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Medication Reconciliation for Patients Receiving Care at Dialysis Facilities

CBE ID
2988
Endorsed
New or Maintenance
Is Under Review
No
Measure Description

Percentage of patient-months for which medication reconciliation* was performed and documented by an eligible professional.**

* “Medication reconciliation” is defined as the process of creating the most accurate list of all home medications that the patient is taking, including name, indication, dosage, frequency, and route, by comparing the most recent medication list in the dialysis medical record to one or more external list(s) of medications obtained from a patient or caregiver (including patient-/caregiver-provided “brown bag” information), pharmacotherapy information network (e.g., Surescripts), hospital, or other provider.

** For the purposes of medication reconciliation, “eligible professional” is defined as: physician, RN, ARNP, PA, pharmacist, or pharmacy technician.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    MAT output not attached
    Attached
    Data dictionary not attached
    No
    Numerator

    Number of patient-months for which medication reconciliation was performed and documented by an eligible professional during the reporting period. 

    The medication reconciliation MUST:
    • Include the name or other unique identifier of the eligible professional;

    AND

    • Include the date of the reconciliation;

    AND

    • Address ALL known home medications (prescriptions, over-the-counters, herbals, vitamin/mineral/dietary (nutritional) supplements, and medical marijuana);

    AND

    • Address for EACH home medication: Medication name(1), indication(2), dosage(2), frequency(2), route of administration(2), start and end date (if applicable)(2), discontinuation date (if applicable)(2), reason medication was stopped or discontinued (if applicable)(2), and identification of individual who authorized stoppage or discontinuation of medication (if applicable)(2);

    AND

    • List any allergies, intolerances, or adverse drug events experienced by the patient.
    _________________________________________________________________________________
    1. For patients in a clinical trial, it is acknowledged that it may be unknown as to whether the patient is receiving the therapeutic agent or a placebo.

    2. “Unknown” is an acceptable response for this field.

    Denominator

    Total number of patient-months for all patients permanently assigned to a dialysis facility during the reporting period.

    Exclusions

    In-center patients who receive <7 hemodialysis treatments in the facility during the reporting month.

    All information required to stratify the measure results
    Off
    All information required to stratify the measure results
    Off
    Testing Data Sources
  • Risk adjustment approach
    Off
    Risk adjustment approach
    Off
    Conceptual model for risk adjustment
    Off
    Conceptual model for risk adjustment
    Off
  • Most Recent Endorsement Activity
    Endorsed Patient Safety Spring Cycle 2021
    Initial Endorsement
    Next Planned Maintenance Review
    Fall 2023
    Endorsement Status
    E&M Committee Rationale/Justification

    Steward no longer seeking to maintain endorsement

    Last Updated
    Removal Date
  • Do you have a secondary measure developer point of contact?
    Off
    The measure developer is NOT the same as measure steward
    Off
    Steward Organization Email
    Steward Organization Copyright

    © 2016 Kidney Care Quality Alliance. All Rights Reserved.

  • Detailed Measure Specifications
    No
    Logic Model
    Off
    Impact and Gap
    No
    Feasibility assessment methodology and results
    No
    Address health equity
    No
    Measure’s use or intended use
    No
    508 Compliance
    Off
    If no, attest that all information will be provided in other fields in the submission.
    Off