| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Process | Yes | Person and Caregiver-Centered Experience and Outcomes | Neurology |
Measure Description
Percentage of patients diagnosed with Amyotrophic Lateral Sclerosis (ALS) who were offered assistance in planning for end of life issues (e.g., advance directives, invasive ventilation, hospice) at least once annually
Instruction
This measure is to be reported a minimum of once per performance period for patients with a diagnosis of ALS during the performance period. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding. This measure is appropriate for use in outpatient and long term care (e.g., nursing home, ambulatory). For each of these settings, there should be documentation in the medical record(s) that advance care planning was discussed or documented.
Denominator
All patients with a diagnosis of Amyotrophic Lateral Sclerosis (ALS)
Denominator Criteria (Eligible Cases):
Diagnosis for Amyotrophic Lateral Sclerosis (ICD-10-CM): G12.21
AND
Patient encounter during the performance period (CPT): 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99354, 99355
WITHOUT
Telehealth Modifier: GQ, GT
AND NOT
DENOMINATOR EXCLUSION:
Patient in hospice and in terminal phase: G9758
Numerator
Patients who were offered assistance in planning for end of life issues (e.g., advance directives, invasive ventilation, or hospice) at least once annually
Definition:
Assistance with end of life issues – assessment of patient concerns, desires and needs relating to end of life issues. Bases on patient’s disease progression this may include discussions regarding invasive ventilation, advance directives and hospice.
Numerator Options:
Performance Met: Patient offered assistance with end of life issues during the measurement period (G9380)
OR
Denominator Exception: Documentation of medical reason(s) for not offering assistance with end of life issues (e.g. patient in hospice care, patient in terminal phase) during the measurement period (G9381)
OR
Performance Not Met: Patient not offered assistance with end of life issues during the measurement period (G9382)