Hospice and Palliative Care – Treatment Preferences

Identifying Attributes

Care Settings
Palliative Care
Country
United States of America
Publishing Organisation
Partnership for Quality Measurement Geriatric and Palliative Care Project (formerly known as National Quality Forum Palliative Care and End-of-Life Care Measures)
Type of Quality Indicator
Process
IOM Quality Dimension
Person-Centredness
Domain
Ethical and Legal Aspects of Care

Defining Attributes

Definition

Percentage of patients with chart documentation of preferences for life sustaining treatments.

Numerator

Patients whose medical record includes documentation of life sustaining preferences

Denominator

Seriously ill patients enrolled in hospice OR receiving specialty palliative care in an acute hospital setting

Exclusions

Patients with length of stay < 1 day in hospice or palliative care

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods

Data Sources: Assessment Data, Electronic Health Records, Other Data Source

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods

The Level Of Analysis is performed at Facility and Clinician (Group/Practice) level.

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Multiple sources: National Quality Forum. (2017). Palliative and End-of-Life Care Off-Cycle Measure Review - Technical Report. Available from: waportal.org/sites/default/files/documents/uw-resources/palliativeoffcyclefinalreport.pdf Partnership for Quality Measurement. (2023). Available from: p4qm.org/measures/0216

Technical Specifications
Link to Measurement Tools

NQF Measure #1614 (last endorsed on 12 December 2022)

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