[SO/URSA-QUALITY] URSA-QUALITY-LBP: Use of Imaging Studies for Low Back Pain (LBP)

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Object Description

Among qualifying patients aged 18 to 75 with a new diagnosis of low back pain in the prior 12 months, the percentage without a qualifying imaging study within 28 days of the index diagnosis. Unadjusted Certified Measure aca373c8-77a5-4b4e-a6dc-f974278c4936

Metadata

  • Table Name: ursa.mo_ursa_quality_lbp
  • 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

    • Measure ID
    • 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 End Date
    • Current Continuous Primary Payor Membership Episode Start 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/Diagnosis Criterion Met
    • Index Episode Document ID
    • Index Episode ICD-10-CM Code
    • Index Episode ICD-10-CM Description
    • Index Episode Start Date
    • Index Episode Document Effective Start Date
    • Index Episode Document Effective End Date
    • Index Episode Parent Document Effective Start Date
    • Resulting Inpatient Stay ICD-10-CM Code
    • Resulting Inpatient Stay ICD-10-CM Description
    • Is Continuous Membership Criterion Met
    • Is Eligible Population
    • Is Any Required Exclusion
    • Is Required Exclusion for Prolonged Corticosteriod Use
    • Is Required Exclusion for Osteoporosis Medication
    • Is Required Exclusion for Palliative Care
    • Is Required Exclusion for Hospice
    • Is Required Exclusion for Death
    • Is Required Exclusion for 66+ Frailty and Advanced Illness
    • Is Required Exclusion for Diagnosis History That May Warrant Imaging
    • Is Required Exclusion for Procedure History That May Warrant Imaging
    • Is Required Exclusion for Recent Diagnoses That May Warrant Imaging
    • Is Required Exclusion for Recent Injuries That May Warrant Imaging
    • Denominator Excluded Reasons Description
  • Numerator Fields

    • Numerator Document ID
    • Numerator Source ID
    • Numerator Document Effective Date
    • Numerator HCPCS Code
    • Numerator HCPCS Description
    • Numerator Document Type Description
  • Metadata Fields

    • Measure Name
    • Is Inverted Measure
    • 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
    • Output NCQA Payer Type Code
    • NCQA Race Code
    • NCQA Ethnicity Code
    • NCQA Gender Code
    • Patient Age Integer Unbounded by Death
  • [No Field Group]

    • Ursa Serial ID