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Quality Payment Program >> Quality Measures >> Use of High-Risk Medications in the Elderly (CMS 156v5)

Under MIPS, eligible clinicians will be required to report up to 6 quality measures, including at least one outcome measure or high-priority measure, for a minimum of 90 days during the 2017 performance year. Practice Fusion currently supports 23 eCQMs that can be reported for MIPS for the 2017 performance year.

eCQM: Use of High-Risk Medications in the Elderly
CMS ID: CMS 156v5
NQF Number: 0022
NQS Domain: Patient Safety
Measure Type: Process
MIPS High Priority Measure: No
Eligible for Quality Programs:
  • Merit-Based Incentive Payment System (MIPS)
  • Medicaid EHR Incentive Program (Meaningful Use)
  • Comprehensive Primary Care Plus (CPC+)

Percentage of patients 66 years of age and older who were ordered high-risk medications. Two rates are reported:

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

Numerator 1: Patients with an order for at least one high-risk medication during the measurement period.
Numerator 2: Patients with an order for at least two different high-risk medications during the measurement period.

Denominator: Patients 66 years and older who had an eligible visit (defined as a signed chart note with one of the following encounter types: Office Visit, Nursing Home Visit, Nurse Visit, or Home Visit) during the measurement period.

  • Denominator Exclusions: None
  • Denominator Exceptions: None

Performance Benchmark for MIPS: 0% (Zero)

  • This eCQM is an inverse measure, which means a lower performance rate indicates better performance. In Practice Fusion’s eCQM Dashboard, the EHR displays an inverse performance rate for this measure to make it easier to quickly see how you are performing. This means that the measure percentage will increase as the measure numerator decreases. Specifically, a higher measure percentage and lower measure numerator are an indicator of better measure performance.

For further benchmarks and details on how this measure will be scored within the Quality performance category of MIPS, please click here.

What is the Quality Payment Program?

Quality Payment Program is the name given to the new Medicare value-based reimbursement system. The program has two tracks for participation: MIPS and APM

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What are APMs?

MACRA allows providers who take further steps towards transforming healthcare to be exempt from MIPS and participate in Advanced Alternative Payment Models (APMs).

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How to prepare

Individual eligible providers can prepare to meet all MIPS measures and be ready to avoid penalties and earn bonuses on January 1, 2017.

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