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  1. eCQM Issue Tracker
  2. CQM-7685

CMS 156 - Inpatient Meds included in evaluation

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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    • Wey Len Yuen
    • 6266896600
    • Providence
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      Thank you for your inquiry for CMS156v12 (2024 performance period). 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. The measure steward, the National Committee for Quality Assurance, 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 (2024 performance period). 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. The measure steward, the National Committee for Quality Assurance, will consider the feasibility of adding medication setting specificity/constraint in a future measure version.
    • CMS0156v13
    • CMS0156v12
    • Include Inpatient ordered medications in EC evaluation

      Need clarification on CMS 156 and whether this quality measure should include medications orders in inpatient setting.  According to the definition section for the measure on the eCQI site ([Use of High-Risk Medications in Older Adults | eCQI Resource Center|https://ecqi.healthit.gov/ecqm/ec/2024/cms0156v12?qt-tabs_measure=measure-information]), "an order is identified by either a prescription order or a prescription refill."  But in the CQL logic, we do not see anything to differentiate Inpatient medications to be excluded from EC evaluation.

            AIR EC eCQM Team AIR EC eCQM Team
            wnguyen Wey Len Yuen
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