URSA-CKD-002: Spending in First 6 Months of Chronic Dialysis

  • Published on Aug 30, 2025
  • 4 minute(s) read
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Measure Description

Among lifetime first chronic dialysis starts lasting at least 180 days, the total plan spending in the first 180 days following dialysis start

Metadata

  • Measure Identifier: URSA-CKD-002
  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Long-Form
  • Denominator Case Field: Episode ID
  • Target Direction: Down

Denominator Description

Lifetime dialysis starts with ongoing dialysis lasting at least 180 days; dialysis episodes must include at least one outpatient dialysis treatment.

Numerator Description

Plan spending in the first 180 days of the denominator episode.

Published Fields

  • Data Model Keys

    • Episode ID
    • Patient ID
    • First Encounter ID
    • Primary Plan ID
    • Primary Payor ID
    • Primary Plan Attributee Provider ID
    • Empirical Attributee Individual Nephrology Provider ID
    • Empirical Attributee Nephrology Group Provider ID
    • Empirical Attributee Primary Care Individual Provider ID
    • Empirical Attributee Primary Care Provider Group Provider ID

  • Date Fields

    • Episode Start Date
    • Episode End 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)

  • Module Fields

    • CKD Stage Category
    • Is CKD Stage 1
    • Is CKD Stage 2
    • Is CKD Stage 3
    • Is CKD Stage 4
    • Is CKD Stage 5
    • Is ESRD
    • Is CKD Stage Unknown
    • Is CKD Stage 3 or Higher
    • Is CKD Stage 4 or Higher
    • Is Chronic Dialysis Patient
    • Is History of Kidney Transplantation
    • Is CCW CKD

  • Encounter Fields

    • First Encounter Setting Category
    • Is First Encounter Setting Home or Outpatient Dialysis Facility
    • Is First Encounter Setting Home
    • Is First Encounter Setting Outpatient Dialysis Facility
    • Is First Encounter Setting Inpatient
    • Is First Encounter Setting Outpatient Non-Dialysis Facility
    • First Encounter Qualifying Document HCPCS Code
    • Is First Encounter Hospital Inpatient Admission Encounter
    • Is First Encounter Emergency Department Visit Parent Encounter
    • Is First Encounter Observation Stay Parent Encounter
    • Count Hospital Inpatient Admission Encounters with Dialysis
    • Count Emergency Department Visit Parent Encounters with Dialysis
    • Count Home Dialysis Encounters
    • Count Inpatient Dialysis Encounters
    • Count Outpatient Dialysis Facility Dialysis Encounters
    • Count Outpatient Non-Dialysis Facility Dialysis Encounters

  • Patient Fields

    • Patient Date of Birth
    • Is Patient Alive
    • Patient Age Integer
    • Patient Age Category Tier 1
    • Patient Age Category Tier 2
    • Patient Sex Category
    • Count Hospital Inpatient Admissions in Last 12 Months
    • Count ED Visits Without Inpatient Admissions in Last 12 Months

  • Provider Fields

    • CKD Physician Management Category
    • Plan Attributee Provider Description
    • Count Nephrology Provider Visits in Last 12 Months
    • Empirical Attributee Individual Nephrology Provider Description
    • Empirical Attributee Nephrology Group Provider Description
    • Count Primary Care Visits for CKD in Last 12 Months
    • Primary Care Engagement Category
    • Count Primary Care Visits in Last 36 Months
    • Empirical Attributee Primary Care Provider Group Description
    • Empirical Attributee Individual Primary Care Provider Description
    • Count Visits with Attributee Individual Primary Care Provider in Last 36 Months
    • Count Visits with Attributee Primary Care Provider Group in Last 36 Months

  • Location Fields

    • Patient ZIP Code 5-Digit
    • UW HIP ADI Quintile Category
    • CDC SVI Overall Quintile Category

  • Insurance Fields

    • Is Any Current Plan Membership
    • Primary Plan Description
    • Primary Plan Financial Class Description

  • Clinical Services Fields

    • First Encounter Dialysis Modality Category
    • Is First Encounter Dialysis Modality Hemodialysis
    • Is First Encounter Dialysis Modality Peritoneal Dialysis
    • Count Documented Hemodialysis Encounters
    • Count Documented Peritoneal Dialysis Encounters
    • Last Encounter Date with Documented Hemodialysis
    • Last Encounter Date with Documented Peritoneal Dialysis
    • First Encounter Vascular Access Type Category
    • Is First Encounter Vascular Access Type Any Catheter
    • Is First Encounter Vascular Access Type Graft Without Catheter
    • Is First Encounter Vascular Access Type Fistula Only
    • Is Hospice in Last 12 Months

  • Diagnosis Fields

    • Count CCW Conditions
    • Is CCW System Behavioral Health
    • Is CCW System Cardiovascular
    • Is CCW System Genitourinary
    • Is CCW System Musculoskeletal
    • Is CCW System Pulmonary
    • Is CCW COPD and Bronchiectasis
    • Is CCW Diabetes
    • Is CCW Hyperlipidemia
    • Is CCW Hypertension

  • Numerator Fields

    • Numerator Document ID
    • Numerator Claim ID
    • Numerator Claim Service Line Item ID
    • Numerator Patient ID
    • Numerator Billing Provider ID
    • Numerator Payor ID
    • Numerator Plan ID
    • Numerator Source ID
    • Numerator Document Effective Date
    • Numerator Document Type Category
    • Numerator Claim Class Category
    • Numerator Ursa Setting Tier 1 Description
    • Numerator Ursa Encounter Type Tier 1 Category
    • Numerator Ursa Service Type Tier 1 Description
    • Numerator Billing Provider Description
    • Numerator CMS Type of Bill Code
    • Numerator CMS Place of Service Code
    • Numerator CMS Place of Service Description
    • Numerator HCPCS Code
    • Numerator HCPCS Description
    • Numerator CMS Revenue Center Code
    • Numerator CMS Revenue Center Description
    • Numerator Principal Diagnosis ICD-10-CM Code
    • Numerator Principal Diagnosis ICD-10-CM Description
    • Numerator Principal Diagnosis AHRQ CCS Diagnosis Category Tier 1 Description
    • Numerator Principal Diagnosis AHRQ CCS Diagnosis Category Tier 2 Description
    • Numerator NDC Code
    • Numerator Label Description
    • Numerator AHFS Therapeutic Class Tier 1 Description
    • Numerator AHFS Therapeutic Class Tier 2 Description
    • Numerator Document Allowed Amount
    • Numerator Document Plan Paid Amount
    • Numerator Document Patient Paid Amount

  • [No Field Group]

    • Ursa Serial ID

  • Episode Fields

    • Episode Length Days

  • Measure Fields

    • Denominator