Use of High-Risk Medications in the Elderly

Updated: 10/24/2019
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Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are reported:

Percentage of patients who were ordered at least one high-risk medication
Percentage of patients who were ordered at least two different high-risk medications

Note: Inverse measure. A lower performance rate for this measure indicates better clinical care or quality.

Denominator:	All patients aged 65 years and older who had a visit during the measurement period. Patient’s age is calculated based on the patient’s Date of Birth, which is entered when you created the patient’s account.
Denominator Exclusions:	Exclude patients whose hospice care overlaps the measurement period.
Numerator 1:	Patients who were ordered at least one high-risk medication during the measurement period. High risk medications are prescribed under Medications.
Numerator 2:	Patients with at least two orders for the same high-risk medications during the measurement period. High risk medications are prescribed under Medications.
Office Visit Documentation:	Create a note detailing the patient’s office visit. Enter Procedure Codes including E/M Codes or CPT/HCPCS Codes on the Superbill. Complete and sign the note. Once all steps have been completed, the measure will be added to the Quality Report.
Quality ID:	238
CMS Measure ID:	CMS156
Measure type:	Process
High Priority Measure:	Yes