URSA-PHF-032: Observation to Hospital IP Conversion Rate

Measure Description

Among hospital observation unit encounters, the percent converting to a hospital inpatient admission.

Metadata

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

Denominator Description

One record per hospital observation stay.

Numerator Description

Count of Observation Stays resulting in a Hospital Inpatient Admission.

Published Fields

• Data Model Keys

  • Encounter ID
  • Patient ID
  • Encounter Primary Payor ID
  • Encounter Primary Plan ID
  • Facility Provider ID
  • Attending Provider ID

• Date Fields

  • Encounter Start Date
  • Encounter 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)

• Encounter Fields

  • LOS in Elapsed Midnights
  • Is Obs Encounter LOS >= 2 Midnights
  • Is Obs Encounter LOS >= 1 Midnight
  • Is Emergency Department Visit Parent Encounter
  • Is Patient Admitted to Hospital Inpatient

• Diagnosis Fields

  • Principal Discharge Diagnosis ICD-10-CM Code
  • Principal Discharge Diagnosis ICD-10-CM Description
  • Ursa Observation Stay Principal Diagnosis Category
  • Is Principal Discharge Diagnosis Chest Pain
  • Is Principal Discharge Diagnosis CHF
  • Is Principal Discharge Diagnosis Asthma
  • Principal Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
  • Principal Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
  • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
  • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
  • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Code
  • Principal Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Description

• Billing and Claims Fields

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

• Financial Fields

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

• Measure Fields

  • Denominator