[SO/URSA-QUALITY] URSA-QUALITY-FMC: Follow Up to ED Visit (FMC)

  • Published on Apr 10, 2026
  • 4 minute(s) read
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Object Description

The percentage of emergency department (ED) visits for members 18 years of age and older who have multiple high-risk chronic conditions who had a follow-up service within 7 days of the ED visit. Unadjusted Certified Measure d513ae74-cab9-45e8-a879-263eb4e27568

Metadata

  • Table Name: ursa.mo_ursa_quality_fmc
  • Layer: SYNTHETIC_OBJECT
  • Object Type: Replicated Measure
  • Temporal Class: Event
  • Case ID: Snapshot Date, Patient ID, Output NCQA Payer Type Code, Index ED Parent Document Effective End Date
  • Event Date: Snapshot Date
  • Primary Key: Ursa Serial ID

Published Fields

  • Data Model Keys

    • Patient ID -- The internal database identifier (used, e.g., for joins and primary keys) for the patient. This value is typically mastered, i.e., all records for the same patient, regardless of the source data system from which that record originated, should have the same Patient ID value. (Note that while the mastered Patient ID value might resemble a local identifier used in one of the upstream data sources, this does not indicate any special priority of that source system in determining the characteristics of the patient.) (See also [URSA-CORE] Patient)
    • Primary Plan Attributee Provider ID
    • Primary Payor ID -- The internal database identifier (used, e.g., for joins and primary keys) for the Primary Payor. (See also [URSA-CORE] Primary Payor)
    • Primary Plan ID -- The identifier for the health insurance plan product that is the first party responsible for payment.

  • Date Fields

    • Current Continuous Primary Payor Membership Episode Start Date -- The start date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. (See also [URSA-CORE] Continuous Primary Payor Membership Episode)
    • Current Continuous Primary Payor Membership Episode End Date -- The end date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. Values follow the standard exclusive convention for Period End Dates. (See also [URSA-CORE] Continuous Primary Payor Membership Episode, [URSA-CORE] Period End Date)
    • Snapshot Date -- The date, evaluated at 00:00:00 AM, giving the moment the state of the world will be set to for the purposes of an analysis. The snapshot date does not represent the freshness of the data, or the date in real time at which an analysis was executed.

  • Patient Fields

    • Patient Age Integer at Index ED Visit
    • Patient Operational ID -- The user-facing value used by staff used to uniquely identify the Patient in their administrative systems and/or day-to-day operations. (See also [URSA-CORE] Patient)
    • Patient Date of Birth -- The patient's date of birth. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the date of birth found on that particular type of record in the source data.
    • Is Patient Sex Female -- Indicates the patient's sex is female. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the patient sex documented on that particular type of record in the source data.
    • Is Patient Sex Male -- Indicates the patient's sex is male. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the patient sex documented on that particular type of record in the source data.
    • Patient State Abbreviation
    • Patient ZIP Code 5-Digit

  • Insurance Fields

    • Primary Payor Description
    • Primary Plan Description
    • Primary Plan Financial Class Description

  • Denominator Fields

    • Index ED Parent Document Effective End Date
    • Count Chronic Conditions -- A subset of the total count of CCW Conditions which includes both chronic conditions and potentially disabling events, this field solely represents the number of active CCW Conditions that further qualify as chronic; excluding those are categorized as potentially disabling events. (See also [URSA-CORE] Count CCW Conditions, [URSA-CORE] Count Potentially Disabling Events)
    • Is Denominator Event Criteria Met
    • Is Continuous Membership Criterion Met
    • Is Eligible Population
    • Is Any Required Exclusion
    • Is Required Exclusion for Hospice
    • Is Required Exclusion for Patient Death
    • Denominator Excluded Reasons Description
    • Denominator Performance Period End Date
    • Denominator Performance Period Start Date
    • ED Parent Document Effective End Date + 7 Days

  • Numerator Fields

    • Numerator HCPCS Code
    • Numerator HCPCS Description
    • Numerator Document Type Description
    • Numerator Document Effective Date
    • Numerator Document ID
    • Is Numerator Qualifying Using Standard End-of-Year Timing
    • Numerator Component Contribution Using Standard End-of-Year Timing
    • Numerator Source ID

  • Measure Fields

    • Denominator
    • Numerator

  • NCQA Cert Fields

    • Is NCQA Numerator Criteria Met
    • Output NCQA Payer Type Code
    • Patient Age Integer Unbounded at Index ED Visit

  • Validation Only Fields

    • Is Excluded Record for Dual Enrolled Patient

  • [No Field Group]

    • Measure ID
    • Measure Name
    • Ursa Serial ID

  • Provider Fields

    • Primary Plan Attributee Provider Description

  • Metadata Fields

    • Table Last Updated Datetime