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Public Comment for Electronic Clinical Quality Measure: Potential Opioid Overuse

January 25, 2018 - 3:39pm

The Centers for Medicare & Medicaid Services (CMS) has contracted with Mathematica Policy Research to develop new measures for potential use by eligible cliniciansinfo-icon (EC) in the quality payment programs. Mathematica and its subcontractors invite the public’s comments on draft measure specificationsinfo-icon for a proposed measure currently under development. To develop the measure, we consulted with clinical experts and a multi-stakeholder technical expert panel. As part of the measure development process, we are soliciting comments from the public about the face validityinfo-icon, feasibility, usability, and use of the following draft measure:

  • Potential Opioid Overuse

The public comment periodinfo-icon opens at 9:00 a.m. (EST) on January 10, 2018, and closes at 11:59 p.m. (EST) on February 9, 2018.

CMS is requesting that stakeholders review and provide feedback on this measure. All comments are welcome; however, we are particularly interested in feedback in the following areas: 

  • The usefulness of the measure to assess and improve the quality of care for patients
  • The appropriateness of the measure to assess provider performance and any unintended consequences of implementing the measure
  • Whether data elements related to the measure are available in structured, extractable fields in electronic health record systems
  • Whether any additional conditions should be excluded from the measure, or whether any refinements to the existing measure exclusions are needed

To read the measure specifications, please visit:

The JIRA comment tool will be used to collect comments on the measure specifications listed above. Please use the following links to submit your comments:

If you are a current JIRA user with an active account, please use (Select “Log In” in the top right corner).

If you are new to JIRA and do not have an account, please use (Select “Sign Up” to set up a new account and log in to the JIRA tool).

Once logged in, enter your comments by following these instructions: 

  1. Select “Projects” in the top middle of the home screen.
  2. Select “View All Projects.”
  3. Under “Quality Measuresinfo-icon,” select “Comments on eCQMsinfo-icon Under Development” project.
  4. To enter comments, select “Create Issue” (orange button) in the top middle of the screen.
  5. Select the type of issue from the “Issue Type” drop-down menu.
  6. Fill out the fields labeled “Summary,” “Contact Name,” “Contact Email,” and “Contact Phone.”
  7. In the “Summary” field, type in the following title: “Comment—Opioid” for the Potential Opioid Overuse measure.
  8. Enter your comments in the “Description” field.
  9. Select the measure you are commenting on from the “Draft Measures” drop-down box. For the Potential Opioid Overuse measure, select “Opioid”.
  10. Select “Create” at the bottom left to submit your comments. If you would like to enter more comments, select “Create Another” and then “Create.”

To be considered, comments must be submitted via the JIRA comment tool by 11:59 p.m. (ET) on February 9, 2018.

 If you have any questions, please contact For more information on using JIRA, please see the JIRA User Guide.

Last Updated: January 25, 2018