Last updated: May 3, 2018
CMS Measure ID: | CMS156v6 |
---|---|
Version: | 6 |
NQF Number: | 0022 |
Measure Description: |
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are reported. a. Percentage of patients who were ordered at least one high-risk medication. b. Percentage of patients who were ordered at least two of the same high-risk medications. |
Initial Patient Population: |
Patients 65 years and older who had a visit during the measurement period |
Denominator Statement: |
Equals Initial Population |
Denominator Exclusions: |
Exclude patients who were in hospice care during the measurement year |
Numerator Statement: |
Numerator Numerator 2: Patients with at least two orders for the same high-risk medication during the measurement period |
Numerator Exclusions: |
Not Applicable |
Denominator Exceptions: |
None |
Measure Steward: | National Committee for Quality Assurance |
Domain: | Patient Safety |
Next Version: | |
Previous Version: | |
Improvement Notation: |
Lower score indicates better quality |
Guidance: |
The intent of Numerator The intent of Numerator 2 is to assess if the patient has either: - Been prescribed at least two of the same high-risk medications. - Received two or more prescriptions, where the sum of days supply exceeds 90 days, for medications in the same medication class. The intent of the measure is to assess if the reporting provider ordered the high-risk medication(s). If the patient had a high-risk medication previously prescribed by another provider, they would not be counted towards the numerator unless the reporting provider also ordered a high-risk medication for them. CUMULATIVE MEDICATION DURATION is an individual's total number of medication days over a specific period; the period counts multiple prescriptions with gaps in between, but does not count the gaps during which a medication was not dispensed. To determine the cumulative medication duration, determine first the number of the Medication Days for each prescription in the period: the number of doses divided by the dose frequency per day. Then add the Medication Days for each prescription without counting any days between the prescriptions. For example, there is an original prescription for 30 days with 2 refills for thirty days each. After a gap of 3 months, the medication was prescribed again for 60 days with 1 refill for 60 days. The cumulative medication duration is (30 x 3) + (60 x 2) = 210 days over the 10 month period. |
Notes: | Value Set content updated Sept 2017, TRNs updated Oct 2017 |
Specifications
CMS156v6.html
CMS156v6.xml
CMS156v6_SimpleXML.xml
EP_EC_CMS156v6_NQF0022_HighRisk_Med_Elderly.zip
CMS156v6_TRN_2018_v2.xlsx
Release Notes
Header
Incremented eMeasure Version number.
Measure Section: eMeasure Version number
Source of Change: Measure Lead
Updated the measure Description for Population Criteria 2 to identify multiple dispensing events for the same high-risk medication (as opposed to different medications in the previous versions of the measure) to align with the updated Beer's criteria.
Measure Section: Description
Source of Change: Measure Lead
Updated the patient age from 66 years to 65 years in the measure Description and the Initial Population
sections of the header to align with the HEDIS parent measure.
Measure Section: Description
Source of Change: Measure Lead
Updated Copyright.
Measure Section: Copyright
Source of Change: Annual Update
Updated Disclaimer.
Measure Section: Disclaimer
Source of Change: Measure Lead
Updated Guidance.
Measure Section: Guidance
Source of Change: Measure Lead
Updated the patient age from 66 years to 65 years in the measure Description and the Initial Population sections of the header to align with the HEDIS parent measure.
Measure Section: Initial Population
Source of Change: Measure Lead
Updated the exclusion statement in the header to exclude patients in hospice care from the Denominator
. Measures that focus on screenings and procedures may not be appropriate or a priority for those who are at end of life (ie, on hospice).
Measure Section: Denominator Exclusions
Source of Change: Measure Lead
Updated the Numerator
for Population Criteria 2 to identify multiple dispensing events for the same high-risk medication (as opposed to different medications in the previous versions of the measure) to align with the updated Beer's criteria.
Measure Section: Numerator
Source of Change: Measure Lead
Logic
Updated the patient age in the logic from >=66 year(s) to >= 65 year(s) to align with the age criteria in the HEDIS parent measure.
Measure Section: Initial Population
Source of Change: Measure Lead
Added new lines of logic to the Denominator Exclusions for all NCQA-stewarded measures (except CMS82) to ensure patients in hospice care are excluded from the Denominator.
