cahps hospice quality report - sample us health care research

CAHPS® Hospice Survey

Quality Report

This document contains confidential information, protected by law, regarding recipients of health

care services. This information is being provided as permitted under HIPAA regulations and

provisions governing treatment, payment, and operations. If you are not authorized to view HIPAA-

sensitive data pertaining to HOSPICE, do not read, distribute, or reproduce this document or the

information it contains. If you have received this document in error, please destroy it.

© 2014 –US Health Care Research Corporation

Quality Report

Number of Completed Surveys

Completed Surveys

Margin of Error

Executive Summary

% Positive Score

Overall Composite Score

HOSPICE PROVIDER NAME

The following report contains your most recent CAHPS® Hospice Survey results. The Quality Report provides detailed

reporting for quality assurance and performance improvement. Included is an in-depth look into the quality of care

your hospice has provided to its patients and fmaily caregivers.

Your Quality Report is designed to provide insights into how well your hospice performed for the current reporting

period, three month average, twelve month average, and year-to-date. The table below identifies that date range used

for each time period.

A patient's response will not be counted by CMS unless the patient answers at least half of the core questions on the

CAHPS® Hospice Survey. All data in this report only includes those family caregivers who answered at least half of the

core question on the survey.

Current Period 3 Months

Current Period 3 Months

12 Months Year-to-Date

12 months YTD

March 2014 to May 2014

Jun 2013 to May 2014

May 2014

Jan-May '14

The Overall Composite Score is a single measurement that summarizes the hospice's overall performance. The Overall

Composite Score is based on the percent of respondents that selected the most optimal responses from the core

CAHPS Hospice questions.

The first page of this report is an executive summary that provides an overview of your hospice's performance and how

well the hospice is performing overall. Your hospice's results are based on the patients served during the current

reporting period, three month average, twelve month average, and year-to-date.

15 59 264 122

25% 13% 6% 9%

The % Positive Score is the percentage of responses to a survey question that is most optimal or desirable response to

the survey question. The % Problem Score is the percentage of responses to a survey question that is other than the

most optimal or desirable response to the survey question.

© 2014 – US Health Care Research Corporation

Quality Report

Executive SummaryOverall Rating of Care (Q39)

Willingness to Recommend (Q40)

The Willingness to Recommend is an indication of the likeliness that family members would recommend your hospice

to family/friends. Your score represents the percent of respondents that answered "Yes, definitely".

The Overall Rating of Care is an indication of the overall quality of care that family members felt was given to the

patient. Your score represents the percent of respondents that rated your hospice as a "9" or "10".

87% 85% 88% 87%

0%

20%

40%

60%

80%

100%

May 2014

Three Month

12-Month

Jan-May '14

95% 90% 90% 87% 87%

0%

20%

40%

60%

80%

100%

Jan '14 Jan-Feb'14

Jan-March

'14

Jan-April'14

Jan-May'14

90%83% 86% 85% 84%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Jan '14 Jan-Feb'14

Jan-March

'14

Jan-April'14

Jan-May'14

79%84% 84% 84%

0%

20%

40%

60%

80%

100%

May 2014

Three Month

12-Month

Jan-May '14


Quality Report

Executive Summary Date Range: Jun 2013 to May 2014

SatMap Analysis

Focus Areas

Measurement item %Positive Score

59%

9%

83%

Q3. Took part in or oversee care for family member

Q27. Family member got the help he or she needed from the hospice team for feelings of

anxiety or sadness

Q14. Hoospice team listen carefully about problems with family member’s hospice care

Q19. Hospice team gave you the training you needed about what side effects to watch for

from pain medicine

Q20. Hospice team gave you the training you needed about if and when to give more pain

medicine

77%

60%

Q16

Q18

Q19

Q20

Q31

Q3

Q5

Q6Q7

Q8

Q9

Q10

Q11

Q12

Q14

Q22

Q25

Q27

Q33

Q34

Q35Q36

Q37Q38

0%

25%

50%

75%

100%

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

PE

RF

OR

MA

NC

E

IMPORTANCE (CORRELATION)


