Ursa Health Preventable Hospital Utilization Module

Overview

Promote efficient utilization of services by identifying potentially preventable hospitalizations and ED encounters and their associated spend, as well as by classifying the patients/members who are frequently involved.

Release Notes

• Ursa Health Preventable Hospital Utilization Module Release Notes

Reports

• URSA-PHU | Basics of the Preventable Hospital Utilization Module

Objects

• Data Mart Objects

  • [DM/URSA-PHU] Data Mart for Potentially Preventable Hospital Encounters
  • [DM/URSA-PHU] Data Mart for URSA-PHU Patient Timelines

• Metadata and Integration Objects

  • [MI/URSA-PHU] ICD-10-CM Code Reference for Preventable ED Visits

• Synthetic Objects

  • [SO/URSA-PHU] Ambulatory Care Sensitive Hospital Inpatient Admissions
  • [SO/URSA-PHU] Emergency Department Visit Parent Encounters Extension for URSA-PHU Concepts
  • [SO/URSA-PHU] Hospital Inpatient Admissions with Prior Related Encounter
  • [SO/URSA-PHU] Patient Timelines Master for URSA-PHU Concepts
  • [SO/URSA-PHU] Potentially Preventable Hospital Encounters
  • [SO/URSA-PHU] Predictive Modeling Training File for URSA-PHU

Measures

• URSA-PHU-001: PMPM Plan Spending
• URSA-PHU-002: PPHEs Per 1000 Patient-Years
• URSA-PHU-003: Spending per 90-Day PPHE Episode
• URSA-PHU-004: PMPM Plan Spending on PPHEs
• URSA-PHU-005: 30-Day Return to Hospital After ED Visit
• URSA-PHU-006: PMPY Plan Spending on PPHEs
• URSA-PHU-007: PMPY on all IP and ED Encounters
• URSA-PHU-008: Percent Potentially Preventable ED and IP Admits
• URSA-PHU-R01: Patients with Active Membership
• URSA-PHU-R02: Potentially Preventable Hospital Encounters

Terms

• Ursa Health Preventable Hospital Utilization Module Terms