Hospice and Palliative Care - Pain Screening
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of hospice or palliative care patients who were screened for pain during the hospice admission evaluation / palliative care initial encounter.
Numerator
Patients who are screened for the presence or absence of pain (and if present, rating of its severity) using a standardised quantitative tool during the admission evaluation for hospice / initial encounter for palliative care. Screening may be completed using verbal, numeric, visual analogue, rating scales designed for use the non-verbal patients, or other standardised tools.
Denominator
Patients enrolled in hospice for 7 or more days OR patients receiving hospital-based palliative care for 1 or more days.
Exclusions
Denominator Exclusions: Patients with length of stay < 7 days in hospice, or < 1 day in palliative care. Calculations required to perform denominator exclusions: length of stay= discharge date - date of initial encounter.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Electronic Clinical Data; Electronic Health Record. Data collection using a structured chart abstraction tool and operational definition.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
The Level of Analysis is performed at the Clinician (Group/Practice) and Facility levels.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Indicator development: Anna P. Schenck, Franziska S. Rokoske, Danielle D. Durham, John G. Cagle, and Laura C. Hanson. The PEACE Project: Identification of Quality Measures for Hospice and Palliative Care.Journal of Palliative Medicine.Dec 2010.1451-1459.http://doi.org/10.1089/jpm.2010.0238 Indicator feasbility/testing: Hanson LC, Rowe C, Wessell K, et al. Measuring palliative care quality for seriously ill hospitalized patients. J Palliat Med 2012;15(7):798-804. PEACE website: www.med.unc.edu/pcare/about-palliative-care/resources/peace-quality-measures/
Technical Specifications
Full specifications were taken from NQF documentation available here: www.med.unc.edu/pcare/wp-content/uploads/sites/503/2017/11/nqf-pain-screen.pdf Unable to locate from PEACE program literaure. Limited specification details available in Table 2 of Hanson LC, Rowe C, Wessell K, et al. Measuring palliative care quality for seriously ill hospitalized patients. J Palliat Med 2012;15(7):798-804. PEACE website: www.med.unc.edu/pcare/about-palliative-care/resources/peace-quality-measures/
Link to Measurement Tools
Linked to NQF measure #1634 (endorsement status for this indicator was removed on 17 November 2021).