ACQR16 COPD Exacerbation or CHF Exacerbation requiring Hospital Admission: Palliative Care Evaluation

Measure ID

ACQR16

Measure Title

COPD Exacerbation or CHF Exacerbation requiring Hospital Admission: Palliative Care Evaluation

Measure Description

Patients admitted with 2 or more COPD exacerbations in 12 months or a single admission for COPD with hypercapnic respiratory failure, or being discharged to a SNF or LTACH should receive an evaluation from a palliative care professional, if available; and patients admitted with AHA Class D heart failure and/or patients admitted with Congestive Heart Failure (any class) being discharged to a SNF or LTACH should receive an evaluation from a palliative care professional, if available

Denominator

Sum of (All Patients >= 18 years of age being treated as inpatients with primary diagnosis of COPD Exacerbation for whom, (a) this is their second (or more) admission for COPD exacerbation within the preceding 12 months; (b) they are being treated for hypercarbic respiratory failure (pCO2>50 mmHg); or (c) they are being discharged to a SNF or LTACH) + (All Patients >= 65 years of age discharged from inpatient hospitalization with Class D CHF and for whom their primary admission diagnosis of CHF Exacerbation, and/or patients with a primary discharge diagnosis of CHF being discharged to a SNF or LTACH)

Numerator

Patients who have had a palliative care evaluation within 6 months of discharge

Denominator Exclusions

Patients who expire in the current hospital stay or are transferred to another acute care hospital

Denominator Exceptions

Patients in communities or facilities in which palliative care professionals are not available; patients who are offered but decline to see a palliative care professional;

Numerator Exclusions

None

NQF ID

N/A

NQS Domain

Communication and Care Coordination

High Priority Measure

Yes

High Priority Type

Care Coordination

Measure Type

Efficiency and Cost/Resource Use

Telehealth

Yes

Meaningful Measure Area

End of Life Care according to Preferences

Inverse Measure

No

Proportional Measure

Yes

Continuous Variable Measure

No

Ratio Measure

No

Range of the score(s) if Continuous Variable and/or Ratio

N/A

Number of performance rates to be calculated and submitted

1

Performance Rate Description(s)

N/A

Overall Performance Rate

1st Performance Rate

Risk-Adjusted Status

No

Risk-Adjusted Score

N/A

Care Setting

Hospital

Additional Care Setting Information

N/A