Description: The percentage of members 18 years of age and older who received at least 180 treatment days of ambulatory medication therapy for a select         therapeutic agent during the measurement year and at least one therapeutic monitoring event for the therapeutic agent in the measurement year. For         each product line, report each of the three rates separately and as a total rate.

  • Annual monitoring for members on angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARB).
  • Annual monitoring for members on digoxin.
  • Annual monitoring for members on diuretics.
  • Total rate (the sum of the three numerators divided by the sum of the three denominators).
  • References- MPM


        Denominator: The percentage of members 18 years of age and older who received at least 180 treatment days of ambulatory medication therapy for a select             therapeutic agent during the measurement year

        

        Denominator Exclusions or Exceptions (when applicable):  Inpatient


        Numerator- 3 Rates:

         Rate 1: Annual Monitoring for Members on ACE Inhibitors or ARBs      

                            At least one serum potassium and a serum creatinine therapeutic monitoring test in the measurement year. Any of the following during the                                           measurement year meet criteria:

                                   - A lab panel test (Lab Panel Value Set).

                                   - A serum potassium test (Serum Potassium Value Set) and a serum creatinine test (Serum Creatinine Value Set).

        Note: The tests do not need to occur on the same service date, only within the measurement year.

      

         Rate 2: Annual Monitoring for Members on Digoxin

                    At least one serum potassium, at least one serum creatinine, and at least one serum digoxin therapeutic monitoring test in the measurement year. Any                        of the following during the measurement year meet criteria:

                          - A lab panel test (Lab Panel Value Set) and a serum digoxin test (Digoxin Level Value Set).

                          - A serum potassium test (Serum Potassium Value Set) and a serum creatinine test (Serum Creatinine Value Set) and a serum digoxin test (Digoxin                           Level Value Set). Note: The tests do not need to occur on the same service date, only within the measurement year.

       

        Rate 3: Annual Monitoring for Members on Diuretics

                At least one serum potassium and a serum creatinine therapeutic monitoring test in the measurement year. Any of the following during the measurement                    year meet criteria:

                   - A lab panel test (Lab Panel Value Set).

                   - A serum potassium test (Serum Potassium Value Set) and a serum creatinine test (Serum Creatinine Value Set). Note: The tests do not need to occur                    on the same service date, only within the measurement year.