2023 # ECPR52 Appropriate Treatment of Psychosis and Agitation in the Emergency Department

Measure Title: Appropriate Treatment of Psychosis and Agitation in the Emergency Department

Measure Description: Percentage of Adult Patients With Psychosis or Agitation Who Were Ordered an Oral Antipsychotic Medication in the Emergency Department

Denominator: Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional in the Emergency Department (ED) PLUS ED length of stay of 4 hours or more PLUS primary ICD-10 diagnosis codes for psychosis, psychotic disorder NOS, psychotic features, hallucinations, schizophrenia, schizoaffective disorder, agitation due to psychosis (Not including eloped or AMA patients)

Numerator: Patients who were ordered at least one oral dose of a typical or atypical antipsychotic or an antipsychotic combination medication

Denominator Exclusions: None

Denominator Exceptions: Oral dose of a typical or atypical antipsychotic or an antipsychotic combination medication not prescribed for medical reason documented by the eligible professional (e.g., patient refusal, inability to tolerate, allergy, other documented medical reason)

NQF ID Number: N/A

NQS Domain: Effective Clinical Care

High Priority Measure: No

Measure Type: Process

Includes Teleheatlh: Yes

Inverse Measure: No

Proportional Measure: Yes

Continuous Variable Measure: No

Ratio Measure: No

Number of performance rates to be calculated and submitted: 1

Risk-Adjusted Status: No

Care Setting: Emergency Department and Services

Submission Pathway: Traditional MIPS