Oncology: Medical and Radiation - Pain Intensity Quantified

Last updated: July 12, 2017

CMS Measure ID: CMS157v4
Version: 4
NQF Number: 0384
Measure Description:

Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified

Initial Patient Population:

All patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy

Denominator Statement:

Equals Initial Population

Denominator Exclusions:

None

Numerator Statement:

Patient visits in which pain intensity is quantified

Numerator Exclusions:

Not Applicable

Denominator Exceptions:

None

Measure Steward: American Medical Association-convened Physician Consortium for Performance Improvement(R) (AMA-PCPI)
Domain: Person and Caregiver-Centered Experience and Outcomes
Next Version: Oncology: Medical and Radiation - Pain Intensity Quantified
Previous Version: Oncology: Medical and Radiation – Pain Intensity Quantified
Measure Score: Proportion
Improvement Notation:

Higher score indicates better quality

Guidance:

This measure is an episode-of-care measure; the level of analysis for this measure is every visit for patients with a diagnosis of cancer who are also receiving chemotherapy or radiation therapy during the measurement period. For patients receiving radiation therapy, pain intensity should be quantified at each radiation treatment management encounter. For patients receiving chemotherapy, pain intensity should be quantified at each face-to-face encounter with the physician while the patient is receiving treatment. For purposes of calculating this measure, eligible encounters for patients receiving chemotherapy will include those encounters where the patient has been administered chemotherapy within 30 days prior to the encounter and also been administered chemotherapy within 30 days after the date of the encounter. For example, at every visit for patients with a diagnosis of cancer who are also receiving chemotherapy or radiation therapy, the patient should have pain intensity quantified.

Pain intensity should be quantified using a standard instrument, such as a 0-10 numeric rating scale, visual analog scale, a categorical scale, or the pictorial scale.

Specifications

Release Notes

Header

  • Added Item Count field. The Item Count identifies the unit of measure for the eCQM. For this episode-of-care measure, the unit of measure is each visit or encounter.
  • Clinical Recommendation Statement updated.
  • Copyright updated.
  • Disclaimer updated.
  • eMeasure version number incremented.
  • Guidance updated.
  • Reference updated.

Logic

  • Introduced occurrencing on variables to enforce that the same instance of a clinical event is used throughout the measure when the logic within the variable does not limit the event to a single instance, e.g., FIRST or MOST RECENT.
  • Introduced the new timing operator 'overlaps' to replace two lines of logic (AND/AND NOT) or to enforce when an event or set of events occur to meet the measure intent.
  • Introduced variables $OVorF2FEncounter and $RadiationTreatmentManagement to allow re-use of logical expressions and reduce redundancy/complexity.
  • Replaced 'ORs' with 'Union of' operator to provide a mechanism for specifying that qualifying event(s) must be a member of at least one of the data elements being unioned (if appropriate for measure intent).
  • Replaced 'starts before or during' (SBOD) with 'starts before end of' (SBE).
  • The top level logical operator for the Numerator Exclusions, Denominator Exclusions, Denominator Exceptions, and Measure Population Exclusions defaults to 'OR'.

Value Sets

  • Value set Cancer (OID 2.16.840.1.113883.3.526.3.1010): Deleted 2 SNOMED codes (255070009, 93965008), added 1 SNOMED code (609519004).

External Resources