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Measure: CMS68

Documentation of Current Medications in the Medical Record

Measure Versions

eMeasure Code Measure Year Full Version Number Title
CMS68v11 2022 11.0.000 Documentation of Current Medications in the Medical Record
CMS68v10 2021 10.3.000 Documentation of Current Medications in the Medical Record
CMS68v9 2020 9.1.000 Documentation of Current Medications in the Medical Record
CMS68v8 2019 8.1.000 Documentation of Current Medications in the Medical Record
CMS68v7 2018 7.1.000 Documentation of Current Medications in the Medical Record
CMS68v6 2017 6.1.000 Documentation of Current Medications in the Medical Record

Description

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.

Guidance

This measure is to be reported for every encounter during the measurement period. Eligible professionals or eligible clinicians reporting this measure may document medication information received from the patient, authorized representative(s), caregiver(s) or other available healthcare resources. This list must include all prescriptions, over-the-counter (OTC) products, herbals, vitamins, minerals, dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration. This measure should also be reported if the eligible professional or eligible clinician documented the patient is not currently taking any medications. By reporting the action described in this measure, the provider attests to having documented a list of current medications utilizing all immediate resources available at the time of the encounter.

Patient Group Definitions

Group Description Instructions Links
Initial PopulationAll visits occurring during the 12 month measurement period for patients aged 18 years and olderWebchart Instructions
DenominatorEquals Initial PopulationWebchart Instructions
Denominator ExclusionsNone
NumeratorEligible professional or eligible clinician attests to documenting, updating or reviewing the patient's current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosages, frequency and route of administration.Webchart Instructions
Numerator ExclusionsNot ApplicableWebchart Instructions
Denominator ExceptionsMedical Reason: Patient is in an urgent or emergent medical situation where time is of the essence and to delay treatment would jeopardize the patient's health statusWebchart Instructions

Details

Full eMeasure Code eMeasure Identifier Measure Year Version NQF # GUID
CMS68v9 68 2020 9.1.000 0419e 9a032d9c-3d9b-11e1-8634-00237d5bf174
Steward Developer Endorsed By
Quality Insights Centers for Medicare & Medicaid Services (CMS) National Quality Forum
Scoring Method Measure Type Stratification Risk Adjustment
Proportion PROCESS None None

Rate Aggregation

None

Improvement Notation

Higher score indicates better quality

Rationale

According to the National Center for Health Statistics, during the years of 2011-2014, 46.9 percent of patients (both male and female) were being prescribed at least one prescription medication with 10.9 percent taking 5 or more medications. Additionally, 90.6 percent of patients (both male and female) aged 65 years and older are being prescribed at least one medication with 40.7 percent taking 5 or more medications (National Center for Health Statistics, 2017). In this context, maintaining an accurate and complete medication list has proven to be a challenging documentation endeavor for various health care provider settings. While most of outpatient encounters (2/3) result in providers prescribing at least one medication, hospitals have been the focus of medication safety efforts (Stock, Scott, & Gurtel, 2009). Nassaralla et al. (2007) caution that this is at odds with the current trend, where patients with chronic illnesses are increasingly being treated in the outpatient setting and require careful monitoring of multiple medications. Additionally, Nassaralla et al. (2007) reveal that it is in fact in outpatient settings where more fatal adverse drug events (ADE) occur when these are compared to those occurring in hospitals (1 of 131 outpatient deaths compared to 1 in 854 inpatient deaths). In the outpatient setting, adverse drug events (ADEs) occur 25% of the time and over one-third of these are considered preventable (Tache, Sonnichsen, & Ashcroft, 2011). Particularly vulnerable are patients over 65 years, with evidence suggesting that the rate of ADEs per 10,000 person per year increases with age; 25-44 years old at 1.3; 45-64 at 2.2, and 65 + at 3.8 (Sarkar et al., 2011). Another vulnerable group is chronically ill individuals. These population groups are more likely to experience ADEs and subsequent hospitalization. A multiplicity of providers and inadequate care coordination among them has been identified as barriers to collecting complete and reliable medication records. Data indicate that reconciliation and documentation continues to be poorly executed with discrepancies occurring in 92% (74 of 80 patients) of medication lists among admittance to the emergency room. Of 80 patients included in the study, the home medications were reordered for 65% of patients on their admission and of the 65% the majority (29%) had a change in their dosing interval, while 23% had a change in their route of administration, and 13% had a change in dose. A total of 361 medication discrepancies, or the difference between the medications patients were taking before admission and those listed in there admission orders, were identified in at least 74 patients (Poornima et al., 2015). The study found that "Through an appropriate reconciliation programme, around 80% of errors relating to medication and the potential harm caused by these errors could be reduced" (Poornima et al., 2015, p. 243). Documentation of current medications in the medical record facilitates the process of medication review and reconciliation by the provider, which are necessary for reducing ADEs and promoting medication safety. The need for provider to provider coordination regarding medication records, and the existing gap in implementation, is highlighted in the American Medical Association's Physician's Role in Medication Reconciliation (2007), which states that "critical patient information, including medical and medication histories, current medications the patient is receiving and taking, and sources of medications, is essential to the delivery of safe medical care. However, interruptions in the continuity of care and information gaps in patient health records are common and significantly affect patient outcomes" (American Medical Association, 2007, p. 7). This is because clinical decisions based on information that is incomplete and/or inaccurate are likely to lead to medication error and ADEs. Weeks, Corbette, and Stream (2010) noted similar barriers and identified the utilization of health information technology as an opportunity for facilitating the creation of universal medication lists. One 2015 meta-analysis showed an association between EHR documentation with an overall RR of 0.46 (95% CI = 0.38 to 0.55; P < 0.001) and ADEs with an overall RR of 0.66 (95% CI = 0.44 to 0.99; P = 0.045). This meta-analysis provides evidence that the use of the EHR can improve the quality of healthcare delivered to patients by reducing medication errors and ADEs (Campanella et al., 2016).

