NQMC Update Service: December 8, 2014 ► American Medical Directors Association

NQMC Update Service: December 8, 2014

American Medical Directors Association

• Pain management: percentage of patients documented with achieving pain control goals after treatment.

• Pain management: percentage of patients on opioid medications receiving an appropriate constipation prevention regime.

• Pain management: percentage of patients on pain medications with adjunctive (complementary alternative medicine [CAM], physical therapy [PT], etc.) therapies to assist in pain relief.

• Pain management: percentage of patients with adjustments made in treatment plan by practitioner when pain management plan is not effective.

• Pain management: percentage of patients with adverse drug reactions (ADRs) related to pain medications. This updates a previously published measure summary.

• Pain management: percentage of patients with cognitive and language deficit receiving targeted pain assessment. This updates a previously published measure summary.

• Pain management: percentage of patients with controlled adverse drug reactions (ADRs) to pain medications.This updates a previously published measure summary.

• Pain management: percentage of patients with documentation by the practitioner that summarizes the characteristics and causes of the patient's pain.

• Pain management: percentage of patients with documentation showing that the practitioner performed laboratory, radiologic, and other diagnostic tests as appropriate.

• Pain management: percentage of patients with documented assessment by licensed nurse of a sufficiently detailed evaluation to characterize the pain.

• Pain management: percentage of patients with documented assessment for pain using standardized tool at each quarterly review. This updates a previously published measure summary.

• Pain management: percentage of patients with documented assessment for pain using standardized tool at each reported change of condition requiring Minimum Data Set (MDS) assessment. This updates a previously published measure summary.

• Pain management: percentage of patients with documented assessment for pain using standardized tool on admission. This updates a previously published measure summary.

• Pain management: percentage of patients with documented assessment of the impact of pain on function and quality of life.

• Pain management: percentage of patients with documented medication regimen with evidence of titration/adjustment in accordance with World Health Organization (WHO) step ladder. This updates a previously published measure summary.

• Pain management: percentage of patients with documented person-centered inter-professional care plan for acute or chronic pain. This updates a previously published measure summary.

• Pain management: percentage of patients with documented reduction of pain symptoms. This updates a previously published measure summary.

• Pain management: percentage of patients with established set goals for pain relief.

• Pain management: percentage of patients with periodic documented assessment by licensed nursing staff of effectiveness of pain management using same standardized tool used in the original pain assessment.

• Pain management: percentage of patients with periodic documented assessment by licensed nursing staff of effectiveness of pain management. This updates a previously published measure summary.

• Pain management: percentage of patients with periodic documented assessment of effectiveness of pain management by practitioner. This updates a previously published measure summary.

• Pain management: percentage of patients with severe opioid-related constipation or fecal impaction.