Submitted by yale-coredQMRoadmap on
Cntd. CMS-CCSQ Support for Orders for End of Life Care for v4
Orders for end of life care (comfort care, palliative care, hospice) include information that has the power to actionably communicate an individual’s wishes at their end of life and is yet to be represented in USCDI. These data need to be interoperable and exchangeable to reduce discordance between care provided and patient wishes, and to enhance value of care at end of life. This data element continues to be a joint CMS-CDC priority and supports advancing patient care quality, which aligns with the purpose of the USCDI (setting a foundation for broader sharing of electronic health information to support patient care).
Maturity: ONC recently advanced this data element to Level 2 based on maturity of standards.
- Current standards:
- Newly added—HL7 FHIR US CORE Implementation Guide STU 5, Service Request Profile (http://hl7.org/fhir/us/core/StructureDefinition-us-core-servicerequest.html)
- HL7 FHIR QI Core Implementation Guide STU4 based on FHIR R4, Service Request Profile (HL7.FHIR.US.QICORE\QICoreServiceRequest - FHIR v4.0.1)
- Concepts captured in mature terminology: LOINC, Systematized Nomenclature of Medicine (SNOMED)
- Current uses, exchange, and use cases: Orders (service requests) for end of life care services are routinely captured in EHR systems used by hospitals and providers and are used in CMS quality reporting eCQMs across programs. The relevant information required to support a transfer of care request from one practitioner or organization to another that provides end of life care services is critical.
Submitted by yale-coredQMRoadmap on
CMS-CCSQ/CDC Joint for Orders for End of Life Care for USCDI v5
CMS-CCSQ recommends this Level 2 data element be added to USCDI v5. Orders for End of Life Care (comfort care, palliative care, hospice) include information that has the power to actionably communicate an individual’s wishes at their end of life and is yet to be represented in USCDI. These data are routinely captured in EHR systems and need to be interoperable and exchangeable to reduce discordance between care provided and patient wishes, and to enhance value of care at end of life. This critical information is required to support a transfer of care request from one practitioner or organization to another that provides end-of-life care services. This data element was previously identified as a joint CMS-CDC priority and supports advancing patient care quality.