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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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Thank you for your inquiry for CMS156v12 Use of High-Risk Medications in Older Adults. We are continuing to investigate this approach for future versions.
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CMS0156v12
The measure guidance states, ‘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 from the same drug class for them.’
However, there is a discrepancy between the narrative guidance and CQL logic when referring to the reporting/prescribed provider. Resolution for Jira CQM-5152 CMS156 Reporting Provider Attribution Logic - Office of the National Coordinator for Health Information Technology (healthit.gov) mentions, ‘The logic captures whether the same high risk medications were ordered on different days within the measurement period but is not able to attribute the orders to specific providers. We appreciate your questions and will re-evaluate this approach for a future version.’
Is there an update on the plans to address this discrepancy?