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  1. eCQM Issue Tracker
  2. CQM-7018

CMS506v7 Diagnosis: Opioid Use Disorder

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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      Thank you for your question regarding CMS506v7, Safe Use of Opioids - Concurrent Prescribing. The current logic only evaluates the start date of the OUD diagnosis, so the measure captures any OUD diagnosis that started in the past. In your scenario, this patient would qualify for the denominator exclusion even though the diagnosis may not be 'active.’ We appreciate this feedback and will consider refining the alignment between the header and logic in the next annual update cycle.
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      Thank you for your question regarding CMS506v7, Safe Use of Opioids - Concurrent Prescribing. The current logic only evaluates the start date of the OUD diagnosis, so the measure captures any OUD diagnosis that started in the past. In your scenario, this patient would qualify for the denominator exclusion even though the diagnosis may not be 'active.’ We appreciate this feedback and will consider refining the alignment between the header and logic in the next annual update cycle.
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    • Not measure related
    • Not measure related

      It looks like the intent of the measure is to exclude patients receiving medication for opioid use disorder and the logic includes diagnosis for opioid use disorder. Is the intent to qualify/exclude any diagnosis that started in the past?

      The logic only states that the Opioid Use Disorder diagnosis should start before the day of the end of InpatientEncounter.relevantPeriod and does not include a time limit for "before" (example: 90 days or less before):
      or exists ( ["Diagnosis": "Opioid Use Disorder"] OUD
      where start of OUD.prevalencePeriod before day of end of InpatientEncounter.relevantPeriod

      What is the expectation in the below scenario?
      Diagnosis for opioid starts January 2021 and ends November 2022.
      The inpatient encounter that qualifies for opioid initial population starts 6/5/2024.

            JLeflore Joelencia Leflore
            TWILL2014 Talisa Williams
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