Narcotics pulling into report prior to admission for surgery patients

XMLWordPrintable

    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Rebecca Ann Panruk
    • 907-729-4548
    • Alaska Native Medical Center
    • Hide
      Thank you for your inquiry regarding CMS819v3, Hospital Harm - Opioid-Related Adverse Events. Patients who are administered an opioid medication outside of the operating room and are subsequently administered a non-enteral opioid antagonist outside of the operating room within 12 hours are included in this measure. The term “inpatient hospitalizations” includes time in the emergency department and observation when the transition between these encounters and the inpatient encounter are within an hour each other.
      Show
      Thank you for your inquiry regarding CMS819v3, Hospital Harm - Opioid-Related Adverse Events. Patients who are administered an opioid medication outside of the operating room and are subsequently administered a non-enteral opioid antagonist outside of the operating room within 12 hours are included in this measure. The term “inpatient hospitalizations” includes time in the emergency department and observation when the transition between these encounters and the inpatient encounter are within an hour each other.
    • CMS0819v4
    • CMS0819v3
    • Hide
      Our vendor has our report pulling the narcotics prior to admission for patients who have surgery and are admitted during or after surgery. For patients who have not had surgery, the report pulls only the narcotics that are administered after admission. Since this measure is looking at if an antagonist is administered outside of the operating room and during inpatient hospitalization, shouldn't it only be looking at narcotics that are administered within the admission timeframe?
      Show
      Our vendor has our report pulling the narcotics prior to admission for patients who have surgery and are admitted during or after surgery. For patients who have not had surgery, the report pulls only the narcotics that are administered after admission. Since this measure is looking at if an antagonist is administered outside of the operating room and during inpatient hospitalization, shouldn't it only be looking at narcotics that are administered within the admission timeframe?

      The specifications for the HH-ORAE measure state that the numerator pulls for "Inpatient hospitalizations." Does this mean that only narcotics given after admission should count? Or does it suggest any narcotic administered for that patient starting in the emergency room before admission?

       

      Text recovered from the Solution field:

      Should be only looking at inpatient medications, not emergency room medications.

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Rebecca A John
            Votes:
            9 Vote for this issue
            Watchers:
            6 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: