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Measure Purpose: Identify patients with side effects and patients who are not adhereing to treatment

The numerator: Patients who were screened on date of encounter for:

• DMT side effects, and
• compliance/adherence with DMT

is divided by

The denominator: Patients with a diagnosis of MS who were prescribed a new DMT during the measurement period

Exclusions are removed from the denominator for:

• Patient had a new DMT initiated on date of encounter
• Patient declines a discussion on date of encounter

Key Phrases

Examples of key phrases you could use to meet the measure include:

• Patient reports no side effects
• DMT side effects are mild
• Patient taking DMT consistently
• Patient not adherent with DMT

Measure Calculation Example

Dr. Wood had 100 patients with MS between January 1 and December 31. Five patients started a new DMT on the date of the encounter. The denominator is 95 (100-5).

Of the 95 patients, 30 were screened for DMT side effects and compliance with their DMT treatment. This is the numerator. Additionally, five patients declined a discussion on the date of the encounter. These five patients are removed from the denominator. 

Quality of care = 30/(100-5-5). Dr. Wood has a score of 33% for this measure.