Dyspnoea Screening and Management

Identifying Attributes

Care Settings
Palliative Care
Country
United States of America
Publishing Organisation
American Academy of Hospice and Palliative Medicine and Hospice & Palliative Nurses Association: Measuring What Matters
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Physical Aspects of Care

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
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
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
No

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).

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
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026