Measure Section: Denominator Exclusions
Source of Change: Measure Lead
Removed the SUM function from Numerator 1 logic because the measure is assessing if there was only one prescription with more than a 90 days supply. The function has been replaced with a 'cumulative medication duration >= 90 day(s)' attribute for the medications.
Measure Section: Numerator
Source of Change: Measure Lead
Updated the Numerator for Population Criteria 2 to identify multiple dispensing events for the same high-risk medication (as opposed to different medications in the previous versions of the measure) to align with the updated Beer's criteria.
Measure Section: Numerator
Source of Change: Measure Lead
The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets
.
Value set High Risk Medications for the Elderly (2.16.840.1.113883.3.464.1003.196.12.1253): Added 122 RXNORM codes and deleted 190 RXNORM codes.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Meprobamate (2.16.840.1.113883.3.464.1003.196.12.1284): Added Meprobamate.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Trimipramine (2.16.840.1.113883.3.464.1003.196.12.1285): Added Trimipramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Amitriptyline / Chlordiazepoxide (2.16.840.1.113883.3.464.1003.196.12.1286): Added Amitriptyline / Chlordiazepoxide.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Dextromethorphan / Doxylamine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1287): Added Acetaminophen / Dextromethorphan / Doxylamine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Ergoloid Mesylates (2.16.840.1.113883.3.464.1003.196.12.1288): Added Ergoloid Mesylates.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Chlorpheniramine (2.16.840.1.113883.3.464.1003.196.12.1289): Added Acetaminophen / Chlorpheniramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Doxylamine (2.16.840.1.113883.3.464.1003.196.12.1290): Added Doxylamine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Codeine / Phenylephrine / Promethazine (2.16.840.1.113883.3.464.1003.196.12.1291): Added Codeine / Phenylephrine / Promethazine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Diphenhydramine / Ibuprofen (2.16.840.1.113883.3.464.1003.196.12.1293): Added Diphenhydramine / Ibuprofen.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Phenylephrine / Promethazine (2.16.840.1.113883.3.464.1003.196.12.1294): Added Phenylephrine / Promethazine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Dextromethorphan (2.16.840.1.113883.3.464.1003.196.12.1296): Added Chlorpheniramine / Dextromethorphan.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Amobarbital (2.16.840.1.113883.3.464.1003.196.12.1297): Added Amobarbital.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Secobarbital (2.16.840.1.113883.3.464.1003.196.12.1298): Added Secobarbital.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Hydrocodone / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1299): Added Chlorpheniramine / Hydrocodone / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexchlorpheniramine / Dextromethorphan / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1300): Added Dexchlorpheniramine / Dextromethorphan / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Codeine (2.16.840.1.113883.3.464.1003.196.12.1301): Added Chlorpheniramine / Codeine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Aspirin / Caffeine / Orphenadrine (2.16.840.1.113883.3.464.1003.196.12.1302): Added Aspirin / Caffeine / Orphenadrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpropamide (2.16.840.1.113883.3.464.1003.196.12.1303): Added Chlorpropamide.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Ticlopidine (2.16.840.1.113883.3.464.1003.196.12.1304): Added Ticlopidine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Aspirin / Carisoprodol / Codeine (2.16.840.1.113883.3.464.1003.196.12.1305): Added Aspirin / Carisoprodol / Codeine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Carbinoxamine (2.16.840.1.113883.3.464.1003.196.12.1306): Added Carbinoxamine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Diphenhydramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1307): Added Diphenhydramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Clemastine (2.16.840.1.113883.3.464.1003.196.12.1308): Added Clemastine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Phenylephrine / Pyrilamine (2.16.840.1.113883.3.464.1003.196.12.1309): Added Chlorpheniramine / Phenylephrine / Pyrilamine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Chlorpheniramine / Dextromethorphan / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1310): Added Acetaminophen / Chlorpheniramine / Dextromethorphan / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Disopyramide (2.16.840.1.113883.3.464.1003.196.12.1311): Added Disopyramide.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Dextromethorphan / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1312): Added Chlorpheniramine / Dextromethorphan / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Aspirin / Carisoprodol (2.16.840.1.113883.3.464.1003.196.12.1313): Added Aspirin / Carisoprodol.