URSA-QUALITY-SPC1: Statin Therapy for ASCVD Patients (SPC1)

Measure Description

Among patients with atherosclerotic cardiovascular disease, the percentage with any dispensed moderate- or high-intensity statin in the prior 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 with atherosclerotic cardiovascular disease.

Numerator Description

One per qualifying denominator patient with documentation of a moderate- or high-intensity statin dispensed in the prior 12 months.

Published Fields

• Data Model Keys

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

• 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.

• 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

• 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/Diagnosis Criteria Met
  • Qualifying Cardiovascular Event Document ID
  • Qualifying Cardiovascular Event Date
  • Current Period Qualifying Diagnosis Document ID
  • Current Period Qualifying Diagnosis Document Effective Date
  • Prior Period Qualifying Diagnosis Document ID
  • Prior Period Qualifying Diagnosis Document Effective Date
  • Is Continuous Membership Criterion Met
  • Is Eligible Population
  • Is Any Required Exclusion
  • Is Required Exclusion for Pregnancy
  • Is Required Exclusion for IVF
  • Is Required Exclusion for Estrogen Agonists Medications
  • Is Required Exclusion for ESRD Diagnosis
  • Is Required Exclusion for Dialysis Procedure
  • Is Required Exclusion for Cirrhosis
  • Is Required Exclusion for Muscular Pain and Disease
  • Is Required Exclusion for Muscular Reactions to Statins
  • Is Required Exclusion for Medicare 66+ Institutionalized Status
  • Is Required Exclusion for Hospice
  • Is Required Exclusion for Patient Death
  • Is Required Exclusion for Palliative Care
  • Is Required Exclusion for 66+ Frailty and Advanced Illness
  • Denominator Excluded Reasons Description

• Numerator Fields

  • Numerator Document ID
  • Numerator Documentation Date
  • Numerator NDC Code
  • Numerator Label Description
  • Numerator Active Ingredients Description
  • Numerator Pharmacy Days Supply
  • Numerator Med Dispense Days Supply
  • Numerator Source ID
  • Is Numerator Qualifying Using Standard End-of-Year Timing
  • Observation-Level Numerator Using Standard End-of-Year Timing
  • Numerator Component Contribution Using Standard End-of-Year Timing

• NCQA Cert Fields

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

• [No Field Group]

  • Ursa Serial ID

• Metadata Fields

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

• Measure Fields

  • Denominator
  • Numerator