Opioid Measures

PQA Opioid Measures


The PQA Opioid Measures provide important and timely tools to address the opioid epidemic. Four measures evaluate use of opioids at high dosage (≥90 MME/day), from multiple prescribers and pharmacies, and concurrently with benzodiazepines, which are associated with an increased risk of potentially fatal opioid overdose. Three initial opioid prescribing measures evaluate new prescriptions at high dosage (≥50 morphine milligram equivalents per day), for long duration (>7 cumulative days’ supply), or for long-acting or extended release opioids, which are associated with an increased risk of chronic use, misuse, and in some cases, overdose. Individuals with a cancer diagnosis, sickle cell disease, or those receiving hospice care are excluded. One measure evaluates annual drug monitoring among individuals prescribed long-term opioid therapy, excluding those with a cancer diagnosis or in hospice care. One measure evaluates annual drug monitoring among individuals prescribed long-term opioid therapy, excluding those with a cancer diagnosis or in hospice care.

  • Concurrent Use of Opioids and Benzodiazepines (COB)
  • Use of Opioids at High Dosage in Persons Without Cancer (OHD) (NQF #2940)
  • Use of Opioids from Multiple Providers in Persons Without Cancer (OMP) (NQF #2950)
  • Use of Opioids at High Dosage and from Multiple Providers in Persons Without Cancer (OHDMP) (NQF #2951)
  • Initial Opioid Prescribing at High Dosage (IOP-HD)
  • Initial Opioid Prescribing for Long Duration (IOP-LD) (NQF #3558)
  • Initial Opioid Prescribing for Long-Acting or Extended-Release Opioids (IOP-LA)
  • Annual Monitoring for Persons on Long-Term Opioid Therapy (AMO) (NQF #3451)
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PQA Opioid Core Measure Set Overview
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Updated March 17, 2021