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Question
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Resolution: Answered
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Major
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None
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BONNIE
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Use of High-Risk Medications in Older Adults
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CMS156v12
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Yes
Need to get clarification 2024 CMS156v12 on Numerator1 criteria for "Two High Risk Medications with Prolonged Duration"
Two High Risk Medications with Prolonged Duration
Sum(("More Than One Order"(["Medication, Order": "Anti Infectives, other"]))AntiInfectives
let DaysSupply: Coalesce(AntiInfectives.daysSupplied, AntiInfectives.supply.value /(AntiInfectives.dosage.value * CMD.ToDaily(AntiInfectives.frequency)))*(1 +
Coalesce(AntiInfectives.refills, 0))
return all DaysSupply
)> 90More Than One Order(Medication List<"Medication, Order">)
"Medication" OrderMedication1
with "Medication" OrderMedication2
such that ( OrderMedication1.authorDatetime during "Measurement Period"
and OrderMedication1.refills >= 1
)
or ( date from OrderMedication1.authorDatetime !~ date from OrderMedication2.authorDatetime
and OrderMedication1.authorDatetime during "Measurement Period"
and OrderMedication2.authorDatetime during "Measurement Period"
)
or ( date from OrderMedication1.authorDatetime ~ date from OrderMedication2.authorDatetime
and OrderMedication1.authorDatetime during "Measurement Period"
and date from start of OrderMedication1.relevantPeriod !~ date from start of OrderMedication2.relevantPeriod
and start of OrderMedication1.relevantPeriod during "Measurement Period"
and start of OrderMedication2.relevantPeriod during "Measurement Period"
)
return OrderMedication1
Currently for below scenario patient is meeting numerator in bonnie, if patient has 3 medication orders out of which 2 medication orders starts on same day and 1 medication on different day.
Medication order 1: author date= 7/24/2023 and start date = 7/24/2023 daysSupplied = 25 days
Medication order 2: author date = 7/24/2023 and start date = 7/24/2023 daysSupplied = 25 days
Medication order 3: author date = 7/24/2023 and start date = 8/24/2023 daysSupplied = 41 days
Total CMD = 91 days
According to "more than one order function" start date of more than one order should be different so above scenario should not meet numerator 1 requirement. But in bonnie patient is meeting numerator, screen shot attached.