Quality Report

Domain of Care Performance - Hospice Team Communication

Domain Performance Quarterly Trend

Domain Elements

Q8. Explain things in a way that was easy to understand

Q9. Kept informed about your family member's condition

76%79% 80% 79%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

May 2014 Three Month 12-Month Jan-May '14

80%

71%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1 '14 Apr-May '14

78%

81%

80%

73%

5%

4%

2%

7%

13%

12%

12%

7%

4%

3%

7%

13%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014

Always Usually Sometimes Never

92%

90%

93%

93%

3%

2%

5%

7%

4%

6%

0%

0%

1%

1%

2%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain Elements

Q14. Hospice team listened carefully

Q18. Hospice team discussed side effects of pain medicine

79% 84%

Q31. Gave information about what to expect while family member was dying

63%

59%

69%

60%

22%

28%

17%

27%

15%

13%

14%

13%

0%

0%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


92%

90%

93%

93%

3%

2%

5%

7%

4%

6%

0%

0%

1%

1%

2%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


5%

5%

5%

7%

20%

16%

20%

13%

75%

79%

75%

80%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014

No Yes, somewhat Yes, definitely


Quality Report

Domain of Care Performance - Getting Timely Care

Domain Elements

Q5. Got help needed during evenings, weekends, or holidays

Q6. Hospice team informed about arrival time

86% 88% 87% 87%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


87%83%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1 '14 Apr-May '14

81%

83%

85%

93%

5%

4%

2%

7%

12%

12%

10%

0%

2%

2%

3%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


93%

92%

91%

87%

1%

1%

2%

7%

5%

6%

5%

7%

1%

1%

2%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain Elements

Q7. Hospice team provided help as soon as the patient asked for help

Q22. Got help for trouble breathing

79% 84%

Q25. Got help as soon as needed for trouble with constipation

94%

96%

90%

73%

2%

2%

3%

13%

3%

2%

5%

13%

1%

0%

2%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


89%

89%

95%

100%

8%

8%

0%

0%

3%

3%

5%

0%

0%

0%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


75%

77%

80%

79%

19%

20%

12%

7%

6%

4%

8%

14%

0%

0%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain of Care Performance - Hospice Courtesy and Respect

Domain Elements

Q11. Hospice team treat your family member with dignity and respect

Q12. Hospice team really cared about family member

84% 82% 81% 81%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


81% 83%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1 '14 Apr-May '14

77%

80%

80%

86%

4%

5%

4%

7%

17%

15%

15%

7%

1%

0%

2%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


76%

77%

76%

73%

6%

9%

7%

20%

17%

13%

15%

7%

1%

2%

2%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain Elements

Q35. How often did the hospice team listen carefully to you?

90%

86%

89%

93%

7%

11%

6%

7%

1%

1%

2%

0%

2%

2%

3%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain of Care Performance - Attend to Family Needs

Domain Elements

Q36. Right amount of religious or spiritual support

Q37. Right amount of emotional support prior to patient's death

82%

93% 93% 94%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


96%

90%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1 '14 Apr-May '14

2%

2%

4%

7%

93%

92%

95%

87%

5%

7%

2%

7%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014

Too much Right amount Too little

4%

2%

5%

13%

92%

90%

90%

73%

4%

7%

5%

13%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain Elements

Q38. How much emotional support did you get from the hospice team?

2%

1%

4%

13%

98%

97%

96%

87%

0%

2%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain of Care Performance - Getting Help for Symptoms

Domain Elements

Q16. Help with pain as he/she needed

Q22. Family member got help for trouble breathing

82%

75% 74%77%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


79%

65%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1 '14 Apr-May '14

5%

10%

24%

13%

13%

16%

14%

27%

82%

74%

63%

60%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


89%

89%

95%

100%

8%

8%

0%

0%

3%

3%

5%

0%

0%

0%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain Elements

Q27. Family got the help needed for feelings of anxiety or sadness

60%

60%

67%

86%

32%

34%

27%

7%

3%

3%

6%

7%

4%

4%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain of Care Performance - Information Continuity

