Home Quality Indicator Repository Beliefs and Values: Percentage of Hospice Patients With Documentation in the Clinical Record of a Discussion of Spiritual/Religious Concerns or Documentation That the Patient/Caregiver Did Not Want to Discuss

Beliefs and Values: Percentage of Hospice Patients With Documentation in the Clinical Record of a Discussion of Spiritual/Religious Concerns or Documentation That the Patient/Caregiver Did Not Want to Discuss

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
Person-Centredness
Domain
Spiritual, Religious and Existential Aspects of Care

Defining Attributes

Definition

This measure reflects the percentage of hospice patients with documentation of a discussion of spiritual/religious concerns or documentation that the patient/caregiver/family did not want to discuss.

Numerator

Patients whose medical record includes documentation that the patient and/or caregiver was asked about spiritual/existential concerns within 5 days of the admission date.

Denominator

Seriously ill patients 18 years of age or older enrolled in hospice.

Exclusions

Testing has only been done with the adult population; thus patients younger than 18 are excluded.

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: Electronic Health Records

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

The Level Of Analysis is performed at the facility level.

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/1647 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%5D,%22SelectedTypeAheadFilterOption%22%3A%7B%22ID%22%3A0,%22FilterOptionLabel%22%3A%221647%22,%22TypeOfTypeAheadFilterOption%22%3A1,%22TaxonomyId%22%3A0,%22FilterOptionLabe%22%3A%221647%22%7D,%22Keyword%22%3A%221647%22,%22PageSize%22%3A%2225%22,%22OrderType%22%3A3,%22OrderBy%22%3A%22ASC%22,%22PageNo%22%3A1,%22IsExactMatch%22%3Afalse,%22QueryStringType%22%3A%22%22,%22ProjectActivityId%22%3A%220%22,%22FederalProgramYear%22%3A%220%22,%22FederalFiscalYear%22%3A%220%22,%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%3A1070,%22EntityTypeID%22%3A1%7D

Technical Specifications

p4qm.org/measures/1647

Link to Measurement Tools

NQF Measure #1647 (endorsement removed on 17 November 2021)

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

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Date Modified 08 April 2026