URSA-PHF-R04: Registry of Hospital Inpatient Encounters

Measure Description

One record per hospital inpatient admission encounter, including, if they occur prior to inpatient admission, ED visits and/or observation stays.

Metadata

• Measure Type: Registry
• Temporal Structure: Event
• Component Class: Normal-Form
• Denominator Case Field: Encounter ID
• Target Direction: None

Published Fields

• Data Model Keys

  • Encounter ID
  • Patient ID
  • Encounter Primary Payor ID
  • Encounter Primary Plan ID
  • Facility Provider ID
  • Attending Provider ID
  • Primary HCPCS Procedure Provider ID
  • Prior Hospital IP Encounter ID

• Date Fields

  • Encounter Start Date
  • Encounter End Date
  • Encounter Start Date Year
  • Encounter Start Date First of Month
  • Encounter Patient Inpatient Status Start Date
  • Encounter Start Date Day of Week
  • Inpatient Status Start Date Day of Week
  • Encounter End Date Day of Week
  • Prior Hospital IP Encounter End Date
  • Elapsed Days from Prior Hospital IP Encounter End Date
  • Is Hospital IP Discharge in Prior 30 Days
  • 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

  • Ursa Hospital Admission Condition-Treatment Type Tier 1 Category
  • Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Maternity
  • Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Behavioral Health
  • Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Surgical
  • Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Medical
  • Inpatient LOS Category Tier 1
  • Is Inpatient LOS < 2 Midnights
  • Inpatient LOS in Elapsed Midnights
  • Inpatient LOS in Distinct Calendar Days
  • Is Emergency Department Visit Parent Encounter
  • Is Observation Stay Parent Encounter
  • Is Discharge Status Home or Home with Home Health
  • Is Routine Discharge Home
  • Is Discharged Home with Home Health

• Provider Fields

  • Facility Provider Description
  • Facility Provider Primary NUCC Provider Taxonomy Code
  • Facility Provider Primary NUCC Provider Taxonomy Description
  • Facility Provider State Abbreviation
  • Facility Provider ZIP Code 5-Digit
  • Attending Provider Description
  • Attending Provider Primary NUCC Provider Taxonomy Code
  • Attending Provider Primary NUCC Provider Taxonomy Description

• Insurance Fields

  • Encounter Primary Payor Description
  • Encounter Primary Plan Description
  • Encounter Primary Plan Financial Class Description
  • Is Encounter Primary Plan Financial Class Commercial
  • Is Encounter Primary Plan Financial Class Medicare FFS
  • Is Encounter Primary Plan Financial Class Medicare Advantage
  • Is Encounter Primary Plan Financial Class Medicaid

• Clinical Services Fields

  • Is Surgery Encounter
  • Is Prior Hospital IP Admit Surgery Encounter
  • Primary HCPCS Procedure HCPCS Code
  • Primary HCPCS Short Description
  • Primary HCPCS Long Description
  • Is Primary HCPCS Procedure Surgical
  • Primary HCPCS AHRQ CCS Single-Level Procedure Category Code
  • Primary HCPCS AHRQ CCS Single-Level Procedure Category Description
  • Principal ICD Procedure ICD-10-PCS Code
  • Principal ICD Procedure ICD-10-PCS 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 Single-Level Procedure Category Code
  • Principal ICD-10-PCS AHRQ CCS Single-Level Procedure Category Description

• Diagnosis Fields

  • Principal Discharge Diagnosis ICD-10-CM Code
  • Principal Discharge Diagnosis ICD-10-CM Description
  • Prior Admit Principal Discharge Diagnosis ICD-10-CM Code
  • Prior Admit Principal Discharge Diagnosis ICD-10-CM Description
  • Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
  • Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
  • Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
  • Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
  • Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Code
  • Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Description
  • Discharge Diagnosis WHO ICD-10 Chapter Description
  • Discharge Diagnosis WHO ICD-10 Block Description

• Billing and Claims Fields

  • MS-DRG Code
  • MS-DRG Description
  • MS-DRG MDC Code
  • MS-DRG MDC Description
  • Is CMS DRG Medical-Surgical Type Surgical
  • Is CMS DRG Medical-Surgical Type Medical
  • CMS DRG Weight
  • APR-DRG Code
  • APR-DRG Description
  • APR-DRG MDC Code
  • APR-DRG MDC Description
  • APR-DRG Severity of Illness Code
  • APR-DRG Risk of Mortality Code
  • Is APR-DRG Medical Surgical Type Medical
  • Is APR-DRG Medical Surgical Type Surgical
  • CMS Admit Type Code
  • CMS Admit Type Description
  • CMS Admit Source Code
  • CMS Admit Source Description
  • CMS Place of Service Code
  • CMS Place of Service 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

• Metadata Fields

  • Calculated MS-DRG Mean Length of Stay in Calendar Days
  • Relative Change of Encounter LOS to Calculated MS-DRG Mean
  • Calculated APR-DRG Mean Length of Stay in Calendar Days
  • Relative Change of Encounter LOS to Calculated APR-DRG Mean
  • CMS DRG Arithmetic Mean LOS
  • Relative Change of Encounter LOS to CMS MS-DRG Arithmetic Mean
  • CMS DRG Geometric Mean LOS
  • Relative Change of Encounter LOS to CMS MSDRG Geometric Mean

• Measure Fields

  • Denominator