Opioid Withdrawal: Initiation of Medication-Assisted Treatment (MAT) and Referral to Outpatient Opioid Treatment

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 Patients Presenting with Opioid Withdrawal Who Were Given Medication-Assisted Treatment and Referred to Outpatient Opioid Treatment

Numerator

Patients Who Were Given Medication-Assisted Treatment (MAT) and, at Time of Discharge to Home or Home Health, Referred to Outpatient Opioid Treatment

Denominator

Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional with diagnosis of opioid abuse or dependence with withdrawal (Transferred, eloped, AMA or expired patients are excluded)

Exclusions

Medical Performance Exclusion (Denominator Exception): Refusal of care, allergy to medicine, altered mental status, Buprenorphine or Methadone not clinically indicated

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

H-CPR (Hospitalist –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

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