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CAPC Palliative Care Discussion Forum
Data Collection and Measurement

In Reply To: CMS Inclusion Criteria

Post Re:CMS Inclusion Criteria
Author: jbcassel [CAPC/PCLC Faculty]
Date: Mar 24, 2010 5:32 am
The reason comfort-care cases are excluded from the Joint Commission / CMS quality measures is that they have recognized that the quality metrics are not relevant for end-of-life patients. While you're certainly correct that PC does not equal EOL, there wouldn't be any grounds for excluding non-EOL PC cases where you were improving symptom management but not changing the course / goals of care for a heart failure, pneumonia, or MI patient. From this perspective there is no problem here. (I'm not speaking for CAPC, this is just my take on the matter). Let me know what you think.
- Brian Cassel, VCU Massey Cancer Center PCLC
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