Sentinel opioid prescribing measures
The seven opioid prescribing sentinel measures
- Rate of prescribing an index opioid prescription.
- Rate of prescribing an index opioid prescription over the recommended dose.
- Rate of prescribing more than 700 cumulative morphine milligram equivalence (MME) during the acute and post-acute pain period.
- Rate of prescribing chronic opioid analgesic therapy.
- Rate of prescribing high-dose (≥ 90 MME/day) chronic opioid analgesic therapy.
- Rate of prescribing concomitant opioid and benzodiazepine therapy.
- Percent of patients on chronic opioid analgesic therapy who receive opioids from multiple providers.
Index opioid prescription: The first opioid prescription after at least 90 days of opioid naiveté.
Opioid naïve user: A patient prescribed an opioid medication who does not have an active opioid prescription in the 90 day period prior to the index opioid prescription.
Morphine milligram equivalence (MME): The equianalgesic of a specific dose and formulation of opioids to parenteral morphine. Standard conversion ratios are used to calculate each opioid’s equianalgesic dose.
- MME conversion formula (total MME of prescription): (Drug Strength)*(Drug Quantity)*(MME Conversion Factor)
- MME conversion formula (Daily MME): (Drug Strength)*(Drug Quantity)*(MME Conversion Factor) / (Days Supply)
Cumulative morphine milligram equivalence: The sum of the total MME of each opioid prescription received in a given timeframe.