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.
| Gate | Status | Evidence | Action if Not Ready |
| Full runner completed | FAIL | healthcare_metrics_all_run_summary.txt must show Overall Status: PASS. | If FAIL, use 040 - Healthcare Metrics Refresh to rerun or diagnose. |
| Current rollup JSON exists | FAIL | missing | If missing, run the Healthcare metrics refresh. |
| Rollup status acceptable | FAIL | Current accepted states: INTERNAL_REVIEW_READY or PUBLIC_BETA_CANDIDATE. | NEEDS_REVIEW blocks public beta unless explicitly accepted for internal testing. |
| No failed active metrics | FAIL | Rollup summary must show FAIL: 0. | Resolve or preserve source data before dashboard publication. |
| No missing/error active metric files | FAIL | Rollup summary must show Missing/error files: 0. | Restore missing source current JSON files. |
| BLS Medical Care CPI | FAIL | PASS 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 coverage | FAIL | Census coverage metric must pass. | If fail, inspect Census workbook mapping and QA summary. |
| CMS National Health Expenditures | FAIL | CMS NHE metric must pass. | If fail, inspect CMS workbook mapping and QA summary. |
| Public grade assignment | PASS | Current expected state during automation buildout: Public Grade Assigned: No. | Keep grade unassigned until scoring policy and publishing approval are complete. |
| Gate | Status | Evidence | Action if Not Ready |
| HC-MET-004 candidate summary exists | CHECK | missing | Run build_healthcare_cdc_nhis_adult_cost_access_metric.py if the summary is missing. |
| HC-MET-004 remains review-only | FAIL | Expected: 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 definition | FAIL | Expected 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 rollup | PASS | Active 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 | Path |
| Healthcare rollup current JSON | missing | G:\voicetocongress.com\40 - Top Issues\020 - Healthcare\40 - Metrics\App_Data\healthcare_metrics_current.json |
| Full run summary | missing | G:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_metrics_all_run_summary.txt |
| Rollup summary | missing | G:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_metrics_rollup_summary.txt |
| BLS summary | missing | G:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_bls_medical_care_cpi_metric_summary.txt |
| Census summary | missing | G:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_census_health_insurance_coverage_metric_summary.txt |
| CMS summary | missing | G:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_cms_nhe_metric_summary.txt |
| HC-MET-004 candidate review summary | missing | G:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\qa\healthcare_cdc_nhis_adult_cost_access_metric_review_summary.txt |
| Source decision ledger CSV | missing | G:\voicetocongress.com\40 - Top Issues\020 - Healthcare\_issue_support\metrics\review\healthcare_metric_source_decisions.csv |