Hospice and Palliative Care – Treatment Preferences
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percent of patients with chart documentation of their preference 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
Denominator Exclusions: Patients with length of stay < 1 day in palliative care or < 7 days in hospice. Calculation of length of stay= discharge date - date of initial encounter.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Data Source: Electronic Health Records
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
The Level of Analysis is performed at the Clinician (Group/Practice) and Facility levels.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Indicator development: Anna P. Schenck, Franziska S. Rokoske, Danielle D. Durham, John G. Cagle, and Laura C. Hanson. The PEACE Project: Identification of Quality Measures for Hospice and Palliative Care.Journal of Palliative Medicine.Dec 2010.1451-1459.http://doi.org/10.1089/jpm.2010.0238 Indicator feasbility/testing: Hanson LC, Rowe C, Wessell K, et al. Measuring palliative care quality for seriously ill hospitalized patients. J Palliat Med 2012;15(7):798-804. PEACE website: www.med.unc.edu/pcare/about-palliative-care/resources/peace-quality-measures/
Technical Specifications
Link to Measurement Tools
Linked to NQF measure #1641.