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dextromethorphan / Promethazine (2.16.840.1.113883.3.464.1003.196.12.1314): Added Dextromethorphan / Promethazine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1315): Added Chlorpheniramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Chlorpheniramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1316): Added Acetaminophen / Chlorpheniramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Butalbital (2.16.840.1.113883.3.464.1003.196.12.1317): Added Acetaminophen / Butalbital.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Diphenhydramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1318): Added Acetaminophen / Diphenhydramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Estropipate (2.16.840.1.113883.3.464.1003.196.12.1319): Added Estropipate.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Esterified Estrogens / Methyltestosterone (2.16.840.1.113883.3.464.1003.196.12.1320): Added Esterified Estrogens / Methyltestosterone.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Chlorpheniramine / Dextromethorphan / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1321): Added Acetaminophen / Chlorpheniramine / Dextromethorphan / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Aspirin / Butalbital / Caffeine / Codeine (2.16.840.1.113883.3.464.1003.196.12.1322): Added Aspirin / Butalbital / Caffeine / Codeine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Estradiol / Norethindrone (2.16.840.1.113883.3.464.1003.196.12.1323): Added Estradiol / Norethindrone.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Conjugated Estrogens / Medroxyprogesterone (2.16.840.1.113883.3.464.1003.196.12.1324): Added Conjugated Estrogens / Medroxyprogesterone.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine / Dextromethorphan / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1325): Added Brompheniramine / Dextromethorphan / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Butalbital / Caffeine / Codeine (2.16.840.1.113883.3.464.1003.196.12.1326): Added Acetaminophen / Butalbital / Caffeine / Codeine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1327): Added Brompheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Chlorpheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1328): Added Acetaminophen / Chlorpheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Dextromethorphan / Doxylamine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1329): Added Acetaminophen / Dextromethorphan / Doxylamine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Hydrocodone (2.16.840.1.113883.3.464.1003.196.12.1330): Added Chlorpheniramine / Hydrocodone.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Methyldopa (2.16.840.1.113883.3.464.1003.196.12.1331): Added Methyldopa.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1332): Added Brompheniramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Trihexyphenidyl (2.16.840.1.113883.3.464.1003.196.12.1334): Added Trihexyphenidyl.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Trimethobenzamide (2.16.840.1.113883.3.464.1003.196.12.1335): Added Trimethobenzamide.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Clomipramine (2.16.840.1.113883.3.464.1003.196.12.1336): Added Clomipramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Dextromethorphan / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1337): Added Chlorpheniramine / Dextromethorphan / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Dextromethorphan / Doxylamine (2.16.840.1.113883.3.464.1003.196.12.1338): Added Acetaminophen / Dextromethorphan / Doxylamine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine / Dextromethorphan / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1339): Added Brompheniramine / Dextromethorphan / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Codeine / Promethazine (2.16.840.1.113883.3.464.1003.196.12.1340): Added Codeine / Promethazine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Guanfacine (2.16.840.1.113883.3.464.1003.196.12.1341): Added Guanfacine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Megestrol (2.16.840.1.113883.3.464.1003.196.12.1342): Added Megestrol.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1343): Added Chlorpheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Thioridazine (2.16.840.1.113883.3.464.1003.196.12.1344): Added Thioridazine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Pseudoephedrine / Triprolidine (2.16.840.1.113883.3.464.1003.196.12.1345): Added Pseudoephedrine / Triprolidine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Naloxone / Pentazocine (2.16.840.1.113883.3.464.1003.196.12.1346): Added Naloxone / Pentazocine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Aspirin / Butalbital / Caffeine (2.16.840.1.113883.3.464.1003.196.12.1347): Added Aspirin / Butalbital / Caffeine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Phenobarbital (2.16.840.1.113883.3.464.1003.196.12.1348): Added Phenobarbital.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dipyridamole (2.16.840.1.113883.3.464.1003.196.12.1349): Added Dipyridamole.