Brief Description of Measure: CMS68: Documentation of Current Medications in the Medical Record Percentage of visits for patients aged 18 years and older for which the eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter Description of Issue: The measure developer is proposing to expand the timing of the numerator action from during the qualifying encounter to the day of the qualifying encounter. This revision of measure timing will allow for documentation before or after the visit to allow for a variety of clinical workflows.

Proposed Solution: Revise the numerator logic so that the numerator action can occur during the day of the qualifying encounter. Current logic: Numerator: "Qualifying Encounter during day of Measurement Period" QualifyingEncounter   with ( ["Procedure, Performed": "Documentation of current medications (procedure)"]     union ["Intervention, Performed": "Documentation of current medications (procedure)"] ) MedicationsDocumented     such that Global."NormalizeInterval" ( MedicationsDocumented.relevantDatetime, MedicationsDocumented.relevantPeriod ) during QualifyingEncounter.relevantPeriod Proposed logic: Numerator: "Qualifying Encounter during day of Measurement Period" QualifyingEncounter   with ( ["Procedure, Performed": "Documentation of current medications (procedure)"]     union ["Intervention, Performed": "Documentation of current medications (procedure)"] ) MedicationsDocumented     such that Global."NormalizeInterval" ( MedicationsDocumented.relevantDatetime, MedicationsDocumented.relevantPeriod ) during day of QualifyingEncounter.relevantPeriod Rationale for Change: This timing change allows for inclusion of medication documentation to occur during the day of the encounter, reducing clinician documentation burden by allowing for a variety of workflows.