Measure Description
The percentage of individuals ≥18 years of age who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication during the measurement year.
Metadata
- Measure Type: Rate Measure
- Temporal Structure: Entity
- Component Class: Normal-Form
- Denominator Case Field: Patient ID, Period Start Date
- Target Direction: Up
Denominator Description
Number of member-years of patients age 18 years and older
Numerator Description
Patients with at least 80% medication coverage of the treatment period in the prior 12 months.
Published Fields
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Data Model Keys
- Patient ID
- Primary Payor ID
- Primary Plan ID
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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)
- Snapshot Date -- The date, evaluated at 00:00:00 AM, giving the moment the state of the world will be set to for the purposes of an analysis. The snapshot date does not represent the freshness of the data, or the date in real time at which an analysis was executed.
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Patient Fields
- Patient Age as of start of MY
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Provider Fields
- Primary Plan Attributee Provider ID
-
Denominator Fields
- Is Denominator Event/Diagnosis Criteria Met
- Is Eligible Population
- Is Any Required Exclusion
- Is Required Exclusion for Hospice
- Denominator Excluded Reasons Description
- Measure ID
- Measure Name
- Index Prescription Start Date
- Is Required Exclusion for ESRD
- Is Required Exclusion for Sacubitril Valsartan
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Numerator Fields
- PDC
- Is Numerator Criteria Met
- Is Numerator Qualifying Using Standard End-of-Year Timing Clone
- Numerator Component Using Standard End-of-Year Timing
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Metadata Fields
- Weight of Enrollment
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Measure Fields
- Denominator