URSA-QUALITY-CCS-E: Cervical Cancer Screening (CCS-E)

Measure Description

Among patients aged 21–64 years as of the end of the measurement period who also meet the criteria for participation, the percentage with a qualifying cervical cancer screening.

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Entity
• Component Class: Long-Form
• Denominator Case Field: Patient ID, Output NCQA Payer Type Code
• Target Direction: Up

Denominator Description

Patients aged 21-64 years as of the snapshot date

Numerator Description

Qualifying denominator patients with one or more screening for cervical cancer

Published Fields

• Data Model Keys

  • Measure ID
  • Measure Name
  • Patient ID
  • Primary Payor ID
  • Primary Plan ID

• Patient Fields

  • Patient Operational ID
  • Patient Date of Birth
  • Patient Age Integer
  • Is Patient Sex Female
  • Is Patient Sex Male
  • Patient State Abbreviation
  • Patient ZIP Code 5-Digit

• 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.

• Provider Fields

  • Primary Plan Attributee Provider ID
  • Primary Plan Attributee Provider Description
  • Primary Plan Attributee Primary NUCC Provider Taxonomy Description

• Insurance Fields

  • Primary Payor Description
  • Primary Plan Description
  • Primary Plan Financial Class Description

• Denominator Fields

  • Is Continuous Membership Criterion Met
  • Is Eligible Population
  • Is Any Required Exclusion
  • Is Required Exclusion for Hospice
  • Is Required Exclusion for Patient Death
  • Is Required Exclusion for Palliative Care
  • Is Patient Sex Female for CCS
  • Is Required Exclusion for Members with Sex Assigned at Birth
  • Is Required Exclusion for Hysterectomy with No Residual Cervix
  • Is Required Exclusion for Absence of Cervix Diagnosis
  • Denominator Excluded Reasons Description

• Numerator Fields

  • Cytology Screening Document Effective Date
  • Cytology Screening Document ID
  • Cytology Screening Source ID
  • Numerator Cytology Screening Event Expiration Date
  • High Risk HPV Screening Document Effective Date
  • High Risk HPV Screening Document ID
  • High Risk HPV Screening Source ID
  • Numerator HPV Screening Event Expiration Date
  • Is Numerator Qualifying Using Standard End-of-Year Timing
  • Numerator Component Contribution Using Standard End-of-Year Timing

• Metadata Fields

  • Is Parameter Set to Override Continuous Enrollment Criteria
  • Is Parameter Set to Override Payor Criteria

• Validation Only Fields

  • Is Acceptable Membership Gap Length in Prior Year
  • Is Zero or One Membership Gaps in Prior Year
  • Second Prior Year Effective Length of Last Membership Gap in Days with Current Membership
  • Second Prior Year Effective Length of Last Membership Gap in Days without Membership at End of Year
  • Is Acceptable Membership Gap Length in Second Prior Year
  • Is Zero or One Membership Gaps in Second Prior Year
  • Is Current Year + 2 Prior Years Continuous Membership Criterion Met
  • Is Current Year Continuous Membership Criterion Met

• Measure Fields

  • Denominator
  • Numerator

• NCQA Cert Fields

  • Is NCQA Numerator Criteria Met
  • Is Record with Payer that Meet NCQA Epop Criteria
  • Output NCQA Payer Type Code
  • NCQA Race Code
  • NCQA Ethnicity Code
  • NCQA Gender Code
  • Patient Age Integer Unbounded by Death

• [No Field Group]

  • Ursa Serial ID