> For the complete documentation index, see [llms.txt](https://docs.dataplex-consulting.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/hospital-value-based-purchasing-hvbp-clinical-outcomes-domain-scores.md). # Hospital Value-Based Purchasing (HVBP) - Clinical Outcomes Domain Scores Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md) › Medicare Dataplex delivers this CMS feed as the analysis-ready table `DWV.HOSPITAL_VALUEBASED_PURCHASING_HVBP__CLINICAL_OUTCOMES_DOMAIN_SCORES` on Snowflake and Databricks — three snapshot releases spanning 2024–2026, aligned to a single schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it. ## Key facts | | | | ------------------ | ------------------------------------------------------------------------------ | | **Snowflake** | `DWV.HOSPITAL_VALUEBASED_PURCHASING_HVBP__CLINICAL_OUTCOMES_DOMAIN_SCORES` | | **Databricks** | `cms_dwv.hospital_valuebased_purchasing_hvbp__clinical_outcomes_domain_scores` | | **Update pattern** | Full-refresh — each file replaces the prior snapshot | | **CMS published** | 2026-01-26 | | **Loaded** | 2026-02-28 | | **Columns** | 50 data + 6 lineage | | **Identifiers** | ZIP codes | | **File versions** | 3 | | **License** | CMS public data — U.S. Government work | | **Platforms** | Snowflake Marketplace · Databricks Delta Sharing | Included in the CMS Data Feeds Dataset — [start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset). {% hint style="success" %} **Current** — CMS last published this feed on 2026-01-26. Coverage runs through 2026-01-26. Next CMS release expected \~Feb 2027. {% endhint %} {% hint style="info" %} **Full-refresh feed** — each file version is a complete snapshot and newer files supersede older ones. Filter to the latest file (see the sample query) to avoid double-counting across versions. {% endhint %} ## Sample queries {% tabs %} {% tab title="Snowflake" %} ```sql -- Latest snapshot only (avoids double-counting across file versions) SELECT * FROM DWV.HOSPITAL_VALUEBASED_PURCHASING_HVBP__CLINICAL_OUTCOMES_DOMAIN_SCORES WHERE FILE_ID IN ( SELECT ID FROM DWV.FEEDS_FILES WHERE IS_LATEST = 1 ) LIMIT 100; ``` {% endtab %} {% tab title="Databricks" %} ```sql -- Latest snapshot only (avoids double-counting across file versions) SELECT * FROM cms_dwv.hospital_valuebased_purchasing_hvbp__clinical_outcomes_domain_scores WHERE file_id IN ( SELECT id FROM cms_dwv.feeds_files WHERE is_latest = 1 ) LIMIT 100; ``` {% endtab %} {% endtabs %} ## About this feed > A list of hospitals participating in the FY 2026 Hospital VBP Program and their performance rates and scores for the Clinical Outcomes measures. > > — *Source: CMS feed metadata* **Keywords:** Medicare, Hospital Value-Based Purchasing (HVBP) - Clinical Outcomes Domain Scores **Theme:** Medicare ## Coverage timeline 2024 🟩 · 2025 🟩 · 2026 🟩 3 of 3 years with snapshot releases — no gaps. ## Release history | Reporting period | CMS published | Loaded | Latest file | | ------------------------- | ------------- | ---------- | ----------- | | Snapshot as of 2026-01-26 | 2026-01-26 | 2026-02-28 | ✓ | | Snapshot as of 2025-01-17 | 2025-01-17 | 2025-02-27 | | | Snapshot as of 2024-01-08 | 2024-01-08 | 2024-12-07 | | ## Data dictionary
📋 50 data columns + 6 lineage columns **Data columns** | Column | Type | Description | | ------------------------------------- | ------ | ---------------------------------------- | | `FISCAL_YEAR` | NUMBER | | | `FACILITY_ID` | NUMBER | | | `FACILITY_NAME` | TEXT | | | `ADDRESS` | TEXT | The physical address of the facility. | | `CITY_TOWN` | TEXT | CITY/TOWN | | `STATE` | TEXT | The state where the facility is located. | | `ZIP_CODE` | TEXT | | | `COUNTY_PARISH` | TEXT | COUNTY/PARISH | | `MORT_30_AMI_ACHIEVEMENT_THRESHOLD` | NUMBER | MORT-30-AMI ACHIEVEMENT THRESHOLD | | `MORT_30_AMI_BENCHMARK` | NUMBER | MORT-30-AMI BENCHMARK | | `MORT_30_AMI_BASELINE_RATE` | TEXT | MORT-30-AMI BASELINE RATE | | `MORT_30_AMI_PERFORMANCE_RATE` | TEXT | MORT-30-AMI PERFORMANCE RATE | | `MORT_30_AMI_ACHIEVEMENT_POINTS` | TEXT | MORT-30-AMI ACHIEVEMENT POINTS | | `MORT_30_AMI_IMPROVEMENT_POINTS` | TEXT | MORT-30-AMI IMPROVEMENT POINTS | | `MORT_30_AMI_MEASURE_SCORE` | TEXT | MORT-30-AMI MEASURE SCORE | | `MORT_30_HF_ACHIEVEMENT_THRESHOLD` | NUMBER | MORT-30-HF ACHIEVEMENT THRESHOLD | | `MORT_30_HF_BENCHMARK` | NUMBER | MORT-30-HF BENCHMARK | | `MORT_30_HF_BASELINE_RATE` | TEXT | MORT-30-HF BASELINE RATE | | `MORT_30_HF_PERFORMANCE_RATE` | TEXT | MORT-30-HF PERFORMANCE RATE | | `MORT_30_HF_ACHIEVEMENT_POINTS` | TEXT | MORT-30-HF ACHIEVEMENT POINTS | | `MORT_30_HF_IMPROVEMENT_POINTS` | TEXT | MORT-30-HF IMPROVEMENT POINTS | | `MORT_30_HF_MEASURE_SCORE` | TEXT | MORT-30-HF MEASURE SCORE | | `MORT_30_PN_ACHIEVEMENT_THRESHOLD` | NUMBER | MORT-30-PN ACHIEVEMENT THRESHOLD | | `MORT_30_PN_BENCHMARK` | NUMBER | MORT-30-PN BENCHMARK | | `MORT_30_PN_BASELINE_RATE` | TEXT | MORT-30-PN BASELINE RATE | | `MORT_30_PN_PERFORMANCE_RATE` | TEXT | MORT-30-PN PERFORMANCE RATE | | `MORT_30_PN_ACHIEVEMENT_POINTS` | TEXT | MORT-30-PN ACHIEVEMENT POINTS | | `MORT_30_PN_IMPROVEMENT_POINTS` | TEXT | MORT-30-PN IMPROVEMENT POINTS | | `MORT_30_PN_MEASURE_SCORE` | TEXT | MORT-30-PN MEASURE SCORE | | `MORT_30_COPD_ACHIEVEMENT_THRESHOLD` | NUMBER | MORT-30-COPD ACHIEVEMENT THRESHOLD | | `MORT_30_COPD_BENCHMARK` | NUMBER | MORT-30-COPD BENCHMARK | | `MORT_30_COPD_BASELINE_RATE` | TEXT | MORT-30-COPD BASELINE RATE | | `MORT_30_COPD_PERFORMANCE_RATE` | TEXT | MORT-30-COPD PERFORMANCE RATE | | `MORT_30_COPD_ACHIEVEMENT_POINTS` | TEXT | MORT-30-COPD ACHIEVEMENT POINTS | | `MORT_30_COPD_IMPROVEMENT_POINTS` | TEXT | MORT-30-COPD IMPROVEMENT POINTS | | `MORT_30_COPD_MEASURE_SCORE` | TEXT | MORT-30-COPD MEASURE SCORE | | `MORT_30_CABG_ACHIEVEMENT_THRESHOLD` | NUMBER | MORT-30-CABG ACHIEVEMENT THRESHOLD | | `MORT_30_CABG_BENCHMARK` | NUMBER | MORT-30-CABG BENCHMARK | | `MORT_30_CABG_BASELINE_RATE` | TEXT | MORT-30-CABG BASELINE RATE | | `MORT_30_CABG_PERFORMANCE_RATE` | TEXT | MORT-30-CABG PERFORMANCE RATE | | `MORT_30_CABG_ACHIEVEMENT_POINTS` | TEXT | MORT-30-CABG ACHIEVEMENT POINTS | | `MORT_30_CABG_IMPROVEMENT_POINTS` | TEXT | MORT-30-CABG IMPROVEMENT POINTS | | `MORT_30_CABG_MEASURE_SCORE` | TEXT | MORT-30-CABG MEASURE SCORE | | `COMP_HIP_KNEE_ACHIEVEMENT_THRESHOLD` | NUMBER | COMP-HIP-KNEE ACHIEVEMENT THRESHOLD | | `COMP_HIP_KNEE_BENCHMARK` | NUMBER | COMP-HIP-KNEE BENCHMARK | | `COMP_HIP_KNEE_BASELINE_RATE` | TEXT | COMP-HIP-KNEE BASELINE RATE | | `COMP_HIP_KNEE_PERFORMANCE_RATE` | TEXT | COMP-HIP-KNEE PERFORMANCE RATE | | `COMP_HIP_KNEE_ACHIEVEMENT_POINTS` | TEXT | COMP-HIP-KNEE ACHIEVEMENT POINTS | | `COMP_HIP_KNEE_IMPROVEMENT_POINTS` | TEXT | COMP-HIP-KNEE IMPROVEMENT POINTS | | `COMP_HIP_KNEE_MEASURE_SCORE` | TEXT | COMP-HIP-KNEE MEASURE SCORE | **Lineage columns** (present on every feed table) | Column | Type | Description | | -------------- | -------------- | -------------------------------------------- | | `ROW_ID` | TEXT | Unique row ID for this table (PK) | | `FILE_ID` | TEXT | Source file — joins to `FEEDS_FILES.ID` (FK) | | `FILE_FEED_ID` | TEXT | Parent feed — joins to `FEEDS.ID` (FK) | | `FILE_NAME` | TEXT | Source file name as published by CMS | | `ROWNUM` | NUMBER | Row number within the source file | | `CREATED_AT` | TIMESTAMP\_NTZ | Timestamp when the record was loaded |
## Row-level lineage Every row in this table traces to the exact CMS source file that produced it. The `FILE_ID` column joins to the `FEEDS_FILES` catalog table, and `FILE_FEED_ID` joins to the `FEEDS` master table: ```mermaid erDiagram FEEDS ||--o{ FEEDS_FILES : "ID = FEED_ID" FEEDS ||--o{ HOSPITAL_VALUEBASED_PURCHASING_HVBP__CLINICAL_OUTCOMES_DOMAIN_SCORES : "ID = FILE_FEED_ID" FEEDS_FILES ||--o{ HOSPITAL_VALUEBASED_PURCHASING_HVBP__CLINICAL_OUTCOMES_DOMAIN_SCORES : "ID = FILE_ID" FEEDS { text ID PK text TITLE text VIEW_NAME text ACCURAL_PERIODICITY } FEEDS_FILES { text ID PK text FEED_ID