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Pain Assessment and Management

Do Not Support: Uncertain Validity
  • Group/Practice
Do Not Support: Not Tested
  • Individual Clinician

Ambulatory Palliative Care Patients’ Experience of Receiving Desired Help for Pain

The percentage of patients aged 18 years and older who had an ambulatory palliative care visit and report getting the help they wanted for their pain from their palliative care provider and team within 6 months of the ambulatory palliative care visit.

Date Reviewed: May 11, 2023

Do Not Support: Uncertain Validity
  • Health Plan

Concurrent Use of Opioids and Benzodiazepines (COB)*

The percentage of individuals 18 years and older with concurrent use of prescription opioids and benzodiazepines during the measurement year.

Date Reviewed: May 11, 2023

Do Not Support
  • Group/Practice
  • Individual Clinician

Pain Assessment and Follow-up

Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present.

Date Reviewed: November 19, 2017

Do Not Support: Uncertain Validity
  • Group/Practice
  • Individual Clinician

Opioid Therapy: Follow-up Evaluation

All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record.

Date Reviewed: November 19, 2017

Do Not Support: Uncertain Validity
  • Group/Practice
  • Individual Clinician

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

Support
  • Group/Practice
  • Individual Clinician

Evaluation or Interview for Risk of Opioid Misuse

All patients 18 and older prescribed opiates for longer than six weeks duration evaluated for risk of opioid misuse using a brief validated instrument (e.g. Opioid Risk Tool, SOAPP-R) or patient interview documented at least once during Opioid Therapy in the medical record.

Date Reviewed: November 19, 2017

Support
  • Group/Practice
  • Individual Clinician

Documentation of Signed Opioid Treatment Agreement

All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record.

Date Reviewed: November 19, 2017

Support
  • Health Plan

Use of Opioids at High Dosage in Persons Without Cancer

The proportion (XX out of 1,000) of individuals without cancer receiving prescriptions for opioids with a daily dosage greater than 120mg morphine equivalent dose (MED) for 90 consecutive days or longer

Date Reviewed: May 11, 2023

Do Not Support: Uncertain Validity
  • Health Plan

Use of Opioids from Multiple Providers and at High Dosage in Persons without Cancer

The proportion (XX out of 1,000) of individuals without cancer receiving prescriptions for opioids with a daily dosage greater than 120mg morphine equivalent dose (MED) for 90 consecutive days or longer, AND who received opioid prescriptions from four (4) or more prescribers AND four (4) or more pharmacies.

Date Reviewed: May 11, 2023

Support
  • Health Plan

Use of Imaging Studies for Low Back Pain

The percentage of patients with a primary diagnosis of low back pain who did not have an imaging study (plain X-ray, MRI, CT scan) within 28 days of diagnosis

Date Reviewed: May 11, 2023