Presence of a 'Do Not Resuscitate' (DNR) Order

Identifying Attributes

Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
National Home and Hospice Care Survey
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Palliative Care

Defining Attributes

Definition

Presence of a 'do not resuscitate' (DNR) order

Numerator

Number of patients with presence of a 'do not resuscitate' (DNR) order

Denominator

Number of patients

Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Surveys
Data Collection Methods

National Home and Hospice Care Survey (NHHCS), a nationally-representative sample of hospice patients

Frequency of Data Collection
First conducted in 1992 and was repeated in 1993, 1994, 1996, 1998, and 2000, and most recently in 2007
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Albrecht, J. S., Gruber-Baldini, A. L., Fromme, E. K., McGregor, J. C., Lee, D. S. H., & Furuno, J. P. (2013). Quality of hospice care for individuals with dementia. Journal of the American Geriatrics Society, 61(7), 1060-1065.

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
02 December 2025