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EC eCQMs - Eligible Clinicians
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Resolution: Answered
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Moderate
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None
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None
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Ashish Trivedy
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CMS0156v11
I would like to get clarification for numerator criteria below:
c. At least two orders of high-risk medications from the same drug class each exceeding average daily dose criteria.
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'))
Based on the guidance given "The intent of the measure is to assess if the reporting provider ordered the high-risk medication(s). If the patient had a high-risk medication previously prescribed by another provider, they would not be counted towards the numerator unless the reporting provider also ordered a high-risk medication for them." So should provider B in below scenario also meet numerator for average daily dose even though Provider B has given medication not exceeding average daily dose
Example: Testing for doxepin average daily dose > 6 mg/d
1. Provider A ordered 2 high-risk medications exceeding average daily dose for both medications.
Order 1: Supply 125 ML, Days Supply 12.5, Strength 10 mg/ML
125 * 10 / 12.5 = 100 mg/d average dose
Order 2: Supply 175 ML, Days Supply 22, Strength 10 mg/ML
175 * 10 / 22 = 80 mg/d average dose
2. Provider B also orders 1 high-risk medication from same drug class on different day but the average is less than 6 mg/d.
Order 1: Supply 50 ML, Days Supply 100, Strength 10 mg/ML
50 * 10 / 100 = 5 mg/d average dose
Provider A will meet numerator but should Provider B also meet numerator in this case?