Domain Elements

Q10. Hospice gave confusing or contradictory information

80%

90% 92% 92%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


96%

45%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1 '14 Apr-May '14

92%

92%

90%

80%

5%

6%

5%

7%

2%

2%

3%

7%

1%

1%

2%

7%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014

Never Sometimes Usually Always


Quality Report

Domain of Care Performance - Getting Hospice Care Training

Domain Elements

Q19. Training what side effects to watch for from pain medicine

Q20. Training about giving more pain medicine

79%

86%88%

86%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


86%

73%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1 '14 Apr-May '14

7%

3%

5%

13%

8%

17%

22%

33%

86%

88%

91%

73%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


0%

0%

0%

0%

22%

17%

22%

33%

78%

83%

78%

67%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain Elements

Q23. Hospice team provided training about how to help with trouble breathing

Q29. Training what to do if family member became restless or agitated

79% 84%

Q30. Training about how to safely move family member

6%

4%

4%

13%

14%

13%

14%

13%

80%

83%

82%

73%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


3%

2%

4%

0%

9%

7%

12%

7%

88%

91%

84%

93%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


1%

2%

7%

2%

1%

3%

7%

97%

97%

93%

87%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Quality Report

Domain of Care Performance - Nursing Home

Domain Elements

Q33. Nursing home and hospice team work well together

Q34. Information from nursing home different from hospice

75%

68%

80%

53%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


89%

50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Q1 '14 Apr-May '14

82%

82%

83%

63%

9%

7%

9%

25%

9%

9%

6%

0%

1%

1%

2%

13%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


69%

77%

52%

0%

3%

3%

5%

13%

3%

2%

5%

0%

25%

17%

38%

88%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



This section shows how the hospice organization is performing over

time in each Domain of Hospice Care and helps hospices set and

identify goals for each area of hospice care that is evaluated.

Trends and Goal Setting



Upper Limit Lower Limit YTD Trend Jan-May '14 Current Period

Q39. Overall Rating of Care

Current Period Performance Score: 87% Goal: 91%

Q40. Willingness to Recommend


95%

90% 90%87% 87%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

90%

83%86% 85% 84%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14



Domain Performance Score: Hospice Team Communication


Q8. How often did the hospice team explain things in a way that was easy to understand?


Q9. How often did the hospice team keep you informed about your family member’s condition?


85%

78%80% 80% 79%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

100%

90% 92% 92% 92%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

80%

76%

81% 79% 78%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14



Q14. Hospice team carefully listened


Q18. Hospice team discuss side effects of pain medicine


Q31. Hospice team gave as much information about what to expect while patient was dying


84%

74% 74% 74% 75%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

73%

53%

64% 65% 63%

30%

40%

50%

60%

70%

80%

90%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

89%

94%92%

89%87%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14



Domain Performance Score: Getting Timely Care


Q5. Hospice team helped during off after-hours


Q6. Hospice team kept caregive infromed about arrival time


85% 84%87% 87% 87%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

80%

76%

81% 79%81%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

100%

95% 96%94% 93%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14



Q7. Patient got help as soon as they needed.


Q22. How often did your family member get the help he or she needed for trouble breathing?


Q25. Hospice team provided help when patient had trouble w/ constipation


100% 100% 100%98%

94%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

84% 84%

90% 89% 89%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

60%64%

68%

73%75%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14


Hospice Item SetThis section illustrates how the hospice is performing in the areas of

care that are related to the quality measures in the Hospice Item

Set.


Hospice Item Set

NQF #1634 & #1637 – Pain Screening and Pain Assessment

Q16. Help with pain as he/she needed

Q18. Hospice team discussed side effects of pain medicine

Q19. Training what side effects to watch for from pain medicine

5%

10%

24%

13%

13%

16%

14%

27%

82%

74%

63%

60%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


92%

90%

93%

93%

3%

2%

5%

7%

4%

6%

0%

0%

1%

1%

2%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


7%

3%

5%

13%

8%

17%

22%

33%

86%

88%

91%

73%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Hospice Item Set

NQF #1639 & #1638 – Dyspnea Screening and Dyspnea Treatment

Q22. Patient got the help needed for trouble breathing

Q23. Training to help if family member had trouble breathing

79% 84%

NQF #1617 – Patients Treated with an Opioid who are Given a Bowel Regimen

Q25. Got help as soon as needed for trouble with constipation

6%

4%

4%

13%

14%

13%

14%

13%

80%

83%

82%

73%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


75%

77%

80%

79%

19%

20%

12%

7%

6%

4%

8%

14%

0%

0%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


75%

77%

80%

79%

19%

20%

12%

7%

6%

4%

8%

14%

0%

0%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Hospice Item Set

Modified NQF #1647 – Beliefs/Values Addressed

Q36. Right amount of religious or spiritual support

Q37. Right amount of emotional support prior to patient's death

Q38. Right amount of emotional support after patient's death

2%

2%

4%

7%

93%

92%

95%

87%

5%

7%

2%

7%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


4%

2%

5%

13%

92%

90%

90%

73%

4%

7%

5%

13%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014


2%

1%

4%

13%

98%

97%

96%

87%

0%

2%

0%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Jan-May '14

12-Month

Three Month

May 2014



Survey Summary Report

This section shows the performance score for each survey question

on the CAHPS Hospice Survey.


