Medication Reconciliation in the Home Within 48 Hours of a Hospital Discharges and Emergency Department Visits

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Independence at Home (IAH) Demonstration
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Medication-Related

Defining Attributes

Definition

Percentage of hospital discharges and ED visits for beneficiaries enrolled in each IAH practice with medication reconciliation from a member of the IAH practice's clinical staff within 48 hours

Numerator

Total number of hospital discharges and ED visits for beneficiaries enrolled in each IAH practice with medication reconciliation from a member of the IAH practice's clinical staff within 48 hours

Denominator

Total number of hospital discharges, and ED visits for beneficiaries enrolled in each IAH practice.

Exclusions

Transfers from a hospital (different facility), and transfers from a SNF, LTCH, IRF excluded .If a beneficiary is discharged from a hospital stay to SNF, LTCH, IRF, or other inpatient stay, medication reconciliation is not required. If beneficiary is discharged from a hospital stay to home, but then admitted to SNF, LTCH, IRF, or other inpatient setting within two days then medication reconciliation is not required. If a beneficiary moves to observation status from ED, only observation discharge requires medicine reconciliation

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Data Collection Methods
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Not on Care Compare

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026