DEFINITION ( Numerator and Denominator )
Physician Compliance with Opioid Prescribing Requirements (AB 474)
- (Numerator) all patients who are prescribed Schedule II, III, or IV drugs for pain in the ED
- whose chart reflects
- bona fide relationship with the patient; and
- evaluation and risk assessment, including
- review of PDMP and patient’s medical history
- physical exam
- obtain and review medical records, document the conclusions, and assess patient’s mental health and risk of abuse, dependency and addiction; and
- preliminary diagnosis of the patient; tailored treatment plan, and
- documented reasons for prescribing the controlled substance instead of alternative; and
- obtain informed written consent from the patient, parent, or legal guardian
- (Denominator) all patients who are prescribed Schedule II, III, or IV drugs for pain in the ED
Age Appropriate Vital Signs w/in 20 minutes of Discharge from ED
- (Numerator) all patients who come to the ED for treatment
- will have age-appropriate vital signs (e.g., TPR)
- taken and charted
- within 20 minutes of discharge from the ED
- regardless of where patient goes (e.g., home, inpatient unit, transfer to another facility, etc.
- (Denominator) all patients who come to the ED for treatment
Prompt communication of critical lab values to appropriate healthcare professional
- (Numerator) number of successful prompt (within 1 hour) person-to-person communications of critical lab values (lab to healthcare professional who ordered test, or to appropriate alternative, e.g., healthcare professional with current responsibility for the patient’s care such as emergency room provider, admitting physician or hospitalist per hospital policy)
- (Denominator) number of lab results with critical values
