False reporting numerator cases since naloxone given during surgery that was during the Same Day Surgery/Outpatient encounter. The Measure specification only looks at surgery start and end times during the IP encounter (see CQM-8138 for similar issue). In 2026, cases where patient had naloxone during "Same Day Surgery" encounter . If this measure is required in 2027 surgery start and end times need to include all encounter types (outpatient, observation).