URSA-HCC-004: Visits Capturing All Missing Historical HCCs

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Measure Description

Among clinician office visits for patients with one or more historical HCCs undocumented in the current calendar year, the percentage with all historical HCCs documented following the visit.

Metadata

  • Measure Identifier: URSA-HCC-004
  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Case Field: Encounter ID
  • Observation Field: Encounter ID
  • Target Direction: Up

Denominator Description

Clinician office visits for patients with one or more historical HCCs that were undocumented in the calendar year-to-date, as of the day prior to the visit.

Numerator Description

One for each qualifying denominator visit in which the patient had no missing diagnoses as of the date of the visit (reflecting the patient status after the visit).

Published Fields

  • Data Model Keys

    • Encounter ID -- The internal database identifier (used, e.g., for joins and primary keys) for the encounter. (See also [URSA-CORE] Encounter)
    • 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)
  • Date Fields

    • Encounter 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)
  • Denominator Fields

    • Pre-Visit Within-Year-Updated CMS-HCC RAF Score
    • Pre-Visit Historical-Diagnoses CMS-HCC RAF Score
    • Pre-Visit Within-Year-Updated CMS-HCC v28 All Outputs Summary
    • Pre-Visit Historical-Diagnoses CMS-HCC v28 All Outputs Summary
    • Pre-Visit Count Historical-Diagnoses CMS-HCC v28 Outputs Missing from Within-Year-Updated Outputs
    • Pre-Visit Historical-Diagnoses CMS-HCC v28 Outputs Missing from Within-Year-Updated Outputs Summary
  • Numerator Fields

    • Post-Visit Within-Year-Updated CMS-HCC RAF Score
    • Post-Visit Within-Year-Updated CMS-HCC v28 All Outputs Summary
    • Post-Visit Count Historical-Diagnoses CMS-HCC v28 Outputs Missing from Within-Year-Updated Outputs
    • Post-Visit Historical-Diagnoses CMS-HCC v28 Outputs Missing from Within-Year-Updated Outputs Summary
  • Measure Fields

    • Denominator