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
Palliative Care
Country
United States of America
Publishing Organisation
Partnership for Quality Measurement Geriatric and Palliative Care Project (formerly known as National Quality Forum Palliative Care and End-of-Life Care Measures)
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Physical Aspects of Care

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
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Administrative data
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
No

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools

NQF Measure #3497 (last endorsed on 01 October 2019)

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
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025