Sorry for any confusion. In the original example that you provided, we noticed that both visits took place within the 30 day period after the first ADHD medication. In that case, patient would be non-compliant for numerator 2.

Allow us to clarify our earlier response regarding end date/time. The measure does not require an end date/time for the medication. The patient can remain active on the medication during the follow-up encounter. We are only interested in the end date for the dispensing event.

Hi could we please have an ETA on this question. I added a follow-up question and have not yet heard back. thank you.

hello could we please have an ETA on this question. I added follow-up question..and have not yet heard back.

Hello, thank you for responses so far. However, our measures developer seeks further clarification.
The problem is the 'solution' and the 'comments' on JIRA are two different conflicting answers.
Below are questions the developer has written up for follow up and clarification:

QUESTIONS

My question is whether or not the medication must have a stop date prior to the encounter performed.

The response that was left in the comment section suggests that the medication stop date must occur prior to an encounter performed as portrayed in their example. However, up in the solutions section, it suggests that both examples that we provided will meet numerator 1. The main difference in our examples is that one scenario has a medication stop date while the other does not have.

In addition, the response in the comment section suggests that both examples that we provided will meet both Numerator 1 and Numerator 2 requirements. However, the response in the solutions section states that our examples will only meet Numerator 1 requirements. I have no opposition to that.

Let me know if you have any more questions. Thanks!

See below as a reference:

On top in the "Solution" section, it says :

"
Thank you for your question. The measure assesses whether patients had a visit with a provider who has prescribing authority within 30 days of ADHD medication being dispensed (i.e., ADHD medication was prescribed by practitioner, and subsequently picked up at the pharmacy by patient or patient proxy). Therefore, in both examples, the patient would fall into the numerator 1.

There are two components required for Numerator 2: 1) a face-to-face encounter within 30 days after the index prescription start date and 2) at least two follow-up visits within 31 and 300 days after the index prescription start date. Providing the medications are dispensed (as opposed to just being prescribed), both situations described in the examples would only satisfy the first component and not the second component of Numerator 2. Thus, neither example would be compliant for Numerator 2.

It is important to mention that we are considering the following change: timing operator for medications changed from "ends after end of" to "starts after end of." This update would be made during the 2017 annual update cycle.
"

But in the comments section,

"
Response to question 1:
In the scenario that you have described, the patient will meet numerator 1 and 2 requirements.

Response to question 2:
To meet numerator 1 and 2, the medication will need a stop date/time recorded in the system. Assume the following test scenario:

Office visit with physician: 1/20/2016 at 4 pm.
To meet numerator 1 criteria, the medication dispensed should end before 3:59 pm on 1/20/2016 (i.e., customer should pick up the medication by this date).

To be clear, this does not mean that the medication should not be active. The patient should still be on the medication after the dispensing end date.
"

Response to question 1:
In the scenario that you have described, the patient will meet numerator 1 and 2 requirements.

Response to question 2:
To meet numerator 1 and 2, the medication will need a stop date/time recorded in the system. Assume the following test scenario:

Office visit with physician: 1/20/2016 at 4 pm.
To meet numerator 1 criteria, the medication dispensed should end before 3:59 pm on 1/20/2016 (i.e., customer should pick up the medication by this date).

To be clear, this does not mean that the medication should not be active. The patient should still be on the medication after the dispensing end date.

Hello, thank you for your responses!! PLEASE SEE ATTACHMENT – with 2 follow-up questions that relate to the answers you provided. Thank you!

Hi could we receive an ETA on response...this question has urgent impact to providers and multiple stakeholders. thank you.

hi could I get an ETA this is urgent request from our team

hi do you have an ETA on response. tyvm