Patients Treated With an Opioid Who Are Given a Bowel Regimen

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
Safety
Domain
Physical Aspects of Care

Defining Attributes

Definition

Percentage of vulnerable adults treated with an opioid that are offered/prescribed a bowel regimen or documentation of why this was not needed.

Numerator

Patients from the denominator that are given a bowel regimen or there is documentation as to why this was not needed

Denominator

Vulnerable adults who are given a prescription for an opioid

Exclusions

Non-hospice outpatients who are already taking an opioid at the time of the study period opioid prescription Patients aged <65 years

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods

Data Source: Paper Patient Medical Records

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods

The Level Of Analysis is performed at: Clinician (Group/Practice), Clinician (Individual), Facility, Health Plan

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Multiple sources: National Quality Forum. (2017). Palliative and End-of-Life Care Off-Cycle Measure Review - Technical Report. Available from: waportal.org/sites/default/files/documents/uw-resources/palliativeoffcyclefinalreport.pdf Partnership for Quality Measurement. (2023). Available from: p4qm.org/measures/1617 Virdun C, Luckett T, Lorenz KA, Phillips J. National quality indicators and policies from 15 countries leading in adult end-of-life care: a systematic environmental scan. BMJ Support Palliat Care. 2018 Jun;8(2):145-154. doi: 10.1136/bmjspcare-2017-001432

NQF specifications available here: www.qualityforum.org/QPS/QPSTool.aspx?Exact=false&Keyword=affordability#qpsPageState=%7B%22TabType%22%3A1,%22TabContentType%22%3A2,%22SearchCriteriaForStandard%22%3A%7B%22TaxonomyIDs%22%3A%5B%225%3A72,65,64,67%22,%2233%3A61%22%5D,%22SelectedTypeAheadFilterOption%22%3A%7B%22ID%22%3A0,%22FilterOptionLabel%22%3A%22Patients+Treated+with+an+Opioid+who+are+Given+a+Bowel+Regimen%22,%22TypeOfTypeAheadFilterOption%22%3A1,%22TaxonomyId%22%3A0,%22FilterOptionLabe%22%3A%22Patients+Treated+with+an+Opioid+who+are+Given+a+Bowel+Regimen%22%7D,%22Keyword%22%3A%22Patients+Treated+with+an+Opioid+who+are+Given+a+Bowel+Regimen%22,%22PageSize%22%3A%2225%22,%22OrderType%22%3A3,%22OrderBy%22%3A%22ASC%22,%22PageNo%22%3A1,%22IsExactMatch%22%3Atrue,%22QueryStringType%22%3A%22%22,%22ProjectActivityId%22%3A%220%22,%22FederalProgramYear%22%3Anull,%22FederalFiscalYear%22%3Anull,%22FilterTypes%22%3A0,%22EndorsementStatus%22%3A%22%22,%22MSAIDs%22%3A%5B%5D%7D,%22SearchCriteriaForForPortfolio%22%3A%7B%22Tags%22%3A%5B%5D,%22FilterTypes%22%3A0,%22PageStartIndex%22%3A1,%22PageEndIndex%22%3A25,%22PageNumber%22%3Anull,%22PageSize%22%3A%2225%22,%22SortBy%22%3A%22Title%22,%22SortOrder%22%3A%22ASC%22%7D,%22ItemsToCompare%22%3A%5B%5D,%22SelectedStandardIdList%22%3A%5B%5D,%22PortfolioID%22%3A1127,%22StandardID%22%3A1048,%22EntityTypeID%22%3A1%7D

Technical Specifications
Link to Measurement Tools

NQF Measure #1617 (endorsement removed on 02 August 2022)

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