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  1. eCQM Issue Tracker
  2. CQM-6911

High Risk Medications

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    • Katie Zabonik
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      Thank you for your inquiry for CMS156v12 (Use of High-Risk Medication in Older Adults). If a provider orders a 90 day prescription of a high-risk medication with 3 refills to last an entire year, this will count as 4 prescriptions, not 1.

      As stated in the measure header "Definition" section, "[a]n order is identified by either a prescription order or a prescription refill." This is further expressed by the CQL function "More Than One Order". For additional guidance on how to read the eCQM specification, you may refer to the "Guide for Reading eCQMs" (https://ecqi.healthit.gov/sites/default/files/Guide-for-Reading-eCQMs-v9.pdf).
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      Thank you for your inquiry for CMS156v12 (Use of High-Risk Medication in Older Adults). If a provider orders a 90 day prescription of a high-risk medication with 3 refills to last an entire year, this will count as 4 prescriptions, not 1. As stated in the measure header "Definition" section, "[a]n order is identified by either a prescription order or a prescription refill." This is further expressed by the CQL function "More Than One Order". For additional guidance on how to read the eCQM specification, you may refer to the "Guide for Reading eCQMs" ( https://ecqi.healthit.gov/sites/default/files/Guide-for-Reading-eCQMs-v9.pdf ).
    • CMS0156v12
    • We have a questions about the above measure - How does refills work with an ordered high risk medication. Example - if a provider orders a high risk medication for one year (90 day prescription with 3 refills) does this count as 1 or 4?

      We have a questions about the above measure - How does refills work with an ordered high risk medication. Example - if a provider orders a high risk medication for one year (90 day prescription with 3 refills) does this count as 1 or 4?

            edave Mathematica EC eCQM Team
            kzabonik Katie Zabonik
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