URSA-CKD-104: Nephrologist Visit 180+ Days Prior to Dialysis

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

Among instances of ESRD dialysis starts, the percentage with a nephrology provider clinician office visit within 180 to 360 days prior

Metadata

  • Measure Identifier: URSA-CKD-104
  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Encounter ID
  • Target Direction: Up

Denominator Description

One record per ESRD Start Encounter with dialysis. The encounter marks the progression of a CKD patient from stage 5 or below to ESRD. In all cases, the patient must be found to meet the criteria for ESRD as of the dialysis encounter, and only the first qualifying encounter in the patient’s life is included.

Numerator Description

ESRD dialysis starts with a nephrology provider clinician office visit in the window 180 days - 260 days prior to the denominator encounter start date.

Published Fields

  • Data Model Keys

    • 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

    • Encounter Start Date
    • Current Continuous Primary Payor Membership Episode Start Date
    • Current Continuous Primary Payor Membership Episode End Date
    • Current Dialysis Episode Start Date
    • Current Dialysis 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)

  • Provider Fields

    • CKD Physician Management Category
    • 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

  • Clinical Services Fields

    • Dialysis Modality Category
    • Is Encounter Dialysis Modality Hemodialysis
    • Is Encounter Dialysis Modality Peritoneal Dialysis
    • Is Hospice in Last 12 Months

  • 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

  • Encounter Fields

    • Encounter Setting Category
    • Is Encounter Setting Home
    • Is Encounter Setting Inpatient
    • Is Encounter Setting Outpatient Dialysis Facility
    • Is Encounter Setting Outpatient Non-Dialysis Facility
    • Dialysis Access Type Category
    • Is Dialysis Vascular Access Type Any Catheter
    • Is Dialysis Vascular Access Type Graft Without Catheter
    • Is Dialysis Vascular Access Type Fistula Only

  • Location Fields

    • Patient State Abbreviation
    • Patient ZIP Code 5-Digit
    • Patient County Description
    • UW HIP ADI Quintile Category
    • CDC SVI Overall Quintile Category

  • Insurance Fields

    • Is Any Current Plan Membership
    • Primary Plan Description

  • 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 Diabetes
    • CCW Systems Category
    • Count CCW Systems
    • Is CCW System Congenital
    • Is CCW System Endocrine/Metabolic
    • Is CCW System Hematologic
    • Is CCW System Neurological
    • Is CCW System Oncologic
    • Is CCW System Ophthalmologic
    • Is CCW System Other

  • Numerator Fields

    • Nephrologist Office Visit Encounter ID
    • Nephrologist Office Visit Facility Provider ID
    • Nephrologist Office Visit Service Provider ID
    • Nephrologist Office Visit Provider Group ID
    • Nephrologist Office Visit Encounter Date
    • Nephrologist Office Visit Service Provider Description
    • Nephrologist Office Visit Provider Group Description
    • Nephrologist Office Visit Principal Discharge Diagnosis ICD-10-CM Code
    • Nephrologist Office Visit Principal Discharge Diagnosis ICD-10-CM Description
    • Nephrologist Office Visit Primary Plan Allowed Amount
    • Nephrologist Office Visit Primary Plan Paid Amount
    • Nephrologist Office Visit Total Plan Paid Amount from All Plans
    • Nephrologist Office Visit Patient Paid Amount

  • Measure Fields

    • Denominator
    • Numerator

  • 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