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Diphenhydramine (2.16.840.1.113883.3.464.1003.196.12.1350): Added Acetaminophen / Diphenhydramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Meperidine (2.16.840.1.113883.3.464.1003.196.12.1351): Added Meperidine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine (2.16.840.1.113883.3.464.1003.196.12.1352): Added Chlorpheniramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Nifedipine (2.16.840.1.113883.3.464.1003.196.12.1353): Added Nifedipine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Desiccated Thyroid (2.16.840.1.113883.3.464.1003.196.12.1354): Added Desiccated Thyroid.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Atropine / Hyoscyamine / Phenobarbital / Scopolamine (2.16.840.1.113883.3.464.1003.196.12.1355): Added Atropine / Hyoscyamine / Phenobarbital / Scopolamine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Orphenadrine (2.16.840.1.113883.3.464.1003.196.12.1356): Added Orphenadrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Conjugated Estrogens (2.16.840.1.113883.3.464.1003.196.12.1357): Added Conjugated Estrogens.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Metaxalone (2.16.840.1.113883.3.464.1003.196.12.1358): Added Metaxalone.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Imipramine (2.16.840.1.113883.3.464.1003.196.12.1359): Added Imipramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Glyburide / Metformin (2.16.840.1.113883.3.464.1003.196.12.1360): Added Glyburide / Metformin.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Benztropine (2.16.840.1.113883.3.464.1003.196.12.1361): Added Benztropine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorzoxazone (2.16.840.1.113883.3.464.1003.196.12.1362): Added Chlorzoxazone.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Butalbital / Caffeine (2.16.840.1.113883.3.464.1003.196.12.1363): Added Acetaminophen / Butalbital / Caffeine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Ketorolac Tromethamine (2.16.840.1.113883.3.464.1003.196.12.1364): Added Ketorolac Tromethamine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Estradiol (2.16.840.1.113883.3.464.1003.196.12.1365): Added Estradiol.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Indomethacin (2.16.840.1.113883.3.464.1003.196.12.1366): Added Indomethacin.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Promethazine Hydrochloride (2.16.840.1.113883.3.464.1003.196.12.1367): Added Promethazine Hydrochloride.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Glyburide (2.16.840.1.113883.3.464.1003.196.12.1368): Added Glyburide.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Carisoprodol (2.16.840.1.113883.3.464.1003.196.12.1369): Added Carisoprodol.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Methocarbamol (2.16.840.1.113883.3.464.1003.196.12.1370): Added Methocarbamol.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Diphenhydramine Hydrochloride (2.16.840.1.113883.3.464.1003.196.12.1371): Added Diphenhydramine Hydrochloride.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Cyclobenzaprine Hydrochloride (2.16.840.1.113883.3.464.1003.196.12.1372): Added Cyclobenzaprine Hydrochloride.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Amitriptyline Hydrochloride (2.16.840.1.113883.3.464.1003.196.12.1373): Added Amitriptyline Hydrochloride.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Hydroxyzine (2.16.840.1.113883.3.464.1003.196.12.1374): Added Hydroxyzine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexbrompheniramine (2.16.840.1.113883.3.464.1003.196.12.1375): Added Dexbrompheniramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Aspirin / Diphenhydramine Citrate (2.16.840.1.113883.3.464.1003.196.12.1376): Added Aspirin / Diphenhydramine Citrate.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Diphenhydramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1378): Added Acetaminophen / Diphenhydramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Doxylamine / Pyridoxine (2.16.840.1.113883.3.464.1003.196.12.1379): Added Doxylamine / Pyridoxine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Aspirin / Chlorpheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1380): Added Aspirin / Chlorpheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Chlorpheniramine / Dextromethorphan / Guaifenesin (2.16.840.1.113883.3.464.1003.196.12.1383): Added Acetaminophen / Chlorpheniramine / Dextromethorphan / Guaifenesin.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexbrompheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1384): Added Dexbrompheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Phenylephrine / Triprolidine (2.16.840.1.113883.3.464.1003.196.12.1385): Added Phenylephrine / Triprolidine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Bazedoxifene / Conjugated Estrogens (2.16.840.1.113883.3.464.1003.196.12.1386): Added Bazedoxifene / Conjugated Estrogens.