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
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
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