On this webpage you will find information and practical clinical tools from the PEACE Project. These documents are available to hospice and palliative care organizations that measure quality of care, and make use of data to inform quality improvement initiatives. PEACE quality measures address domains of quality of care included in the National Consensus Project for Quality Palliative Care and endorsed by the National Quality Forum. Materials were developed by a research team from The Carolinas Center for Medical Excellence (CCME) and the University of North Carolina-Chapel Hill, under contract to the Centers for Medicare & Medicaid Services (CMS).

It will take you and your team several steps to understand and actually use quality measures. We have outlined these steps for you: Getting Started with PEACE Quality Measures. Please read this document first.


Organizational Readiness Screen

Patient Data Collection Tool

Assessment Instruments for End of Life Care

Recommended Quality Measures and Data Collection

Specifications for Recommended Quality Measures

NQF Quality Measures and Specifications:

NQF Pain Screen

NQF Pain Assessment

NQF Dyspnea Screen

NQF Dyspnea Treatment

NQF Treatment Preferences


Hanson LC, Rowe C, Wessell K, Caprio AJ, Winzelberg G, Beyea A, Bernard SA. Measuring palliative care quality for seriously ill hospitalized patients. J Pall Med, 2012; 15(7): 798-804.

Schenck AP, Rokoske FS, Durham DD, Cagle JG, Hanson LC. The PEACE project: identification of quality measures for hospice and palliative care. J Palliat Med, 2010; 13(12):1451-9.

Hanson LC, Scheunemann LP, Zimmerman S, Rokoske FS, Schenck AP. The PEACE project review of clinical instruments for hospice and palliative care. J palliat Med, 2010; 13(10):1253-60