Measure Description
The percentage of emergency department (ED) visits for members 6 years of age and older with a principal diagnosis of mental illness, or any diagnosis of intentional self-harm, and had a mental health follow-up service. Unadjusted Certified Measure dc4d2153-809e-4a61-a3bf-b6acf690315c
Metadata
- Measure Identifier: URSA-QUALITY-FUM30
- Measure Type: Rate Measure
- Temporal Structure: Entity
- Component Class: Long-Form
- Denominator Case Field: Output NCQA Payer Type Code, Parent Document ID, Patient ID
- Target Direction: Up
Denominator Description
ED Visits for patients 18 and older
Numerator Description
Qualifying denominator patients with a Follow Up Visit within 30 Days
Published Fields
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[No Field Group]
- Measure ID
- Measure Name
- Ursa Serial ID
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Data Model Keys
- Patient ID -- The internal database identifier (used, e.g., for joins and primary keys) for the patient. This value is typically mastered, i.e., all records for the same patient, regardless of the source data system from which that record originated, should have the same Patient ID value. (Note that while the mastered Patient ID value might resemble a local identifier used in one of the upstream data sources, this does not indicate any special priority of that source system in determining the characteristics of the patient.) (See also [URSA-CORE] Patient)
- Primary Plan Attributee Provider ID
- Primary Payor ID -- The internal database identifier (used, e.g., for joins and primary keys) for the Primary Payor. (See also [URSA-CORE] Primary Payor)
- Primary Plan ID -- The identifier for the health insurance plan product that is the first party responsible for payment.
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Date Fields
- Index ED Parent Document Effective Start Date
- Index ED Parent Document Effective End Date
- Current Continuous Primary Payor Membership Episode Start Date -- The start date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. (See also [URSA-CORE] Continuous Primary Payor Membership Episode)
- Current Continuous Primary Payor Membership Episode End Date -- The end date of the Continuous Primary Payor Membership Episode in effect as of the (potentially historical) period covered by the record. Values follow the standard exclusive convention for Period End Dates. (See also [URSA-CORE] Continuous Primary Payor Membership Episode, [URSA-CORE] Period 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.
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Patient Fields
- Patient Age Integer at Index ED Visit
- Patient Operational ID -- The user-facing value used by staff used to uniquely identify the Patient in their administrative systems and/or day-to-day operations. (See also [URSA-CORE] Patient)
- Patient Date of Birth -- The patient's date of birth. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the date of birth found on that particular type of record in the source data.
- Is Patient Sex Female -- Indicates the patient's sex is female. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the patient sex documented on that particular type of record in the source data.
- Is Patient Sex Male -- Indicates the patient's sex is male. On the Patients Natural Object, this field reflects the "best" known value for the patient available from all data sources; on other Natural Objects, e.g., MMR Member-Months, the value faithfully reflects the patient sex documented on that particular type of record in the source data.
- Patient State Abbreviation
- Patient ZIP Code 5-Digit
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Insurance Fields
- Primary Payor Description
- Primary Plan Description
- Primary Plan Financial Class Description
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Denominator Fields
- Is Continuous Membership Criterion Met
- Is Eligible Population
- Is Any Required Exclusion
- Is Required Exclusion for Hospice
- Is Required Exclusion for Patient Death
- Is Denominator Event Criteria Met
- Denominator Excluded Reasons Description
- Index ED Claim ID
- Denominator Performance Period End Date
- Denominator Performance Period Start Date
- ED Parent Document Effective End Date + 30 Days
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Numerator Fields
- Numerator Category Description
- Is Numerator Qualifying Using Standard End-of-Year Timing
- Numerator Component Contribution Using Standard End-of-Year Timing
- Numerator Document ID
- Numerator Source ID
- Numerator Document Effective Date
- Numerator HCPCS Code
- Numerator HCPCS Description
- Numerator Document Type Description
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NCQA Cert Fields
- Is NCQA Numerator Criteria Met
- Output NCQA Payer Type Code
- Patient Age Integer Unbounded at Index ED Visit
- NCQA Race Code -- The code used to identify race in official NCQA measure submissions; e.g., 1 = White, 2 = Black or African American, 3 = American Indian and Alaska Native, 4 = Asian, etc.
- NCQA Ethnicity Code -- The code used to identify ethnicity in official NCQA measure submissions; e.g., 1 = Hispanic or Latino, 2 = Not Hispanic or Latino, 3 = Unknown Ethnicity.
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Provider Fields
- Primary Plan Attributee Provider Description
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Metadata Fields
- Table Last Updated Datetime
- Is Parameter Set to Override Continuous Enrollment Criteria
- Is Parameter Set to Override Payor Criteria
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Measure Fields
- Denominator