Development and Alpha Testing of Specifications for a Prolonged Opioid Prescribing Electronic Clinical Quality Measure (eCQM).
Adult
Aged
Analgesics, Opioid
/ adverse effects
Arthroplasty, Replacement, Hip
/ statistics & numerical data
Arthroplasty, Replacement, Knee
/ statistics & numerical data
Centers for Medicare and Medicaid Services, U.S.
Drug Prescriptions
/ statistics & numerical data
Female
Humans
Medicare
Middle Aged
Pain, Postoperative
/ drug therapy
Postoperative Care
Postoperative Period
Practice Patterns, Physicians'
Quality Improvement
Quality Indicators, Health Care
Substance-Related Disorders
/ epidemiology
United States
Journal
AMIA ... Annual Symposium proceedings. AMIA Symposium
ISSN: 1942-597X
Titre abrégé: AMIA Annu Symp Proc
Pays: United States
ID NLM: 101209213
Informations de publication
Date de publication:
2020
2020
Historique:
entrez:
3
5
2021
pubmed:
4
5
2021
medline:
17
6
2021
Statut:
epublish
Résumé
Brigham and Women's Hospital (BWH) has received funding from the Centers for Medicare and Medicaid Services (CMS) to design and implement an electronic clinical quality measure (eCQM) assessing the rate of prolonged opioid prescribing practices following Total Hip Arthroplasty (THA) and Total Knee Arthroplasty (TKA). Utilizing an existing guideline, 'prolonged prescribing' has been defined as opioid prescriptions that exceed 42 days (6 weeks) following surgery. This measure was tested on 12,803 Partners' Healthcare (PHS) patients. Findings demonstrated that after 42 days, meeting the criteria for 'prolonged prescribing' as defined by the proposed measure, 3.7% of THA patients and 12.1% of TKA patients were still receiving opioids. With a better understanding of how specific clinician group post-operative prescribing practices compare with their peers and incorporating monetary incentives through the MIPS participation pathway of the Quality Payment Program (QPP), this measure will motivate orthopedic practices to improve their prescribing patterns, ultimately driving evidence-based quality improvement.
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1022-1030Informations de copyright
©2020 AMIA - All rights reserved.
Références
Ann Surg. 2017 Oct;266(4):564-573
pubmed: 28697049
J R Soc Med. 2002 Sep;95(9):456-8
pubmed: 12205212
Drug Alcohol Depend. 2019 Apr 1;197:250-254
pubmed: 30875645
JAMA Surg. 2018 Jan 1;153(1):37-43
pubmed: 28973092
J Orthop Trauma. 2018 Mar;32(3):e106-e111
pubmed: 29065039
J Bone Joint Surg Am. 2018 Feb 7;100(3):180-188
pubmed: 29406338
J Bone Joint Surg Am. 2018 Feb 7;100(3):e17
pubmed: 29406353
J Bone Joint Surg Am. 2007 Apr;89(4):780-5
pubmed: 17403800
J Arthroplasty. 2019 Apr;34(4):638-644.e1
pubmed: 30642706
Phys Sportsmed. 2014 Nov;42(4):100-5
pubmed: 25419893