Discussion of Advance Directives/Advance Care Planning
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of outpatients who have documentation in the medical record of a one-time discussion of advance directives/advance care planning with a healthcare provider.
Numerator
Outpatients who have documentation in the medical record of a one-time discussion of advance directives/advance care planning with a healthcare provider.
Denominator
All heart failure patients
Exclusions
Patients who had a left ventricular assistive device (LVAD) or heart transplant procedure during the hospital stay or a past medical history of an LVAD or heart transplant (ICD-10-PCS procedure code for LVAD and heart transplant as defined in Appendix A Table 2.2, and ICD-10 diagnosis codes on Table 2.13) Patients less than 18 years of age
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Retrospective data sources for required data elements include administrative data and medical records.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
For accreditation purposes