URSA-CKD-R03: Registry of Hospital Inpatient Admissions

Measure Description

One record per hospital inpatient admission encounter for patients with CKD as of the encounter start date.

Metadata

• Measure Type: Registry
• Temporal Structure: Event
• Component Class: Normal-Form
• Denominator Case Field: IP Encounter ID
• Target Direction: None

Published Fields

• Data Model Keys

  • IP Encounter ID
  • IP Patient ID
  • IP Encounter Primary Payor ID
  • IP Encounter Primary Plan ID
  • IP Facility Provider ID
  • IP Attending Provider ID
  • IP Primary HCPCS Procedure Provider ID
  • IP Prior Hospital IP Encounter 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

  • 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

• Date Fields

  • IP Encounter Start Date
  • IP Encounter Patient Inpatient Status Start Date
  • IP Encounter End Date
  • IP Encounter Start Date Day of Week
  • IP Inpatient Status Start Date Day of Week
  • IP Encounter End Date Day of Week
  • IP Prior Hospital IP Encounter End Date
  • IP Elapsed Days from Prior Hospital IP Encounter End Date
  • IP Is Hospital IP Discharge in Prior 30 Days
  • 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)

• Encounter Fields

  • Is Dialysis Encounter
  • Dialysis Encounter Qualifying HCPCS Code
  • IP Is Discharge Status Home or Home with Home Health
  • IP Is Routine Discharge Home
  • IP Is Discharged Home with Home Health
  • IP Inpatient LOS Category Tier 1
  • IP Is Inpatient LOS < 2 Midnights
  • IP Inpatient LOS in Elapsed Midnights
  • IP Inpatient LOS in Distinct Calendar Days
  • IP Ursa Hospital Admission Condition-Treatment Type Tier 1 Category
  • IP Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Maternity
  • IP Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Behavioral Health
  • IP Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Surgical
  • IP Is Ursa Hospital Admission Condition-Treatment Type Tier 1 Medical
  • IP Is Emergency Department Visit Parent Encounter
  • IP Is Observation Stay Parent Encounter

• Provider Fields

  • IP Facility Provider Description
  • IP Facility Provider Primary NUCC Provider Taxonomy Code
  • IP Facility Provider Primary NUCC Provider Taxonomy Description
  • IP Facility Provider State Abbreviation
  • IP Facility Provider ZIP Code 5-Digit
  • IP Attending Provider Description
  • IP Attending Provider Primary NUCC Provider Taxonomy Code
  • IP Attending Provider Primary NUCC Provider Taxonomy Description
  • 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 Visits with Attributee Individual Primary Care Provider in Last 36 Months

• Location Fields

  • Patient State Abbreviation
  • Patient ZIP Code 5-Digit
  • Patient County Description
  • UW HIP ADI Quintile Category
  • CDC SVI Overall Quintile Category
  • CDC SVI Socioeconomic Quintile Category
  • CDC SVI Household / Disability Quintile Category
  • CDC SVI Minority / Language Quintile Category
  • CDC SVI Housing / Transportation Quintile Category

• Insurance Fields

  • IP Encounter Primary Payor Description
  • IP Encounter Primary Plan Description
  • IP Encounter Primary Plan Financial Class Description
  • IP Is Encounter Primary Plan Financial Class Commercial
  • IP Is Encounter Primary Plan Financial Class Medicare FFS
  • IP Is Encounter Primary Plan Financial Class Medicare Advantage
  • IP Is Encounter Primary Plan Financial Class Medicaid
  • Primary Plan Description
  • Primary Plan Financial Class Description

• Clinical Services Fields

  • IP Is Surgery Encounter
  • IP Is Prior Hospital IP Admit Surgery Encounter
  • IP Primary HCPCS Procedure HCPCS Code
  • IP Primary HCPCS Short Description
  • IP Primary HCPCS Long Description
  • IP Is Primary HCPCS Procedure Surgical
  • IP Primary HCPCS AHRQ CCS Single-Level Procedure Category Code
  • IP Primary HCPCS AHRQ CCS Single-Level Procedure Category Description
  • IP Principal ICD Procedure ICD-10-PCS Code
  • IP Principal ICD Procedure ICD-10-PCS Description
  • IP Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Code
  • IP Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Description
  • IP Principal ICD-10-PCS AHRQ CCS Single-Level Procedure Category Code
  • IP Principal ICD-10-PCS AHRQ CCS Single-Level Procedure Category Description
  • Is Hospice in Last 12 Months
  • Dialysis Modality Category
  • Is Dialysis Modality Hemodialysis
  • Is Dialysis Modality Peritoneal Dialysis
  • Vascular Access Type Category
  • Is Vascular Access Type Any Catheter
  • Is Vascular Access Type Graft Without Catheter
  • Is Vascular Access Type Fistula Only

