Currently there are 6 measures that reference palliative and/or hospice care. They are: 61, 64, 69, 149, 159, 160.

The Measures refer to Palliative care as either a procedure or an intervention. This is inconsistent and does not appear to be necessary for determining exclusions.

149, 159, and 160 Refer to Palliative Care:

"Intervention, Performed: Palliative Care" using "Palliative Care Grouping Value Set (2.16.840.1.113883.3.526.3.1024)"

61, 64, and 69 Refer to Palliative Care:
"Procedure, Order: Palliative Care" using "Palliative Care Grouping Value Set (2.16.840.1.113883.3.600.1.1579)"

61,64, and 69 all reference NLM Value Set
Palliative Care: 2.16.840.1.113883.3.600.1.1579
Encounter for Palliative Care Z51.5 (ICD-10)
Encounter for Palliative Care V66.7 (ICD-9)
Admission by palliative care physician 305284002 (SNOMED Procedure)
Admission to palliative care physician 305381007 (SNOMED Procedure)
Comfort Measures 133918004 (SNOMED Regime/Therapy)
Dying Care 385736008 (SNOMED Regime/Therapy)
Hospice Care 385763009 (SNOMED Regime/Therapy)
Referral by palliative care physician 305981001 (SNOMED Procedure)
Referral to palliative care physician 306288008 (SNOMED Procedure)
Referral by palliative care service 306237005 (SNOMED Procedure)
Terminal care 182964004) (SNOMED Regime/Therapy)

149 and 160 reference NLM Value Set:
Palliative Care: 2.16.840.1.113883.3.526.3.1024
Palliative Care 103735009
Hospice Care 385763009

Recommendations:
• To use the same NLM value set for all instances where Palliative Care is in the criteria and that the value set selected should be Palliative Care: 2.16.840.1.113883.3.600.1.1579.
• Add Palliative Care 103735009 to the 2.16.840.1.113883.3.600.1.1579 value set.