Performance Measurement Network

Question: Is full medication reconciliation required by PSCs to meet the Medication Education measure component?

Is medication reconciliation just a requirement for those primary stroke center(PSC)hospitals choosing Stroke as one of their ORYX Core measures or all PSCs?

Answer:

All primary stroke centers are required to use the stroke measure specifications as detailed in the Specifications Manual for National Hospital Inpatient Quality Measures, Version 3.1a. This is the only one source of stroke measure specifications. The same specifications are used by Joint Commission certified primary stroke centers and healthcare organizations submitting stroke data to the ORYX core measure database to meet hospital accreditation requirements.

The data element definition for "Education Addresses Medications Prescribed at Discharge" was aligned with HF-1 abstraction guidelines in 2009. Written instructions/materials for all medications prescribed at discharge must be provided to the patient and/or caregiver at discharge. This is not the same as medication reconciliation. Only the names of the medications prescribed at discharge are needed. Dosages, etc. are not required to select 'Yes' for this component. Also, this is *NOT a new requirement* for stroke medication education. The previous data element definition "Education Addresses Medication Prescribed at Discharge"(Stroke Implementation Guide, Harmonized Defintion, 2007) also required education for all medications prescribed at discharge with an emphasis on medications prescribed to prevent a second stroke. This point is strengthened in the aligned specifications, as well as, the need for written instructions/materials.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK-08,
File:

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