Table 3. HEDIS Measures of Potentially Harmful Drug Use in Patients Over Age 65 Description Prescription Antianxiety (includes combination • Aspirin-meprobamate • Meprobamate drugs) Antiemetics • Scopolamine • Trimethobenzamide Analgesics (includes combination • Ketorolac drugs) Antihistamines (includes • APAP/dextromethorphan/diphenhydramine • Dexchlorpheniramine • Diphenhydramine/hydrocodone/phenylephrine combination drugs) • APAP/diphenhydramine/phenylephrine • Dexchlorpheniramine/dextromethorphan/PSE • Diphenhydramine-magnesium salicylate • APAP/diphenhydramine/pseudoephedrine • Dexchlorpheniramine/guaifenesin/PSE • Diphenhydramine-phenylephrine • Acetaminophen-diphenhydramine • Dexchlorpheniramine/hydrocodone/phenylephrine • Diphenhydramine-pseudoephedrine • Carbetapentane/diphenhydramine/phenylephrine • Dexchlorpheniramine/methscopolamine/PSE • Hydroxyzine hydrochloride • Codeine/phenylephrine/promethazine • Dexchlorpheniramine-pseudoephedrine • Hydroxyzine pamoate • Codeine-promethazine • Dextromethorphan-promethazine • Phenylephrine-promethazine • Cyproheptadine • Diphenhydramine • Promethazine Antipsychotic, typical • Thioridazine Amphetamines • Amphetamine-dextroamphetamine • Dextroamphetamine • Methylphenidate • Benzphetamine • Diethylpropion • Phendimetrazine • Dexmethylphenidate • Methamphetamine • Phentermine Barbiturates • Butabarbital • Pentobarbital • Secobarbital • Mephobarbital • Phenobarbital Long-acting benzodiazepines • Amitriptyline-chlordiazepoxide • Chlordiazepoxide-clidinium • Flurazepam (includes combination drugs) • Chlordiazepoxide • Diazepam Calcium channel blockers • Nifedipine—short-acting only Gastrointestinal anti-spasmodics • Dicyclomine • Propantheline Belladonna alkaloids (includes • Atropine • Atropine-diphenoxylate • Butabarbital/hyoscyamine/phenazopyridine combination drugs) • Atropine/CPM/hyoscyamine/PE/scopolamine • Atropine-edrophonium • Hyoscyamine • Atropine/hyoscyamine/PB/scopolamine • Belladonna • Hyoscyamine/methenam/M-blue/phenyl salicyl • Atropine-difenoxin • Belladonna/ergotamine/phenobarbital Skeletal muscle relaxants (includes • ASA/caffeine/orphenadrine • Carisoprodol • Metaxalone combination drugs) • ASA/carisoprodol/codeine • Chlorzoxazone • Methocarbamol • Aspirin-carisoprodol • Cyclobenzaprine • Orphenadrine • Aspirin-methocarbamol Oral estrogens (includes • Conjugated estrogen • Esterified estrogen • Estropipate combination drugs) • Conjugated estrogen-medroxyprogesterone • Esterified estrogen-methyltestosterone Oral hypoglycemics • Chlorpropamide Narcotics (includes combination • ASA/caffeine/propoxyphene • Meperidine • Pentazocine drugs) • Acetaminophen-pentazocine • Meperidine-promethazine • Propoxyphene hydrochloride • Acetaminophen-propoxyphene • Naloxone-pentazocine • Propoxyphene napsylate • Belladonna-opium Vasodilators • Dipyridamole—short-acting only • Ergot mesyloid • Isoxsuprine Others (including androgens and • Methyltestosterone • Nitrofurantoin macrocrystals • Thyroid desiccated anabolic steroids, thyroid drugs, urinary anti-infectives) • Nitrofurantoin • Nitrofurantoin macrocrystals-monohydrate

Source: HEDIS 2012 Technical Specifications for Physician Measurement. National Committee for Quality Assurance, 2011.

A REPORT OF THE DARTMOUTH ATLAS PROJECT 67