URSA-QUALITY-CISINFL: Childhood Immunizations Influenza (CISINFL)

Measure Description

The percentage of children 2 years of age who had two (2) Flu vaccines by their second birthday.

Metadata

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

Denominator Description

Patients who turn 2 years of age during the measurement year.

Numerator Description

Qualifying denominator patients with two (2) Flu vaccines by their second birthday.

Published Fields

• Data Model Keys

  • 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
  • Patient Date of Death

• 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 History of Contraindication of Vaccine
  • Is Required Exclusion for History of Organ and Bone Marrow Transplant
  • Denominator Excluded Reasons Description
  • Measure ID
  • Measure Name
  • Is Qualifying Age per Report Designated Control

• Numerator Fields

  • Numerator Component Contribution Using Standard End-of-Year Timing
  • Is Numerator Qualifying Using Standard End-of-Year Timing
  • Numerator First INFL Vaccination Document ID
  • Numerator First INFL Vaccination Source ID
  • Numerator First INFL Vaccination Document Effective Date
  • Numerator Second INFL Vaccination Document ID
  • Numerator Second INFL Vaccination Source ID
  • Numerator Second INFL Vaccination Document Effective Date
  • Numerator Anaphylaxis Document ID
  • Numerator Anaphylaxis Source ID
  • Numerator Anaphylaxis Document Effective Date
  • Numerator Newborn INFL Vaccination Document ID
  • Numerator Newborn INFL Vaccination Source ID
  • Numerator Newborn INFL Vaccination Document Effective Date
  • Numerator After-Newborn LAIV Vaccination Document ID
  • Numerator After-Newborn LAIV Vaccination Source ID
  • Numerator After-Newborn LAIV Vaccination Document Effective Date

• Metadata Fields

  • Is Parameter Set to Override Continuous Enrollment Criteria
  • Is Parameter Set to Override Payor Criteria
  • Report Designated Control for Expanded Denominator Performance Period Start Date
  • Patient DOB plus 2 years

• Measure Fields

  • Denominator
  • Numerator

• NCQA Cert Fields

  • Is NCQA Numerator Criteria Met
  • Output NCQA Payer Type Code
  • NCQA Race Code
  • NCQA Ethnicity Code
  • NCQA Gender Code
  • Patient Age Integer Unbounded by Death

• [No Field Group]

  • Final Qualifying Numerator Document ID