URSA-QUALITY-COA2: Care of Older Adults - Medication Review (COA2)

Measure Description

The percentage of adults 66 years of age and older who had a medication review in the last 12 months.

Metadata

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

Denominator Description

Patients aged 66 years and older as of the snapshot date

Numerator Description

Qualifying denominator patients with a medication review in the last 12 months.

Published Fields

• Data Model Keys

  • 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 State Abbreviation
  • Patient ZIP Code 5-Digit
  • Patient Date of Death

• 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.

• 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 Eligible Population
  • Is Any Required Exclusion
  • Denominator Excluded Reasons Description
  • Is Required Exclusion for Hospice
  • Is Required Exclusion for Patient Death

• Numerator Fields

  • Is Numerator Qualifying Using Standard End-of-Year Timing
  • Numerator Component Contribution Using Standard End-of-Year Timing
  • Numerator Document Effective Date Robust
  • Numerator Document ID Robust
  • Numerator Medication Review Document ID
  • Numerator Medication Review Source ID
  • Numerator Medication Review Document Effective Date
  • Numerator Medication Review HCPCS Code
  • Numerator Medication Review HCPCS Description
  • Is Numerator Medication Review Medication Review Document
  • Numerator Medication List Source ID
  • Numerator Medication List Document Effective Date
  • Numerator Medication List HCPCS Code
  • Numerator Medication List HCPCS Description
  • Is Numerator Medication List Medication List Document
  • Transitional Care Document ID
  • Transitional Care Source ID
  • Transitional Care Document Effective Date
  • Transitional Care HCPCS Code
  • Transitional Care HCPCS Description
  • Is Transitional Care Transitional Care Management Services Document

• Metadata Fields

  • Table Last Updated Datetime
  • Is Parameter Set to Override Continuous Enrollment Criteria
  • Is Parameter Set to Override Payor Criteria

• Measure Fields

  • Measure ID
  • Measure Name
  • Denominator
  • Numerator

• NCQA Cert Fields

  • Is NCQA Numerator Criteria Met
  • Output NCQA Payer Type Code
  • NCQA Race Code
  • NCQA Ethnicity Code
  • NCQA Gender Code
  • Patient Age Integer Unbounded by Death

• [No Field Group]

  • Ursa Serial ID