Survey Summary

N % N % N %

Yes 14 93% 50 98% 215 95%

No 1 7% 1 2% 12 5%

Yes 12 80% 26 87% 97 88%

No 3 20% 4 13% 13 12%

Yes 11 85% 52 91% 234 93%

No 2 15% 5 9% 17 7%

Yes 11 85% 50 91% 208 89%

No 2 15% 5 9% 25 11%

Yes 10 67% 46 100% 211 100%

No 5 33% 0 0% 0 0%

Yes 10 83% 21 32% 52 18%

No 2 17% 44 68% 232 82%

Yes 8 80% 44 96% 209 94%

No 2 20% 2 4% 13 6%

Yes 9 75% 51 94% 239 96%

No 3 25% 3 6% 11 4%

Yes 8 80% 21 58% 83 55%

No 2 20% 15 42% 68 45%

N % N % N %

Yes, def 9 60% 45 63% 195 74%

Yes, swht 4 27% 10 14% 43 16%

No 2 13% 17 24% 26 10%

Yes, def 11 73% 47 80% 194 89%

Yes, swht 2 13% 5 8% 15 7%

No 2 13% 7 12% 9 4%

Yes, def 11 73% 52 91% 192 88%

Yes, swht 2 13% 2 4% 19 9%

No 2 13% 3 5% 7 3%

Yes, def 10 67% 45 78% 192 83%

Yes, swht 5 33% 13 22% 40 17%

No 0 0% 0 0% 0 0%

Yes, def 12 80% 45 75% 192 79%

Yes, swht 2 13% 12 20% 39 16%

No 1 7% 3 5% 11 5%

Yes, def 11 73% 47 82% 207 83%

Yes, swht 2 13% 8 14% 32 13%

No 2 13% 2 4% 10 4%

Yes, def 13 87% 55 93% 248 97%

Yes, swht 1 7% 2 3% 3 1%

No 1 7% 1 2% 3 1%

Q4. Contact the hospice team during evenings,

weekends, or holidays for qtns/help

Q16. Family member got as much help with pain as

he or she needed

Q18. Member of the hospice team discussed side

effects of pain medicine

Q19. Hospice team gave you the training you

needed about what side effects to watch for from

pain medicine


needed about if and when to give more pain

medicine

Q31. Hospice team gave you enough information

about what to expect while family member was

dying


needed about how to safely move family member


needed about how to help family member if he or

she had trouble breathing

12-Month

Q13. Talk with the hospice team about problem w/

hospice care

12-Month

Q15. Famkily member have pain during hospice

care

Q17. Family member received pain medicine during

hospice care

Q21. Family member experienced trouble breathing

during hospice care

Q24. Family member had trouble with constipation

during hospice care

Q26. Family member showed feelings of anxiety or

sadness during hospice care

Q28. Family member became restless or agitated

during hospice care

Q32. Family member was living in a nursing home

during hospice care

Yes/No

Yes, definitely/Yes, somewhat/NoCurrent Period Three Month

Current Period Three Month


Survey Summary

N % N % N %

Never 0 0% 8 14% 8 3%

Sometimes 1 8% 1 2% 9 4%

Usually 4 31% 11 19% 38 16%

Always 8 62% 39 66% 186 77%

Never 0 0% 2 3% 5 2%

Smtimes 0 0% 6 10% 30 12%

Usually 1 7% 1 2% 9 4%

Always 14 93% 50 85% 210 83%

Never 0 0% 1 2% 3 1%

Smtimes 1 7% 3 5% 14 6%

Usually 1 7% 1 2% 3 1%

Always 13 87% 53 91% 233 92%

Never 0 0% 1 2% 1 0%

Smtimes 2 13% 3 5% 4 2%

Usually 2 13% 2 3% 4 2%

Always 11 73% 53 90% 246 96%

Never 84% 0% 1 2% 3 1%

Smtimes 0 0% 0 0% 16 6%

Usually 1 7% 3 5% 6 2%

Always 14 93% 55 93% 227 90%

Never 2 13% 4 7% 7 3%

Smtimes 1 7% 7 12% 31 12%

Usually 1 7% 1 2% 9 4%

Always 11 73% 47 80% 207 81%

Never 12 80% 52 90% 232 92%