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Doxylamine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1387): Added Doxylamine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Aspirin / Diphenhydramine (2.16.840.1.113883.3.464.1003.196.12.1388): Added Acetaminophen / Aspirin / Diphenhydramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Brompheniramine (2.16.840.1.113883.3.464.1003.196.12.1389): Added Acetaminophen / Brompheniramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexchlorpheniramine (2.16.840.1.113883.3.464.1003.196.12.1391): Added Dexchlorpheniramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Diphenhydramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1392): Added Diphenhydramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Meperidine / Promethazine (2.16.840.1.113883.3.464.1003.196.12.1393): Added Meperidine / Promethazine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Aspirin / Meprobamate (2.16.840.1.113883.3.464.1003.196.12.1394): Added Aspirin / Meprobamate.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Diphenhydramine / Magnesium Salicylate (2.16.840.1.113883.3.464.1003.196.12.1395): Added Diphenhydramine / Magnesium Salicylate.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Estradiol / Norgestimate Biphasic (2.16.840.1.113883.3.464.1003.196.12.1396): Added Estradiol / Norgestimate Biphasic.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dextromethorphan / Diphenhydramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1397): Added Dextromethorphan / Diphenhydramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dienogest / Estradiol Multiphasic (2.16.840.1.113883.3.464.1003.196.12.1398): Added Dienogest / Estradiol Multiphasic.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Dextromethorphan / Diphenhydramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1399): Added Acetaminophen / Dextromethorphan / Diphenhydramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Doxylamine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1400): Added Acetaminophen / Doxylamine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Pentobarbital (2.16.840.1.113883.3.464.1003.196.12.1401): Added Pentobarbital.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Butabarbital (2.16.840.1.113883.3.464.1003.196.12.1402): Added Butabarbital.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexchlorpheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1403): Added Dexchlorpheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Dexbrompheniramine (2.16.840.1.113883.3.464.1003.196.12.1405): Added Acetaminophen / Dexbrompheniramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Diphenhydramine / Naproxen (2.16.840.1.113883.3.464.1003.196.12.1406): Added Diphenhydramine / Naproxen.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Pentazocine (2.16.840.1.113883.3.464.1003.196.12.1407): Added Pentazocine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Triprolidine (2.16.840.1.113883.3.464.1003.196.12.1408): Added Triprolidine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine / Codeine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1409): Added Brompheniramine / Codeine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Drospirenone / Estradiol (2.16.840.1.113883.3.464.1003.196.12.1410): Added Drospirenone / Estradiol.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Atropine / Chlorpheniramine / Hyoscyamine / Pseudoephedrine / Scopolamine (2.16.840.1.113883.3.464.1003.196.12.1411): Added Atropine / Chlorpheniramine / Hyoscyamine / Pseudoephedrine / Scopolamine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlophedianol / Chlorpheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1412): Added Chlophedianol / Chlorpheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Mephobarbital (2.16.840.1.113883.3.464.1003.196.12.1413): Added Mephobarbital.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Hydrochlorothiazide / Methyldopa (2.16.840.1.113883.3.464.1003.196.12.1414): Added Hydrochlorothiazide / Methyldopa.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Ibuprofen / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1416): Added Chlorpheniramine / Ibuprofen / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Esterified Estrogens (2.16.840.1.113883.3.464.1003.196.12.1419): Added Esterified Estrogens.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Carbetapentane / Chlorpheniramine / Ephedrine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1420): Added Carbetapentane / Chlorpheniramine / Ephedrine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Chlorpheniramine / Dextromethorphan (2.16.840.1.113883.3.464.1003.196.12.1421): Added Acetaminophen / Chlorpheniramine / Dextromethorphan.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Isoxsuprine (2.16.840.1.113883.3.464.1003.196.12.1422): Added Isoxsuprine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexchlorpheniramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1425): Added Dexchlorpheniramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexbrompheniramine / Dextromethorphan / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1426): Added Dexbrompheniramine / Dextromethorphan / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine (2.16.840.1.113883.3.464.1003.196.12.1427): Added Brompheniramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Amitriptyline / Perphenazine (2.16.840.1.113883.3.464.1003.196.12.1428): Added Amitriptyline / Perphenazine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexbrompheniramine Maleate / Pseudoephedrine Hydrochloride (2.16.840.1.113883.3.464.1003.196.12.1429): Added Dexbrompheniramine Maleate / Pseudoephedrine Hydrochloride.