Voice to Congress

Healthcare Metric Source Review Decisions

Compact reviewer decision page. Version 9 adds row-level Auto Populate Investigate, decision filters, metric descriptions, and larger note fields.

Data safety note: This version uses a full CSV parser. Reviewer notes may include URLs, commas, quotes, and line breaks without splitting rows.
Resolution cue: The first column now shows whether the row is still pending, needs field mapping, has a replacement suggested, or has no follow-up required.

Files
Decisions CSV: C:\WEB\VoiceToCongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\review\healthcare_source_review_decisions.csv
Worklist CSV: C:\WEB\VoiceToCongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\review\healthcare_source_review_decision_worklist.csv
Summary TXT: C:\WEB\VoiceToCongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_source_review_decision_worklist_summary.txt

Total Rows	Follow-up Required	No Follow-up	Auto Approved	Review Recommended	Stale
44	44	0	16	27	1

Review / Follow-up Only All Decisions Back to Source Review Summary Back to Healthcare Admin Home

Decision Filter: All Decisions REVIEW_OFFICIAL_SOURCE REPLACE_SOURCE NEEDS_FIELD_MAPPING DEFER REJECT APPROVE Current filter: REPLACE_SOURCE

Reviewer: Saving creates a dated .bak copy of the decisions CSV.

