[SO/URSA-QUALITY] URSA-QUALITY-FUA30: Follow Up After ED Visit for Substance Use (FUA30)

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Object Description

The percentage of emergency department (ED) visits for members 13 years of age and older with a principal diagnosis of SUD, or any diagnosis of drug overdose, and had a mental health follow-up service. Unadjusted Certified Measure a2504ae3-d1bf-461b-bb2d-ecd96d3c976e

Metadata

  • Table Name: ursa.mo_ursa_quality_fua30
  • Layer: SYNTHETIC_OBJECT
  • Object Type: Replicated Measure
  • Temporal Class: Event
  • Case ID: Snapshot Date, Patient ID, Output NCQA Payer Type Code, 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

    • Parent Document Effective Start Date
    • Parent Document Effective End Date
    • 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

    • Is Continuous Membership Criterion Met
    • Is Eligible Population
    • Is Any Required Exclusion
    • Is Required Exclusion for Hospice
    • Is Required Exclusion for Patient Death
    • Is Denominator Event Criteria Met
    • Denominator Excluded Reasons Description
    • Denominator Performance Period End Date
    • Denominator Performance Period Start Date
    • ED Parent Document Effective End Date + 30 Days
    • ED Parent Document Effective End Date + 31 Days
  • Numerator Fields

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

    • Is NCQA Numerator Criteria Met
    • Output NCQA Payer Type Code
    • Patient Age Integer Unbounded at Index ED Visit
    • NCQA Race Code
    • NCQA Ethnicity Code
    • NCQA Gender Code
  • Measure Fields

    • Denominator
    • Numerator
  • Metadata Fields

    • Table Last Updated Datetime
    • Is Parameter Set to Override Continuous Enrollment Criteria
    • Is Parameter Set to Override Payor Criteria
  • [No Field Group]

    • Measure ID
    • Measure Name
    • Ursa Serial ID
  • Provider Fields

    • Primary Plan Attributee Provider Description