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  2. CQM-6732

CMS156v12 - Medication Order - setting

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      Thank you for your inquiry for CMS156v12:Use of High-Risk Medications in Older Adult. Similar to other eligible clinician (EC) eCQMs, this measure is intended to be outpatient. However, as per measure specification, a specific setting for where a medication is expected to be administered/consumed is not required for numerator evaluation. For example: “Medication, Order”: “Anticholinergics, first generation antihistamines” is not setting specific. This piece of logic is only looking for an order of anticholinergics medication. We will consider the feasibility of adding medication setting specificity/constraint in a future measure version.
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      Thank you for your inquiry for CMS156v12:Use of High-Risk Medications in Older Adult. Similar to other eligible clinician (EC) eCQMs, this measure is intended to be outpatient. However, as per measure specification, a specific setting for where a medication is expected to be administered/consumed is not required for numerator evaluation. For example: “Medication, Order”: “Anticholinergics, first generation antihistamines” is not setting specific. This piece of logic is only looking for an order of anticholinergics medication. We will consider the feasibility of adding medication setting specificity/constraint in a future measure version.
    • CMS0156v12

      Multiple Eligible Clinician measures include the 'Medication, Order' datatype in their CQL logic. However, the intended setting is not listed in the definition.

      Setting is where the medication is expected to be consumed or administered. Examples:

      • Inpatient - in the hospital during the current inpatient stay
      • Outpatient - in an outpatient facility such as an ambulatory surgical center
      • Community - in the ambulatory setting (e.g., at home)

      In CMS156, when evaluating the medication order logic, example:
      Medication, Order": "Anticholinergics, first generation antihistamines
      is it the intent of the measure to only evaluate orders from a specific setting? Although the CQL logic does not include setting attribute? Or setting should not be evaluated in these cases? Please clarify., your guidance would be greatly appreciated.

            edave Mathematica EC eCQM Team
            isbelia Isbelia Briceno
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