Can you please clarify what data is allowed to be included within eCQM STK-2 when there are multiple discharge medication reconciliations completed prior to discharge? With a patient discharged on day 3 who had a discharge medication reconciliation that included an antithrombotic as a prescription on day 2, then additional medications selected within a separate discharge medication reconciliation on day 3 (day of discharge), within the eCQM STK-2 rule set is the antithrombotic allowed to be included as a discharge medication (meeting the numerator population)? Does this answer change if on day 2 when the first discharge medication reconciliation was completed with an antithrombotic, the patient was still in observation status? Currently, I am being told that discharge medication reconciliations done within the observation time technically cannot be included within the eCQM measure. However, within our EHR Cerner, medications selected as 'continued' or 'convert to prescription' automatically pull into the discharge medications list on both the discharge summary and inpatient patient summary (the medication list provided to our patient). It seems inconsistent for an automated electronic list in an EHR to include a medication as a discharge medication on these documents, that cannot be utilized within our electronic clinical quality measure data as a discharge medication. Adding these medications a second time as a discharge medication, especially since it was already sent to a pharmacy as a prescription, seems like a duplication that could possibly be a safety issue (if selection of that within Cerner sends a second prescription to the pharmacy - not sure of that functionality). Please advise. Thank you.

Desired outcome archived from the Solution field:

Allow discharge medications from multiple discharge medication reconciliations