Hospice and Palliative Care - Pain Screening
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Setting-Specific 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).