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  2. CQM-5473

CMS 506v4 Safe Use of Opioids - Initial Population Inclusion Criteria

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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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    • Corrie Dowell
    • 254-931-7841
    • Baylor Scott and White Health
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      ​​Thank you for your question on CMS506, Safe Use of Opioids - Concurrent Prescribing . The intent of the measure is to include all eligible patients and encounters typically reported as part of the Inpatient Quality Reporting program. The measure uses the value set "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307) to identify patients with eligible encounters. If patients in the Inpatient Rehabilitation Facility (IRF) are eligible to be reported in the Inpatient Quality Reporting program and meet the initial patient population criteria for the Safe Use of Opioids by (1) having an eligible inpatient encounter and (2) being discharged with at least one opioid from the value set "Schedule II & III Opioid Medications" (2.16.840.1.113762.1.4.1111.165) or one benzodiazepine from value set "Schedule IV Benzodiazepines" (2.16.840.1.113762.1.4.1125.1), please include the IRF patients in the Safe Use of Opioids measure.
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      ​​Thank you for your question on CMS506, Safe Use of Opioids - Concurrent Prescribing . The intent of the measure is to include all eligible patients and encounters typically reported as part of the Inpatient Quality Reporting program. The measure uses the value set "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307) to identify patients with eligible encounters. If patients in the Inpatient Rehabilitation Facility (IRF) are eligible to be reported in the Inpatient Quality Reporting program and meet the initial patient population criteria for the Safe Use of Opioids by (1) having an eligible inpatient encounter and (2) being discharged with at least one opioid from the value set "Schedule II & III Opioid Medications" (2.16.840.1.113762.1.4.1111.165) or one benzodiazepine from value set "Schedule IV Benzodiazepines" (2.16.840.1.113762.1.4.1125.1), please include the IRF patients in the Safe Use of Opioids measure.
    • CMS0506v4
    • Potential for ineligible patients in the initial population.

      The specifications describe the initial population as "inpatient hospitalizations". Our primary patient class for identifying this population is "inpatient". Should we also be including the patient class "rehab inpatient" for an Inpatient Rehabilitation Facility (IRF) that is located within our acute care hospital? Both entities share the same CCN.

            JLeflore Joelencia Leflore
            Dowell Corrie Dowell (Inactive)
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