Dyspnoea Screening and Management
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients with advanced chronic or serious life-threatening illnesses who are screened for dyspnoea. For those who are diagnosed with moderate or severe dyspnoea, a documented plan of care to manage dyspnoea exists (Ambulatory physician care).
Numerator
Number of patients with advanced chronic or serious life-threatening illnesses who are screened for dyspnoea.
Denominator
Patients with incurable cancer, organ system failure, or severe progressive neurological conditions (identified with ICD-9 code) AND patients with a substantial risk of death within 1 year, based on the physician's clinical judgement, taking into account the patient's comorbidities, health status, and social and other factors (identified with CPT-II code) OR patients with advanced disease whose goals of cre prioritise comfort (identified with CPT-II code).
Exclusions
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting 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
Dy SM et al. Measuring what matters: top-ranked quality indicators for hospice and palliative care from the American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association. J Pain Symptom Manage. 2015 Apr;49(4):773-81. doi: 10.1016/j.jpainsymman.2015.01.012. Kamal AH, Bull J, Ritchie CS, et al. Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings. J Pain Symptom Manage 2016;51(3):497-503. doi: dx.doi.org/10.1016/j.jpainsymman.2015.12.313 American Academy of Hospice and Palliative Care [webpage]. Available here: aahpm.org/uploads/education/AAHPM15MWMHandoutClinicalFINAL.pdf. Date cited 10/10/2023.
Technical Specifications
Full Measuring What Matters technical specifications unable to be located. Some information available here: aahpm.org/uploads/education/AAHPM15MWMHandoutClinicalFINAL.pdf Table 2: pubmed.ncbi.nlm.nih.gov/25697097/
Link to Measurement Tools
Linked to American Medical Association Physician Consortium on Performance Improvement set (AMA-PCPI)/National Committee on Quality Assurance (NCQA).