Use of High-Risk Medications in Older Adults
Identifying Attributes
Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS)
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Medications and Medication Management
Defining Attributes
Definition
Percentage of patients 65 years of age and older who were ordered at least two high-risk medications from the same drug class.
Numerator
Patients ordered at least two high-risk medications from the same drug class during the measurement year.
Denominator
Patients 65 years and older who had a visit during the measurement period.
Exclusions
Patients receiving palliative care or using hospice services any time during the measurement period.
Use of Risk Adjustment
No
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Administrative data
Data Collection Methods
Clinician reported data to MIPS
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Hospital Care Compare Website. More detailed data is displayed at data.cms.gov
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No
Source and Reference Attributes
Evidence Source
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
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025
Contents
Actions
Date Modified 02 December 2025