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Potentially Harmful Drug-Disease Interactions in the Elderly

CBE ID
2993
1.4 Project
Patient Safety
Endorsed
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
E&M Cycle
Fall 2020
Is Under Review
No
Next Planned Maintenance Review
Patient Safety Fall 2024
1.3 Measure Description

The percentage of patients 65 years of age and older who have evidence of an underlying disease, condition or health concern and who are dispensed an ambulatory prescription for a potentially harmful medication, concurrent with or after the diagnosis. Three rates are reported for this measure:
-Rate 1: The percentage of those with a history of falls that received a potentially harmful medication
-Rate 2: The percentage of those with dementia that received a potentially harmful medication
-Rate 3: The percentage of those with chronic kidney disease that received a potentially harmful medication
A lower rate represents better performance for all rates.

    • 1.14 Numerator

      Numerator 1: Patients with a history of falls who received at least one potentially harmful medication from Table DDE-A or Table DDE-B
      Numerator 2: Patients with a diagnosis of dementia who received at least one potentially harmful medication from Table DDE-D
      Numerator 3: Patients with chronic kidney disease who received at least one potentially harmful medication from Table DDE-E

    • 1.15 Denominator

      All patients 65 years of age and older with a history of falls, dementia or chronic kidney disease in the measurement year or the year prior to the measurement year.

    • Exclusions

      For those who meet denominator criteria for the history of falls rate (Rate 1): exclude those with a diagnosis of psychosis, schizophrenia, schizoaffective disorder, bipolar disorder, major depressive disorder or seizure disorder.

      For those who meet denominator criteria for the dementia rate (Rate 2): exclude those with a diagnosis of psychosis, schizophrenia, schizoaffective disorder or bipolar disorder.

    • Most Recent Endorsement Activity
      Endorsed Patient Safety Fall Cycle 2020
      Initial Endorsement
      Last Updated