Measure Title: Avoidance of Long-Acting (LA) or Extended-Release (ER) Opiate Prescriptions and Opiate Prescriptions for Greater Than 3 Days Duration for Acute Pain
Measure Description: Percentage of Adult Patients Who Were Prescribed an Opiate Who Were Not Prescribed a Long-Acting (LA) or Extended-Release (ER) Formulation and for Whom the Prescription Duration Was Not Greater than 3 days for Acute Pain
Denominator: Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional PLUS Opiate prescribed PLUS ICD-10 diagnosis codes for pain, strains, sprains, lacerations, open wounds and fractures PLUS Disposition of Discharged (Admitted, transferred to another acute care facility (same or higher level of care), eloped, AMA or expired patients not included)
Numerator: Patients who were not prescribed a long-acting (LA) or extended-release (ER) opiate, and not prescribed any opiate prescription for greater than 3 days duration
Denominator Exclusions: None
Denominator Exceptions: LA/ER formulation opiate or opiate prescribed for greater than 3 days duration due to terminal (late-stage) cancer, hospice care, or coordinated plan of care for Medication Assisted Treatment (MAT)
NQF ID Number: N/A
NQS Domain: Effective Clinical Care
High Priority Measure: Yes
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: Ambulatory; Ambulatory Care: Clinician Office/Clinic; Ambulatory Care: Hospital; Ambulatory Care: Urgent Care; Emergency Department and Services; Hospital; Hospital Outpatient; Outpatient Services
Submission Pathway: Traditional MIPS