Smtimes 1 7% 3 5% 14 6%

Usually 1 7% 2 3% 4 2%

Always 1 7% 1 2% 3 1%

Never 0 0% 1 2% 1 0%

Smtimes 1 7% 8 15% 35 15%

Usually 1 7% 2 4% 12 5%

Always 12 86% 43 80% 188 80%

Never 0 0% 1 2% 4 2%

Smtimes 1 7% 8 15% 30 13%

Usually 3 20% 4 7% 21 9%

Always 11 73% 42 76% 181 77%

Never 0 0% 0 0% 0 0%

Smtimes 2 13% 4 14% 13 13%

Usually 4 27% 5 17% 28 28%

Always 9 60% 20 69% 59 59%

Never 0 0% 0 0% 0 0%

Smtimes 0 0% 2 5% 6 3%

Usually 0 0% 0 0% 17 8%

Always 1 100% 35 95% 190 89%

Q5. Got the help from the hospice team during

evenings, weekends, or holidays

Q6. Hospice team kept you informed about when

they would arrive

Q7. Got help from the hospice team as soon as it

was needed

Q8. Hospice team explain things in a way that was

easy to understand

Q9. Hospice team kept you informed about family

member’s condition

Q10. Hospice team gave confusing or contradictory

information about family member’s condition or

care

Q11. Hospice team treated family member with

dignity and respect

Q12. Hospice team really cared about family

member

Q14. Hoospice team listen carefully about problems

with family member’s hospice care

Q22. Family member got the help he or she needed

for trouble breathing

Q3. How often did you take part in or oversee care for

your family member?

Never/Sometimes/Usually/AlwaysCurrent Period Three Month 12-Month


Survey Summary

N % N % N %

Never 0 0% 0 0% 0 0%

Smtimes 2 14% 2 8% 2 4%

Usually 1 7% 3 12% 11 20%

Always 11 79% 20 80% 43 77%

Never 0 0% 0 0% 8 4%

Smtimes 1 7% 3 6% 6 3%

Usually 1 7% 14 27% 76 34%

Always 12 86% 35 67% 136 60%

Never 1 13% 1 2% 3 1%

Smtimes 0 0% 3 6% 23 9%

Usually 2 25% 5 9% 17 7%

Always 5 63% 44 83% 202 82%

Never 7 88% 8 38% 15 17%

Smtimes 0 0% 1 5% 2 2%

Usually 1 13% 1 5% 3 3%

Always 0 0% 11 52% 66 77%

Never 0 0% 2 3% 5 2%

Smtimes 0 0% 1 2% 3 1%

Usually 1 7% 4 6% 29 11%

Always 14 93% 55 89% 237 86%

N % N % N %

Too little 1 7% 1 2% 17 7%

Right amnt 13 87% 54 95% 233 92%

Too much 1 7% 2 4% 4 2%

Too little 2 13% 3 5% 18 7%

Right amnt 11 73% 53 90% 219 90%

Too much 2 13% 3 5% 5 2%

Too little 0 0% 0 0% 6 2%

Right amnt 13 87% 46 96% 254 97%

Too much 2 13% 2 4% 2 1%

12-Month

Q36. How much support for your religious and

spiritual beliefs did you get from the hospice team?

Q37. How much emotional support did you get from

the hospice team?

Q38. How much emotional support did you get from

the hospice team?

Q33. Nursing home staff and hospice team work

well together

Q34. Nursing home and hospice team gave

different information about family member's care

Q35. Hospice team listened carefully

Too little/Right amount/Too muchCurrent Period Three Month


from the hospice team for feelings of anxiety or

sadness

Never/Sometimes/Usually/Always


for trouble with constipation

Current Period Three Month 12-Month


About the Patient and Caregiver

This section provides demographic information about the patient

and the family caregiver that responded to the questionnaire.


