URSA-CKD-105: Home or Dialysis Facility ESRD Dialysis Starts

Measure Description

Among ESRD dialysis starts with a known setting, the percentage with dialysis starts in home or outpatient dialysis facility setting

Metadata

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

Denominator Description

ESRD starts via dialysis with any documented setting

Numerator Description

ESRD dialysis starts in a home or outpatient dialysis facility setting

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

• Patient Fields

  • Patient Date of Birth
  • 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

• Date Fields

  • Start of Measurement Period
  • Encounter Start Date
  • Encounter End 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)

• 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

  • ESRD Start Type Category
  • Is ESRD Start Type Kidney Transplant
  • Is ESRD Start Type Dialysis Encounter
  • Encounter Setting Category
  • Is Encounter Setting Home
  • Is Encounter Setting Inpatient
  • Is Encounter Setting Outpatient Dialysis Facility
  • Is Encounter Setting Outpatient Non-Dialysis Facility
  • Encounter Qualifying Dialysis Document HCPCS Code
  • Encounter Qualifying Dialysis Document CMS Revenue Center Code
  • Encounter Qualifying Kidney Transplantation Document ICD-10-PCS Code
  • Encounter Qualifying Kidney Transplantation Document HCPCS Code
  • Encounter Qualifying Kidney Transplantation Document MS-DRG Code
  • Encounter CMS Type of Bill Code
  • Encounter CMS Place of Service Code
  • 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
  • Is Hospital Inpatient Admission Encounter
  • Is Emergency Department Visit Parent Encounter
  • Is Observation Stay Parent Encounter

• Clinical Services Fields

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

• 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
  • Count Visits with Attributee Individual Primary Care Provider in Last 36 Months

• Location Fields

  • Patient State Abbreviation
  • Patient ZIP Code 5-Digit
  • UW HIP ADI Quintile Category

• Insurance Fields

  • Primary Plan Description
  • Primary Plan Financial Class 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 COPD and Bronchiectasis
  • Is CCW Diabetes
  • Is CCW Hyperlipidemia
  • Is CCW Hypertension
  • CCW Count Category
  • 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

• Measure Fields

  • Denominator
  • Numerator