URSA-QUALITY-OMW: Osteoporosis Mgmt in Women With a Fracture (OMW)

Measure Description

The percentage of women 67–85 years of age who suffered a fracture and who had either a bone mineral density (BMD) test or prescription for a drug to treat osteoporosis in the 180 days (6 months) after the fracture.

Metadata

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

Denominator Description

Women aged 67 to 85 with a fracture in the 18-month period ending 6 months prior to the snapshot date.

Numerator Description

Qualifying denominator patients with either a bone mineral density (BMD) test or prescription for a drug to treat osteoporosis in the 180 days (6 months) after the fracture.

Published Fields

• Data Model Keys

  • Measure ID
  • 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 Denominator Event Criterion Met
  • Is Pharmacy Benefit Criterion Met
  • Is Continuous Membership Criterion Met
  • Is Eligible Population
  • Is Any Required Exclusion
  • Is Required Exclusion for Hospice in Measurement Year
  • Is Required Exclusion for Patient Death in Measurement Year
  • Is Required Exclusion for Palliative Care in Last 18 Months
  • Is Required Exclusion for I-SNP or LTI Ages 67+
  • Is Required Exclusion for Frailty and Advanced Illness Ages 67-80
  • Is Required Exclusion for Frailty Criteria Ages 81+
  • Denominator Excluded Reasons Description
  • Index Parent Document Effective End Date
  • Episode End Date

• Numerator Fields

  • Final Qualifying Numerator Document ID
  • Is Numerator Qualifying Using Standard End-of-Year Timing
  • Numerator Component Contribution Using Standard End-of-Year Timing
  • Numerator 180-day Document ID
  • Numerator 180-day Source ID
  • Numerator 180-day Document Effective Date
  • Numerator 180-day HCPCS Code
  • Numerator 180-day HCPCS Description
  • Numerator 180-day Document Type Description
  • Numerator IP Stay Document ID
  • Numerator IP Stay Source ID
  • Numerator IP Stay Document Effective Date
  • Numerator IP Stay HCPCS Code
  • Numerator IP Stay HCPCS Description
  • Numerator IP Stay Document Type Description

• Metadata Fields

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

• Validation Only Fields

  • Continuous Membership Criterion Period Start Date
  • Continuous Membership Criterion Period End Date
  • Effective Prior Membership Episode End Date
  • Effective Length of Last Membership Gap in Days
  • Effective Length of Last Membership Gap in Days (No Current Membership)
  • Is Acceptable Membership Gap Length (membership)
  • Is Acceptable Membership Gap Length (no membership)
  • Is Acceptable Membership Gap Length
  • Is Zero or One Membership Gaps

• Measure Fields

  • Denominator
  • Numerator

• NCQA Cert Fields

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

• [No Field Group]

  • Ursa Serial ID