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CAHPS® Hospice Survey Quality Report 
This document contains confidential information, protected by law, regarding recipients of health care services. This informationis being provided as permitted under HIPAA regulations and provisions governing treatment, payment, andoperations. If you arenot 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 Summary 
Overall 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 
© 2014 – US Health Care Research Corporation
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 
Q6 
Q7 
Q8 
Q9 
Q10 
Q11 
Q12 
Q14 
Q22 
Q25 
Q27 
Q33 
Q34 
Q35 
Q36 
Q37 
Q38 
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 
PERFORMANCE 
IMPORTANCE (CORRELATION) 
© 2014 – US Health Care Research Corporation
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% 
10% 
20% 
30% 
40% 
50% 
60% 
70% 
80% 
90% 
100% 
Jan-May '14 
12-Month 
Three Month 
May 2014 
Always 
Usually 
Sometimes 
Never 
© 2014 – US Health Care Research Corporation
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 
Always 
Usually 
Sometimes 
Never 
92% 
90% 
93% 
93% 
3% 
2% 
5% 
7% 
4% 
6% 
0% 
0% 
1% 
1% 
2% 
0% 
10% 
20% 
30% 
40% 
50% 
60% 
70% 
80% 
90% 
100% 
Jan-May '14 
12-Month 
Three Month 
May 2014 
Always 
Usually 
Sometimes 
Never 
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 
© 2014 – US Health Care Research Corporation
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% 
May 2014 
Three Month 
12-Month 
Jan-May '14 
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% 
10% 
20% 
30% 
40% 
50% 
60% 
70% 
80% 
90% 
100% 
Jan-May '14 
12-Month 
Three Month 
May 2014 
Always 
Usually 
Sometimes 
Never 
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 
Always 
Usually 
Sometimes 
Never 
© 2014 – US Health Care Research Corporation
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 
Always 
Usually 
Sometimes 
Never 
89% 
89% 
95% 
100% 
8% 
8% 
0% 
0% 
3% 
3% 
5% 
0% 
0% 
0% 
0% 
10% 
20% 
30% 
40% 
50% 
60% 
70% 
80% 
90% 
100% 
Jan-May '14 
12-Month 
Three Month 
May 2014 
Always 
Usually 
Sometimes 
Never 
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 
Always 
Usually 
Sometimes 
Never 
© 2014 – US Health Care Research Corporation
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% 
May 2014 
Three Month 
12-Month 
Jan-May '14 
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 
Always 
Usually 
Sometimes 
Never 
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 
Always 
Usually 
Sometimes 
Never 
© 2014 – US Health Care Research Corporation
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% 
10% 
20% 
30% 
40% 
50% 
60% 
70% 
80% 
90% 
100% 
Jan-May '14 
12-Month 
Three Month 
May 2014 
Always 
Usually 
Sometimes 
Never 
© 2014 – US Health Care Research Corporation
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% 
May 2014 
Three Month 
12-Month 
Jan-May '14 
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 
Too much 
Right amount 
Too little 
© 2014 – US Health Care Research Corporation
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 
Too much 
Right amount 
Too little 
© 2014 – US Health Care Research Corporation
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% 
May 2014 
Three Month 
12-Month 
Jan-May '14 
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 
No 
Yes, somewhat 
Yes, definitely 
89% 
89% 
95% 
100% 
8% 
8% 
0% 
0% 
3% 
3% 
5% 
0% 
0% 
0% 
0% 
10% 
20% 
30% 
40% 
50% 
60% 
70% 
80% 
90% 
100% 
Jan-May '14 
12-Month 
Three Month 
May 2014 
Always 
Usually 
Sometimes 
Never 
© 2014 – US Health Care Research Corporation
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 
Always 
Usually 
Sometimes 
Never 
© 2014 – US Health Care Research Corporation
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% 
May 2014 
Three Month 
12-Month 
Jan-May '14 
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 
© 2014 – US Health Care Research Corporation
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% 
May 2014 
Three Month 
12-Month 
Jan-May '14 
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 
No 
Yes, somewhat 
Yes, definitely 
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 
No 
Yes, somewhat 
Yes, definitely 
© 2014 – US Health Care Research Corporation
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 
No 
Yes, somewhat 
Yes, definitely 
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 
No 
Yes, somewhat 
Yes, definitely 
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 
No 
Yes, somewhat 
Yes, definitely 
© 2014 – US Health Care Research Corporation
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% 
May 2014 
Three Month 
12-Month 
Jan-May '14 
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 
Always 
Usually 
Sometimes 
Never 
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 
Always 
Usually 
Sometimes 
Never 
© 2014 – US Health Care Research Corporation
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 
© 2013 –US Health Care Research Corporation
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 
Current Period Performance Score: 
84% 
Goal: 
88% 
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 
© 2014 – US Health Care Research Corporation
Trends and Goal Setting 
Domain Performance Score: Hospice Team Communication 
Current Period Performance Score: 
79% 
Goal: 
84% 
Q8. How often did the hospice team explain things in a way that was easy to understand? 
