URSA-PQA-PDC-DR: Diabetes All Class (PDC-DR)

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

The percentage of individuals ≥18 years of age who met the Proportion of Days Covered (PDC) threshold of 80% for diabetes medications during the measurement year.

Metadata

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

Denominator Description

None

Numerator Description

Patients with at least 80% medication coverage of the treatment period in the prior 12 months.

Published Fields

  • Data Model Keys

    • Patient ID
    • Primary Payor ID
    • Primary Plan ID

  • 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.

  • Patient Fields

    • Patient Date of Death
    • Patient Age as of start of MY

  • Provider Fields

    • Primary Plan Attributee Provider ID

  • Denominator Fields

    • Rolling 12 Mo. Index Prescription Start Date
    • Treatment Period End Date
    • Treatment Period Length in Days
    • Is Denominator Event/Diagnosis Criteria Met
    • Is Any Required Exclusion
    • Is Required Exclusion for ESRD
    • Is Required Exclusion for Insulin Use
    • Is Required Exclusion for Hospice
    • Denominator Excluded Reasons Description
    • Is Continuous Membership Criteria Met
    • Is Eligible Population
    • Current Continuous Primary Payor Membership Episode Start Date
    • Current Continuous Primary Payor Membership Episode End Date

  • Numerator Fields

    • PDC
    • Is Numerator Criteria Met
    • Total Days in Treatment Period
    • Total Days Covered in the Treatment Period
    • Earliest Dispensing Event in Calendar Year
    • Covered Period Start Date
    • Covered Period End Date
    • Is Numerator Qualifying Using Standard End-of-Year Timing
    • Numerator Contribution
    • Numerator Contribution Using Standard End-of-Year Timing

  • Measure Fields

    • Denominator
    • Numerator

  • Metadata Fields

    • Measure ID
    • Measure Name
    • Is Inverse Measure
    • Is Parameter Set to Override Continuous Enrollment Criteria
    • Is Treatment Period at least 91 Days

  • [No Field Group]