2025 THEPQR2 Discontinuation of Proton Pump Inhibitors for patients who do not meet criteria for long-term utilization. 

Measure Title: Discontinuation of Proton Pump Inhibitors for patients who do not meet criteria for long-term utilization.

Measure description:The percentage of patients on a Proton Pump Inhibitor with an appropriately documented indication or an order for discontinuation for not meeting criteria for long-term utilization.

Denominator:

Patients aged >= 50 years of age

AND Place of Service (POS) 21, 31, 32

Denominator Exceptions:

• Documented medical reason for not discontinuing PPI usage
• Patient refusal
• Eloped or left AMA
• Expired
• Discharged to hospice

Denominator Exclusions: None

Numerator: Performance Met (Inpatient): Proton Pump Inhibitors discontinued by discharge
OR
• Performance Met (PAC/SNF): Proton Pump Inhibitors discontinued
OR
• Performance Not Met: Proton Pump Inhibitors not discontinued, reason not given

Numerator Exclusion: None