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  1. eCQM Issue Tracker
  2. CQM-5810

CMS506v4 Discharge LAMA Safe Opioid measure

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    • Icon: EH/CAH eCQMs EH/CAH eCQMs
    • Resolution: Answered
    • Icon: Moderate Moderate
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    • LISA WOLF
    • 928-263-3473
    • KINGMAN REGIONAL MED CENTER
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      Thank you for your question about CMS506v4 Safe Use of Opioids – Concurrent Prescribing. If a patient discharged against medical advice (AMA) had new or continuing prescriptions for opioids or benzodiazepines, they should be included in the measure. The measure does not exclude patients discharged AMA.
      That said, we understand that patients discharged AMA may have their medication reconciled differently from other types of discharge, and are currently evaluating whether patients discharged AMA should be excluded from the measure. We hope this helps.
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      Thank you for your question about CMS506v4 Safe Use of Opioids – Concurrent Prescribing. If a patient discharged against medical advice (AMA) had new or continuing prescriptions for opioids or benzodiazepines, they should be included in the measure. The measure does not exclude patients discharged AMA. That said, we understand that patients discharged AMA may have their medication reconciled differently from other types of discharge, and are currently evaluating whether patients discharged AMA should be excluded from the measure. We hope this helps.
    • CMS0506v4
    • High - Unable to complete validation

      Hospital CMS ID: 030055. After reviewing the measure specifications and value sets for CMS506v4 Safe Opioid Prescribing, I was unable to determine whether patients who left against medical advice should be included from the numerator or denominator. This patient was seen in the ED, then admitted as an inpatient and left against medical advice. During our data collection, patients who left AMA were included. 

            JLeflore Mathematica EH eCQM Team
            LISAWOLFKRMC LISA WOLF
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