opioids inpt to obs status

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Michelle Wells
    • Memorial Hermann Health System
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      Thank you for your question regarding CMS506v6, Safe Use of Opioids - Concurrent Prescribing. Based on the information provided, the patient in the example would not be included in the inpatient population. The measure identifies an inpatient hospitalization by the value set "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307) which includes Emergency hospital admission (procedure) (183452005), Hospital admission (procedure) (32485007), and Hospital admission elective (procedure) (8715000). The measure does not intend to capture discharges other than inpatient discharges, therefore, we encourage you to work with your EHR vendor to ensure observation and other outpatient encounters are not inappropriately captured by the measure.


      Additionally, the logic in your screenshot appears to be from a different measure. Please see below for the logic pertaining to the initial population of this measure:

      Global.Inpatient Encounter

      ["Encounter, Performed": "Encounter Inpatient"] EncounterInpatient
        where EncounterInpatient.relevantPeriod ends during day of "Measurement Period"
      Show
      Thank you for your question regarding CMS506v6, Safe Use of Opioids - Concurrent Prescribing. Based on the information provided, the patient in the example would not be included in the inpatient population. The measure identifies an inpatient hospitalization by the value set "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307) which includes Emergency hospital admission (procedure) (183452005), Hospital admission (procedure) (32485007), and Hospital admission elective (procedure) (8715000). The measure does not intend to capture discharges other than inpatient discharges, therefore, we encourage you to work with your EHR vendor to ensure observation and other outpatient encounters are not inappropriately captured by the measure. Additionally, the logic in your screenshot appears to be from a different measure. Please see below for the logic pertaining to the initial population of this measure: Global.Inpatient Encounter ["Encounter, Performed": "Encounter Inpatient"] EncounterInpatient   where EncounterInpatient.relevantPeriod ends during day of "Measurement Period"
    • CMS0506v6
    • Hide
      EHR is currently mapped to the first INPT encounter regardless of the DC Patient Status based on logic for INPT eCQMs.
      All eCQMS INPT to OBS status at DC
      Show
      EHR is currently mapped to the first INPT encounter regardless of the DC Patient Status based on logic for INPT eCQMs. All eCQMS INPT to OBS status at DC

      We’d like to clarify for patients that have inpatient status in the relevant period that changes to observation at discharge. Should that patient pull into initial population based on a qualifying encounter status being found (INPT then converted to observation)?  If not, does the below logic point to the final encounter status?
      Pt. Example: Pt. was admitted INPT, then changed to Observation status at discharge. Would this patient still be in the INPT measure population.

        1. image-2025-05-29-09-04-10-107.png
          image-2025-05-29-09-04-10-107.png
          86 kB

            Assignee:
            Augustine Weber
            Reporter:
            amanda enerson
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              Created:
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