Measure Title: : Patient-Reported Understanding of Discharge Diagnosis and Plan of Care
Measure Description: Percentage of Adult Patients Who Completed a Survey Regarding Their Care Visit Who Reported Understanding of Their Discharge Diagnosis and Plan of Care
Denominator: Any patient greater than or equal to 18 years of age evaluated by the Eligible Professional PLUS completed a survey regarding their care visit within 48 hours of the encounter AND disposition of discharged (Admitted to same or higher level of care, transferred, eloped, AMA or expired patients are not included)
Numerator: :
Patients who reported understanding of their discharge diagnosis and plan of care from their care visit by patient survey delivered within 48 hours of encounter.
Definitions: Understanding of the discharge diagnosis and plan of care is defined as a response of (A) “Yes, strongly agree” or (B) “Yes, mostly” on the following survey prompt: I understood my diagnosis and plan of care” with response options of (D) “No,” (C) “Yes, somewhat,” (B) “Yes, mostly,” and (A) “Yes, strongly agree”.
*Note: survey can be delivered electronically via e-mail or, text, or manually via paper survey.
Denominator Exclusions: None
Denominator Exceptions: None
NQF ID Number: N/A
NQS Domain:Patient Safety
High Priority Measure: Yes
Measure Type: Patient-Reported Outcome-based Performance Measure (PRO-PM)
Includes Teleheatlh: Yes
Inverse Measure: No
Proportional Measure: Yes
Continuous Variable Measure: No
Ratio Measure: No
Number of performance rates to be calculated and submitted: 1
Risk-Adjusted Status: No
Care setting: Emergency Department and Services; Ambulatory Care: Clinician Office/Clinic; Ambulatory Care: Hospital; Ambulatory Care: Urgent Care; Hospital; Hospital Inpatient; Hospital Outpatient; Outpatient Services; Ambulatory
Submission Pathway: Traditional MIPS