URSA-QUALITY-FUA30: Follow Up After ED Visit for Substance Use (FUA30)

  • Published on Apr 10, 2026
  • 4 minute(s) read
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Measure Description

The percentage of emergency department (ED) visits for members 13 years of age and older with a principal diagnosis of SUD, or any diagnosis of drug overdose, and had a mental health follow-up service. Unadjusted Certified Measure a2504ae3-d1bf-461b-bb2d-ecd96d3c976e

Metadata

  • Measure Identifier: URSA-QUALITY-FUA30
  • Measure Type: Rate Measure
  • Temporal Structure: Entity
  • Component Class: Long-Form
  • Denominator Case Field: Output NCQA Payer Type Code, Parent Document ID, Patient ID
  • Target Direction: Up

Denominator Description

ED Visits for patients 13 and older

Numerator Description

Qualifying denominator patients with a Follow Up Visit within 7 Days

Published Fields

  • Data Model Keys

    • Patient ID -- The internal database identifier (used, e.g., for joins and primary keys) for the patient. This value is typically mastered, i.e., all records for the same patient, regardless of the source data system from which that record originated, should have the same Patient ID value. (Note that while the mastered Patient ID value might resemble a local identifier used in one of the upstream data sources, this does not indicate any special priority of that source system in determining the characteristics of the patient.) (See also [URSA-CORE] Patient)
    • Primary Plan Attributee Provider ID
    • Primary Payor ID -- The internal database identifier (used, e.g., for joins and primary keys) for the Primary Payor. (See also [URSA-CORE] Primary Payor)
    • Primary Plan ID -- The identifier for the health insurance plan product that is the first party responsible for payment.

  • Date Fields

    • Parent Document Effective Start Date -- The date that the events associated with the current document's parent document began.
    • Parent Document Effective End Date -- The last date on which events associated with the current document's parent document occurred or continued until.
    • Current Continuous Primary Payor Membership Episode Start Date -- The start date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. (See also [URSA-CORE] Continuous Primary Payor Membership Episode)
    • Current Continuous Primary Payor Membership Episode End Date -- The end date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. Values follow the standard exclusive convention for Period End Dates. (See also [URSA-CORE] Continuous Primary Payor Membership Episode, [URSA-CORE] Period 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.

  • Patient Fields

    • Patient Age Integer at Index ED Visit
    • Patient Operational ID -- The user-facing value used by staff used to uniquely identify the Patient in their administrative systems and/or day-to-day operations. (See also [URSA-CORE] Patient)
    • Patient Date of Birth -- The patient's date of birth. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the date of birth found on that particular type of record in the source data.
    • Is Patient Sex Female -- Indicates the patient's sex is female. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the patient sex documented on that particular type of record in the source data.
    • Is Patient Sex Male -- Indicates the patient's sex is male. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the patient sex documented on that particular type of record in the source data.
    • Patient State Abbreviation
    • Patient ZIP Code 5-Digit

  • 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 Denominator Event Criteria Met
    • Denominator Excluded Reasons Description
    • Denominator Performance Period End Date
    • Denominator Performance Period Start Date
    • ED Parent Document Effective End Date + 30 Days
    • ED Parent Document Effective End Date + 31 Days

  • Numerator Fields

    • Is Numerator Qualifying Using Standard End-of-Year Timing
    • Numerator Component Contribution Using Standard End-of-Year Timing
    • Numerator Document ID
    • Numerator Source ID
    • Numerator Document Effective Date
    • Numerator HCPCS Code
    • Numerator HCPCS Description
    • Numerator Document Type Description

  • NCQA Cert Fields

    • Is NCQA Numerator Criteria Met
    • Output NCQA Payer Type Code
    • Patient Age Integer Unbounded at Index ED Visit
    • NCQA Race Code -- The code used to identify race in official NCQA measure submissions; e.g., 1 = White, 2 = Black or African American, 3 = American Indian and Alaska Native, 4 = Asian, etc.
    • NCQA Ethnicity Code -- The code used to identify ethnicity in official NCQA measure submissions; e.g., 1 = Hispanic or Latino, 2 = Not Hispanic or Latino, 3 = Unknown Ethnicity.
    • NCQA Gender Code -- The code used to identify gender in official NCQA measure submissions; e.g., M = male; F = female.

  • Measure Fields

    • Denominator
    • Numerator

  • Metadata Fields

    • Table Last Updated Datetime
    • Is Parameter Set to Override Continuous Enrollment Criteria
    • Is Parameter Set to Override Payor Criteria

  • [No Field Group]

    • Measure ID
    • Measure Name
    • Ursa Serial ID

  • Provider Fields