Blog | Wednesday, February 15, 2012

QD: News Every Day--14 quality measures endorsed for palliative, end-of-life care


The National Quality Forum (NQF) Board of Directors has approved for endorsement 14 quality measures on palliative and end-of-life care to address among other topics pain management, psychosocial needs, and care transitions and experiences.

The endorsed quality measures include:
1634: Hospice and Palliative Care- Pain Screening (UNC) (paired with measure 1637)
1637: Hospice and Palliative Care – Pain Assessment (UNC) (paired with measure 1634)
1617: Patients treated with an opioid who are given a bowel regimen (RAND)
1628: Patients with advanced cancer assessed for pain at outpatient visits (RAND)
1638: Hospice and Palliative Care- Dyspnea Treatment (UNC) (paired with measure 1639)
1639: Hospice and Palliative Care – Dyspnea Screening (UNC) (paired with measure 1638)
1626: Patients admitted to the ICU who have care preferences documented (RAND)
1641: Hospice and Palliative Care- Treatment Preferences (UNC)
1647: 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 (Deyta)
0209: Comfortable dying (NHPCO) (maintenance)
1625: Hospitalized patients who die an expected death with an ICD that has been deactivated (RAND)
0208: Family Evaluation of Hospice Care (NHPCO) (maintenance)
1632: CARE--Consumer Assessments and Reports of End of Life (Center for Gerontology and Health Care Research)
1623: Bereaved Family Survey (PROMISE Center)

For this project, NQF sought measures focused on care concerns such as managing pain, weight loss, and depression. It also sought measures that would directly assess and improve the experience of patients undergoing palliative and end-of-life care, as well as the experience of their families, the agency said in a press release. Each measure was evaluated against NQF's endorsement criteria by a panel of providers, measurement experts and consumer representatives.

The endorsed measures include those previously endorsed by NQF and newly submitted measures for initial endorsement. Twelve measures are new. This measure set will help support such efforts, such as enhanced treatment of pain and other symptoms, improved communication between providers and patients, fewer admissions to emergency departments, and increased patient satisfaction, said a spokesperson in a press release.