URSA-PHF-027: SNF Stays per 1000 Member-Years
  • 28 Jun 2025
  • 3 Minutes to read
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URSA-PHF-027: SNF Stays per 1000 Member-Years

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Article summary

Measure Description

Among active membership periods, the rate of SNF Stays per 1000 member-years.

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Interval
  • Component Class: Long-Form
  • Denominator Case Field: Patient ID
  • Target Direction: Down

Denominator Description

The elapsed patient-months among active membership periods during which the patient was alive and had medical claims data coverage, expressed in units of 1000s of patient-years.

Numerator Description

The count of SNF encounters occurring during qualifying denominator membership periods. Hospital encounters include; (1) Emergency Department Visits without Admissions, (2) Hospital Observation Stays without Admission, (3) Hospital Inpatient Admissions, (4) Hospital Outpatient Surgery Encounters, and (5) Other Hospital Outpatient Department Encounters.

Published Fields

  • Data Model Keys

    • Patient ID
    • Primary Plan Attributee Provider ID
    • Primary Payor ID
    • Primary Plan ID
  • Patient Fields

    • Patient Date of Birth
    • Patient Age Integer
    • Patient Age Category Tier 1
    • Patient Age Category Tier 2
    • Patient Sex Category
    • Is Patient Sex Female
    • Is Patient Sex Male
    • Patient ZIP Code 5-Digit
  • Date Fields

    • Current Continuous Primary Payor Membership Episode Start Date
    • Current Continuous Primary Payor Membership Episode End 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)
    • Segmented Period Start Date
    • Segmented Period End Date
  • Provider Fields

    • Primary Plan Attributee Provider Description
  • Location Fields

    • Patient State Abbreviation
    • Patient County Description
    • UW HIP ADI Quintile Category
    • UW HIP ADI Decile Category
  • Insurance Fields

    • Primary Payor Description
    • Primary Plan Description
    • Primary Plan Financial Class Description
  • Diagnosis Fields

    • CCW Count Category
    • Count CCW Conditions
    • Is CCW Acquired Hypothyroidism
    • Is CCW Acute Myocardial Infarction
    • Is CCW ADHD, Conduct Disorders, and Hyperkinetic Syndrome
    • Is CCW Alzheimers Disease
    • Is CCW Alzheimers Disease and Related Disorders or Senile Dementia
    • Is CCW Anemia
    • Is CCW Anxiety Disorders
    • Is CCW Asthma
    • Is CCW Atrial Fibrillation
    • Is CCW Autism Spectrum Disorder
    • Is CCW Benign Prostatic Hyperplasia
    • Is CCW Bipolar Disorder
    • Is CCW Blindness and Visual Impairment
    • Is CCW Breast Cancer
    • Is CCW Cataract
    • Is CCW Cerebral Palsy
    • Is CCW CKD
    • Is CCW Colorectal Cancer
    • Is CCW COPD and Bronchiectasis
    • Is CCW Cystic Fibrosis and Other Metabolic Disorder
    • Is CCW Deafness and Hearing Impairment
    • Is CCW Depression
    • Is CCW Depressive Disorders
    • Is CCW Diabetes
    • Is CCW Endometrial Cancer
    • Is CCW Epilepsy
    • Is CCW Fibromyalgia and Chronic Pain and Fatigue
    • Is CCW Glaucoma
    • Is CCW Heart Failure
    • Is CCW Hip or Pelvic Fracture
    • Is CCW Hyperlipidemia
    • Is CCW Hypertension
    • Is CCW Intellectual Disability
    • Is CCW Ischemic Heart Disease
    • Is CCW Learning Disability
    • Is CCW Leukemia
    • Is CCW Lung Cancer
    • Is CCW Migraine and Chronic Headache
    • Is CCW Mobility Impairment
    • Is CCW Multiple Sclerosis
    • Is CCW Muscular Dystrophy
    • Is CCW Obesity
    • Is CCW Osteoporosis
    • Is CCW Other Developmental Delay
    • Is CCW Personality Disorder
    • Is CCW Pressure or Chronic Ulcer
    • Is CCW Prostate Cancer
    • Is CCW PTSD
    • Is CCW PVD
    • Is CCW Rheumatoid Arthritis or Osteoarthritis
    • Is CCW Schizophrenia
    • Is CCW Schizophrenia or Other Psychotic Disorders
    • Is CCW Stroke or Transient Ischemic Attack
    • CCW Systems Category
    • Count CCW Systems
    • Is CCW System Behavioral Health
    • Is CCW System Cardiovascular
    • Is CCW System Congenital
    • Is CCW System Endocrine/Metabolic
    • Is CCW System Genitourinary
    • Is CCW System Hematologic
    • Is CCW System Musculoskeletal
    • Is CCW System Neurological
    • Is CCW System Oncologic
    • Is CCW System Ophthalmologic
    • Is CCW System Pulmonary
    • Is CCW System Other
  • [No Field Group]

    • Ursa Serial ID
  • Numerator Fields

    • Encounter ID
    • Facility Provider ID
    • Encounter Start Date
    • Encounter End Date
    • Encounter LOS in Distinct Calendar Days
    • Encounter Calendar Days LOS Category Tier 1
    • Is LOS in Days > 100
    • Is Discharge Status Home or Home with Home Health
    • Principal Discharge Diagnosis ICD-10-CM Code
    • Principal Discharge Diagnosis ICD-10-CM Description
    • Principal Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
    • Principal Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
    • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
    • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
    • MS-DRG Code
    • MS-DRG Description
    • MS-DRG MDC Code
    • MS-DRG MDC Description
    • Facility Provider Description
    • Facility Provider Practice Address ZIP Code 5-Digit
    • Facility Provider Practice Address State Abbreviation
    • CMS Patient Discharge Status Code
    • CMS Patient Discharge Status Description
    • Total Plan Paid Amount from All Plans
    • Primary Plan Paid Amount
    • Primary Plan Allowed Amount
    • Patient Paid Amount
    • Encounter Total Plan Paid Amount Category
    • Average Calendar Day Plan Paid Amount
  • Measure Fields

    • Denominator
    • Numerator

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