URSA-PHARM-014: Hospital Encounters per 1000 Member-Years

Measure Description

Among active membership periods for patients with 1 or more medication fills in the last 12 months, the rate of inpatient and outpatient hospital encounters per 1000 member-years. Hospital encounters include; (1) Emergency Department Visits without Admissions, (2) Hospital Observation Stays without Admission, (3) Hospital Inpatient Admissions, (4) Hospital Outpatient Surgery Encounters, and (5) Other Hospital Outpatient Department Encounters.

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Interval
• Component Class: Long-Form
• Denominator Case Field: Patient ID
• Target Direction: Down

Denominator Description

The elapsed patient-months among active membership periods for patients with one or more medication fill in the last 12 months.

Numerator Description

The count of hospital encounters occurring during qualifying denominator membership periods. Hospital encounters include; (1) Emergency Department Visits without Admissions, (2) Hospital Observation Stays without Admission, (3) Hospital Inpatient Admissions, (4) Hospital Outpatient Surgery Encounters, and (5) Other Hospital Outpatient Department Encounters.

Related Key Concepts

None.

FAQs

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