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Measure 46


Medication Reconciliation Post-Discharge

Description: The percentage of adult patients seen in the office within 30 days following discharge from any inpatient facility for whom the discharge medication list was reconciled with the current medication list.

Measure ID: 46

Type: Process

CMS Derm Specialty Set: Yes

Priority: Yes

Topped out: Yes

Reporting methods: Registry/QCDR or Claims

Maximum points: 7

Measure purpose: This measure encourages improved care through timely medication reconciliation.

Calculation

The numerator: The number of patients who were seen within 30 days of discharge from an inpatient facility and medication lists were reconciled.

÷

The denominator: All patients who were discharged from an inpatient facility within 30 days.

Measure calculation example

Dr. Sousa saw 17 patients within 30 days of discharge from an inpatient facility. This is the denominator.

One patient is excluded from the denominator because the patient had hospice services during the measurement period.

For the remaining 16 patient encounters, Dr. Sousa performs medication reconciliation on 15. This is the numerator.

Quality of patient care = 15/16. Dr. Sousa has a score of 93.75% for this measure. This translates to 3 points.

Important note

Because this measure is topped out, it is extremely difficult to score more than 3 points. Physicians reporting by registry receive no additional score for reporting scores that fall below 94.2%. For example, if Dr. Sousa reported on one patient encounter, she would earn 3 points.


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Quality measure score benchmark

CMS will award points based on a comparison of your performance rate to CMS benchmarks listed below. Reach the performance rate listed to achieve the corresponding points per measure. Points achieved for the Quality category will account for 45% of the overall MIPS score.

Benchmarks for registry submissions

The table below shows CMS benchmarks for registry submissions. 

Below 3 Decile 3Decile 4Decile 5Decile 6Decile 7
Performance rate  1 patient  94.24- 97.62
 97.63 - 99.92  99.93 - 99.99
--
100.00
Points  3 points  3 - 3.9  4 - 4.9 5 - 5.9 6 - 6.9 7
Benchmarks for claims submissions

The table below shows CMS benchmarks for claims submissions. 

Below 3 Decile 3Decile 4Decile 5Decile 6Decile 7
Performance rate  1 patient  95.74 - 98.40
 98.41 - 99.99 --
--
100.00
Points  3 points  3 - 3.9  4 - 4.9 5 - 5.9 6 - 6.9 7

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