Current Period Performance Score: 
92% 
Goal: 
95% 
Q9. How often did the hospice team keep you informed about your family member’s condition? 
Current Period Performance Score: 
78% 
Goal: 
83% 
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 
© 2014 – US Health Care Research Corporation
Trends and Goal Setting 
Q14. Hospice team carefully listened 
Current Period Performance Score: 
63% 
Goal: 
69% 
Q18. Hospice team discuss side effects of pain medicine 
Current Period Performance Score: 
87% 
Goal: 
91% 
Q31. Hospice team gave as much information about what to expect while patient was dying 
Current Period Performance Score: 
75% 
Goal: 
80% 
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 
© 2014 – US Health Care Research Corporation
Trends and Goal Setting 
Domain Performance Score: Getting Timely Care 
Current Period Performance Score: 
87% 
Goal: 
90% 
Q5. Hospice team helped during off after-hours 
Current Period Performance Score: 
81% 
Goal: 
86% 
Q6. Hospice team kept caregive infromed about arrival time 
Current Period Performance Score: 
93% 
Goal: 
96% 
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 
© 2014 – US Health Care Research Corporation
Trends and Goal Setting 
Q7. Patient got help as soon as they needed. 
Current Period Performance Score: 
94% 
Goal: 
97% 
Q22. How often did your family member get the help he or she needed for trouble breathing? 
Current Period Performance Score: 
89% 
Goal: 
93% 
Q25. Hospice team provided help when patient had trouble w/ constipation 
Current Period Performance Score: 
75% 
Goal: 
80% 
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 
© 2014 – US Health Care Research Corporation
Hospice Item Set 
This section illustrates how the hospice is performing in the areas of care that are related to the quality measures in the Hospice Item Set. 
© 2013 –US Health Care Research Corporation
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 
No 
Yes, somewhat 
Yes, definitely 
92% 
90% 
93% 
93% 
3% 
2% 
5% 
7% 
4% 
6% 
0% 
0% 
1% 
1% 
2% 
0% 
10% 
20% 
30% 
40% 
50% 
60% 
70% 
80% 
90% 
100% 
Jan-May '14 
12-Month 
Three Month 
May 2014 
Always 
Usually 
Sometimes 
Never 
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 
No 
Yes, somewhat 
Yes, definitely 
© 2014 – US Health Care Research Corporation
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 
No 
Yes, somewhat 
Yes, definitely 
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 
Always 
Usually 
Sometimes 
Never 
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 
Always 
Usually 
Sometimes 
Never 
© 2014 – US Health Care Research Corporation
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 
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 
Too much 
Right amount 
Too little 
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 
Too much 
Right amount 
Too little 
© 2014 – US Health Care Research Corporation
Survey Summary Report 
This section shows the performance score for each survey question on the CAHPS Hospice Survey. 
© 2013 –US Health Care Research Corporation
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 
Q20. Hospice team gave you the training you 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 
Q30. Hospice team gave you the training you needed about how to safely move family member 
Q23. Hospice team gave you the training you 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/No 
Current Period 
Three Month 
Current Period 
Three Month 
© 2014 – US Health Care Research Corporation
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/Always 
Current Period 
Three Month 
12-Month 
© 2014 – US Health Care Research Corporation
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 much 
Current Period 
Three Month 
Q27. Family member got the help he or she needed from the hospice team for feelings of anxiety or sadness 
Never/Sometimes/Usually/Always 
Q25. Family member got the help he or she needed for trouble with constipation 
Current Period 
Three Month 
12-Month 
© 2014 – US Health Care Research Corporation
About the Patient and Caregiver 
This section provides demographic information about the patient and the family caregiver that responded to the questionnaire. 
© 2013 –US Health Care Research Corporation
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 
Current Period 
Current Period 
Current Period 
Current Period 
© 2014 – US Health Care Research Corporation
Marketing/Sales Metrics 
This section provides insights into the metrics that can be leverage in marketing the hospice's services to healthcare providers in your service area. 
© 2013 –US Health Care Research Corporation
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 wasdying? 
Q37. How much emotional support did you get from the hospice team? 
Q38. How much emotional support did you get from the hospice team? 
© 2014 – US Health Care Research Corporation
Marketing/Sales 
Hospice Pain Treatment and Support 
79% 
84% 
Hospice Training 
95% 
90% 
90% 
86% 
82% 
89% 
94% 
92% 
89% 
87% 
76% 
86% 
88% 
86% 
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 familymember? 
