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

Measure Description

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

Metadata

• 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
  • Patient ID

• 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

• 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
  • MS-DRG Description
  • MS-DRG MDC Code
  • MS-DRG MDC Description
  • CMS Admit Type Code
  • CMS Admit Type Description
  • CMS Admit Source Code
  • CMS Admit Source Description
  • CMS Patient Discharge Status Code
  • CMS Patient Discharge Status Description

• Financial Fields

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

• 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
  • Numerator