Metric / Description / Source / Status	URL / Problems / Warnings	Decision / Follow-up / Reviewer Notes
Row: 1 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status STALE_SOURCE Priority: HIGH Confidence: 73 Metric HC-SRC-CAND-0043-APPOINTMENT-WAIT-TIME-DA Appointment wait time data for primary & specialty care in VHA facilities vs. community medical centers Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source NIH Review key: hc_src_cand_0043_appointment_wait_time_da_nih_001_https_pubmed_ncbi_nlm_nih_gov_34095383	Domain / URL https://pubmed.ncbi.nlm.nih.gov/34095383/ Problems / Warnings Warnings: Source appears stale. \| Metric-to-source fit needs review. \| Latest detected year is 2014; source appears stale. \| NIH/PubMed research source; check metric fit and recency. \| No specific metric-source fit rule matched; human review may improve confidence.	Decision Follow-up Follow-up Notes Current URL is narrative/reference material only. Need authoritative data-bearing source or direct dataset link. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Find a replacement URL that includes direct links to data sources, downloadable datasets, database tables, API endpoints, XLS/CSV files, or other machine-readable data. Current source summarizes or references data but does not provide usable source data for metric extraction. Investigate: https://pubmed.ncbi.nlm.nih.gov/34095383/
Row: 2 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 87 Metric HC-MET-001 Healthcare spending as percent of GDP Description: Measures national health expenditures as a share of gross domestic product. Source CMS National Health Expenditure Accounts Review key: hc_met_001_cms_nhea_https_www_cms_gov_data_research_statistics_trends_and_reports_national_health_expenditure_data_historical	Domain / URL https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical Problems / Warnings Warnings: No latest year/as-of date detected. \| CMS official source. \| Spending/expenditure metrics usually fit CMS NHEA, OECD, or BEA context data.	Decision Follow-up Follow-up Notes Use CMS nhe-tables.zip as replacement source. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Approved replacement source: https://www.cms.gov/files/zip/nhe-tables.zip. ZIP inspection identified Table 01 National Health Expenditures; Aggregate and Per Capita Amounts.xlsx, Sheet Table 1, as a strong field-mapping candidate for aggregate spending, per-capita spending, and GDP-share metrics. Keep national-health-expenditures-type-service-source-funds-cy-1960-2024.zip as a future supporting source for detailed type-of-service and source-of-funds metrics. Investigate: https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical
Row: 4 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 86 Metric HC-MET-003 Health insurance coverage / uninsured rate Description: Measures health insurance coverage and uninsured population trends. Source U.S. Census Bureau Health Insurance Coverage Review key: hc_met_003_census_health_insurance_https_www_census_gov_topics_health_health_insurance_html	Domain / URL https://www.census.gov/topics/health/health-insurance.html Problems / Warnings Warnings: No latest year/as-of date detected. \| Census official source. \| Insurance coverage metrics usually fit Census, CDC/NCHS, or CMS data.	Decision Follow-up Follow-up Notes Valid shared source. Census Table 1 XLSX supports multiple Healthcare metrics related to health insurance coverage, coverage type, and uninsured population. Duplicate URL is intentional and should not be treated as an error. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Approved replacement source should be the Census Table 1 health insurance coverage workbook: https://www2.census.gov/programs-surveys/demo/tables/p60/288/table1.xlsx. This better matches HC-MET-003, which measures health insurance coverage and uninsured population trends. The current CMS national health expenditure URL appears to measure spending, not coverage. Investigate: https://www.census.gov/topics/health/health-insurance.html
Row: 7 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 86 Metric HC-MET-006 Healthcare quality / patient safety Description: Measures care quality, provider performance, safety, readmissions, or related indicators. Source AHRQ or CMS quality data Review key: hc_met_006_ahrq_cms_quality_https_www_ahrq_gov_data_index_html	Domain / URL https://www.ahrq.gov/data/index.html Problems / Warnings Warnings: No latest year/as-of date detected. \| AHRQ official source. \| Quality/provider metrics usually fit CMS or AHRQ data.	Decision Follow-up Follow-up Notes No data-bearing links found. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The URL appears to be narrative/reference content and no clear data-bearing links were found. Find a replacement URL that includes direct links to downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://www.ahrq.gov/data/index.html
Row: 13 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 80 Metric HC-SRC-CAND-0022-HC-DBSRC-AHRQ-CAHPS-ACCE HC-DBSRC-AHRQ-CAHPS-ACCESS-001 \| getting care quickly appointment soon as needed urgent routine specialist timely access Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source AHRQ Review key: hc_src_cand_0022_hc_dbsrc_ahrq_cahps_acce_ahrq_004_https_www_ahrq_gov_cahps_surveys_guidance_hp_about_survey_measures_html	Domain / URL https://www.ahrq.gov/cahps/surveys-guidance/hp/about/survey-measures.html Problems / Warnings Warnings: Metric-to-source fit needs review. \| No latest year/as-of date detected. \| AHRQ official source. \| No specific metric-source fit rule matched; human review may improve confidence.	Decision Follow-up Follow-up Notes No data-bearing links found. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The URL appears to be narrative/reference content and no clear data-bearing links were found. Find a replacement URL that includes direct links to downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://www.ahrq.gov/cahps/surveys-guidance/hp/about/survey-measures.html
Row: 14 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 86 Metric HC-SRC-CAND-0023-HC-DBSRC-AHRQ-NHQDR-QUAL HC-DBSRC-AHRQ-NHQDR-QUALITY-001 \| quality outcomes preventive care avoidable hospital readmission patient safety effecti Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source AHRQ Review key: hc_src_cand_0023_hc_dbsrc_ahrq_nhqdr_qual_ahrq_005_https_www_ahrq_gov_data_nhqdr_html	Domain / URL https://www.ahrq.gov/data/nhqdr.html Problems / Warnings Warnings: No latest year/as-of date detected. \| AHRQ official source. \| Quality/provider metrics usually fit CMS or AHRQ data.	Decision Follow-up Follow-up Notes No data-bearing links found. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The URL appears to be narrative/reference content and no clear data-bearing links were found. Find a replacement URL that includes direct links to downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://www.ahrq.gov/data/nhqdr.html
Row: 15 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 75 Metric HC-SRC-CAND-0024-HC-DBSRC-FDA-DRUG-SHORTA HC-DBSRC-FDA-DRUG-SHORTAGE-001 \| drug shortage medicine medication supply shortage FDA operational resilience \| PRIMARY_ Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source Government source Review key: hc_src_cand_0024_hc_dbsrc_fda_drug_shorta_gov_006_https_www_fda_gov_drugs_drug_safety_and_availability_drug_shortages	Domain / URL https://www.fda.gov/drugs/drug-safety-and-availability/drug-shortages Problems / Warnings Warnings: Metric-to-source fit needs review. \| No latest year/as-of date detected. \| Government domain, but not in preferred healthcare source list. \| No specific metric-source fit rule matched; human review may improve confidence.	Decision Follow-up Follow-up Notes No data-bearing links found. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The URL appears to be narrative/reference content and no clear data-bearing links were found. Find a replacement URL that includes direct links to downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://www.fda.gov/drugs/drug-safety-and-availability/drug-shortages
