Measure Description
Percentage of Adult Patients With Psychosis or Agitation Who Were Ordered an Oral Antipsychotic Medication in the Emergency Department
Denominator
- Any patient ≥ 18 years of age evaluated by the Eligible Professional in the Emergency Department (99281-99285 & 99291-99292 AND Place of Service Indicator: 23) PLUS
- Emergency department length of stay of 4 hours or more PLUS
- Diagnosis of psychosis, psychotic disorder NOS, psychotic features, hallucinations, schizophrenia, schizoaffective disorder, agitation due to psychosis
- ICD10: F06.0, F06.2, F20.0, F20.1, F20.2, F20.3, F20.5, F20.81, F20.89, F20.9, F21, F23, F24, F25.0, F25.1, F25.8, F25.9, F30.2, F31.2, F31.5, F31.64, F32.3, F33.3 F53.1
- Eloped or AMA patients are excluded (V0700)
Numerator
Patients who were ordered at least one oral dose of a typical or atypical antipsychotic or an antipsychotic combination medication
Definition (Qualifying Medications):
- First Generation Antipsychotics
- Chlorpromazine
- Fluphenazine
- Haloperidol
- Loxapine
- Molindone
- Perphenazine
- Pimozide
- Prochlorperazine
- Thioridazine
- Thiothixene
- Trifluoperazine
- Second Generation Antipsychotics
- Aripiprazole
- Asenapine
- Clozapine
- Olanzapine
- Iloperidone
- Lurasidone
- Paliperidone
- Quetiapine
- Risperidone
- Ziprasidone
- Combination Antipsychotics
- Olanzapine-Fluoxetine
- Perphenazine-Amitriptyline
Numerator Options:
- Performance Met (VE272): Oral dose of a typical or atypical antipsychotic or an antipsychotic combination medication prescribed
- Medical Performance Exclusion (Denominator Exception) (VE273): Oral dose of a typical or atypical antipsychotic or an antipsychotic combination medication not prescribed for medical reason documented by the eligible professional (e.g., patient refusal, inability to tolerate, allergy, intramuscular/intravenous route chosen due to aggressive behavior, or other documented medical reason)
- Performance Not Met (VE274): Oral dose of a typical or atypical antipsychotic or an antipsychotic combination medication not prescribed, reason not specified
Numerator Exclusions
None
NQF ID Number
N/A
NQS Domain
Effective Clinical Care
High Priority Measure
No
Includes Telehealth?
Yes
Inverse Measure
No
Proportional Measure
Yes
Continuous Variable Measure
No
Ratio Measure
No
Number of performance rates to be calculated and submitted
1
Risk-Adjusted Status?
No
Meaningful Measure
Prevention, Treatment, and Management of Mental Health
Measure Type
Process
Care Settings
Emergency Department and Services