Deprescribing of Benzodiazepines in Older Adults (DBO)
HEDIS Measure
Deprescribing of Benzodiazepines in Older Adults (DBO)
Line of business: Medicare
Data Collection Method: Administrative
Measure Description
The percentage of members 67 years of age and older who were dispensed benzodiazepines and achieved a 20% decrease or greater in benzodiazepine dose (diazepam milligram equivalent [DME] dose) during the measurement year.
Numerator Compliance
Members who achieved a 20% decrease or greater in DME daily benzodiazepine dosage.
DME - Diazepam milligram equivalent. The dose of oral diazepam that is the equivalent of a given dose of another benzodiazepine (refer to the Oral Benzodiazepine Medications table for conversion factors).
BENZODIAZPINES / STRENGTHS
| Type of Benzodiazepine | Medication Lists | Strength | DME Conversion Factor |
|---|---|---|---|
| Alprazolam (oral) | Alprazolam 0.25 MG Medications List | 0.25 mg | 0.1 |
| Alprazolam 0.5 MG Medications List | 0.5 mg | ||
| Alprazolam 1 MG Medications List | 1 mg | ||
| Alprazolam 1 MGPML Medications List | 1 mg | ||
| Alprazolam 2 MG Medications List | 2 mg | ||
| Alprazolam 3 MG Medications List | 3 mg | ||
| Chlordiazepoxide (oral) | Chlordiazepoxide 5 MG Medications List | 5 mg | 2.5 |
| Chlordiazepoxide 10 MG Medications List | 10 mg | ||
| Chlordiazepoxide 25 MG Medications List | 25 mg | ||
| Clonazepam (oral) | Clonazepam 0.125 MG Medications List | 0.125 mg | 0.1 |
| Clonazepam 0.25 MG Medications List | 0.25 mg | ||
| Clonazepam 0.5 MG Medications List | 0.5 mg | ||
| Clonazepam 1 MG Medications List | 1 mg | ||
| Clonazepam 2 MG Medications List | 2 mg | ||
| Clorazepate (oral) | Clorazepate 3.75 MG Medications List | 3.75 mg | 1.5 |
| Clorazepate 5 MG Medications List | 5 mg | ||
| Clorazepate 7.5 MG Medications List | 7.5 mg | ||
| Clorazepate 15 MG Medications List | 15 mg | ||
| Diazepam (oral) | Diazepam 1 MGPML Medications List | 1 mg | 1 |
| Diazepam 2 MG Medications List | 2 mg | ||
| Diazepam 5 MG Medications List | 5 mg | ||
| Diazepam 5 MGPML Medications List | 5 mg | ||
| Diazepam 10 MG Medications List | 10 mg | ||
| Estazolam (oral) | Estazolam 1 MG Medications List | 1 mg | 0.3 |
| Estazolam 2 MG Medications List | 2 mg | ||
| Flurazepam (oral) | Flurazepam 15 MG Medications List | 15 mg | 3 |
| Flurazepam 30 MG Medications List | 30 mg | ||
| Lorazepam (oral) | Lorazepam 0.5 MG Medications List | 0.5 mg | 0.2 |
| Lorazepam 1 MG Medications List | 1 mg | ||
| Lorazepam 2 MG Medications List | 2 mg | ||
| Lorazepam 2 MGPML Medications List | 2 mg | ||
| Lorazepam 2.5 MG Medications List | 2.5 mg | ||
| Midazolam (oral) | Midazolam 2 MGPML Medications List | 2 mg | 1.5 |
| Midazolam 7.5 MG Medications List | 7.5 mg | ||
| Oxazepam (oral) | Oxazepam 10 MG Medications List | 10 mg | 3 |
| Oxazepam 15 MG Medications List | 15 mg | ||
| Oxazepam 30 MG Medications List | 30 mg | ||
| Quazepam (oral) | Quazepam 15 MG Medications List | 15 mg | 2 |
| Temazepam (oral) | Temazepam 7.5 MG Medications List | 7.5 mg | 2 |
| Temazepam 10 MG Medications List | 10 mg | ||
| Temazepam 15 MG Medications List | 15 mg | ||
| Temazepam 20 MG Medications List | 20 mg | ||
| Temazepam 22.5 MG Medications List | 22.5 mg | ||
| Temazepam 30 MG Medications List | 30 mg | ||
| Triazolam (oral) | Triazolam 0.125 MG Medications List | 0.125 mg | 0.025 |
| Triazolam 0.25 MG Medications List | 0.25 mg |