Healthcare Publishing QA

Page version: 2026-05-13-v2-hc-met-004-candidate-aware
This page is a read-only publishing gate for Healthcare metrics. Use 040 - Healthcare Metrics Refresh to run the pipeline. Use this page to decide whether the latest Healthcare metrics rollup is ready for internal dashboard review, public beta display, or final publication. Candidate metrics are tracked separately and do not modify the active rollup unless promoted.

Decision: DO NOT PUBLISH

One or more required publishing gates did not pass. Review the gate table below.

Publishing Gate Summary - Active Rollup

GateStatusEvidenceAction if Not Ready
Full runner completedFAILhealthcare_metrics_all_run_summary.txt must show Overall Status: PASS.If FAIL, use 040 - Healthcare Metrics Refresh to rerun or diagnose.
Current rollup JSON existsFAILmissingIf missing, run the Healthcare metrics refresh.
Rollup status acceptableFAILCurrent accepted states: INTERNAL_REVIEW_READY or PUBLIC_BETA_CANDIDATE.NEEDS_REVIEW blocks public beta unless explicitly accepted for internal testing.
No failed active metricsFAILRollup summary must show FAIL: 0.Resolve or preserve source data before dashboard publication.
No missing/error active metric filesFAILRollup summary must show Missing/error files: 0.Restore missing source current JSON files.
BLS Medical Care CPIFAILPASS is best. CHECK is acceptable only when BLS is rate-limited and the last good observation was preserved.If not acceptable, rerun after BLS API limits reset or inspect the BLS extractor.
Census insurance coverageFAILCensus coverage metric must pass.If fail, inspect Census workbook mapping and QA summary.
CMS National Health ExpendituresFAILCMS NHE metric must pass.If fail, inspect CMS workbook mapping and QA summary.
Public grade assignmentPASSCurrent expected state during automation buildout: Public Grade Assigned: No.Keep grade unassigned until scoring policy and publishing approval are complete.

Candidate Metric Awareness - Not Active Rollup

HC-MET-004Cost-related delayed or forgone medical care among adults
This candidate can be shown as a dashboard preview only. It should remain outside healthcare_metrics_current.json until the paired/caution source definition is approved.
GateStatusEvidenceAction if Not Ready
HC-MET-004 candidate summary existsCHECKmissingRun build_healthcare_cdc_nhis_adult_cost_access_metric.py if the summary is missing.
HC-MET-004 remains review-onlyFAILExpected: REVIEW_ONLY_NOT_ACTIVE_ROLLUP and DO_NOT_ADD_TO_ACTIVE_ROLLUP_YET.Do not promote until the source definition is approved.
HC-MET-004 paired/caution definitionFAILExpected 2024 paired values: 7.4% did not get needed care; 8.6% delayed care; adult-only/post-2019 caution.If the definition changes, update Source Decision Ledger and dashboard candidate card.
HC-MET-004 excluded from active rollupPASSActive rollup summary should not list HC-MET-004 until promotion is approved.If HC-MET-004 appears in active rollup prematurely, remove it and rerun Publishing QA.

File Status

FileStatusPath
Healthcare rollup current JSONmissingG:\voicetocongress.com\40 - Top Issues\020 - Healthcare\40 - Metrics\App_Data\healthcare_metrics_current.json
Full run summarymissingG:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_metrics_all_run_summary.txt
Rollup summarymissingG:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_metrics_rollup_summary.txt
BLS summarymissingG:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_bls_medical_care_cpi_metric_summary.txt
Census summarymissingG:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_census_health_insurance_coverage_metric_summary.txt
CMS summarymissingG:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_cms_nhe_metric_summary.txt
HC-MET-004 candidate review summarymissingG:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_cdc_nhis_adult_cost_access_metric_review_summary.txt
Source decision ledger CSVmissingG:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\review\healthcare_metric_source_decisions.csv

Latest Rollup Summary


Latest HC-MET-004 Candidate Review Summary


Latest Full Run Summary


Latest BLS Summary


Publishing rule: INTERNAL_REVIEW_READY supports internal dashboard review only. PUBLIC_BETA_CANDIDATE supports public beta consideration. A final public Healthcare grade should remain blocked until scoring policy, editorial review, and approval gates are complete. Candidate metrics may be previewed only when clearly labeled and kept outside the active rollup.