URSA-MSSP-CQM-BCS-DC: Breast Cancer Screening CQM (Q112 CQM DC)

  • Published on Aug 21, 2025
  • 1 minute(s) read
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Measure Description

Among women 40 to 74 years of age with a prior qualifying visit in the last 12 months, the percentage with complete data for the breast cancer screening performance rate.

Metadata

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

Denominator Description

Women 40-74 years of age with a prior qualifying visit in the last 12 months.

Numerator Description

Patients with data completeness.

Published Fields

  • Data Model Keys

    • Measure ID
    • Patient ID
    • Affiliated Program Entity ID
    • Affiliated Program Entity Provider ID
    • Primary Payor ID
    • Primary Plan ID
    • Primary Plan Attributee Provider Contract ID

  • Operations Support Fields

    • Is Patient Affiliated to a Program Entity
    • Program Entity Operational ID
    • Program Operational ID
    • Patient Operational ID

  • Denominator Fields

    • Is Denominator Event Criterion Met
    • Qualifying Denominator Visit Date
    • Is Any Required Exclusion
    • Is Required Exclusion for Bilateral Mastectomy
    • Is Required Exclusion for Hospice
    • Is Required Exclusion for 66+ with Institutional Special Needs Plan
    • Is Required Exclusion for 66+ with Frailty and Dementia Medications
    • Is Required Exclusion for 66+ with Frailty and Advanced Illness
    • Is Eligible Population

  • Numerator Fields

    • Is Data Completeness Continuous Membership Criterion Met

  • Patient Fields

    • Patient Age at Beginning of Performance Period
    • Patient Date of Birth
    • Patient State Abbreviation
    • Patient ZIP Code 5-Digit
    • Is Patient Sex Female
    • Is Patient Sex Male

  • Provider Fields

    • Primary Plan Attributee Provider ID
    • Primary Plan Attributee Provider Description

  • Insurance Fields

    • Primary Payor Description
    • Primary Plan Description
    • Primary Plan Financial Class Description

  • Date Fields

    • 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)
    • Snapshot Date -- The date, evaluated at 00:00:00 AM, giving the moment the state of the world will be set to for the purposes of an analysis. The snapshot date does not represent the freshness of the data, or the date in real time at which an analysis was executed.

  • Measure Fields

    • Denominator