URSA-CORE-942: Institutional SLIs with Important Missing Data

Measure Description

Among institutional claim or bill service line item records, the percentage with at least one unpopulated important but non-critical field; important fields are: Service Start Date and either of HCPCS Code or HIPPS Code.

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Event
• Component Class: Normal-Form
• Denominator Case Field: Document ID
• Target Direction: Down

Denominator Description

One per institutional claim or bill service line item record.

Numerator Description

One per qualifying denominator observation with at least one unpopulated important but non-critical field; important fields are: Service Start Date and either of HCPCS Code or HIPPS Code.

Published Fields

• Data Model Keys

  • Document ID
  • Patient ID
  • Institutional Claim Service Line Item ID
  • Institutional Bill Service Line Item ID
  • Plan ID
  • Payor ID
  • Source ID

• Date Fields

  • Document Effective Date
  • Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
  • Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)

• Clinical Services Fields

  • CMS Revenue Center Code
  • CMS Revenue Center Description
  • HCPCS Code
  • HCPCS Description

• Numerator Fields

  • Is Service Start Date NULL
  • Is HCPCS Code NULL
  • Is HIPPS Code NULL
  • Is HCPCS Code and HIPPS Code NULL

• Metadata Fields

  • Document Type Description

• Measure Fields

  • Denominator