89% 
76% 
86% 
88% 
86% 
78% 
77% 
80% 
78% 
80% 
82% 
81% 
80% 
100% 
93% 
87% 
87% 
88% 
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 familymember? 
Q23. Did the hospice team give you the training you needed about how to help your family member if he or she had troublebreathing? 
Q29. Did the hospice team give you the training you needed about what to do if your family member became restless oragitated? 
Q30. Did the hospice team give you the training you needed about how to safely move your family member? 
© 2014 – US Health Care Research Corporation
Marketing/Sales 
Timeliness of Care 
Nursing Home 
80% 
76% 
81% 
79% 
81% 
100% 
95% 
96% 
94% 
93% 
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 youneeded 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 theinformation you were given by the hospice team? 
© 2014 – US Health Care Research Corporation

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CAHPS Hospice Quality Report - Sample US Health Care Research

  • 1. CAHPS® Hospice Survey Quality Report This document contains confidential information, protected by law, regarding recipients of health care services. This informationis being provided as permitted under HIPAA regulations and provisions governing treatment, payment, andoperations. If you arenot 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
  • 2. 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
  • 3. Quality Report Executive Summary Overall 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 © 2014 – US Health Care Research Corporation
  • 4. 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 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q14 Q22 Q25 Q27 Q33 Q34 Q35 Q36 Q37 Q38 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 PERFORMANCE IMPORTANCE (CORRELATION) © 2014 – US Health Care Research Corporation
  • 5. 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% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Jan-May '14 12-Month Three Month May 2014 Always Usually Sometimes Never © 2014 – US Health Care Research Corporation
  • 6. 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 Always Usually Sometimes Never 92% 90% 93% 93% 3% 2% 5% 7% 4% 6% 0% 0% 1% 1% 2% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Jan-May '14 12-Month Three Month May 2014 Always Usually Sometimes Never 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 © 2014 – US Health Care Research Corporation
  • 7. 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% May 2014 Three Month 12-Month Jan-May '14 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% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Jan-May '14 12-Month Three Month May 2014 Always Usually Sometimes Never 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 Always Usually Sometimes Never © 2014 – US Health Care Research Corporation
  • 8. 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 Always Usually Sometimes Never 89% 89% 95% 100% 8% 8% 0% 0% 3% 3% 5% 0% 0% 0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Jan-May '14 12-Month Three Month May 2014 Always Usually Sometimes Never 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 Always Usually Sometimes Never © 2014 – US Health Care Research Corporation
  • 9. 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% May 2014 Three Month 12-Month Jan-May '14 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 Always Usually Sometimes Never 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 Always Usually Sometimes Never © 2014 – US Health Care Research Corporation
  • 10. 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% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Jan-May '14 12-Month Three Month May 2014 Always Usually Sometimes Never © 2014 – US Health Care Research Corporation
  • 11. 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% May 2014 Three Month 12-Month Jan-May '14 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 Too much Right amount Too little © 2014 – US Health Care Research Corporation
  • 12. 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 Too much Right amount Too little © 2014 – US Health Care Research Corporation
  • 13. 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% May 2014 Three Month 12-Month Jan-May '14 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 No Yes, somewhat Yes, definitely 89% 89% 95% 100% 8% 8% 0% 0% 3% 3% 5% 0% 0% 0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Jan-May '14 12-Month Three Month May 2014 Always Usually Sometimes Never © 2014 – US Health Care Research Corporation
  • 14. 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 Always Usually Sometimes Never © 2014 – US Health Care Research Corporation
  • 15. 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% May 2014 Three Month 12-Month Jan-May '14 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 © 2014 – US Health Care Research Corporation
  • 16. 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% May 2014 Three Month 12-Month Jan-May '14 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 No Yes, somewhat Yes, definitely 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 No Yes, somewhat Yes, definitely © 2014 – US Health Care Research Corporation
  • 17. 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 No Yes, somewhat Yes, definitely 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 No Yes, somewhat Yes, definitely 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 No Yes, somewhat Yes, definitely © 2014 – US Health Care Research Corporation
  • 18. 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% May 2014 Three Month 12-Month Jan-May '14 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 Always Usually Sometimes Never 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 Always Usually Sometimes Never © 2014 – US Health Care Research Corporation
  • 19. 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 © 2013 –US Health Care Research Corporation
  • 20. 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 Current Period Performance Score: 84% Goal: 88% 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 © 2014 – US Health Care Research Corporation
