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.

Documentation of only the patient's religious or spiritual affiliation does not count for inclusion in numerator.

Data are collected via chart review. Criteria are: evidence of a discussion about spiritual and religious concerns, or evidence that the patient or family declined to engage in a conversation on this topic. Evidence may be found in the initial screening and assessment, comprehensive assessment, update assessments across the entire period of care, visit notes documented by any member of the team, or the spiritual care assessment. Note that these are examples and not a complete list.

Dy SM et al. Measuring what matters: top-ranked quality indicators for hospice and palliative care from the American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association. J Pain Symptom Manage. 2015 Apr;49(4):773-81. doi: 10.1016/j.jpainsymman.2015.01.012. Kamal AH, Bull J, Ritchie CS, et al. Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings. J Pain Symptom Manage 2016;51(3):497-503. doi: dx.doi.org/10.1016/j.jpainsymman.2015.12.313 American Academy of Hospice and Palliative Care [webpage]. Available here: aahpm.org/uploads/education/AAHPM15MWMHandoutClinicalFINAL.pdf. Date cited 10/10/2023.

Full Measuring What Matters technical specifications unable to be located. Some information available here: aahpm.org/uploads/education/AAHPM15MWMHandoutClinicalFINAL.pdf Table 2: pubmed.ncbi.nlm.nih.gov/25697097/

Linked to NQF measure #1647 (Deyta LLC is the Measure Steward Organization)