[SO/URSA-QUALITY] URSA-QUALITY-EED: Eye Exam for Patients With Diabetes (EED)

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Object Description

The percentage of members 18–75 years of age with diabetes (types 1 and 2) who had a retinal eye exam in the last 12 months. Unadjusted Certified Measure 4b8c6aa5-5947-4fa3-b32d-9b08a3740d43

Metadata

  • Table Name: ursa.mo_ursa_quality_eed
  • Layer: SYNTHETIC_OBJECT
  • Object Type: Replicated Measure
  • Temporal Class: Event
  • Case ID: Snapshot Date, Patient ID, Output NCQA Payer Type Code
  • Event Date: Snapshot Date
  • Primary Key: Ursa Serial ID

Published Fields

  • Data Model Keys

    • Patient ID
    • Primary Payor ID
    • Primary Plan ID
  • Patient Fields

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

    • Current Continuous Primary Payor Membership Episode Start Date
    • Current Continuous Primary Payor Membership Episode End Date
    • Snapshot Date
  • 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 Eligible Population
    • Is Any Required Exclusion
    • Is Required Exclusion for Medicare 66+ Institutionalized Status
    • Is Required Exclusion for Hospice
    • Is Required Exclusion for Patient Death
    • Is Required Exclusion for Palliative Care
    • Is Required Exclusion for Bilateral Absence of Eyes
    • Is Required Exclusion for Unilateral Eye Enucleation with a Bilateral Modifier
    • Is Required Exclusion for Bilateral Eye Enucleations
    • Denominator Excluded Reasons Description
    • Is Required Exclusion for Age 66+ with Frailty and Advanced Illness
  • Numerator Fields

    • Right Eye Exam Numerator Document Effective Date
    • Left Eye Exam Numerator Document Effective Date
    • Right Eye Enucleation Numerator Document Effective Date
    • Left Eye Enucleation Numerator Document Effective Date
    • Eye Exam Numerator Document Effective Date
    • Is Numerator Qualifying Using Standard End-of-Year Timing
    • Numerator Component Contribution Using Standard End-of-Year Timing
    • Document ID
    • Document Effective Date
  • Metadata Fields

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

    • Denominator
    • Numerator
  • NCQA Cert Fields

    • Is NCQA Numerator Criteria Met
    • Prior Year Negative Eye Exam Numerator Document Effective Date
    • Output NCQA Payer Type Code
    • NCQA Race Code
    • NCQA Ethnicity Code
    • NCQA Gender Code
    • Patient Age Integer Unbounded by Death
  • Numerator

    • Numerator Contribution
  • [No Field Group]

    • Measure ID
    • Measure Name
    • Ursa Serial ID