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

  • Published on Feb 11, 2026
  • 1 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
    • Primary Plan Attributee Provider ID
    • Primary Payor ID
    • Primary Plan ID

  • Date Fields

    • Current Continuous Primary Payor Membership Episode Start Date
    • Current Continuous Primary Payor Membership Episode End Date
    • Snapshot Date

  • Patient Fields

    • Patient Age Integer at Index ED Visit
    • Patient Operational ID
    • Patient Date of Birth
    • Is Patient Sex Female
    • Is Patient Sex Male
    • 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
    • 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