------
Population Criteria 1
------
-
Initial Patient Population 1 =
- AND:
- AND: "Patient characteristic: birth date" >= 12 year(s) and <= 16 year(s) starts before start of "Measurement period"
- AND:
- OR:
- AND: FIRST:"Diagnosis active: alcohol or drug dependence" <= 1 year(s) starts before or during "Measurement end date"
- AND: FIRST:"Diagnosis active: alcohol or drug dependence" >= 45 day(s) starts before or during "Measurement end date"
- during
- OR: "Encounter: encounter ED"
- OR: "Encounter: encounter outpatient BH"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter non-acute inpatient"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- OR:
- AND: FIRST:"Procedure performed: Alcohol, drug rehab and detox interventions" <= 1 year(s) starts before or during "Measurement
end date"
- AND: FIRST:"Procedure performed: Alcohol, drug rehab and detox interventions" >= 45 day(s) starts before or during "Measurement
end date"
- during
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter non-acute inpatient"
- OR:
- AND: FIRST:"Procedure performed: Detoxification interventions" <= 1 year(s) starts before or during "Measurement end date"
- AND: FIRST:"Procedure performed: Detoxification interventions" >= 45 day(s) starts before or during "Measurement end date"
-
Denominator 1=
- AND: "Initial Patient Population 1"
- AND NOT:
- AND: "Diagnosis active: alcohol or drug dependence" <= 60 day(s) starts before start of
- AND: FIRST:"Diagnosis active: alcohol or drug dependence"
-
Numerator 1.1 =
- AND:
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- AND: "Procedure performed: Alcohol, drug rehab and detox interventions"
- <= 12 months starts before or during "Measurement end date"
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- AND: "Procedure performed: Alcohol, drug rehab and detox interventions"
- >= 45 days starts before or during "Measurement end date"
- AND:
- AND:
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- <= 12 months starts before or during "Measurement end date"
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- >= 45 days starts before or during "Measurement end date"
- <= 14 days starts after end of FIRST:"Diagnosis active: alcohol or drug dependence"
-
Numerator 1.2 =
- AND: >= 2 count(s) of
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- AND: "Diagnosis active: alcohol or drug dependence"
- <= 30 days starts after end of
- OR:
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- <= 12 months starts before or during "Measurement end date"
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- >= 45 days starts before or during "Measurement end date"
- OR:
- AND:
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- <= 12 months starts before or during "Measurement end date"
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- >= 45 days starts before or during "Measurement end date"
- <= 14 days starts after end of FIRST:"Diagnosis active: alcohol or drug dependence"
-
Exclusions 1=
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Population Criteria 2
------
-
Initial Patient Population 2 =
- AND: "Patient characteristic: birth date" >= 17 year(s) starts before start of "Measurement period"
- AND:
- OR:
- AND: FIRST:"Diagnosis active: alcohol or drug dependence" <= 1 year(s) starts before or during "Measurement end date"
- AND: FIRST:"Diagnosis active: alcohol or drug dependence" >= 45 day(s) starts before or during "Measurement end date"
- during
- OR: "Encounter: encounter ED"
- OR: "Encounter: encounter outpatient BH"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter non-acute inpatient"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- OR:
- AND: FIRST:"Procedure performed: Alcohol, drug rehab and detox interventions" <= 1 year(s) starts before or during "Measurement
end date"
- AND: FIRST:"Procedure performed: Alcohol, drug rehab and detox interventions" >= 45 day(s) starts before or during "Measurement
end date"
- during
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter non-acute inpatient"
- OR:
- AND: FIRST:"Procedure performed: Detoxification interventions" <= 1 year(s) starts before or during "Measurement end date"
- AND: FIRST:"Procedure performed: Detoxification interventions" >= 45 day(s) starts before or during "Measurement end date"
-
Denominator 2=
- AND: "Initial Patient Population 2"
- AND NOT:
- AND: "Diagnosis active: alcohol or drug dependence" <= 60 day(s) starts before start of
- AND: FIRST:"Diagnosis active: alcohol or drug dependence"
-
Numerator 2.1 =
- AND:
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- AND: "Procedure performed: Alcohol, drug rehab and detox interventions"