Row: 17 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 81 Metric HC-SRC-CAND-0031-SRC-AHRQ-NHQDR-AHRQ-NATI SRC-AHRQ-NHQDR \| AHRQ National Healthcare Quality and Disparities Report / Data Tools \| AHRQ \| https://www.ahrq.gov/rese Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source AHRQ National Healthcare Quality and Disparities Report / Data Tools Review key: hc_src_cand_0031_src_ahrq_nhqdr_ahrq_nati_src_ahrq_nhqdr_https_www_ahrq_gov_research_findings_nhqrdr_index_html	Domain / URL https://www.ahrq.gov/research/findings/nhqrdr/index.html Problems / Warnings Warnings: HTTPError: 405 Not Allowed \| No latest year/as-of date detected. \| AHRQ official source. \| Quality/provider metrics usually fit CMS or AHRQ data.	Decision Follow-up Follow-up Notes Investigated URL failed or could not be reached. Need replacement source. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The reviewed URL could not be accessed successfully. Find an authoritative data-bearing replacement URL with downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://www.ahrq.gov/research/findings/nhqrdr/index.html
Row: 20 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 76 Metric HC-SRC-CAND-0041-VA-ACCESS-TO-CARE-HEALTH VA Access to Care - Health Care Access & Quality Information Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source Government source Review key: hc_src_cand_0041_va_access_to_care_health_gov_008_https_www_accesstocare_va_gov	Domain / URL https://www.accesstocare.va.gov/ Problems / Warnings Warnings: No latest year/as-of date detected. \| Government domain, but not in preferred healthcare source list. \| Quality/provider metrics usually fit CMS or AHRQ data.	Decision Follow-up Follow-up Notes No data-bearing links found. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The URL appears to be narrative/reference content and no clear data-bearing links were found. Find a replacement URL that includes direct links to downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://www.accesstocare.va.gov/
Row: 21 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 75 Metric HC-SRC-CAND-0042-DEPARTMENT-OF-VETERANS-A Department of Veterans Affairs - Access to Care dataset Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source Government source Review key: hc_src_cand_0042_department_of_veterans_a_gov_009_https_catalog_beta_data_gov_dataset_access_to_care	Domain / URL https://catalog-beta.data.gov/dataset/access-to-care Problems / Warnings Warnings: Metric-to-source fit needs review. \| No latest year/as-of date detected. \| Government domain, but not in preferred healthcare source list. \| No specific metric-source fit rule matched; human review may improve confidence.	Decision Follow-up Follow-up Notes No data-bearing links found. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The URL appears to be narrative/reference content and no clear data-bearing links were found. Find a replacement URL that includes direct links to downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://catalog-beta.data.gov/dataset/access-to-care
Row: 22 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 80 Metric HC-SRC-CAND-0047-OECD-WAITING-TIMES-FOR-H OECD Waiting Times for Health Services / Health at a Glance waiting times Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source OECD Review key: hc_src_cand_0047_oecd_waiting_times_for_h_oecd_003_https_www_oecd_org_en_publications_health_at_a_glance_2025_8f9e3f98_en_full_report_waiting_times_3a1021fa_html	Domain / URL https://www.oecd.org/en/publications/health-at-a-glance-2025_8f9e3f98-en/full-report/waiting-times_3a1021fa.html Problems / Warnings Warnings: HTTPError: 403 Forbidden \| No latest year/as-of date detected. \| OECD international comparison source. \| International comparison metrics usually fit OECD, WHO, or World Bank data.	Decision Follow-up Follow-up Notes Investigated URL failed or could not be reached. Need replacement source. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The reviewed URL could not be accessed successfully. Find an authoritative data-bearing replacement URL with downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://www.oecd.org/en/publications/health-at-a-glance-2025_8f9e3f98-en/full-report/waiting-times_3a1021fa.html
Row: 27 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 83 Metric HC-SRC-CAND-0235-HC-SRC-GAO-HEALTH-001-GA HC-SRC-GAO-HEALTH-001 \| GAO Health Care Reports \| GAO \| Tier 1 \| Oversight / Integrity \| https://www.gao.gov/ \| HTML; PD Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source GAO Health Care Reports Review key: hc_src_cand_0235_hc_src_gao_health_001_ga_hc_src_gao_health_001_https_www_gao_gov	Domain / URL https://www.gao.gov/ Problems / Warnings Warnings: Metric-to-source fit needs review. \| Latest detected year is 2026. \| Government domain, but not in preferred healthcare source list. \| No specific metric-source fit rule matched; human review may improve confidence.	Decision Follow-up Follow-up Notes Investigated URL failed or could not be reached. Need replacement source. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The reviewed URL could not be accessed successfully. Find an authoritative data-bearing replacement URL with downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://www.gao.gov/
Row: 28 Row Automation Auto Populate Auto Populate + Preview Preview Investigate Apply Investigate Auto Populate adds Investigate: current URL, TAP reviewer, and follow-up YES. Preview/Apply uses Investigate URLs in notes. Resolution Replacement suggested / needs promotion or review Status REVIEW_RECOMMENDED Priority: MEDIUM Confidence: 83 Metric HC-SRC-CAND-0236-HC-SRC-HHSOIG-001-HHS-OI HC-SRC-HHSOIG-001 \| HHS OIG Reports \| HHS Office of Inspector General \| Tier 1 \| Program Integrity / Audit \| https://oig Metric description not found in the decision/source rows. Before promoting a replacement, confirm what this metric is intended to measure. Source HHS OIG Reports Review key: hc_src_cand_0236_hc_src_hhsoig_001_hhs_oi_hc_src_hhsoig_001_https_oig_hhs_gov_reports_and_publications	Domain / URL https://oig.hhs.gov/reports-and-publications/ Problems / Warnings Warnings: Metric-to-source fit needs review. \| Latest detected year is 2026. \| Government domain, but not in preferred healthcare source list. \| No specific metric-source fit rule matched; human review may improve confidence.	Decision Follow-up Follow-up Notes No data-bearing links found. Auto-populated investigation URL from current source. Click Preview Investigate, then Apply Investigate only if the proposal looks correct. Reviewer Notes Investigation result: The URL appears to be narrative/reference content and no clear data-bearing links were found. Find a replacement URL that includes direct links to downloadable datasets, database tables, APIs, CSV/XLSX/ZIP files, or other machine-readable data. Investigate: https://oig.hhs.gov/reports-and-publications/

Visible rows: 13

Suggested workflow: review official sources first. If the metric description is missing, do not guess; use Reviewer Notes to record that the metric definition must be enriched. Use Auto Populate when the current source URL should be investigated, or manually add Investigate: URL in Reviewer Notes when you found a better data page. Use Preview Investigate first, then Apply Investigate only after the proposal looks right, then run field-map/promoter scripts when needed. Set Follow-up to NO only when the source is resolved.