Description-The percentage of Medicare members 65 years of age and older who have evidence of an underlying disease, condition or health concern and who were dispensed an ambulatory prescription for a potentially harmful medication, concurrent with or after the diagnosis


References- DDE


Denominator-67 years and older as of December 31 of the measurement year.

Denominator Exclusions or Exceptions (when applicable)-(Psychosis Value Set), (Schizophrenia Value Set),(Bipolar Disorder Value Set; Other Bipolar

Disorder Value Set or seizure disorder (Seizure Disorders Value Set)



Numerator-

Rate 1-Dispensed an ambulatory prescription for an anticonvulsant, nonbenzodiazepine hypnotic, SSRI (Table DDE-A) or antiemetic, antipsychotic, benzodiazepine or tricyclic antidepressant (Table DDE-B) on or between the IESD and December 31 of the measurement year.


Rate 2- Dispensed an ambulatory prescription for an antiemetic, antipsychotic, benzodiazepine or tricyclic antidepressant (Table DDE-B) or H2 receptor antagonist, nonbenzodiazepine hypnotic or anticholinergic agent (Table DDE-D) on or between the IESD and December 31 of the measurement year.


Rate 3- Dispensed an ambulatory prescription for an NSAID or Cox-2 selective NSAID (Table DDE-E) on or between the IESD and December 31 of the measurement year.