Measure Description
Among surgery encounters, the percent of patients discharged home or home with home health
Metadata
- Measure Type: Rate Measure
- Temporal Structure: Event
- Component Class: Normal-Form
- Denominator Case Field: Encounter ID
- Target Direction: Up
Denominator Description
One per surgery encounter; excludes surgery encounters without an encounter end date.
Numerator Description
Surgery encounters with a CMS Patient Discharge Status Code indicating the patient was discharged home or home with home health.
Published Fields
-
Data Model Keys
- Encounter ID
- Patient ID
- Encounter Primary Payor ID
- Encounter Primary Plan ID
- Facility Provider ID
- Attending Provider ID
- Primary HCPCS Procedure Provider ID
-
Date Fields
- Encounter LOS in Elapsed Midnights
- Is Same Day Discharge
- 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
- Surgery Encounter Setting Category
- Is Patient Discharged Home or Home with Home Health
- Is Hospital Inpatient Admission Encounter
- Is Ambulatory Surgical Center Encounter
- Is Hospital Outpatient Surgery Encounter
- Is Emergency Department Parent Encounter
- Is Observation Stay Parent Encounter
- Is MSK Related Encounter
-
Provider Fields
- Facility Provider Description
- Facility Provider Primary NUCC Provider Taxonomy Code
- Facility Provider Primary NUCC Provider Taxonomy Description
- Facility Provider Practice Address State Abbreviation
- Facility Provider Practice Address ZIP Code 5-Digit
- Attending Provider Description
- Attending Provider Primary NUCC Provider Taxonomy Code
- Attending Provider Primary NUCC Provider Taxonomy Description
-
Insurance Fields
- Encounter Primary Payor Description
- Encounter Primary Plan Description
- Encounter Primary Plan Financial Class Description
-
Clinical Services Fields
- Primary HCPCS Procedure HCPCS Code
- Primary HCPCS Short Description
- Primary HCPCS Long Description
- Is Primary HCPCS Procedure Surgical
- Primary Surgical Procedure HCPCS Category
- Is Primary HCPCS Surgical Procedure of Musculoskeletal System
- Primary HCPCS MSK Surgical Procedure Category
- Primary HCPCS AHRQ CCS Single-Level Procedure Category Code
- Primary HCPCS AHRQ CCS Single-Level Procedure Category Description
- Principal ICD Procedure ICD-10-PCS Code
- Principal ICD Procedure ICD-10-PCS Description
- Is Principal ICD-10-PCS Operation of Musculoskeletal System
- Principal ICD-10-PCS AHRQ CCS Single-Level Procedure Category Code
- Principal ICD-10-PCS AHRQ CCS Single-Level Procedure Category Description
- Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Code
- Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Description
- Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 2 Code
- Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 2 Description
- Surgery Encounter Hip-Knee Category
-
Diagnosis Fields
- Principal Discharge Diagnosis ICD-10-CM Code
- Principal Discharge Diagnosis ICD-10-CM Description
- Is Principal Discharge Diagnosis Musculoskeletal System
- 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
- Ursa Hospital Admission Condition-Treatment Type Tier 1 Category
- MS-DRG Code
- MS-DRG Description
- MS-DRG MDC Code
- MS-DRG MDC Description
- Is MS-DRG MDC Code Musculoskeletal System
- APR-DRG Code
- CMS Admit Type Code
- CMS Admit Type Description
- CMS Admit Source Code
- CMS Admit Source Description
- CMS Place of Service Description
- CMS Place of Service Code
- 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
-
Validation Only Fields
- Is Any Total Hip or Knee Replacement
- Is MSDRG for Hip or Knee Replacement
- Is Principal ICD-10 PCS AHRQ CCS Single Level Category Total Knee
- Is Principal ICD-10 PCS AHRQ CCS Single Level Category Total Hip
- Is Primary HCPCS AHRQ CCS Single Level Category Total Knee
- Is Primary HCPCS AHRQ CCS Single Level Category Total Hip
-
Measure Fields
- Denominator