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 long-term acute care hospital are not excluded.

Inpatient hospitalizations where patients have cancer pain that begins prior to or during the encounter or are ordered or are receiving palliative or hospice care (including comfort measures, terminal care, and dying care) during the hospitalization or in an emergency department encounter or observation stay immediately prior to hospitalization, patients receiving medication for opioid use disorder, patients with sickle cell disease, patients discharged to another inpatient care facility or left against medical advice, and patients who expire during the inpatient stay. How do you define "discharge to another inpatient facility? as "acute only"? Or would inpatient rehab count? Thank you.