Advance Care Planning and Palliative Care Counselling for Patients With Dementia
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients with dementia who have an advance care plan or surrogate decisions 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 AND Percentage of patients with dementia or their surrogate decision maker who received comprehensive counselling regarding ongoing palliation & symptom management, and end of life decisions within two years of initial diagnosis or assumption of care
Numerator
Patients with dementia who 1) have an advance care plan or surrogate decisions 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 AND Patients with dementia or their surrogate decision maker who 2) received comprehensive counselling regarding ongoing palliation & symptom management, and end of life decisions within two years of initial diagnosis or assumption of care.
Denominator
All patients with dementia
Exclusions
Patients who at time of intake had advanced dementia for whom there was no record of advance care planning or surrogate decision-maker prior to their admission.
Use of Risk Adjustment
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Sanders, A. E., Nininger, J., Absher, J., Bennett, A., Shugarman, S., & Roca, R. (2017). Quality improvement in neurology: Dementia management quality measurement set update. American Journal of Psychiatry, 174(5), 493-498. Schultz, S. K., Llorente, M. D., Sanders, A. E., Tai, W. A., Bennett, A., Shugarman, S., & Roca, R. (2020). Quality improvement in dementia care: Dementia management quality measurement set 2018 implementation update. American Journal of Psychiatry, 177(2), 175-181.
Technical Specifications
Appendix in Sanders, A. E., Nininger, J., Absher, J., Bennett, A., Shugarman, S., & Roca, R. (2017). Quality improvement in neurology: Dementia management quality measurement set update. American Journal of Psychiatry, 174(5), 493-498.