State Trends-Hospice

Overview

The Hospice Trend Report includes measures that are publicly reported on Care Compare. The following analyses display each of the quality measures and compares the provider rates to other benchmark rates. Colored labels indicate whether the measure is HIS-based, Claims-based or CAHPS-based, whether it is used in the Hospice Quality Reporting Program (QRP), whether a higher rate or lower rate is better, and if the measure is used in the 5 Star ratings.

Sponsors

LeadingAge

Average Daily Census

Hospices that monitor their average daily census can make informed business decisions regarding revenue, costs, growth and marketing.

Total_Census

Average_Census

HospiceCount

Five Star

The Hospice 5 Star rating is based on 8 of the QMs currently posted on Care Compare. CMS uses the top box scores from the CAHPS Hospice Survey to calculate a hospice 5 star rating (Family caregiver survey rating) . Due to its public accessibility, consumers can use this information when selecting a hospice provider for their end-of-life care needs.

Family caregiver survey rating Higher is Better CAHPS 5 Star Measure

Did the hospice team provide the right amount of emotional and spiritual support? Higher is Better QRP CAHPS 5 Star Measure

Caregivers rating of the hospice agency. Higher is Better QRP CAHPS 5 Star Measure

How often the hospice team treated the patient with respect. Higher is Better QRP CAHPS 5 Star Measure

How often the patient got the help they needed for pain and symptoms. Higher is Better QRP CAHPS 5 Star Measure

How often the hospice team communicated well. Higher is Better QRP CAHPS 5 Star Measure

How often the hospice team provided timely help. Higher is Better QRP CAHPS 5 Star Measure

Did they receive the training they needed? Higher is Better QRP CAHPS 5 Star Measure

Hospice Item Set

CMS uses 7 elements from the Hospice Item Set (HIS) to calculate the Comprehensive Assessment Measure at Admission (Hospice and Palliative Care Composite Process Measure). A comprehensive assessment on admission is an essential element to successful care planning and ultimately results in the best opportunity to receive top box scores on the hospice survey.

Hospice and Palliative Care Composite Process Measure Higher is Better QRP HIS

Hospice and Palliative Care Treatment Preferences Higher is Better HIS

Beliefs & Values Addressed (if desired by the patient) Higher is Better HIS

Hospice and Palliative Care Pain Screening Higher is Better HIS

Hospice and Palliative Care Pain Assessment Higher is Better HIS

Hospice and Palliative Care Dyspnea Screening Higher is Better HIS

Hospice and Palliative Care Dyspnea Treatment Higher is Better HIS

Patients Treated with an Opioid who are Given a Bowel Regimen Higher is Better HIS

Hospice Visits in the Last Days of Life

This measure assists hospices determine if their staff provided care to patients and caregivers in their last days of life which can be challenging. During this time hospice staff provide solutions to common signs to ease difficulties.

Hospice Visits in the Last Days of Life (HVLDL) Higher is Better QRP Claims

Hospice Care Index

CMS uses 10 indicators to calculate the Hospice Care Index (Hospice Care Index Overall Score). This measure captures different aspects of hospice service throughout the hospice stay using Medicare claims data.

Hospice Care Index Overall Score Higher is Better QRP Claims HCI

HCI: CHC/GIP Provided (% days) Higher is Better Claims HCI

HCI: Gaps in nursing visits (% elections) Lower is Better Claims HCI

HCI: Early live discharges (% live discharges) Lower is Better Claims HCI

HCI: Late live discharges (% live discharges) Lower is Better Claims HCI

HCI: Burdensome transitions, Type 1 (% live discharges) Lower is Better Claims HCI

HCI: Burdensome transitions, Type 2 (% live discharges) Lower is Better Claims HCI

HCI: Per-beneficiary spending (U.S. dollars $) Claims HCI

HCI: Nurse care minutes per routine home care days (minutes) Higher is Better Claims HCI

HCI: Skilled nursing minutes on weekends (% minutes) Higher is Better Claims HCI

HCI: Visits near death (% decedents) Higher is Better Claims HCI

Conditions

Hospices care for patients with terminal illnesses like cancer, dementia, stroke, heart disease, and respiratory disease. These measures show the conditions a hospice most commonly treats based on their patients' primary diagnoses.

Percent of Patients with Cancer

Percent of Patients with Dementia

Percent of Patients with Stroke

Percent of Patients with Circulatory/heart disease

Percent of Patients with Respiratory disease

Percent of Patients with other conditions

Locations of Care

Hospice is a service that can be provided at the various locations that a patient calls home. These measures provide the percentage of days patients received visits from the hospice provider at the specified location.

Care Provided in Home

Care Provided in Assisted Living Facility

Care Provided in Nursing Facility

Care Provided in Skilled Nursing Facility

Care Provided in Inpatient Hospital Facility

Care Provided in Inpatient Hospice Facility

Care Provided in other locations