Patients Admitted to ICU Who Have Care Preferences Documented

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
Effectiveness
Domain
Structure and Processes of Care

Defining Attributes

Definition

Percentage of vulnerable adults admitted to ICU who survive at least 48 hours who have their care preferences documented within 48 hours OR documentation as to why this was not done.

Numerator

Patients in the denominator who had their care preferences documented within 48 hours of ICU admission or have documentation of why this was not done.

Denominator

All vulnerable adults admitted to ICU who survive at least 48 hours after ICU admission.

Exclusions

None

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 Sources: Paper Patient Medical Records, 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/1626 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%3A1626,%22FilterOptionLabel%22%3A%221626%22,%22TypeOfTypeAheadFilterOption%22%3A4,%22TaxonomyId%22%3A0%7D,%22Keyword%22%3A%221626%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%3A1054,%22EntityTypeID%22%3A1%7D

Technical Specifications
Link to Measurement Tools

NQF Measure #1626 (endorsement status for this indicator was removed on 17 February 2023)

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
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025