Measure: Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are reported:
| ||
| Measure Type | High Priority Measure | Scoring |
| Process | Yes | A lower percentage indicates better quality |
| Denominator | Patients 65 years and older who had a visit during the measurement period |
| Numerator | Numerator 1: Patients with an order for at least one high-risk medication during the measurement period Numerator 2: Patients with at least two orders for the same high-risk medication on different days during the measurement period |
| Denominator Exceptions | None |
| Denominator Exclusions | Exclude patients whose hospice care overlaps the measurement period |
Denominator
Patients who meet the following criteria will be included in the denominator:
Age is ≥ 65 years at the beginning of the Measurement Period
AND
- Have at least one eligible encounter during the Measurement Period finalized by the EC/EP
Encounter Codes Eligible for Denominator
CPT: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99395, 99396, 99397, 99385, 99386, 99387, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 92002, 92004, 92012, 92014, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99315, 99316, 99304, 99305, 99306, 99307, 99308, 99309, 99310
HCPCS: G0438, G0439
Denominator Exclusions
Patients who were in hospice care during the Measurement Period will be excluded from the measure.
To document hospice care services as a procedure, go to Encounter > Orders/Procedure > Orders/Referrals and click Add to add one of the eligible codes listed below:
SNOMED CT: 385763009, 385765002
Order Status must be marked as Pending or Complete.
Note
SNOMED CT codes must be added as a Favorite in Preferences > Form Data > Orders to be accessible from the Orders/Referrals tab.
Numerator
A patient will be counted in Numerator 1 if at least one high-risk medication has been ordered for the patient during the Measurement Period.
A patient will be counted in Numerator 2 if at least two of the same high-risk medication have been ordered for the patient on different days during the Measurement Period.
- A high-risk medication is identified as: a prescription for medications classified as high-risk at any dose and for any duration; or as prescriptions for medications classified as high-risk at any dose with greater than a 90-day supply.
- Examples of high-risk medications include muscle relaxants and certain antihistamines. A comprehensive list of eligible high-risk medications can be located here.
eCQI Reference
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