URSA-QUALITY-FUH30: Follow-Up After Mental Illness - 30 Day (FUH30)

Measure Description

None

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Entity
• Component Class: Long-Form
• Denominator Case Field: Index Episode Index Patient ID, Index Episode Final Discharge Date, Output NCQA Payer Type Code
• Target Direction: None

Denominator Description

One per discharge for members 6 years of age and older who were hospitalized for treatment of selected mental illness or intentional self-harm diagnosis.

Numerator Description

Qualifying denominator discharges with a follow-up within 30 days after discharge.

Published Fields

• Data Model Keys

  • Primary Payor ID
  • Primary Plan ID

• Patient Fields

  • Patient Age Integer
  • Patient Age Integer Unbounded by Death
  • Patient Operational ID
  • Patient Date of Birth
  • 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 Any Required Exclusion
  • Is Eligible Population
  • Denominator Excluded Reasons Description
  • Denominator NCQA Performance Period Start Date
  • Denominator Performance Period End Date
  • Denominator Performance Period Start Date
  • Discharge Date + 30 Days
  • Is Exclusion Readmit Encounter that Meets Acute Readmission Criteria
  • Is Exclusion Readmit Encounter that Meets Nonacute Readmission Criteria
  • Exclusion Readmit Episode Start Date
  • Exclusion Readmit Episode End Date
  • Is Required Exclusion for Hospice
  • Is Required Exclusion for Patient Death

• 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

• Metadata Fields

  • Table Last Updated Datetime
  • 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

• 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

• [No Field Group]

  • Measure ID
  • Measure Name
  • Ursa Serial ID