Documentation of Current Medications in the Medical


Documentation of Current Medications in the Medical...

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0419

Documentation of Current Medications in the Medical Record

emeasure

STEWARD: Centers for Medicare & Medicaid Services

 Process: Appropriate Use

Take Action

 Composite  Cost/Resource Use

Measure Description:

 Efficiency

Percentage of visits for patients aged 18 years and older for which the eligible professional attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over­the­counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosage, frequency and route of administration

 Outcome  Outcome: PRO  Process  Structure  Intermediate Clinical Outcome Endorsement Status eMeasure Measure Steward

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Numerator Statement:

Eligible professional attests to documenting, updating, or reviewing a patient´s current medications using all immediate resources available on the date of the encounter. This list must include ALL prescriptions, over­the counters, herbals, vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosages, frequency, and route of administration

Status

Last Updated Date:

Feb 06, 2017 Corresponding Measures:

Not Available Measure History:

Full History

Denominator Statement:

Found in Portfolio(

The 2016 Claims and Registry denominator statement is as follows: “All visits for patients aged 18 years and older.”

2012 MAP Safety Family of Measures

2016 ACO Quality Measure CareLogic CQMS

CCBHC Quality Measures a Other Reporting Requiremen

Exclusions:

 

Submit General Feedback

Endorsed

The Numerator statement for the most recent versions of the measure is as follows (for both the 2016 Claims and Registry version and the 2017 e Measure version): 

The 2017 eMeasure denominator statement is as follows: “All visits occurring during the 12 month reporting period for patients aged 18 years and older before the start of the measurement period.”

(http://www.qualityforum.org/field_guide/) 

Submit Measure Use Info

The 2016 Claims and Registry version contains the following Other Performance Exclusion: Eligible professional attests to documenting in the medical record the patient is not eligible for a current list of medications being obtained, updated, or reviewed by the eligible professional. A patient is not eligible if the following reason is documented: the patient is in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient’s health status

Communication & Care Coordination: Medication Management

The eMeasure includes the following denominator exception:  Medical Reason: Patient is in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient’s health status.

MU Stage 2 CQMs

No

Measure Steward Contact Information:

Measure Type:

For additional measure specification

Process

information, please contact the Measure

Measure Format:

Steward.

Medicare Physician Quality Reporting System (PQRS), Medicare Shared Savings Program (MSSP), Physician Feedback/Quality and Resource Use Reports (QRUR), Physician Value­ Based Payment Modifier (VBM) Condition: Non­Condition Specific:

Primary Prevention, Safety: Medication Care Setting:

Clinician Office/Clinic National Quality Strategy Priorities:

Effective Communication and Care Coordination

Partnership for Patients: All Measures

Safety: Healthcare­associat Conditions

Classification:

Use in Federal Program:

MAP Dual Eligible Beneficia Family of Measures

Partnership for Patients: Medication Safety

Risk Adjustment:

emeasure

ID/DD Measures

Organization Name:

Centers for Medicare & Medicaid Services Email Address:

[email protected] (mailto:[email protected]) Website URL:

Claims/Registry­https://www.cms.gov/Medicare/Q uality­Initiatives­Patient­Assessment­Instrument s/PQRS/MeasuresCodes.html eMeasure https://e cqi.healthit.gov/ep/ecqms­2017­performanceperi od/documentation­current­medications­medical­r ecord (Claims/Registry­https://www.cms.gov/Med icare/Quality­Initiatives­Patient­Assessment­Instr uments/PQRS/MeasuresCodes.html eMeasure htt ps://ecqi.healthit.gov/ep/ecqms­2017­performanc

Actual/Planned Use:  (/Home.aspx) Data Source:

eperiod/documentation­current­medications­med About Us (http://www.qualityforum.org/story/About_Us.aspx) ical­record)

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Level of Analysis:

Clinician: Group/Practice, Clinician: Individual Target Population:

Elderly Measure Disclaimer: Claims and Registry Disclaimer This measure and specification are provided "as is" without warranty of any kind. This measure does not represent a practice guideline. E Measure Disclaimer  These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND.

Measure Steward Copyright: Claims and Registry Copyright Statement: Current Procedural Terminology (CPT®) copyright 2014 American Medical Association. All Rights Reserved. CPT is a registered trademark of the American Medical Association. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the data contained in this file is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non­use, or interpretation of information contained or not contained in this file. Any use of CPT beyond the terms of the license Agreement that you agreed to for personal non­commercial use, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT, creating any modified or derivative work of CPT, or making any commercial use of CPT, requires a separate license from the AMA. Applications for license are available at the AMA Web site, www.ama­assn.org/go/cpt E Measure Copyright Statement:  Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights of Pennsylvania disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT [R]) or other coding contained in the specifications. CPT (R) contained in the Measure specifications is copyright 2007­2014 American Medical Association.  LOINC (R) copyright 2004­2014 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004­2013 [2013­09] International Health Terminology Standards Development Organization. All Rights Reserved. (history)

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