NQMC Update Service: April 1, 2013 || Institute for Clinical Systems Improvement

NQMC Update Service: April 1, 2013

NQMC Update Service: April 1, 2013

Agency for Healthcare Research and Quality (AHRQ) sent this bulletin at 04/01/2013 12:00 PM EDT

April 1, 2013

New This Week

Measure Summaries Institute for Clinical Systems Improvement Assessment and management of chronic pain: percentage of chronic pain patients who are referred to diagnostic and/or therapeutic procedures if the goals for pain control or functional status have not been met. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who are prescribed an opioid who have an opioid agreement form and urine toxicology screen documented in the medical record. This updates a previously published measure summary. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who are receiving opioids who have documentation of the four A's assessment: 1) the degree of analgesia, 2) current opioid-related side effects, 3) current functional status and 4) existence of aberrant drug-related behaviors at each visit. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who are screened for chemical dependency before being prescribed opioid medication. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who have documentation of a plan of care that addresses personal goals, sleep, physical activity, stress management and pain reduction in the medical record and identifies potential barriers to patient follow-up on plan of care. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain who have not met pain control or functional status goals who are referred to pain specialist or interdisciplinary pain team. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with a diagnosis of neuropathic pain who are prescribed a tricyclic antidepressant OR anticonvulsant prior to use of opioids. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with documentation of reassessment of pain at follow-up visits using a standardized tool that addresses pain intensity, location, pattern and current functional status. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with documentation of receiving education regarding their diagnosis of chronic pain, medications, importance of physical activity and/or any interventional procedures in the medical record. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with documentation of screening for major depression and chemical dependency. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with functional outcome goals documented in the medical record. Assessment and management of chronic pain: percentage of patients diagnosed with chronic pain with referral to physical rehabilitation and/or behavioral management therapy. Assessment and management of chronic pain: percentage of patients with chronic pain diagnosis with documentation of a pain assessment completed at initial visit using a standardized tool that addresses pain intensity, location, pattern, mechanism of pain, current functional status and follow-up plan.