Pain Brought Under Control Within 48 Hours
Patients aged 18 and older who report being uncomfortable because of pain at the initial assessment (after admission to palliative care services) that report pain was brought to a comfortable level within 48 hours.
ACP does not support QPP measure 342: "Pain Brought under Control within 48 Hours." While this measure represents an important clinical concept, it is unclear whether implementation will produce reliable, meaningful results, and there is insufficient evidence to support the 48 hour time interval. Additionally, the specifications include an assessment tool is that is not well validated. Measure developers should consider modifying the specifications to include a more appropriate assessment tool (e.g., Numeric Pain Rating Scale). While this measure may appropriately assess performance of hospice and palliative care practice clinicians, it is an inappropriate internal medicine accountability measure.