Home Quality Indicator Repository Pain Assessment and Follow-Up

Pain Assessment and Follow-Up

Identifying Attributes

Care Settings
Primary Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Physician Quality Reporting System (PQRS), Centers for Medicare & Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS), Centers for Medicare & Medicaid Services (CMS): Physician Feedback/Quality and Resource Use Reports (QRUR), Centers for Medicare & Medicaid Services (CMS): Physician Value-Based Payment Modifier (VBM)
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Pain

Defining Attributes

Definition

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardised tool(s) on each visit AND documentation of a follow-up plan when pain is present

Numerator

Patient visits with a documented pain assessment using a standardised tool(s) AND documentation of a follow-up plan when pain is present

Denominator

All visits for patients aged 18 years and older

Exclusions

A patient is not eligible if one or more of the following reason(s) is documented: Severe mental and/or physical incapacity where the person is unable to express himself/herself in a manner understood by others. For example, cases where pain cannot be accurately assessed through use of nationally recognised standardised pain assessment tools, Patient is in an urgent or emergent situation where time is of the essence and to delay treatment would jeopardise the patient's health status

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Administrative data, Electronic/paper chart records, Standardised clinical data
Data Collection Methods

Reporting is specific to sub-program

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

p4qm.org/measures

Technical Specifications

p4qm.org/measures/0420

Link to Measurement Tools
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
Yes
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

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Date Modified 02 December 2025