CMS 156 - Use of High-Risk Medications in Older Adults

• Patient’s age is calculated based on the patient’s Date of Birth, which was entered when you created the patient’s account.
• Create a note detailing the patient’s office visit.

• Hospice is documented under Hospice in History. These patients will be excluded from the denominator.

Exclude patients receiving palliative care for any part of the measurement period.

• Palliative Care is documented under Problems with a Start Date.

Rate 1: Patients with at least two orders of high-risk medications from the same drug class on different days.

•  At least two orders of high-risk medications from the same drug class.
• At least two orders of high-risk medications from the same drug class with summed days supply greater than 90 days.
• At least two orders of high-risk medications from the same drug class each exceeding average daily dose criteria.

Rate 2: Patients with at least two orders of high-risk medications from the same drug class (i.e., antipsychotics and benzodiazepines) on different days except for appropriate diagnoses.

• Patients with two or more antipsychotic prescriptions ordered on different days, and who did not have a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between January 1 of the year prior to the measurement period and the IPSD for antipsychotics.
• Patients with two or more benzodiazepine prescriptions ordered on different days, and who did not have a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between January 1 of the year prior to the measurement period and the IPSD for benzodiazepines.

Rate 3:  Total rate (the sum of the two previous numerators, deduplicated).

• High risk medications are prescribed under Medications.

• Enter Procedure Codes including E/M Codes, HCPCS, or CPT Codes as applicable on the Charge Capture
• Complete and sign the note

Once all steps have been completed, the measure will be added to the Quality Measures Report.