FK date TEMPORAL_START date TEMPORAL_END date CMS_FEED_MODIFIED number IS_LATEST } HOSPITAL_VALUEBASED_PURCHASING_HVBP__CLINICAL_OUTCOMES_DOMAIN_SCORES { text ROW_ID PK text FILE_ID FK text FILE_FEED_ID FK number FISCAL_YEAR number FACILITY_ID text FACILITY_NAME text ADDRESS number remaining_46_data_columns } ``` Trace any row back to its source file and reporting period: ```sql SELECT d.FISCAL_YEAR, d.FACILITY_ID, d.FACILITY_NAME, ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED FROM DWV.HOSPITAL_VALUEBASED_PURCHASING_HVBP__CLINICAL_OUTCOMES_DOMAIN_SCORES d JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID; ``` ## Source & provenance Published by the **Centers for Medicare & Medicaid Services**. * [Official CMS documentation](https://data.cms.gov/provider-data/dataset/pudb-wetr) ## Frequently asked questions ### How often is Hospital Value-Based Purchasing (HVBP) - Clinical Outcomes Domain Scores updated? CMS last published this feed on 2026-01-26. New releases are added automatically when CMS publishes them. ### What years does Hospital Value-Based Purchasing (HVBP) - Clinical Outcomes Domain Scores cover? 2024 through 2026. ### How many records are in Hospital Value-Based Purchasing (HVBP) - Clinical Outcomes Domain Scores? Count the current snapshot yourself once the share is mounted: ```sql SELECT COUNT(*) FROM DWV.HOSPITAL_VALUEBASED_PURCHASING_HVBP__CLINICAL_OUTCOMES_DOMAIN_SCORES d JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID WHERE ff.IS_LATEST = 1; ``` ### How do I get Hospital Value-Based Purchasing (HVBP) - Clinical Outcomes Domain Scores data? It's included in the CMS Data Feeds Dataset on the [Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) (free trial available) and via [Databricks Delta Sharing](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00). Once mounted, query `DWV.HOSPITAL_VALUEBASED_PURCHASING_HVBP__CLINICAL_OUTCOMES_DOMAIN_SCORES` directly — no pipeline setup required. ## Related feeds {% content-ref url="/pages/2cJMTSq8Y1bcLKSaIiqR" %} [Hospital Readmissions Reduction Program](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/hospital-readmissions-reduction-program.md) {% endcontent-ref %} {% content-ref url="/pages/TsE75fvSefrtb0mSXkRk" %} [Data Updates](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/data-updates.md) {% endcontent-ref %} {% content-ref url="/pages/oep0NS9FRkwnI2sEzjEF" %} [Home Infusion Therapy Providers](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/home-infusion-therapy-providers.md) {% endcontent-ref %} {% content-ref url="/pages/HUkF1o74Btty0QDSO9me" %} [Number of Accountable Care Organization Assigned Beneficiaries by County](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/number-of-accountable-care-organization-assigned-beneficiaries-by-county.md) {% endcontent-ref %} {% content-ref url="/pages/qcxPv2nXWTppZO6QygHg" %} [Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - pharmacy\_network](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/quarterly-prescription-drug-plan-formulary-pharmacy-network-and-pricing-information-pharmacy_network.md) {% endcontent-ref %} ## Get this feed 1. [Start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) or purchase via [Databricks](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00) 2. Mount the share — the database and `DWV` schema appear in your account immediately 3. Run the [sample query](#sample-queries) above — no ETL, no pipeline maintenance Questions about this feed? Contact us at . *** Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset.md) — 280+ feeds · 245B+ records · updated daily. [Back to the full catalog →](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md#hospital-value-based-purchasing-hvbp-clinical-outcomes-domain-scores) --- # Agent Instructions This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. 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Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.