Percentage of patients who report being uncomfortable because of pain at the initial assessment who, at the follow up assessment, report pain was brought to a comfortable level within 48 hours.

Patients whose pain was brought to a comfortable level (as defined by patient) within 48 hours of initial assessment.

Patients who replied "yes" when asked if they were uncomfortable because of pain at the initial assessment.

Patients who do not report being uncomfortable because of pain at initial assessment (i.e., patients who reply "no" to the question "Are you uncomfortable because of pain?") Patients under 18 years of age Patients who cannot self report pain Patients who are unable to understand the language of the person asking the initial and follow up questions

None

None

Patient reported outcome (PRO) measure reflects patient goals for pain management. The use of a dichotomous rating, incorporating the patient's perception of his/her own degree of comfort, provides a means of assessing provider performance of initial pain management.

The Level Of Analysis is performed at the facility or national level.

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). Comfortable Dying: Pain Brought to a Comfortable Level Within 48 Hours of Initial Assessment. Available from: p4qm.org/measures/0209 Virdun C, Luckett T, Lorenz KA, Phillips J. National quality indicators and policies from 15 countries leading in adult end-of-life care: a systematic environmental scan. BMJ Support Palliat Care. 2018 Jun;8(2):145-154. doi: 10.1136/bmjspcare-2017-001432

National Quality Forum website: www.qualityforum.org/QPS/QPSTool.aspx?Exact=false&Keyword=affordability#qpsPageState=%7B%22TabType%22%3A1,%22TabContentType%22%3A2,%22SearchCriteriaForStandard%22%3A%7B%22TaxonomyIDs%22%3A%5B%225%3A72,65,64,67%22,%2233%3A61%22%5D,%22SelectedTypeAheadFilterOption%22%3A%7B%22ID%22%3A457,%22FilterOptionLabel%22%3A%220209%22,%22TypeOfTypeAheadFilterOption%22%3A4,%22TaxonomyId%22%3A0%7D,%22Keyword%22%3A%220209%22,%22PageSize%22%3A%2225%22,%22OrderType%22%3A3,%22OrderBy%22%3A%22ASC%22,%22PageNo%22%3A1,%22IsExactMatch%22%3Atrue,%22QueryStringType%22%3A%22%22,%22ProjectActivityId%22%3A%220%22,%22FederalProgramYear%22%3Anull,%22FederalFiscalYear%22%3Anull,%22FilterTypes%22%3A0,%22EndorsementStatus%22%3A%22%22,%22MSAIDs%22%3A%5B%5D%7D,%22SearchCriteriaForForPortfolio%22%3A%7B%22Tags%22%3A%5B%5D,%22FilterTypes%22%3A0,%22PageStartIndex%22%3A1,%22PageEndIndex%22%3A25,%22PageNumber%22%3Anull,%22PageSize%22%3A%2225%22,%22SortBy%22%3A%22Title%22,%22SortOrder%22%3A%22ASC%22%7D,%22ItemsToCompare%22%3A%5B%5D,%22SelectedStandardIdList%22%3A%5B%5D,%22PortfolioID%22%3A1127,%22StandardID%22%3A302,%22EntityTypeID%22%3A1%7D

Current 2023 specifications are here: p4qm.org/measures/0209 April 2012 specificaitons are available here: www.qualityforum.org/Publications/2012/04/PalliativeCareandEnd-of-LifeCare%e2%80%94AConsensusReport.aspx September 2017 published measure review specifications are available here: www.qualityforum.org/Publications/2017/09/PalliativeandEnd-of-LifeCareOff-CycleMeasureReview_2017.aspx

NQF Measure #0209 (endorsement removed on 29 June 2021)