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexbrompheniramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1430): Added Dexbrompheniramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Codeine / Pseudoephedrine / Triprolidine (2.16.840.1.113883.3.464.1003.196.12.1431): Added Codeine / Pseudoephedrine / Triprolidine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Codeine / Dexchlorpheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1433): Added Codeine / Dexchlorpheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Dihydrocodeine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1434): Added Chlorpheniramine / Dihydrocodeine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlophedianol / Dexbrompheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1435): Added Chlophedianol / Dexbrompheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Codeine / Dexbrompheniramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1437): Added Codeine / Dexbrompheniramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dexbrompheniramine / Dextromethorphan / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1438): Added Dexbrompheniramine / Dextromethorphan / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Codeine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1439): Added Chlorpheniramine / Codeine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlophedianol / Dexbrompheniramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1440): Added Chlophedianol / Dexbrompheniramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Acetaminophen / Dextromethorphan / Diphenhydramine (2.16.840.1.113883.3.464.1003.196.12.1441): Added Acetaminophen / Dextromethorphan / Diphenhydramine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine / Chlophedianol / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1443): Added Brompheniramine / Chlophedianol / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dextromethorphan / Doxylamine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1444): Added Dextromethorphan / Doxylamine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine / Chlophedianol / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1445): Added Brompheniramine / Chlophedianol / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Codeine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1446): Added Chlorpheniramine / Codeine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlophedianol / Dexchlorpheniramine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1447): Added Chlophedianol / Dexchlorpheniramine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Doxylamine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1448): Added Doxylamine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine / Codeine / Pseudoephedrine (2.16.840.1.113883.3.464.1003.196.12.1450): Added Brompheniramine / Codeine / Pseudoephedrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Dextromethorphan / Doxylamine (2.16.840.1.113883.3.464.1003.196.12.1452): Added Dextromethorphan / Doxylamine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Chlorpheniramine / Phenylephrine / Phenyltoloxamine (2.16.840.1.113883.3.464.1003.196.12.1453): Added Chlorpheniramine / Phenylephrine / Phenyltoloxamine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Brompheniramine / Codeine (2.16.840.1.113883.3.464.1003.196.12.1455): Added Brompheniramine / Codeine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Carbetapentane / Chlorpheniramine / Phenylephrine (2.16.840.1.113883.3.464.1003.196.12.1472): Added Carbetapentane / Chlorpheniramine / Phenylephrine.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Nonbenzodiazepine Hypnotics (2.16.840.1.113883.3.464.1003.196.12.1480): Added Nonbenzodiazepine Hypnotics.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Anti-Infectives, other (2.16.840.1.113883.3.464.1003.196.12.1481): Added Anti-Infectives, other.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Estradiol / Levonorgestrel (2.16.840.1.113883.3.464.1003.196.12.1483): Added Estradiol / Levonorgestrel.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Encounter Inpatient (2.16.840.1.113883.3.666.5.307): Added Encounter Inpatient.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Hospice care ambulatory (2.16.840.1.113762.1.4.1108.15): Added Hospice care ambulatory.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Discharged to Health Care Facility for Hospice Care (2.16.840.1.113883.3.117.1.7.1.207): Added Discharged to Health Care Facility for Hospice Care.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Discharged to Home for Hospice Care (2.16.840.1.113883.3.117.1.7.1.209): Added Discharged to Home for Hospice Care.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Ophthalmologic Outpatient Visit (2.16.840.1.113883.3.464.1003.101.11.1206): Removed Ophthalmologic Outpatient Visit.
