[CQM-6700] Use of High-Risk Medications in Older Adults - Hydroxyzine and Amitriptyline used for Neuropathic itch and cough Created: 01/17/24  Updated: 01/25/24  Resolved: 01/25/24

Status: Closed
Project: eCQM Issue Tracker
Component/s: None

Type: EC eCQMs - Eligible Clinicians Priority: Moderate
Reporter: Andrew Kurecki (Inactive) Assignee: Mathematica EC eCQM Team
Resolution: Answered Votes: 0
Labels: None

Contact Name: Andrew Kurecki
Contact Email: amkurecki@allergypartners.com
Contact Phone: (828) 231-0676
Institution/Name: Allergy Partners
Solution: Thank you for your inquiry for CMS156v12: Use of High-Risk Medications in Older Adults. For patients who were prescribed with either Amitriptyline, found in the “Central nervous system, antidepressants” value set or Hydroxyzine, found in the “Anticholinergics, first generation antihistamines” value set to meet the criteria for Numerator 1, they would have to have at least two orders of medications from the same drug class on different days.
This means if a patient was prescribed a 10mg tablet of Hydroxyzine on 1/15/2024 and 25 mg tablet of the same drug on 3/12/2024, they would meet the criteria for Numerator 1.
Solution Posted On:
2024 Performance Period EC eCQMs:
CMS0156v12
Impact: The recommended guidelines published for the use of Hydroxyzine and Amitriptyline on patients with Neuropathic itch and cough appear to impact scores for this inverse measure.

 Description   

Regarding quality measure CMS156v11Use of High-Risk Medications in Older Adults; I am inquiring if all providers that are following the recommended guidelines for treating neuropathic itch and/or cough with Amitriptyline or Hydroxyzine; will they be penalized for using these meds to treat these conditions?



 Comments   
Comment by Mathematica EC eCQM Team [ 01/25/24 ]

We continue to investigate the issue noted in your ticket and will provide a response as soon as we are able. Thank you for your patience.

Comment by Mathematica EC eCQM Team [ 01/18/24 ]

Thank you for submitting your question. We will review your ticket and provide a response as soon as possible.

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