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  1. eCQM Issue Tracker
  2. CQM-7510

CMS 68 Medicine reconciliation

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • nageen veerabagu
    • mp veera md pa
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      Thank you for your inquiry regarding CMS68v14 (Documentation of Current Medications in the Medical Record). As stated in the measure guidance, the measure requires eligible clinicians to attest to documenting, updating, or reviewing the patient's current medications using all immediate resources and the list must include all known prescriptions. We cannot offer guidance on removing medications for reconciliation. We recommend you consult with your EHR vendor and clinical partners further to address the issue as you describe.

      Regarding your follow-up question, our recommendation remains that you consult with your EHR vendor and clinical partners further to address the issue as you describe.

      To clarify, the intent of this measure is not for clinicians to modify medications in the medical record in which they have not prescribed. It is, however, intended for clinicians to review all medications each patient is prescribed to ensure they understand the complexity of each patient, all medications they are taking, and their medical status. This process is intended to promote overall patient safety and to reduce ADEs.
      Show
      Thank you for your inquiry regarding CMS68v14 (Documentation of Current Medications in the Medical Record). As stated in the measure guidance, the measure requires eligible clinicians to attest to documenting, updating, or reviewing the patient's current medications using all immediate resources and the list must include all known prescriptions. We cannot offer guidance on removing medications for reconciliation. We recommend you consult with your EHR vendor and clinical partners further to address the issue as you describe. Regarding your follow-up question, our recommendation remains that you consult with your EHR vendor and clinical partners further to address the issue as you describe. To clarify, the intent of this measure is not for clinicians to modify medications in the medical record in which they have not prescribed. It is, however, intended for clinicians to review all medications each patient is prescribed to ensure they understand the complexity of each patient, all medications they are taking, and their medical status. This process is intended to promote overall patient safety and to reduce ADEs.
    • CMS0068v14
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      Unable to reach 98% thresh hold for CMS 68 meds reconciliation due to Cancer drugs sitting on our Epic enterprise data base MIPs panel as "pending" with a warning NOT to touch them since they are monitored and maintained by the Anmed/Anderson Area local hospital's cancer docs only. Due to this our high medicine reconciliations are sitting below the 98% threshold.
      Show
      Unable to reach 98% thresh hold for CMS 68 meds reconciliation due to Cancer drugs sitting on our Epic enterprise data base MIPs panel as "pending" with a warning NOT to touch them since they are monitored and maintained by the Anmed/Anderson Area local hospital's cancer docs only. Due to this our high medicine reconciliations are sitting below the 98% threshold.

      Will it be acceptable with CMS IF cancer drugs are removed from our Epic database by our local hospital Anmed that provides  us with Epic and maintains our Epic E-CQM dashboard which is part of a huge enterprise Anderson Area and surrounding communities Epic system. It handles a whole lot of specialties and providers on it's Epic database.
       
      If alright with CMS, Anmed epic's MIPs team to provide us with a  mechanism where by we are given some ability to ONLY bypass cancer drug reconciliation since we are gastroenterologists office (small rural office still independent and NOT allowed to join Anmed's ACO).
       
      Our gastroenterology practice does not have the expertise to add remove or approve cancer drugs that appear before us for meds reconciliation.
       
      In fact the Epic dashboard says in the cancer drug meds reconciliation part in writing that these meds can only be approved, removed or maintained by the Cancer doctors.
       
      Hence these drugs stay PENDING in our dashboard bringing our percentage down for 100% to 94% to 97% there by not crossing the required threshold of 98%.
       
      Prior to Epic EMR we had our own small Emr/IMS by meditab and this allowed us to get high successful until when the pandemic hit. In Jan 2020 we moved to Epic and since this we have been able to get EUCs but for 2025 we have asked the hospital to help navigate ECQMs better.
       
      The reason we abandoned our small IMS emr was to help our Anderson and upstate communities get patient data immediately at various parts of our communities and not wait for our office to open to provide this information.
       
      In fact we are maintaining still our legacy EMR/IMS for access and viewing only/while we are very active on Epic which is a community based enterprise EMR. We are paying for 2 EMRs as we as a small provider are trying to get full points for this measure.
       
      We understand we get bonus points as a rural practice and other bonus points exist but we are struggling with our Anmed's Epic team to get to the basic 6 quality measures for 2025. 
      We get only 1 meeting per year with their ACO team that manages our Mips. During our Nov 20th 3 PM meeting for about 45 minutes we worked hard to get some e cqm measures ready for 2025 and it was a struggle.
       
       
      Please help us to be successful in 2025.
       

            AIR EC eCQM Team AIR EC eCQM Team
            nveerabagu@aol.com Nageen Veerabagu (Inactive)
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