• Diagnosis Fields

  • IP Principal Discharge Diagnosis ICD-10-CM Code
  • IP Principal Discharge Diagnosis ICD-10-CM Description
  • IP Prior Admit Principal Discharge Diagnosis ICD-10-CM Code
  • IP Prior Admit Principal Discharge Diagnosis ICD-10-CM Description
  • IP Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
  • IP Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
  • IP Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
  • IP Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
  • IP Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Code
  • IP Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Description
  • IP Discharge Diagnosis WHO ICD-10 Chapter Description
  • IP Discharge Diagnosis WHO ICD-10 Block Description
  • 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 Acquired Hypothyroidism
  • Is CCW Acute Myocardial Infarction
  • Is CCW Alzheimers Disease
  • Is CCW Anemia
  • Is CCW Anxiety Disorders
  • Is CCW Asthma
  • Is CCW Atrial Fibrillation
  • Is CCW Benign Prostatic Hyperplasia
  • Is CCW Bipolar Disorder
  • Is CCW Breast Cancer
  • Is CCW Cataract
  • Is CCW CKD
  • Is CCW COPD and Bronchiectasis
  • Is CCW Colorectal Cancer
  • Is CCW Depression
  • Is CCW Depressive Disorders
  • Is CCW Diabetes
  • Is CCW Endometrial Cancer
  • Is CCW Glaucoma
  • Is CCW Heart Failure
  • Is CCW Ischemic Heart Disease
  • Is CCW Hip or Pelvic Fracture
  • Is CCW Hyperlipidemia
  • Is CCW Hypertension
  • Is CCW Lung Cancer
  • Is CCW Osteoporosis
  • Is CCW Prostate Cancer
  • Is CCW Rheumatoid Arthritis or Osteoarthritis
  • Is CCW Stroke or Transient Ischemic Attack
  • Is CCW Schizophrenia or Other Psychotic Disorders
  • CCW Count Category
  • Is CCW Alzheimers Disease and Related Disorders or Senile Dementia
  • 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

• Billing and Claims Fields

  • IP MS-DRG Code
  • IP MS-DRG Description
  • IP MS-DRG MDC Code
  • IP MS-DRG MDC Description
  • IP Is CMS DRG Medical-Surgical Type Surgical
  • IP Is CMS DRG Medical-Surgical Type Medical
  • IP CMS DRG Weight
  • IP APR-DRG Code
  • IP APR-DRG Description
  • IP APR-DRG MDC Code
  • IP APR-DRG MDC Description
  • IP APR-DRG Severity of Illness Code
  • IP APR-DRG Risk of Mortality Code
  • IP Is APR-DRG Medical Surgical Type Medical
  • IP Is APR-DRG Medical Surgical Type Surgical
  • IP CMS Admit Type Code
  • IP CMS Admit Type Description
  • IP CMS Admit Source Code
  • IP CMS Admit Source Description
  • IP CMS Place of Service Code
  • IP CMS Place of Service Description
  • IP CMS Patient Discharge Status Code
  • IP CMS Patient Discharge Status Description

• Financial Fields

  • IP Primary Plan Allowed Amount
  • IP Primary Plan Paid Amount
  • IP Total Plan Paid Amount from All Plans
  • IP Patient Paid Amount

• Metadata Fields

  • IP Calculated MS-DRG Mean Length of Stay in Calendar Days
  • IP Relative Change of Encounter LOS to Calculated MS-DRG Mean
  • IP Calculated APR-DRG Mean Length of Stay in Calendar Days
  • IP Relative Change of Encounter LOS to Calculated APR-DRG Mean
  • IP CMS DRG Arithmetic Mean LOS
  • IP Relative Change of Encounter LOS to CMS MS-DRG Arithmetic Mean
  • IP CMS DRG Geometric Mean LOS
  • IP Relative Change of Encounter LOS to CMS MSDRG Geometric Mean

• Measure Fields

  • Denominator

• Module Fields

  • CKD Stage Category
  • 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