  • 21. Trends and Goal Setting Domain Performance Score: Hospice Team Communication Current Period Performance Score: 79% Goal: 84% Q8. How often did the hospice team explain things in a way that was easy to understand? Current Period Performance Score: 92% Goal: 95% Q9. How often did the hospice team keep you informed about your family member’s condition? Current Period Performance Score: 78% Goal: 83% 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 © 2014 – US Health Care Research Corporation
  • 22. Trends and Goal Setting Q14. Hospice team carefully listened Current Period Performance Score: 63% Goal: 69% Q18. Hospice team discuss side effects of pain medicine Current Period Performance Score: 87% Goal: 91% Q31. Hospice team gave as much information about what to expect while patient was dying Current Period Performance Score: 75% Goal: 80% 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 © 2014 – US Health Care Research Corporation
  • 23. Trends and Goal Setting Domain Performance Score: Getting Timely Care Current Period Performance Score: 87% Goal: 90% Q5. Hospice team helped during off after-hours Current Period Performance Score: 81% Goal: 86% Q6. Hospice team kept caregive infromed about arrival time Current Period Performance Score: 93% Goal: 96% 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 © 2014 – US Health Care Research Corporation
  • 24. Trends and Goal Setting Q7. Patient got help as soon as they needed. Current Period Performance Score: 94% Goal: 97% Q22. How often did your family member get the help he or she needed for trouble breathing? Current Period Performance Score: 89% Goal: 93% Q25. Hospice team provided help when patient had trouble w/ constipation Current Period Performance Score: 75% Goal: 80% 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 © 2014 – US Health Care Research Corporation
  • 25. Hospice Item Set This section illustrates how the hospice is performing in the areas of care that are related to the quality measures in the Hospice Item Set. © 2013 –US Health Care Research Corporation
  • 26. 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 No Yes, somewhat Yes, definitely 92% 90% 93% 93% 3% 2% 5% 7% 4% 6% 0% 0% 1% 1% 2% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Jan-May '14 12-Month Three Month May 2014 Always Usually Sometimes Never 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 No Yes, somewhat Yes, definitely © 2014 – US Health Care Research Corporation
  • 27. 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 No Yes, somewhat Yes, definitely 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 Always Usually Sometimes Never 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 Always Usually Sometimes Never © 2014 – US Health Care Research Corporation
  • 28. 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 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 Too much Right amount Too little 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 Too much Right amount Too little © 2014 – US Health Care Research Corporation
  • 29. Survey Summary Report This section shows the performance score for each survey question on the CAHPS Hospice Survey. © 2013 –US Health Care Research Corporation
  • 30. 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 Q20. Hospice team gave you the training you 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 Q30. Hospice team gave you the training you needed about how to safely move family member Q23. Hospice team gave you the training you 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/No Current Period Three Month Current Period Three Month © 2014 – US Health Care Research Corporation
  • 31. 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/Always Current Period Three Month 12-Month © 2014 – US Health Care Research Corporation
  • 32. 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 much Current Period Three Month Q27. Family member got the help he or she needed from the hospice team for feelings of anxiety or sadness Never/Sometimes/Usually/Always Q25. Family member got the help he or she needed for trouble with constipation Current Period Three Month 12-Month © 2014 – US Health Care Research Corporation
  • 33. About the Patient and Caregiver This section provides demographic information about the patient and the family caregiver that responded to the questionnaire. © 2013 –US Health Care Research Corporation
  • 34. 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 Current Period Current Period Current Period Current Period © 2014 – US Health Care Research Corporation
  • 35. Marketing/Sales Metrics This section provides insights into the metrics that can be leverage in marketing the hospice's services to healthcare providers in your service area. © 2013 –US Health Care Research Corporation
  • 36. 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 wasdying? Q37. How much emotional support did you get from the hospice team? Q38. How much emotional support did you get from the hospice team? © 2014 – US Health Care Research Corporation
  • 37. Marketing/Sales Hospice Pain Treatment and Support 79% 84% Hospice Training 95% 90% 90% 86% 82% 89% 94% 92% 89% 87% 76% 86% 88% 86% 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 familymember? 89% 76% 86% 88% 86% 78% 77% 80% 78% 80% 82% 81% 80% 100% 93% 87% 87% 88% 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 familymember? Q23. Did the hospice team give you the training you needed about how to help your family member if he or she had troublebreathing? Q29. Did the hospice team give you the training you needed about what to do if your family member became restless oragitated? Q30. Did the hospice team give you the training you needed about how to safely move your family member? © 2014 – US Health Care Research Corporation
  • 38. Marketing/Sales Timeliness of Care Nursing Home 80% 76% 81% 79% 81% 100% 95% 96% 94% 93% 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 youneeded 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 theinformation you were given by the hospice team? © 2014 – US Health Care Research Corporation