CMS 156 - Use of High-Risk Medications in the Elderly

Medical Codify

CMS156v5 (2017)

CMS156v6 (2018)

CMS156v7 (2019)

Description:  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 of the same high-risk medications.

Initial Patient Population:  Patients 65 years and older who had a visit during the measurement period.

Denominator:  Equals Initial Population

Numerator: 

Numerator 1: Patients with an order for at least one high-risk medication during the measurement period

Numerator 2: Patients with at least two orders for the same high-risk medication during the measurement period

Inverse Measure:  Yes

Clinical Instructions

Track all patients that are 65+ and prescribed high-risk medications. Two rates are reported, so be aware that patients with at least one high-risk medication, as well as patients with at least two orders for the same high-risk medication, will be reported for the measurement period.

• While documenting the encounter, use the Presenting Medications section and Medication Orders section to prescribe and reconcile medications, as usual.
• Prescribe medications, as needed.
• Continue documenting the encounter, as appropriate.
• When complete, Close and Archive the encounter.

Evidence

Initial Patient Population

Denominator

Equals Initial Population

Numerator

Denominator Exclusion

Source(s)

Medical Codify