Use of Opioids From Multiple Providers in Persons Without Cancer
Identifying Attributes
Care Settings
Primary Care
Country
United States of America
Publishing Organisation
public reporting, Quality improvement (Internal to the specific organization), Quality Improvement with Benchmarking (external benchmarking to multiple organizations)
Type of Quality Indicator
Process
IOM Quality Dimension
Safety
Domain
Medications and Medication Management
Defining Attributes
Definition
The proportion (XX out of 1,000) of individuals without cancer receiving prescriptions for opioids from four (4) or more prescribers AND four (4) or more pharmacies.
Numerator
Any member in the denominator who received opioid prescription claims from 4 or more prescribers AND 4 or more pharmacies.
Denominator
Any member with two or more prescription claims for opioids filled on at least two separate days, for which the sum of the days supply is greater than or equal to 15.
Exclusions
Any member with a diagnosis for Cancer or a Prescription Drug Hierarchical Condition Category (RxHCC) 8, 9, 10, or 11 for Payment Year 2015; or RxHCC 15, 16, 17, 18, or 19 for Payment Year 2016; (see list in S.11 and S.2b); or a hospice indicator from the enrolment database.
Use of Risk Adjustment
No
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Administrative data
Data Collection Methods
Claims data
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
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)
No
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