URSA-PHF-047: Surgery Discharges with SNF Stay within 7 Days

  • Published on Apr 23, 2026
  • 5 minute(s) read
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Measure Description

Among surgery encounter discharges, the percent with a SNF stay starting within 7 days of the surgery encounter discharge date

Metadata

  • Measure Identifier: URSA-PHF-047
  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Encounter ID
  • Target Direction: Down

Denominator Description

One per surgery encounter discharge.

Numerator Description

SNF stays with an encounter start date occurring between 0-7 days of the denominator (surgery encounter) discharge date.

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 Start Date
    • Encounter 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

    • Encounter LOS in Elapsed Midnights
    • Is Same Day Discharge
    • Surgery Encounter Setting Category
    • Is Patient Discharged Home or Home with Home Health

  • Provider Fields

    • Facility Provider Description -- The natural language description of the facility provider. (See also [URSA-CORE] Facility Provider)

  • Clinical Services Fields

    • Primary HCPCS Procedure HCPCS Code
    • Primary HCPCS Short Description
    • Principal ICD Procedure ICD-10-PCS Code
    • Principal ICD Procedure ICD-10-PCS Description
    • Principal ICD-10-PCS AHRQ CCS Single-Level Procedure Category Code
    • Principal ICD-10-PCS AHRQ CCS Single-Level Procedure Category Description
    • Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Code
    • Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Description
    • Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 2 Code
    • Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 2 Description

  • Diagnosis Fields

    • 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
    • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Code
    • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Description

  • Billing and Claims Fields

    • MS-DRG Code -- The standard 3-digit Medicare Severity Diagnosis Related Group code; MS-DRG codes should include leading zeros.
    • MS-DRG Description -- The natural language description of a standard 3-digit Medicare Severity Diagnosis Related Group code.
    • MS-DRG MDC Code -- The two-digit numeric code representing the Major Diagnostic Category for a given DRG based on condition type and body region; 01 = Nervous system, 02 = Eye, 03 = Ear/Nose/Throat, 04 = Respiratory System, etc. (See also [URSA-CORE] MDC Description)
    • MS-DRG MDC Description -- The natural language description of the two-digit Major Diagnostic Category (MDC) Code that classifies DRGs based on condition type and body region; 01 = Nervous system, 02 = Eye, 03 = Ear/Nose/Throat, 04 = Respiratory System, etc. (See also [URSA-CORE] MDC Code)
    • CMS Admit Type Code -- The standard single-digit CMS inpatient admission type code found on Inpatient and Skilled Nursing Facility claims; ; 1 = Emergency, 2 = Urgent, 3 = Elective, 4 = Newborn, 5 = Trauma Center, 9 = Information Not Available.
    • CMS Admit Type Description -- The natural language of a standard CMS Admit Type or Type of Admission Code; 1 = Emergency, 2 = Urgent, 3 = Elective, 4 = Newborn, 5 = Trauma Center, 9 = Information Not Available. (See also [URSA-CORE] CMS Admit Type Code)
    • CMS Admit Source Code -- The standard 1-character CMS Admit Source code; e.g., 1 = Physician Referral, 2 = Clinic Referral, etc.
    • CMS Admit Source Description -- The natural language description of a standard CMS Admit Source code. (See also [URSA-CORE] CMS Admit Source Code)
    • CMS Patient Discharge Status Code -- The standard 2-digit CMS Patient Discharge Status code; 01 = Discharged to Home or Self Care, etc. Patient Discharge Status codes should include leading zeros.
    • CMS Patient Discharge Status Description -- The natural language description of a standard CMS Patient Discharge Status code. (See also [URSA-CORE] CMS Patient Discharge Status Code)

  • Financial Fields

    • Primary Plan Allowed Amount -- The maximum amount that the payor agrees to pay the provider for a service or product, typically governed by a contract. The Allowed Amount for a claim or billing record is calculated by adding the Contractual Adjustment Amount (which is typically negative) to the Charge Amount. Adding the total Non-Contractual Adjustment Amount to the Allowed Amount yields the Total Due Amount. On billing records, which may identify up to three plans responsible for payment, the Primary Plan Allowed Amount, Secondary Plan Allowed Amount, and Tertiary Plan Allowed Amount fields identify the amounts paid by the primary, secondary, and tertiary plans listed on the bill, respectively. (See also [URSA-CORE] Charge Amount, [URSA-CORE] Contractual Adjustment Amount, [URSA-CORE] Non-Contractual Adjustment Amount, [URSA-CORE] Total Due Amount)
    • Primary Plan Paid Amount -- The amount actually paid by the health plan to the provider for a service or product. Subtracting the plan paid amount from the total due amount typically yields the patient responsibility amount. On billing records, which may identify up to three plans responsible for payment, the Primary Plan Paid Amount, Secondary Plan Paid Amount, and Tertiary Plan Paid Amount fields identify the amounts paid by the primary, secondary, and tertiary plans listed on the bill, respectively; the total paid by any and all plans on a bill is identified by the Any Plan Paid Amount field.
    • Total Plan Paid Amount from All Plans
    • Patient Paid Amount -- The amount paid by the patient to the provider for health care services or products.

  • Numerator Fields

    • SNF Encounter ID
    • SNF Facility Provider ID
    • SNF Encounter Start Date
    • SNF Encounter End Date
    • SNF Encounter LOS in Elapsed Midnights
    • SNF Encounter LOS in Distinct Calendar Days
    • SNF Principal Discharge Diagnosis ICD-10-CM Code
    • SNF Principal Discharge Diagnosis ICD-10-CM Description
    • SNF Facility Provider Primary NUCC Provider Taxonomy Description
    • SNF Total Plan Paid Amount from All Plans
    • SNF Primary Plan Paid Amount
    • SNF Primary Plan Allowed Amount

  • Measure Fields

    • Denominator