- <= 12 months starts before or during "Measurement end date"
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- AND: "Procedure performed: Alcohol, drug rehab and detox interventions"
- >= 45 days starts before or during "Measurement end date"
- AND:
- AND:
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- <= 12 months starts before or during "Measurement end date"
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- >= 45 days starts before or during "Measurement end date"
- <= 14 days starts after end of FIRST:"Diagnosis active: alcohol or drug dependence"
-
Numerator 2.2 =
- AND: >= 2 count(s) of
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- AND: "Diagnosis active: alcohol or drug dependence"
- <= 30 days starts after end of
- OR:
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- <= 12 months starts before or during "Measurement end date"
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- >= 45 days starts before or during "Measurement end date"
- OR:
- AND:
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- <= 12 months starts before or during "Measurement end date"
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- >= 45 days starts before or during "Measurement end date"
- <= 14 days starts after end of FIRST:"Diagnosis active: alcohol or drug dependence"
-
Exclusions 2=
------
Population Criteria 3
------
-
Initial Patient Population 3 =
- AND: "Patient characteristic: birth date" >= 12 year(s) starts before start of "Measurement period"
- AND:
- OR:
- AND: FIRST:"Diagnosis active: alcohol or drug dependence" <= 1 year(s) starts before or during "Measurement end date"
- AND: FIRST:"Diagnosis active: alcohol or drug dependence" >= 45 day(s) starts before or during "Measurement end date"
- during
- OR: "Encounter: encounter ED"
- OR: "Encounter: encounter outpatient BH"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter non-acute inpatient"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- OR:
- AND: FIRST:"Procedure performed: Alcohol, drug rehab and detox interventions" <= 1 year(s) starts before or during "Measurement
end date"
- AND: FIRST:"Procedure performed: Alcohol, drug rehab and detox interventions" >= 45 day(s) starts before or during "Measurement
end date"
- during
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter non-acute inpatient"
- OR:
- AND: FIRST:"Procedure performed: Detoxification interventions" <= 1 year(s) starts before or during "Measurement end date"
- AND: FIRST:"Procedure performed: Detoxification interventions" >= 45 day(s) starts before or during "Measurement end date"
-
Denominator 3=
- AND: "Initial Patient Population 3"
- AND NOT:
- AND: "Diagnosis active: alcohol or drug dependence" <= 60 day(s) starts before start of
- AND: FIRST:"Diagnosis active: alcohol or drug dependence"
-
Numerator 3.1 =
- AND:
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- AND: "Procedure performed: Alcohol, drug rehab and detox interventions"
- <= 12 months starts before or during "Measurement end date"
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- AND: "Procedure performed: Alcohol, drug rehab and detox interventions"
- >= 45 days starts before or during "Measurement end date"
- AND:
- AND:
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- <= 12 months starts before or during "Measurement end date"
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- >= 45 days starts before or during "Measurement end date"
- <= 14 days starts after end of FIRST:"Diagnosis active: alcohol or drug dependence"
-
Numerator 3.2 =
- AND: >= 2 count(s) of
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- AND: "Diagnosis active: alcohol or drug dependence"
- <= 30 days starts after end of
- OR:
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- <= 12 months starts before or during "Measurement end date"
- AND:
- AND:
- OR: FIRST:"Encounter: encounter acute inpt"
- OR: FIRST:"Encounter: encounter non-acute inpatient"
- >= 45 days starts before or during "Measurement end date"
- OR:
- AND:
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- <= 12 months starts before or during "Measurement end date"
- AND:
- OR: "Encounter: encounter non-acute inpatient"
- OR: "Encounter: encounter acute inpt"
- OR: "Encounter: encounter outpatient BH"
- OR:
- AND: "Encounter: encounter outpt BH req POS"
- AND: "Encounter: Encounter point of service modifier"
- >= 45 days starts before or during "Measurement end date"
- <= 14 days starts after end of FIRST:"Diagnosis active: alcohol or drug dependence"
-
Exclusions 3=