Pain Assessment and Follow-Up  

Pain is one of the most common symptoms in patients with ESRD.6 Based on this fact, and the findings of clinical studies, CMS identified a need to incorporate a measure as part of the ESRD QIP that determines whether facilities regularly assess their patients’ pain, and whether they develop follow-up plans as necessary. Recognizing that this measure would address a need indicated by the National Quality Strategy (NQS), CMS adopted a pain measure for PY 2018 of the ESRD QIP that is based on NQF-endorsed measure #0420, “Pain Assessment and Follow-Up.”

Under the Pain Assessment and Follow-Up reporting measure, authorized facility representatives must use CROWNWeb to report one of the following conditions for each eligible patient once between January 1, 2016 and July 31, 2016, and once between July 1, 2016 and January 31, 2017:


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  1. Pain assessment using a standardized tool is documented as positive and a follow-up plan is documented
  2. Pain assessment is documented as positive, a follow-up plan is not documented, and the facility possesses documentation that the patient is not eligible for a pain assessment
  3. Pain assessment is documented as positive using a standardized tool, a follow-up plan is not documented, and no reason is given
  4. Pain assessment using a standardized tool is documented as negative, and no follow-up plan required
  5. No documentation of pain assessment, and the facility possesses documentation the patient is not eligible for a pain assessment using a standardized tool
  6. No documentation of pain assessment, and no reason is given.5

Figure 3 shows for the Pain Assessment and Follow-Up Reporting Options in CROWNWeb.

Figure 3: Pain Assessment and Follow-up Reporting Options in CROWNWeb.