​Thank you for your inquiry regarding CMS156v11 Use of High-Risk Medications in Older Adults (2023 performance period). The daily dose criteria is specified in the measure logic, viewable in the human-readable HTML format ( https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS156v11-v2.html ). The numerator is met when there are at least two orders of high-risk medications from the same drug class each exceeding the average daily dose criteria. The same high-risk medications included in this criteria are reserpine, digoxin, and doxepin; the daily dose criteria for each is >0.1 mg/day, >0.125 mg/day, and >6 mg/day, respectively. For example, two orders of reserpine each exceeding 0.1 mg/day would meet numerator. High Risk Medications with Average Daily Dose Criteria exists ( "More Than One Order"(["Medication, Order": "Reserpine"] ReserpineOrdered where "Average Daily Dose"(ReserpineOrdered)> 0.1 'mg/d' ) ) or exists ( "More Than One Order"(["Medication, Order": "Digoxin"] DigoxinOrdered where "Average Daily Dose"(DigoxinOrdered)> 0.125 'mg/d' ) ) or exists ( "More Than One Order"(["Medication, Order": "Doxepin"] DoxepinOrdered where "Average Daily Dose"(DoxepinOrdered)> 6 'mg/d' ) )