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Measure Name | % of MSIS IDs with age over 120 or less than -1 |
---|---|
File Type | ELG |
Measure ID | EL-1-021-21 |
Measure Type | Non-Claims Percentage |
Content area | ELG |
Validation Type | Inferential |
---|
Measure Priority | N/A |
---|---|
Focus Area | N/A |
Category | N/A |
Claim Type | N/A |
---|---|
Adjustment Type | N/A |
Crossover Type | N/A |
Minimum | 0 |
---|---|
Maximum | 0.001 |
TA Minimun | |
TA Maximum | |
Longitudinal Threshold | N/A |
For TA
(for including in compliance training) |
No |
For TA
(Longitudinal) |
No |
DD Data Element | MSIS-IDENTIFICATION-NUM • DATE-OF-DEATH • DATE-OF-BIRTH |
---|---|
DD Data Element Number | ELG019 • ELG025 • ELG024 |
Annotation | Calculate the percentage of unique MSIS IDs that have an age that is greater than 120 or less than -1 |
---|---|
Specification |
STEP 1: Enrolled on the last day of DQ report month Define the eligible population from segment ENROLLMENT-TIME-SPAN-ELG00021 by keeping active records that satisfy the following criteria: 1. ENROLLMENT-EFF-DATE <= last day of the DQ report month 2. ENROLLMENT-END-DATE >= last day of the DQ report month OR missing 3. MSIS-IDENTIFICATION-NUM is not missing STEP 2: Primary demographic on the last day of the DQ report month Using the MSIS IDs that meet the criteria from STEP 1, join to segment PRIMARY-DEMOGRAPHICS-ELG00002 by keeping records that satisfy the following criteria: 1a. PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE<= last day of the DQ report month 2a. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE >= last day of the DQ report month OR missing OR 1b. PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE is missing 2b. PRIMARY-DEMOGRAPHIC-ELEMENT-END-DATE is missing STEP 3: Calculate Age and keep Age <-1 or Age >120 Of the MSIS IDs that meet the criteria from STEP 2, calculate Age: 1a. If DATE-OF-DEATH is non-missing and occurs before the last day of the DQ report month, Age is equal to the years between DATE-OF-DEATH and DATE-OF-BIRTH. 1b. Otherwise, Age is equal to the years between the last day of the DQ report month and DATE-OF-BIRTH. Note: perform calculations to count full years (e.g., 5/1/2015 – 8/1/1950 = 64) 2. Only keep records where Age <-1 OR Age >120. STEP 4: Percentage Divide the count of unique MSIS IDs from STEP 3 by the count in STEP 1 |