URSA-PHF-033: Emergency Dept. to Hospital IP Conversion Rate

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

Among Emergency Department Visits, 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 Emergency Department Visit.

Numerator Description

Count of Emergency Department Visits 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
    • Encounter LOS in Elapsed Midnights
    • Encounter LOS in Distinct Calendar 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 Patient Admitted to Observation
    • Is Patient Admitted to Hospital Inpatient

  • Provider Fields

    • Facility Provider Description
    • Facility Provider Primary NUCC Provider Taxonomy Code
    • Facility Provider Primary NUCC Provider Taxonomy Description
    • Attending Provider Description
    • Attending Provider Primary NUCC Provider Taxonomy Code
    • Attending Provider Primary NUCC Provider Taxonomy Description

  • Insurance Fields

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

  • Diagnosis Fields

    • Principal Discharge Diagnosis ICD-10-CM Code
    • Principal Discharge Diagnosis ICD-10-CM Description
    • 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

    • 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