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  1. eCQM Issue Tracker
  2. CQM-7736

Intention of CMS 506 and discharge to swing bed

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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 on CMS506v7, Safe Use of Opioids--Concurrent Prescribing. ​Patients discharged to other acute inpatient facilities, as defined in the value set "Discharge To Acute Care Facility" (OID 2.16.840.1.113883.3.117.1.7.1.87), are excluded. This value set includes community hospitals, tertiary referral hospitals, and acute care hospitals. Patients transferred to a skilled nursing facility, rehabilitation facility, or LTAC hospital are not excluded. We appreciate your input and will consider these exclusions in future versions of the measure.
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      ​​​Thank you for your question on CMS506v7, Safe Use of Opioids--Concurrent Prescribing. ​Patients discharged to other acute inpatient facilities, as defined in the value set "Discharge To Acute Care Facility" (OID 2.16.840.1.113883.3.117.1.7.1.87), are excluded. This value set includes community hospitals, tertiary referral hospitals, and acute care hospitals. Patients transferred to a skilled nursing facility, rehabilitation facility, or LTAC hospital are not excluded. We appreciate your input and will consider these exclusions in future versions of the measure.
    • CMS0506v7
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      We have some CAHs and other small Acute Care Hospitals within our system that discharge a patient from acute inpatient and then they are admitted to swing bed within the same hospital. These patients are being included in the CMS 506 numerator if they are still on an opioid and benzodiazepine or two opioid medications.
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      We have some CAHs and other small Acute Care Hospitals within our system that discharge a patient from acute inpatient and then they are admitted to swing bed within the same hospital. These patients are being included in the CMS 506 numerator if they are still on an opioid and benzodiazepine or two opioid medications.

      We have some CAHs and other small Acute Care Hospitals within our system that discharge a patient from acute inpatient and then they are admitted to swing bed within the same hospital.  These patients are being included in the CMS 506 numerator if they are still on an opioid and benzodiazepine or two opioid medications. 

      What is the intention of this measure regarding patients still receiving inpatient care in a healthcare facility?  The patients are excluded if they are discharged to an acute care hospital, but what about inpatient rehab facilities or LTACHs?  They are still receiving inpatient care and could easily still be on an Opioid and Benzodiazepine. 

            aweber Mathematica EH eCQM Team
            cobra24 jaime zirkle
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