Measure Section: QDM Data Elements
Source of Change: Annual Update
Value set Trimipramine (2.16.840.1.113883.3.464.1003.196.12.1285): Deleted 3 RXNORM codes (199820, 245373, 313497).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Ergoloid Mesylates (2.16.840.1.113883.3.464.1003.196.12.1288): Deleted 2 RXNORM codes (197647, 310143).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Doxylamine (2.16.840.1.113883.3.464.1003.196.12.1290): Deleted 3 RXNORM codes (1101439, 1101457, 1242582).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Amobarbital (2.16.840.1.113883.3.464.1003.196.12.1297): Deleted 1 RXNORM code (308169).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Carbinoxamine (2.16.840.1.113883.3.464.1003.196.12.1306): Deleted 2 RXNORM codes (1010696, 1374770).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Clemastine (2.16.840.1.113883.3.464.1003.196.12.1308): Deleted 2 RXNORM codes (857420, 857430).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Acetaminophen / Butalbital (2.16.840.1.113883.3.464.1003.196.12.1317): Added 2 RXNORM codes (1249617, 1724446).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Acetaminophen / Butalbital / Caffeine / Codeine (2.16.840.1.113883.3.464.1003.196.12.1326): Added 1 RXNORM code (1431286).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Trihexyphenidyl (2.16.840.1.113883.3.464.1003.196.12.1334): Deleted 1 RXNORM code (905273).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Clomipramine (2.16.840.1.113883.3.464.1003.196.12.1336): Deleted 3 RXNORM codes (857291, 857296, 857315).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Megestrol (2.16.840.1.113883.3.464.1003.196.12.1342): Deleted 2 RXNORM codes (577154, 860231).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Phenobarbital (2.16.840.1.113883.3.464.1003.196.12.1348): Deleted 1 RXNORM code (702519).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Dipyridamole (2.16.840.1.113883.3.464.1003.196.12.1349): Deleted 3 RXNORM codes (199314, 309953, 333833).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Nifedipine (2.16.840.1.113883.3.464.1003.196.12.1353): Deleted 3 RXNORM codes (199329, 199782, 314132).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Desiccated Thyroid (2.16.840.1.113883.3.464.1003.196.12.1354): Deleted 8 RXNORM codes (1537837, 198276, 198280, 200330, 200331, 200332, 284437, 284438).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Atropine / Hyoscyamine / Phenobarbital / Scopolamine (2.16.840.1.113883.3.464.1003.196.12.1355): Added 1 RXNORM code (1048147).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Orphenadrine (2.16.840.1.113883.3.464.1003.196.12.1356): Deleted 2 RXNORM codes (994541, 994824).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Benztropine (2.16.840.1.113883.3.464.1003.196.12.1361): Deleted 1 RXNORM code (885205).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Indomethacin (2.16.840.1.113883.3.464.1003.196.12.1366): Deleted 3 RXNORM codes (197819, 199549, 346508).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Diphenhydramine Hydrochloride (2.16.840.1.113883.3.464.1003.196.12.1371): Deleted 1 RXNORM code (477245).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Pentazocine (2.16.840.1.113883.3.464.1003.196.12.1407): Deleted 3 RXNORM codes (1811473, 199789, 250485).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Triprolidine (2.16.840.1.113883.3.464.1003.196.12.1408): Deleted 2 RXNORM codes (1099788, 1490671).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Conjugated Estrogens / Medroxyprogesterone (2.16.840.1.113883.3.464.1003.196.12.1324): Deleted 5 RXNORM codes (1000395, 1000398, 1000486, 1000490, 1000496).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Guanfacine (2.16.840.1.113883.3.464.1003.196.12.1341): Deleted 1 RXNORM code (1092566).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Chlorpheniramine (2.16.840.1.113883.3.464.1003.196.12.1352): Deleted 2 RXNORM codes (1363306, 1673791).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Conjugated Estrogens (2.16.840.1.113883.3.464.1003.196.12.1357): Deleted 1 RXNORM code (688240).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Ketorolac Tromethamine (2.16.840.1.113883.3.464.1003.196.12.1364): Deleted 9 RXNORM codes (1540230, 1665459, 1665461, 1665675, 1665679, 1665682, 860113, 860114, 860115).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Estradiol (2.16.840.1.113883.3.464.1003.196.12.1365): Deleted 6 RXNORM codes (153444, 204407, 226597, 251098, 483169, 978948).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Hydroxyzine (2.16.840.1.113883.3.464.1003.196.12.1374): Deleted 6 RXNORM codes (1794552, 1794554, 995241, 995270, 995274, 995428).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Mephobarbital (2.16.840.1.113883.3.464.1003.196.12.1413): Deleted 1 RXNORM code (199341).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Brompheniramine (2.16.840.1.113883.3.464.1003.196.12.1427): Deleted 4 RXNORM codes (1356848, 359281, 477587, 731032).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set High Risk Medications for the Elderly (2.16.840.1.113883.3.464.1003.196.12.1253): Added 4 RXNORM codes (1249617, 1724446, 1431286, 1048147) and deleted 90 RXNORM codes.
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum
Value set Meperidine (2.16.840.1.113883.3.464.1003.196.12.1351): Deleted 9 RXNORM codes (1665685, 1665690, 1665699, 1665701, 861473, 861479, 861482, 861493, 861494).
Measure Section: QDM Data Elements
Source of Change: 2018 Addendum