2025 EACCR1 Early Tracheostomy Goals of Care Discussion 

Measure Title: Early Tracheostomy Goals of Care Discussion

Measure description:Patients with > 96 hours of intubation and mechanical ventilation expected to require prolonged mechanical ventilation and/or their POA or families should engage in conversations clarifying goals of care prior to the 5th day of mechanical ventilation, to avoid late decisions regarding tracheostomy or comfort care.

Denominator: All patients >= 18 years of age on date of discharge intubated receiving mechanical ventilation >= 96 hours

Denominator Exclusions: Patients who expire.

Denominator Exceptions: Extubation in next 72 hours expected; no POA or family and patient unable to participate.

Numerator: Patients/families who participated in a goals of care conversation that included discussions regarding prolonged mechanical ventilation, tracheostomy, and patient wishes / goals of care within one week (168 hours) of mechanical ventilation.

Numerator Exclusions: None

 

National Quality Forum (NQF) number, if applicable

N/A

Care setting(s) 

Hospital Inpatient

Telehealth, if applicable
Yes

Number of performance rates required for measures
1

Traditional vs. inverse measure
Traditional

Proportional, continuous variable, and/or ratio measure indicator
Proportional

Risk adjustment, if applicable
No

Submission pathway 
Traditional MIPS


Tags

QCDR-EACCR-2025