Evaluation of Functional Status (Basic and Instrumental Activities of Daily Living [ADL]) for Home-Based Primary Care and Palliative Care Patients
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of actively enrolled home-based primary care and palliative care patients who receive an Activities of Daily Living (ADL) and Instrumental activities of daily living (IADL) assessment. Basic ADLs must include but are not limited to: bathing, transferring, toileting, and feeding; Instrumental ADLs (IADL) must include but are not limited to: telephone use and managing own medications.
Numerator
Submission Criteria 1 - Newly enrolled: Number of newly enrolled home-based primary care and palliative care patients who were assessed for basic Activities of Daily Living (ADL) and Instrumental activities of daily living (IADL) impairment at enrolment. Submission Criteria 2 - Established patients: Number of established home-based primary care and palliative care patients who were assessed for Activities of Daily Living (ADL) and Instrumental activities of daily living (IADL) impairment at enrolment and annually
Denominator
Submission Criteria 1 - Newly enrolled: Total number of newly enrolled (and active) home-based primary care and palliative care patients. The enrolment period includes 90 days from the first recorded new patient E&M visit code with the practice. A patient is considered active if they have at least 2 E&M visit codes with a provider from the practice within the reporting period.
Submission Criteria 2 - Established patients: Total number of established enrolled and active home-based primary care and palliative care patients. A patient is considered established if they have at least 2 Established Patient Encounter E&M visit codes with a provider from the practice within the reporting period.
Exclusions
Submission Criteria 1 - Newly enrolled: Denominator Exceptions: Most recent new patient encounter (with subsequent established patient encounter) occurs within the last 90 days of the measurement period. Submission Criteria 2 - Established patients: There are no exceptions or exclusions for this submission criteria.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Data Source: Registry Data
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
The Level Of Analysis is performed at the Clinician (Individual) level.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Partnership for Quality Measurement. (2023). Available from: p4qm.org/measures/3497
Technical Specifications
Link to Measurement Tools
NQF Measure #3497 (last endorsed on 01 October 2019)