Use of Opioids from Multiple Providers (UOP)
HEDIS Measure
Use of Opioids From Multiple Providers (UOP)
Line of business: Commercial Medicaid Medicare
Data Collection Method: Administrative
Measure Description
The proportion of members 18 years and older, receiving prescription opioids for ≥15 days during the measurement year, who received opioids from multiple providers.
Three rates are reported.
- Multiple Prescribers. The proportion of members receiving prescriptions for opioids from four or more different prescribers during the measurement year.
- Multiple Pharmacies. The proportion of members receiving prescriptions for opioids from four or more different pharmacies during the measurement year.
- Multiple Prescribers and Multiple Pharmacies. The proportion of members receiving prescriptions for opioids from four or more different prescribers and four or more different pharmacies during the measurement year
*Inverted Measure
Numerator Compliance
Multiple Prescribers - Members who received opioids from four or more prescribers, identified by their NPI number, during the measurement year.
Multiple Pharmacies - Members who received opioids from four or more different pharmacies, identified by their NPI numbers, during the measurement year.
Multiple Prescribers and Multiple Pharmacies – Members who received opioids from four or more different prescribers and four or more different pharmacies during the measurement.
Best Practices
- Reference the CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016: https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm