URSA-QUALITY-ADD1: ADD-E Initiation Phase (ADD1)

Measure Description

The percentage of members 6–12 years of age with a prescription dispensed for ADHD medication, who had one follow-up visit with a practitioner with prescribing authority during the 30-day initiation phase. Unadjusted Certified Measure 8d315e71-a472-4e0c-b8ef-4e117932d51b

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Entity
• Component Class: Long-Form
• Denominator Case Field: Index Patient ID, Output NCQA Payer Type Code
• Target Direction: None

Denominator Description

Patients aged 6-12 years old who were dispensed an ADHD medication during the 12-month intake period.

Numerator Description

Qualifying denominator patients who had a follow-up visit with a practitioner with prescribing authority within 30 days following the index prescription start date.

Published Fields

• Data Model Keys

  • Measure ID
  • Measure Name
  • Patient ID
  • Primary Payor ID
  • Primary Plan ID

• Patient Fields

  • Patient Operational ID
  • Patient Date of Birth
  • Patient Age Integer
  • Is Patient Sex Female
  • Is Patient Sex Male
  • Patient Date of Death
  • Patient State Abbreviation
  • Patient ZIP Code 5-Digit

• 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.

• Provider Fields

  • Primary Plan Attributee Provider ID
  • Primary Plan Attributee Provider Description
  • Primary Plan Attributee Primary NUCC Provider Taxonomy Description

• Insurance Fields

  • Primary Payor Description
  • Primary Plan Description
  • Primary Plan Financial Class Description

• Denominator Fields

  • Is Continuous Membership Criterion Met
  • Is Any Required Exclusion
  • Is Eligible Population
  • Is Required Exclusion for Hospice
  • Is Required Exclusion for Patient Death
  • Is Required Exclusion for Narcolepsy
  • Index Episode ID
  • Index Episode Start Date
  • Index Episode End Date
  • Index Episode Length Days
  • Index Episode Aggregate Days Supply
  • Index ADHD Medication Category
  • Is Event Criteria Met
  • Denominator Excluded Reasons Description
  • Denominator NCQA Performance Period Start Date
  • Denominator Performance Period End Date
  • Denominator Performance Period Start Date
  • IPSD plus 30 days
  • Prior Document Effective Date

• Numerator Fields

  • Is NCQA Numerator Criteria Met
  • Is Numerator Qualifying Using Standard End-of-Year Timing
  • Numerator Component Contribution Using Standard End-of-Year Timing
  • Follow Up Encounter Document ID
  • Follow Up Encounter Document Effective Date
  • Is Follow Up Encounter Source Claim
  • Is Follow Up Encounter Source Bill
  • Is Follow Up Encounter Source EMR

• Metadata Fields

  • Table Last Updated Datetime
  • Is Parameter Set to Override Continuous Enrollment Criteria
  • Is Parameter Set to Override Payor Criteria
  • Report Designated Control for Expanded Denominator Performance Period Start Date

• Measure Fields

  • Denominator
  • Numerator

• NCQA Cert Fields

  • NCQA Race Code
  • NCQA Ethnicity Code
  • NCQA Gender Code
  • Patient Age Integer Unbounded by Death
  • Output NCQA Payer Type Code

• [No Field Group]

  • Ursa Serial ID