About the Patient/Caregiver

About the Patient

Age Primary Disease

N % N %

8th grade or less 0 0% Cancer - All Types 8 42%

Some HS but did not graduate 2 10% Heart & Ciculatory Disease 1 5%

HS graduate or GED 1 5% Lung & Breathing Disease 2 11%

Some college or 2-yr degree 5 24% Kidney Disease 1 5%

4-yr college graduate 6 29% Liver Disease 0 0%

More than 4-yr 6 29% Strokes 1 5%

Don't know 1 5% Dementia & Alzheimer's Disease 0 0%

AIDS & Other Infectious Diseases 1 5%

Frailty & Decline Due to Old Age 3 16%

Other 2 11%

Hispanic, Latino, or Spanish Descent Race

N % N %

Yes, Puerto Rican 12 71% Black/African American 12 80%

Yes, Mexican/Mexican Amer. 0 0% Asian 1 7%

Yes, Cuban 3 18% Native Hawaiian 1 7%

Yes, Other 2 12% American Indian/Alaska Native 1 7%

About the Caregiver

Age Education

N % N %

18 to 24 2 13% 8th grade or less 0 0%

25 to 34 0 0% Some HS but did not graduate 2 14%

35 to 44 3 20% HS graduate or GED 0 0%

45 to 54 2 13% Some college or 2-yr degree 5 36%

55 to 64 6 40% 4-yr college graduate 3 21%

65 to 74 0 0% More than 4-yr 4 29%

75 to 84 2 13% Don't know 0 0%

85 or older 0 0%

Gender Language

N % N %

Male 1 6% English 22 88%

Female 15 94% Spanish 3 12%

Chinese 0 0%

Some other language 0 0%

Current Period Current Period




Marketing/Sales MetricsThis section provides insights into the metrics that can be leverage

in marketing the hospice's services to healthcare providers in your

service area.


Marketing/Sales

Marketing/Sales - Data Support

Patient Care Communication

Hospice Emotional/Bereavement Support

80%

76%

81%79% 78%

84%

74% 75% 76%77%

87%

93% 92%90% 90%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

Q9. How often did the hospice team keep you informed about your family member’s condition?

Q11. How often did the hospice team treat your family member with dignity and respect?

Q35. How often did the hospice team listen carefully to you?

84%

74% 74% 74% 75%

95% 95% 96% 95%92%

100% 100% 100% 100%98%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

Q31. Did the hospice team give you as much information as you wanted about what to expect while your family member was

dying?




Marketing/Sales

Hospice Pain Treatment and Support

79% 84%

Hospice Training

95%

90% 90%

86%

82%

89%

94%92%

89%87%

89%

76%

86%88%

86%89%

78% 77%80%

78%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

Q16. Did your family member get as much help with pain as he or she needed?

Q18. Did any member of the hospice team discuss side effects of pain medicine with you or your family member?

Q19. Did the hospice team give you the training you needed about what side effects to watch for from pain medicine?

Q20. Did the hospice team give you the training you needed about if and when to give more pain medicine to your family

member?

89%

76%

86%88%

86%89%

78% 77%80%

78%80%

76%

82% 81% 80%

100%

93%

87% 87% 88%

100% 100% 100% 99%97%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

Q19. Did the hospice team give you the training you needed about what side effects to watch for from pain medicine?

Q20. Did the hospice team give you the training you needed about if and when to give more pain medicine to your family

member?

Q23. Did the hospice team give you the training you needed about how to help your family member if he or she had trouble

breathing?

Q29. Did the hospice team give you the training you needed about what to do if your family member became restless or

agitated?

Q30. Did the hospice team give you the training you needed about how to safely move your family member?


Marketing/Sales

Timeliness of Care

Nursing Home

80%

76%

81%79%

81%

100%

95% 96%94% 93%

100% 100% 100%98%

94%

50%

55%

60%

65%

70%

75%

80%

85%

90%

95%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

Q5. How often did you get the help you needed from the hospice team during evenings, weekends, or holidays?

Q6. How often did the hospice team keep you informed about when they would arrive to care for your family member?

Q7. When you or your family member asked for help from the hospice team, how often did you get help as soon as you

needed it?

94%

80%83% 84% 82%

0%

7% 4%7%

25%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Jan '14 Jan-Feb

'14

Jan-March

'14

Jan-April

'14

Jan-May

'14

Q33. How often did the nursing home staff and hospice team work well together to care for your family member?

Q34. How often was the information you were given about your family member by the nursing home staff different from the

information you were given by the hospice team?


cahps hospice quality report - sample us health care research

Health & Medicine