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Documentation of Current Medications in the Medical Record

CBE ID
0419e
1.4 Project
Patient Safety
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Spring 2020
Is Under Review
No
1.3 Measure Description

For both the 2018 claims and registry specifications AND the 2019 performance period eMeasure (v8) the measure description is as follows:
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician 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, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosage, frequency and route of administration.

    • 1.14 Numerator

      Numerator statements for both the 2018 claims and registry specifications and the 2019 performance period eMeasure (v8) is as follows:
      Eligible professional or eligible clinician attests to documenting, updating, or reviewing the patient´s current medications using all immediate resources available on the date of the encounter. This list must include ALL prescriptions, over-the counters, herbals, vitamin/mineral/dietary (nutritional) supplements AND must contain the medications’ name, dosages, frequency, and route of administration.

    • 1.15 Denominator

      Denominator statement for the 2018 claims and registry specifications is as follows: “All visits for patients aged 18 years and older.”

      Denominator statement for the 2019 performance period eMeasure (v8) is “Equals Initial Population”. Initial Population is defined as: “All visits occurring during the 12 month measurement period for patients aged 18 years and older.”

    • Exclusions

      Denominator exception for the 2018 claims and registry specifications is as follows:
      A patient is not eligible if the following reason is documented: 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 on the date of the encounter

      Denominator exception for the 2019 performance period eMeasure (v8) is as follows:
      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

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Patient Safety Spring Cycle 2020
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Centers for Medicare & Medicaid Services
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

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      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.

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      LOINC (R) copyright 2004-2014 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms (R) (SNOMED CT [R]) copyright 2004-2013 [2013-09] International Health Terminology Standards Development Organization. All Rights Reserved.