​The prescribing should be attributed to the ordering provider. In scenario 1, both provider A and provider B ordered the high-risk med so each would have numerator compliance for Rate 1. In scenario 2 since they both ordered the med once they still would each be numerator compliant for Rate 1. If a provider orders 2 or more of the same high-risk med then they become compliant for Rate 2. This is an overuse measure, so lower rate (ie avoiding numerator compliance) is better.

Scenario - 1: For Patient1, lets say Provider-A ordered the high risk medication (Population - 2 Numerator criteria) and Provider-B refilled the same medication since the patient was already taking the medication that was prescribed by Provider-A. Should we give Numerator credit to Provider-B for medication refills? Also, the measure guidance states that "lower score indicates better quality"; so if we give Numerator credit to Provider-B, this will negatively impact his/her performance even though s/he did not initiate the medication order for the patient. The Provider-B is simply refilling the medication since the patient was already taking it. Please provide the clarification.   Scenario - 2: For Patient2, lets say Provider-A ordered the high risk medication (Population - 2 Numerator criteria). On patient's next visit, Provider-B also ordered the same high risk medication (Population - 2 Numerator criteria). Should we give credit to Provider-A & B both for medication order count >=2? Or Does it have to be same provider in order to satisfy medication count >=2 condition for Numerator-2? NOTE: Both the providers A & B are reporting providers.