Advance Care Plan

Identifying Attributes

Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
Medicare Quality Payment Program - Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) - Supportive Care for Neurodegenerative Conditions - Quality Measures
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Person-Centred Care

Defining Attributes

Definition

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan.

Numerator

Patients who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Denominator

All patients aged 65 years and older

Exclusions

Hospice services received by patient any time during the measurement period: G9692

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Measure data may be submitted by individual MIPS eligible clinicians using Medicare Part B claims

Frequency of Data Collection
Per performance period
Frequency of Data Collection in Days
Reporting Methods

Data not public available

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025