Clinical Recommendation Statement

The Joint Commission's 2018 Ambulatory Care National Patient Safety Goals guide providers to maintain and communicate accurate patient medication information. Specifically, the section "Use Medicines Safely NPSG.03.06.01" states the following: "Maintain and communicate accurate patient medication information. The types of information that clinicians use to reconcile medications include (among others) medication name, dose, frequency, route, and purpose. Organizations should identify the information that needs to be collected to reconcile current and newly ordered medications and to safely prescribe medications in the future" (The Joint Commission, 2018.).  

The National Quality Forum's 2010 update of the Safe Practices for Better Healthcare, states healthcare organizations must develop, reconcile, and communicate an accurate patient medication list throughout the continuum of care (p. 40).

Definition

Current Medications: Medications the patient is presently taking including all prescriptions, over-the-counters, herbals and vitamin/mineral/dietary (nutritional) supplements with each medication's name, dosage, frequency and administered route. Route: Documentation of the way the medication enters the body (some examples include but are not limited to: oral, sublingual, subcutaneous injections, and/or topical).

Transmission Format

TBD

Applicable Value Sets

Category Value Set OID
Encounter, Performed Medications Encounter Code Set 2.16.840.1.113883.3.600.1.1834
Patient Characteristic Ethnicity Ethnicity 2.16.840.1.114222.4.11.837
Patient Characteristic Payer Payer 2.16.840.1.114222.4.11.3591
Patient Characteristic Race Race 2.16.840.1.114222.4.11.836
Patient Characteristic Sex ONC Administrative Sex 2.16.840.1.113762.1.4.1

References

American Medical Association. (2007). The physician’s role in medication reconciliation:  Issues, strategies, and safety principles. Retrieved from https://pogoe.org/sites/default/files/Medication%20Reconciliation.pdf
Campanella, P., Lovato, E., Marone, C., et al. (2016). The impact of electronic health records on health care quality: A systematic review and meta-analysis. European Journal of Public Health, 26(1), 60-64.
Nassaralla, C. L., Naessens, J. M., Chaudhry, R., et al. (2007). Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.  Quality and Safety in Health Care, 16(2), 90-94.
National Center for Health Statistics. (2017). Health, United States, 2017: Supplementary Table 79: Prescription drug use in the United States by sex, race, age, and origin. Retrieved from https://www.cdc.gov/nchs/data/hus/2017/079.pdf
National Quality Forum. (2010). Safe practices for better healthcare - 2010 update. Retrieved from http://www.qualityforum.org/Projects/Safe_Practices_2010.aspx
Poornima, P., Reshma, P., Ramakrishnan, T. V., et al. (2015). Medication reconciliation and medication error prevention in an emergency department of a tertiary care hospital. Journal of Young Pharmacists, 7(3), 241-249.
Sarkar, U., Lopez, A., Maselli, J. H., et al. (2011). Adverse drug events in U.S. adult ambulatory medical care. Health Services Research, 46(5), 1517-1533.
Stock, R., Scott, J., & Gurtel, S. (2009). Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.  The Joint Commission Journal on Quality and Patient Safety, 35(5), 271-277.
Tache, S. V., Sonnichsen, A., & Ashcroft, D. M. (2011). Prevalence of adverse drug events in ambulatory care: A systematic review. The Annals of Pharmacotherapy, 45(7-8), 977-989. doi: 10.1345/aph.1P627
The Joint Commission. (2018). National patient safety goals effective January 2018, Ambulatory health care accreditation program. Retrieved from https://www.jointcommission.org/assets/1/6/NPSG_Chapter_AHC_Jan2018.pdf
Weeks, D. L., Corbette, C. F., & Stream, G. (2010). Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. Journal for Healthcare Quality, 32(5), 12-21.

Disclaimer

These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].

Copyright

Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. Quality Insights, Inc. disclaims all liability for use or accuracy of any Current Procedural Terminology (CPT[R]) or other coding contained in the specifications.

CPT(R) contained in the Measure specifications is copyright 2007-2018 American Medical Association. LOINC(R) copyright 2004-2018 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2018 International Health Terminology Standards Development Organisation. All Rights Reserved.

Source: https://ecqi.healthit.gov/ecqm/measures/cms68v9