High Priority MeasureYes
SpecialtyFamily Medicine Internal Medicine
Patients aged 18 and older who report being uncomfortable because of pain at the initial assessment (after admission to palliative care services) who report pain was brought to a comfortable level within 48 hours
This measure is to be submitted a minimum of once per performance period for patients admitted for palliative care services during the performance period. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.
The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry-based submissions; however, these codes may be submitted for those registries that utilize claims data.
Patients aged 18 and older admitted to palliative care services who communicated and self-reported that they were uncomfortable due to pain at the initial assessment (by responding “yes” when asked if they were uncomfortable because of pain)
Denominator Criteria (Eligible Cases):
Patients aged 18 and older
Patient encounter during performance period (CPT): 99221, 99222, 99223, 99231, 99232, 99233, 99324,99325, 99326, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99327, 99328, 99334, 99335, 99336, 99490, 99495, 99496
Patient able to Communicate and Understand the Language of the Person Asking
Patient Self-Reported Uncomfortable due to Pain at the Initial Assessment
Patients whose pain was brought to a comfortable level within 48 hours of initial assessment (after admission to palliative care services)
Comfortable Level – For the purpose of reporting this measure, achievement of comfort should be assessed as defined by the patient’s response (of “yes” or “no” when asked if their pain was brought to a comfortable level within 48 hours after the initial assessment).
Within 48 Hours – The look-back window for the pain management measure question is 48 hours. The follow up measure question should be asked between 48 to 72 hours from the initial evaluation. The follow up question should not be asked prior to 48 hours.
Performance Met: Documentation of patient pain brought to a comfortable level within 48 hours from initial assessment (G9250)
Performance Not Met: Documentation of patient with pain not brought to a comfortable level within 48 hours from initial assessment (G9251)