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  2. CQM-5977

Patients discharged to In patient rehab and prescribed or continued on two or more opioids or an opioid and benzodiazipine concurrently are hitting the numerator. They should not.

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    • Icon: EH/CAH eCQMs EH/CAH eCQMs
    • Resolution: Answered
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    • Sharon Fagbe
    • 9842153946
    • University of North Carolina Health System
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      ​​Thank you for your question on Safe Use of Opioids-Concurrent Prescribing (CMS506). IP rehab facilities are not included in the value set "Discharge To Acute Care Facility" (OID 2.16.840.1.113883.3.117.1.7.1.87), used to identify patients for exclusion on the basis of discharge to an acute facility. Patients discharged to IP rehab should not be excluded from the measure.
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      ​​Thank you for your question on Safe Use of Opioids-Concurrent Prescribing (CMS506). IP rehab facilities are not included in the value set "Discharge To Acute Care Facility" (OID 2.16.840.1.113883.3.117.1.7.1.87), used to identify patients for exclusion on the basis of discharge to an acute facility. Patients discharged to IP rehab should not be excluded from the measure.
    • CMS0506v5

      Hello, I work for a hospital that has an In-Patient Rehab (IP rehab) . When patients are discharged to the IP rehab and are prescribed or continued on two or more opioids or an opioid and benzodiazepine concurrently, the patients hit the numerator. In the literature, the exclusions are Inpatient hospitalizations where patients have cancer that overlaps the encounter, are receiving palliative or hospice care (including comfort measures, terminal care, and dying care) during the hospitalization, are discharged to an acute care facility, have a hospice care referral or admission, or expire. The measure description and specifications do not mention the IP rehab. Do we need to map the in-patient rehab as an acute care so patients in these categories hit the denomination exclusion or is there another workflow for inpatient rehabilitation services? Thank you.

            JLeflore Mathematica EH eCQM Team
            Sharonfagbe Sharon Fagbe
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