA) Cohort Yes, but THA and TKA are separated √    
Elective Total Knee Arthroplasty (TKA) Cohort Yes, but THA and TKA are separated √    
Hip Arthroplasty for Hip Fracture Cohort No, but derived from the hip fracture exclusions for the THA cohort √    
Cesarean Section Birth Cohort No; defined by APR-DRGs     √
Vaginal Birth Cohort No; defined by APR-DRGs     √
Cervical Spinal Fusion Cohort No; defined by MS-DRGs   √  
Combined Anterior/Posterior Spinal Fusion Cohort No; defined by MS-DRGs   √  
Spinal Fusion Except Cervical Cohort No; defined by MS-DRGs   √  
Release Version 2018.1 Cohorts Follows a CMS Definition? Procedure and/or Diagnosis Codes MS-DRGs APR-DRGs
Chronic Obstructive Pulmonary Disease (COPD) Cohort Yes √    
Pneumonia Cohort Yes √    
Ischemic Stroke Cohort Yes √    
Laparoscopic Appendectomy Cohort No; defined by procedure codes and MS-DRGs √ √  
Open Appendectomy Cohort No; defined by procedure codes and MS-DRGs √ √  
Laparoscopic Cholecystectomy Cohort No; defined by procedure codes and MS-DRGs √ √  
Open Cholecystectomy Cohort No; defined by procedure codes and MS-DRGs √ √  
Open Heart Valve Procedures No; defined by procedure codes and MS-DRGs √ √  
Cardiac Defibrillator Procedures No; defined by MS-DRGs   √  
Permanent Pacemaker Procedures No; defined by MS-DRGs   √  
Release Version 2018.2 Cohorts Follows a CMS Definition? Procedure and/or Diagnosis Codes MS-DRGs APR-DRGs
Laparoscopic Simple Prostatectomy Cohort No; defined by procedure codes and MS-DRGs √ √  
Open Simple Prostatectomy Cohort No; defined by procedure codes and MS-DRGs √ √  
Transurethral Resection of the Prostate Cohort No; defined by MS-DRGs   √  
Open Hysterectomy Cohort No; defined by procedure codes and MS-DRGs √ √  
Percutaneous Hysterectomy Cohort No; defined by procedure codes and MS-DRGs √ √  
Vaginal Hysterectomy Cohort No; defined by procedure codes and MS-DRGs √ √  
Release Version 2018.4 Cohorts Follows a CMS Definition? Procedure and/or Diagnosis Codes MS-DRGs APR-DRGs
Left Atrial Appendage Occlusion Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Open Bariatric Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Open Esophageal Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Open Large Bowel Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Open Small Bowel Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Percutaneous Bariatric Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Percutaneous Esophageal Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Percutaneous Large Bowel Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Percutaneous Small Bowel Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Transcatheter Aortic Valve Replacement (TAVR) Procedures Cohort No; defined by procedure codes and MS-DRGs √ √  
Release Version 2019.2 Cohorts Follows a CMS Definition? Procedure and/or Diagnosis Codes MS-DRGs APR-DRGs
Sepsis in Newborns Cohort No; defined by diagnosis codes √    
Sepsis not Present on Admission without a Major Procedure Cohort No; defined by diagnosis codes and procedure classes √    
Sepsis not Present on Admission with a Major Procedure Cohort No; defined by diagnosis codes and procedure classes √    
Sepsis Present on Admission without a Major Procedure Cohort No; defined by diagnosis codes and procedure classes √    
Sepsis Present on Admission with a Major Procedure Cohort No; defined by diagnosis codes and procedure classes √