eCQM 68 - Medication Reconciliation (admission versus discharge)

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Emily Ulloa
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      Thank you for your question on CMS68v14. In order to meet the numerator, for this measure, medications must be reconciled one time during the qualifying encounter. The measure logic does not dictate when the reconciliation should be completed, nor does it require each clinician to reconcile. So long as the reconciliation is completed once, the numerator requirements are satisfied for the measure. For inpatient encounters, so long as the medications are reconciled once between the start of the encounter (day of admission) and end of the encounter (day of discharge), the numerator will be met.
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      Thank you for your question on CMS68v14. In order to meet the numerator, for this measure, medications must be reconciled one time during the qualifying encounter. The measure logic does not dictate when the reconciliation should be completed, nor does it require each clinician to reconcile. So long as the reconciliation is completed once, the numerator requirements are satisfied for the measure. For inpatient encounters, so long as the medications are reconciled once between the start of the encounter (day of admission) and end of the encounter (day of discharge), the numerator will be met.
    • CMS0068v14
    • Question regarding if admission medication reconciliation and discharge medication reconciliation equally satisfies the measure

      For an inpatient encounter lasting 4 days for example, is the measure satisfied as long as the patient's medications are reconciled at some point during the admission? Or does it specifically have to be on the day of admission via the admission reconciliation? We also have the option in EPIC to reconcile medications in the process of discharging patients, as this is vital to medication accuracy - where medications have changed during the stay, some discontinued, some added on. Can reconciling their medications in preparation for discharge also serve as satisfying this measure? 

       

      Also, do these medications just have to be reconciled once during the hospital encounter, or per specialty team that is seeing the patient? For example, they are admitted to and discharged by the hospitalists. However, general surgery sees the patient during the admission. Do both teams separately have to reconcile the medications, or as long as a nurse or provider has reconciled them at some point during the stay, is this

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Emily Ulloa
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