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