Avoidance of Long-Acting (LA) or Extended-Release (ER) Opiate Prescriptions and Opiate Prescriptions for Greater Than 3 Days Duration for Acute Pain

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Traditional Merit-Based Incentive Payment System (MIPS) Qualified Clinical Data Registry Measures for Primary Care
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Medications and Medication Management

Defining Attributes

Definition

Percentage of Adult Patients Who Were Prescribed an Opiate Who Were Not Prescribed a Long-Acting (LA) or Extended-Release (ER) Formulation and for Whom the Prescription Duration Was Not Greater than 3 days for Acute Pain

Numerator

Patients who were not prescribed a long-acting (LA) or extended-release (ER) opiate, and not prescribed any opiate prescription for greater than 3 days duration

Denominator

Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional PLUS Opiate prescribed PLUS ICD-10 diagnosis codes for pain, strains, sprains, lacerations, open wounds and fractures PLUS Disposition of Discharged

Exclusions

LA/ER formulation opiate prescribed for terminal (late-stage) cancer, comfort care measures, palliative care, or coordinated plan of care for Medication Assisted Treatment (MAT)

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

E-CPR (Emergency - Clinical Performance Registry) - Facility discharge data; EHR; Paper medical record; Record review: EHR: Demographics; Medical history; Discharge status; Orders; Diagnostic results; Medications; Procedures; Clinician narrative

Emergency and Acute Care Clinical Registry (EACCR) in collaboration with Healthmonix - EHR; Paper medical record; Registry; Other: EHR: Medical history, Registry: EACCR, Other: Clinical, CPTs, diagnoses, demographics, medical history, EACCR, EACCR

The PQR - Administrative claims data; Hybrid; Other: Other: Record Review, Medical Record

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

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
23 July 2025