URSA-CKD-100: Advance Care Planning for Stage 4+ CKD Patients

Measure Description

Among ESRD or elderly CKD stage 4 or 5 patients, the percentage with evidence of advance care planning in the last 12 months

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Entity
• Component Class: Long-Form
• Denominator Case Field: Patient ID
• Target Direction: Up

Denominator Description

Patients with end-stage renal disease or patients aged 65 or older with stage 4 or 5 chronic kidney disease; with current active membership in a targeted health plan and at least 6 months of continuous prior membership with the same payor

Numerator Description

Instances of documentation, in the last 12 months, of an advance care planning discussion, or of a past history of advance care planning, including DNR status

Related Key Concepts

• CKD Patient
• CKD Stage
• Dialysis Encounter
• Kidney Transplantation Surgery Encounter

FAQs

None.