Pain Brought Under Control Within 48 Hours

Patients aged 18 and older who report being uncomfortable because of pain at the initial assessment (after admission to palliative care services) that report pain was brought to a comfortable level within 48 hours.

Date Reviewed: November 19, 2017
Do Not Support: Uncertain Validity
    Group/Practice Individual Clinician

Measure Info

MIPS 342 CMS 342
Measure Type
Outcome
Measure Steward
National Hospice and Palliative Care Organization
Clinical Topic Area
Pain Assessment and Management
Care Setting
Outpatient
Data Source
Registry

ACP does not support QPP measure 342: "Pain Brought under Control within 48 Hours." While this measure represents an important clinical concept, it is unclear whether implementation will produce reliable, meaningful results, and there is insufficient evidence to support the 48 hour time interval. Additionally, the specifications include an assessment tool is that is not well validated. Measure developers should consider modifying the specifications to include a more appropriate assessment tool (e.g., Numeric Pain Rating Scale). While this measure may appropriately assess performance of hospice and palliative care practice clinicians, it is an inappropriate internal medicine accountability measure.