Oncology: Medical and Radiation - Pain Intensity Quantified

Last updated: July 12, 2017

CMS Measure ID: CMS157v5
Version: 5
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: PCPI(R) Foundation (PCPI[R])
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
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. Examples include the Faces Pain Rating Scale and the Brief Pain Inventory (BPI).

Addendum Notes: ICD-10 Value Set addition
Quality ID: 143
High Priority Measure: Yes
Data Submission Method: EHR,Registry
Specialty Measure Set: General Oncology,Radiation Oncology

Specifications

Release Notes

Header

  • Updated Clinical Recommendation Statements.

    Section: Clinical Recommendation Statement

    Source: Measure Lead

  • ​Updated Copyright.

    Section: Copyright

    Source: Annual Update

  • Updated Disclaimer.

    Section: Disclaimer

    Source: Measure Lead

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Annual Update

  • Updated Guidance to provide additional examples of standardized pain assessment tools.

    Section: Guidance

    Source: Measure Lead

  • Updated Measure Developer.

    Section: Measure Developer

    Source: Measure Lead

  • Updated Measure Steward.

    Section: Measure Steward

    Source: Measure Lead

  • Updated References.

    Section: Reference

    Source: Measure Lead

Logic

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; Diagnosis, Inactive; Diagnosis, Resolved' with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

Value Set

  • Value set Cancer (2.16.840.1.113883.3.526.3.1010): Added 4 SNOMEDCT codes (126667002, 708921005, 711414003, 712525007) and deleted 8 SNOMEDCT codes (109365008, 188651007, 254630009, 255076003, 255117000, 269462001, 269468002, 286892007).

    Section: None

    Source: None

  • Value set Standardized Pain Assessment Tool (2.16.840.1.113883.3.526.3.1028): Added 1 LOINC code (77565-0).

    Section: None

    Source: None

  • Value set Cancer (2.16.840.1.113883.3.526.3.1010): Added 12 ICD10CM codes.

    Section: None

    Source: ICD-10 Addendum

External Resources