URSA-MSSP-CQM-CBP-DC: Controlling High Blood Pressure (Q236 CQM DC)

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Measure Description

Among patients aged 18 to 85 with a diagnosis of essential hypertension and a prior qualifying visit in the last 12 months, the percentage with complete data for the controlling high blood pressure performance rate.

Metadata

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

Denominator Description

Patients aged 18 to 85 with a diagnosis of essential hypertension and 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 and Diagnosis Criterion Met
    • Qualifying Denominator Visit Date
    • Is Any Required Exclusion
    • Is Required Exclusion for Hospice
    • Is Required Exclusion for Palliative Care
    • Is Required Exclusion for ESRD
    • Is Required Exclusion for Dialysis
    • Is Required Exclusion for Kidney Transplant
    • Is Required Exclusion for Pregnancy in Last 12 Months
    • Is Required Exclusion for ESRD, Dialysis, Transplant or Pregnancy
    • Is Required Exclusion for 66+ with Institutional Special Needs Plan
    • Is Required Exclusion for Ages 66-80 with Frailty and Dementia Medication
    • Is Required Exclusion for Ages 66-80 with Frailty and Advanced Illness
    • Is Required Exclusion for Ages 81+ with Frailty
    • Is Eligible Population
  • Numerator Fields

    • Is Data Completeness Continuous Membership Criterion Met
  • Patient Fields

    • Patient Age on Date of Qualifying Encounter
    • 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