2026 ECPR52 Appropriate Treatment of Psychosis and Agitation in the Emergency Department 

Measure Title: Appropriate Treatment of Psychosis and Agitation in the Emergency Department

Measure Description: Percentage of Adult Patients With Psychosis or Agitation Who Were Ordered an ORAL Antipsychotic Medication in the Emergency Department.

Denominator: Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional in the Emergency Department (ED) PLUS ED length of stay of 4 hours or more PLUS primary diagnosis of psychosis, psychotic disorder NOS, psychotic features, hallucinations, schizophrenia, schizoaffective disorder, agitation due to psychosis (Not including eloped or AMA patients)

Numerator: Patients who were ordered at least one ORAL dose of a typical or atypical antipsychotic or an antipsychotic combination medication

Denominator Exclusions: None

Denominator Exceptions: ORAL dose of an atypical antipsychotic or an antipsychotic combination medication not ordered for medical reason documented by the eligible professional (e.g., patient refusal, inability to tolerate, allergy, intramuscular/intravenous route chosen due to aggressive behavior, other documented medical reason)

NQF ID Number: N/A

NQS Domain: Effective Clinical Care

High Priority Measure: No

Measure Type: Process

Includes Teleheatlh: 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

Care Setting: Emergency Department and Services

Submission Pathway: Traditional MIPS


Tags

QCDR-EACCR-2026