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  1. eCQM Issue Tracker
  2. CQM-5049

Clarification: Safe Use of Opioids: Concurrent Prescribing and Palliative Care Referral

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
    • Icon: Moderate Moderate
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    • Katrina Houston
    • 9512035394
    • The Johns Hopkins Hospital
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      ​Thank you for your question on CMS506, Safe Use of Opioids. You are correct. A consultation for palliative care that occurs during the inpatient stay will exclude the patient from denominator, regardless of the outcome of the consultation. Referrals to palliative care (see value set Palliative or Hospice 2.16.840.1.113883.3.600.1.1579 for referrals to palliative care​) also exclude patients from the denominator. Please let us know if you have any other questions.
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      ​Thank you for your question on CMS506, Safe Use of Opioids. You are correct. A consultation for palliative care that occurs during the inpatient stay will exclude the patient from denominator, regardless of the outcome of the consultation. Referrals to palliative care (see value set Palliative or Hospice 2.16.840.1.113883.3.600.1.1579 for referrals to palliative care​) also exclude patients from the denominator. Please let us know if you have any other questions.
    • CMS0506v4
    • CMS506v3/NQF3316e
    • Seeking to clarify/confirm understanding for QI validators on our team

      For the Safe Use of Opioids eCQM (CMS506), SNOMEDCT codes that 306237005 'referral to palliative care department' and 306288008 'referral to palliative care service' are included among the list of codes that would cause an encounter to fall into the category assignment of 'denominator exclusion'.  To confirm our understanding -  if the chart contains a consult for palliative care that occurs during the inpatient stay, the encounter should be excluded from the Safe Opioids eCQM denominator, regardless of the outcome of the consult?  Many thanks! 

            JLeflore Joelencia Leflore
            khouston Katrina Houston (Inactive)
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