Query of Prescription Drug Monitoring Program (PDMP)
MEASURE DESCRIPTION
For at least one Schedule II opioid or Schedule III or IV drug electronically prescribed using certified electronic health record technology (CEHRT) during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a PDMP for prescription drug history.
Numerator
The number of controlled substance prescriptions generated and transmitted electronically using CEHRT.
Denominator
Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the performance period; or number of prescriptions written for drugs requiring a prescription in order to be dispensed during the performance period.
Exclusion/Exceptions
Any MIPS eligible clinician meeting one or more of the following criteria may be excluded from the PDMP measure if the MIPS eligible clinician.
Is unable to electronically prescribe Schedule II opioids and Schedule III and IV drugs in accordance with applicable law during the performance period.
Does not electronically prescribe any Schedule II opioids or Schedule III or IV drugs during the performance period.
New for 2024, the exclusion for clinicians with fewer than 100 permissible prescriptions during the performance period has been removed and is no longer a valid exclusion.
Required Measure
Must have 1 in the numerator or meet the exclusion in order to report the PI category.
Scoring
10 points, yes or no attestation.
DEFINATION OF TERMS
Prescription: The authorization by a MIPS eligible clinician to a pharmacist to dispense a drug that the pharmacist would not dispense to the patient without such authorization.
Permissible Prescriptions: All drugs meeting the current definition of a prescription as the authorization by a clinician to dispense a drug that would not be dispensed without such authorization and may include electronic prescriptions of controlled substances where creation of an electronic prescription for the medication is feasible using CEHRT and where allowable by state and local law.
Opioids: Opioids listed as Schedule II controlled substances under 21 CFR 1308.12.
PDMP: an electronic database that tracks prescriptions of controlled substances at the State level.
RESOURCES