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  2. CQM-5786

eCQM Safe Use of Opioids (CMS506) patient class at date/time of encounter discharge relevant to initial population

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    • Icon: EH/CAH eCQMs EH/CAH eCQMs
    • Resolution: Answered
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    • Margaret A Venditti
    • 5864318687
    • Beaumont Health Services
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      ​​Thank you for your question about Safe Use of Opioids (CMS 506). An inpatient encounter is identified by the value set "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307). Observation stays are typically coded differently from an inpatient encounter. If this is the case in your facility, patients moving from an inpatient to an observation setting would be considered discharged from inpatient and measure inclusion would be determined by their medication profile at the time of inpatient discharge.
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      ​​Thank you for your question about Safe Use of Opioids (CMS 506). An inpatient encounter is identified by the value set "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307). Observation stays are typically coded differently from an inpatient encounter. If this is the case in your facility, patients moving from an inpatient to an observation setting would be considered discharged from inpatient and measure inclusion would be determined by their medication profile at the time of inpatient discharge.
    • EH
    • CMS0506v4
    • Safe Use of Opioids - Concurrent Prescribing CMS506v4
    • Initial population may include cases that are not eligible

      Safe Use of Opioids (CMS 506) Initial patient population is defined as “Inpatient hospitalizations (inpatient stay less than or equal to 120 days) that end during the measurement period, where the patient is 18 years of age and older at the start of the encounter and prescribed one or more new or continuing opioid or benzodiazepine at discharge.”  Are the patients meeting all other criteria with an inpatient hospitalization that were prescribed one or more new or continuing opioid or benzodiazepine at the time of discharge included in the measure’s initial patient population if they were no longer an inpatient at the encounter’s discharge date/time, i.e., patient class had been changed to observation?     

            JLeflore Mathematica EH eCQM Team
            margaret.venditti@beaumont.org Margaret Venditti
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