CMS506 Safe Use of Opioids

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Andrea Schossow
    • Emplify Health - Gundersen Health System
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      Thank you for your question on CMS506v7, Safe Use of Opioids--Concurrent Prescribing. This measure looks at the “proportion of inpatient hospitalizations for patients 18 years of age and older prescribed, or continued on, two or more opioids or an opioid and benzodiazepine concurrently at discharge.” This measure does not distinguish between different medication scheduling or frequencies such as pause, start, continue. If the patient was prescribed two opioids at discharge, the encounter would fall into the numerator regardless of the instructions.
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      Thank you for your question on CMS506v7, Safe Use of Opioids--Concurrent Prescribing. This measure looks at the “proportion of inpatient hospitalizations for patients 18 years of age and older prescribed, or continued on, two or more opioids or an opioid and benzodiazepine concurrently at discharge.” This measure does not distinguish between different medication scheduling or frequencies such as pause, start, continue. If the patient was prescribed two opioids at discharge, the encounter would fall into the numerator regardless of the instructions.
    • CMS0506v7

      Hello, In our discharge summary there are three sections for medications: PAUSE taking these medications, START taking these medications, CONTINUE taking these medications. A specific example we have is a pt had Tramadol listed as PAUSE taking w the specific instruction to "Wait to take this until your doctor tells you to start again" and then in the START taking these medications OxyCODONE was listed. No other opioids or benzodiazepines are listed. We reviewed the Measure Specification sheet, and it does not specifically address PAUSED medications. In this situation would this patient be in the numerator? In general, how are "PAUSED" medications interpreted for Safe Use of Opioids? Thank you.

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Andrea Schossow
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