URSA-PHF-034: 30-Day Admission After ED Discharge

  • Published on Oct 30, 2025
  • 5 minute(s) read
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Measure Description

Among emergency department visits that did not results in an inpatient admission, the percent with an admission within 30 days of discharge from the Emergency Department

Metadata

  • Measure Identifier: URSA-PHF-034
  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Inpatient Encounter
  • Target Direction: Down

Denominator Description

Emergency Department Visits that did not result in an inpatient admission; includes ED visits that resulted in a observation stay without admission. Restricts to periods of active plan membership

Numerator Description

Hospital Inpatient Admissions occurring within 30 days of discharge from the emergency department visit.

Published Fields

  • Data Model Keys

    • Inpatient Encounter
    • Patient ID
    • Encounter Primary Payor ID
    • Encounter Primary Plan ID
    • Facility Provider ID
    • Attending Provider ID
    • Primary Payor ID
    • Primary Plan ID
    • Primary Plan Attributee Provider ID
    • Empirical Attributee Primary Care Individual Provider ID
    • Empirical Attributee Primary Care Provider Group Provider ID

  • Date Fields

    • Encounter Start Date
    • Encounter End Date
    • Period Start Date
    • Period End Date
    • 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)

  • Encounter Fields

    • Is Patient Admitted to Observation

  • Patient Fields

    • Is Patient Alive
    • Is Hospice in Last 12 Months
    • Patient Last Name
    • 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
    • Count Hospital Inpatient Admissions in Last 12 Months
    • Count ED Visits Without Inpatient Admissions in Last 12 Months
    • PCP Attribution Category
    • Primary Care Engagement Category
    • Count Primary Care Visits in Last 36 Months
    • Specialty Care Engagement Category
    • Count Specialty Care Office Visits in Last 36 Months
    • Primary or Specialty Care Engagement Category
    • Count Clinician Office Visits in Last 3 Years
    • Patient ZIP Code 5-Digit

  • Numerator Fields

    • IP Admit Encounter ID
    • IP Admit Facility Provider ID
    • Days Elapsed from ED Discharge to Admit
    • IP Admit Encounter Start Date
    • IP Admit Encounter End Date
    • IP Admit Ursa Hospital Admission Condition-Treatment Type Tier 1 Category
    • IP Admit Inpatient LOS Category Tier 1
    • Is IP Admit Inpatient LOS < 2 Midnights
    • Is IP Admit Emergency Department Visit Parent Encounter
    • Is IP Admit Observation Stay Parent Encounter
    • Is IP Admit Surgery Encounter
    • IP Admit Primary HCPCS Procedure HCPCS Code
    • IP Admit Primary HCPCS Short Description
    • IP Admit Primary HCPCS Long Description
    • IP Admit Primary HCPCS AHRQ CCS Single-Level Procedure Category Description
    • IP Admit Principal Discharge Diagnosis ICD-10-CM Code
    • IP Admit Principal Discharge Diagnosis ICD-10-CM Description
    • IP Admit Prior Admit Principal Discharge Diagnosis ICD-10-CM Code
    • IP Admit Prior Admit Principal Discharge Diagnosis ICD-10-CM Description
    • IP Admit Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
    • IP Admit Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
    • IP Admit Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
    • IP Admit Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
    • IP Admit Facility Provider Description
    • IP Admit Facility Provider Primary NUCC Provider Taxonomy Description
    • IP Admit Facility Provider ZIP Code 5-Digit
    • IP Admit MS-DRG Code
    • IP Admit MS-DRG Description
    • IP Admit MS-DRG MDC Code
    • IP Admit MS-DRG MDC Description
    • IP Admit CMS Place of Service Code
    • IP Admit CMS Place of Service Description
    • IP Admit Primary Plan Allowed Amount
    • IP Admit Primary Plan Paid Amount
    • IP Admit Total Plan Paid Amount from All Plans
    • IP Admit Patient Paid Amount

  • Provider Fields

    • Facility Provider Description
    • Facility Provider Primary NUCC Provider Taxonomy Code
    • Facility Provider Primary NUCC Provider Taxonomy Description
    • Attending Provider Description
    • Attending Provider Primary NUCC Provider Taxonomy Code
    • Attending Provider Primary NUCC Provider Taxonomy Description
    • Primary Plan Attributee Provider Description
    • Primary Plan Attributee Primary NUCC Provider Taxonomy Description
    • Empirical Attributee Primary Care Individual Provider Description
    • Empirical Attributee Primary Care Individual Primary NUCC Provider Taxonomy Description
    • Empirical Attributee Primary Care Provider Group Provider Description
    • Empirical Attributee Primary Care Provider Group Primary NUCC Provider Taxonomy Description
    • Count Visits with Attributee Individual Primary Care Provider in Last 36 Months
    • Count Visits with Attributee Primary Care Provider Group in Last 36 Months

  • Location Fields

    • Patient State Abbreviation
    • Patient County Description
    • UW HIP Area Deprivation Index National Percentile
    • UW HIP ADI Quintile Category
    • CDC SVI Overall Quintile Category
    • CDC SVI Socioeconomic Quintile Category
    • CDC SVI Household / Disability Quintile Category
    • CDC SVI Minority / Language Quintile Category
    • CDC SVI Housing / Transportation Quintile Category

  • Insurance Fields

    • Count Active Plan Memberships
    • Primary Payor Description
    • Primary Plan Description

  • Diagnosis Fields

    • Principal Discharge Diagnosis ICD-10-CM Code
    • Principal Discharge Diagnosis ICD-10-CM Description
    • 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

  • Financial Fields

    • Primary Plan Allowed Amount
    • Primary Plan Paid Amount
    • Total Plan Paid Amount from All Plans
    • Patient Paid Amount

  • Billing and Claims Fields

    • CMS Admit Source Code
    • CMS Admit Source Description
    • CMS Admit Type Code
    • CMS Admit Type Description
    • CMS Place of Service Code
    • CMS Place of Service Description
    • CMS Patient Discharge Status Code
    • CMS Patient Discharge Status Description

  • Measure Fields

    • Is Admit Facility Provider ID Match to ED Visit Provider ID
    • Denominator