Denominator: Patients 65 years and older who had a visit during the performance period.
- Exclusion: patients who were in Hospice care during the measurement year.
Numerator: Patients with at least two orders for the same high-risk medication on different days during the performance period.
Notes:
A lower score indicates better quality
The list of Medications deemed risky by the measure steward involves systemic medications uncommonly prescribed by eye doctors. As a result, the vast majority of eye doctors will do very well on this measure with limited effort.
- The intent of the measure is to assess if the patient has been prescribed at least two of the same high-risk medications on different days.
- 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.
- “Visit” is a patient encounter during the performance period with at least one service with one of the following CPT or HCPCS codes: 92002, 92004, 92012, 92014, 98000, 98001, 98002, 98003, 98004, 98005, 98006, 98007, 98008, 98009, 98010, 98011, 98012, 98013, 98014, 98015, 98016, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99281, 99282, 99283, 99284, 99285, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350, 99387, 99397, G0402, G0438, G0439**
- For 2026, the measure uses hospice services and palliative care exclusions, with SNOMED codes G9741 and G0034.