URSA-PQA-COB: Concurrent Use: Opioids and Benzodiazepines (COB)

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

The percentage of individuals ≥18 years of age with concurrent use of prescription opioids and
benzodiazepines.

Metadata

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

Denominator Description

Patients aged 18 with at least 2 fills of Opioids

Numerator Description

The number of individuals from the denominator with at least 2 prescription claims for any benzodiazepines with different dates of service and concurrent use of opioids and benzodiazepines for ≥30 cumulative days

Published Fields

  • Data Model Keys

    • Patient ID
    • Primary Payor ID
    • Primary Plan ID

  • Date Fields

    • Current Continuous Primary Payor Membership Episode Start Date
    • Current Continuous Primary Payor Membership Episode 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)
    • 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.

  • Patient Fields

    • Patient Age Integer

  • Provider Fields

    • Primary Plan Attributee Provider ID

  • Denominator Fields

    • Is Continuous Membership Criterion Met
    • Is Eligible Population
    • Is Any Required Exclusion
    • Is Required Exclusion for Hospice
    • Is Required Exclusion for Palliative Care
    • Is Denominator Event Criteria
    • Is IPSD at least 30 days ago
    • Is Required Exclusion for Cancer Related Pain
    • Is Required Exclusion for Cancer
    • Is Required Exclusion for Sickle Cell Disease
    • Denominator Excluded Reasons Description
    • Earliest Opioid Fill (IPSD)

  • Numerator Fields

    • Numerator Contribution
    • Is Numerator Qualifying Using Standard End-of-Year Timing
    • Numerator Contribution Using Standard End-of-Year Timing
    • Numerator Cumulative Days of Opioid and Benzodiazepine Overlap in Measure Year

  • Metadata Fields

    • Measure ID
    • Measure Name
    • Is Inverse Measure
    • Is Parameter Set to Override Continuous Enrollment Criteria

  • Measure Fields

    • Denominator