URSA-QUALITY-W30A: Well-Child Visits in the First 15 Months (W30A)

Measure Description

Among patients 15 months old, the percentage who have had six (6) or more well-child visits.

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 turned 15 months old during the measurement year.

Numerator Description

Qualifying denominator patients who have had six (6) or more well-child visits.

Published Fields

• Data Model Keys

  • Patient ID
  • Primary Payor ID
  • Primary Plan ID

• Patient Fields

  • 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
  • Patient Age Integer

• 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
  • Denominator Excluded Reasons Description
  • Measure ID
  • Measure Name
  • Is Qualifying Age per Report Designated Control

• Numerator Fields

  • Visit1 Document ID
  • Visit1 Source ID
  • Visit1 Document Effective Date
  • Visit2 Document ID
  • Visit2 Source ID
  • Visit2 Document Effective Date
  • Visit3 Document ID
  • Visit3 Source ID
  • Visit3 Document Effective Date
  • Visit4 Document ID
  • Visit4 Source ID
  • Visit4 Document Effective Date
  • Visit5 Document ID
  • Visit5 Source ID
  • Visit5 Document Effective Date
  • Visit6 Document ID
  • Visit6 Source ID
  • Visit6 Document Effective Date
  • Numerator Component Contribution Using Standard End-of-Year Timing
  • Is Numerator Qualifying Using Standard End-of-Year Timing

• 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 15 Mo Birthdate

• 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