URSA-QUALITY-PPC2: Postpartum Care (PPC2)

Measure Description

The percentage of deliveries of live births on or between October 8 of the year prior to the measurement year and October 7 of the measurement year. The percentage of deliveries that had a postpartum visit on or between 7 and 84 days after delivery.

Metadata

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

Denominator Description

None

Numerator Description

None

Published Fields

• Data Model Keys

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

• Patient Fields

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

• Date Fields

  • Delivery Document Effective Date
  • 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 Denominator Event Criterion Met
  • Is Continuous Membership Criterion Met
  • Is Continuous Membership Criterion Met for Numerator 1
  • Is Eligible Population
  • Is Any Required Exclusion
  • Is Required Exclusion for Hospice in Measurement Year
  • Is Required Exclusion for Patient Death in Measurement Year
  • Days from Previous Delivery
  • Denominator Excluded Reasons Description
  • NCQA Race Code
  • NCQA Ethnicity Code

• 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

• Metadata Fields

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

• Validation Only Fields

  • Is Index Event to Keep

• Measure Fields

  • Denominator
  • Numerator

• NCQA Cert Fields

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

• [No Field Group]

  • Ursa Serial ID