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Public Reporting: Background and Announcements

Background:

The Hospice Quality Reporting Program (HQRP) consists of two components, the Hospice Item Set (HIS) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey.

The HQRP was established under section 1814(i)(5) of the Social Security Act. The Act also requires the Secretary to publicly report, on a CMS website, quality measures that relate to the care provided by hospice programs across the country.

HQRP = HIS + CAHPS®

HIS: The seven (7) National Quality Forum (NQF) - endorsed Hospice Item Set (HIS) quality measures initially displayed on Hospice Compare are:

  • Hospice and Palliative Care- Treatment Preferences - NQF #1641
  • Hospice and Palliative Care- Beliefs/Values Addressed- NQF #1647
  • Hospice and Palliative Care- Pain Screening- NQF #1634
  • Hospice and Palliative Care- Pain Assessment- NQF #1637
  • Hospice and Palliative Care- Dyspnea Screening- NQF #1639
  • Hospice and Palliative Care- Dyspnea Treatment- NQF #1638
  • Hospice and Palliative Care- Patients treated with opioids who are given a bowel regimen- NQF #1617 

CAHPS® Hospice Survey: The Consumer Assessment of Healthcare Providers & Systems (CAHPS®) Hospice survey is a survey of the primary informal caregivers, usually family members, who cared for a patient who died under hospice care. The survey is conducted on a monthly basis; family and friends are contacted at least two months after the patient’s death. Hospice Compare displays survey results for eight CAHPS® measures.

  • Communication with family
  • Getting timely help
  • Treating patient with respect
  • Emotional and spiritual support
  • Help for pain and symptoms
  • Training family to care for patient
  • Rating of this hospice
  • Willing to recommend this hospice

Eligible hospice providers are required to contract with an approved survey vendor to collect CAHPS®  Hospice Survey data on their behalf. The vendor submits survey results to the CAHPS® Hospice Survey Data Warehouse on a quarterly basis on the second Wednesday of the months of February, May, August and November. More details about the measures, survey implementation, and the questionnaire can be found at www.hospicecahpssurvey.org.

Hospice Compare

Hospice Compare is the vehicle by which CMS publicly displays hospice data. Hospice Compare was launched on August 16, 2017. The goal of Hospice Compare is to help consumers compare hospice providers on their performance and assist consumers in making decisions that are right for them. Providers can start a conversation with their patients and family members about how the new Hospice Compare website impacts them by:

  • Explaining that the Hospice Compare website provides a snapshot of the quality of care a hospice offers;
  • Encouraging patients and their family members to review quality ratings; and
  • Helping to strengthen patients and family members’ ability to make the best decisions for their care.

Resources:

Hospice Quality Help Desk: HospiceQualityQuestions@cms.hhs.gov - All questions related to HIS quality measures including HIS quality reporting questions, Hospice Compare, and HIS Provider Preview Reports.

CAHPS® Hospice Survey Technical Assistance: hospicecahpssurvey@HCQIS.org or 1-844-472-4621 - All technical questions about the Hospice CAHPS® Survey.

Requests for CMS Review of HIS Data: HospicePRquestions@cms.hhs.gov - All requests for CMS to review HIS Provider Preview Report data can only be submitted here during the 30-day preview period. For more information, visit the Hospice Quality Public Reporting: HIS Preview Reports and Requests for CMS Review of HIS Data webpage.

Requests for CMS Review of CAHPS® Hospice Survey Data: hospicecahpssurvey@HCQIS.org - All requests for CMS to review CAHPS  Hospice Survey Preview Report data can only be submitted here during the 30-day preview period. For more information, visit the Hospice Quality Public Reporting: HIS Preview Reports and Requests for CMS Review of HIS Data webpage.

Sign up for Hospice QRP updates today!

Updates:

May 16, 2018

Hospice Compare Quarterly Refresh Available

The May 2018 quarterly Hospice Compare refresh is now available. It is based on Hospice Item Set (HIS) quality measure results from data collected Q3 2016 – Q2 2017 and on Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey ® results reported Q3 2015 – Q2 2017. We invite you to visit Hospice Compare to view the data.

March 02, 2018

Hospice Provider Preview Reports Now Available

Hospice provider preview reports and Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey ® provider preview reports are now available. These are two separate reports available in your Certification and Survey Provider Enhanced Reports (CASPER) folder. 

Hospice providers are encouraged to review their Hospice Item Set (HIS) quality measure results from Quarter 3- 2016 to Quarter 2-2017 and their facility-level CAHPS® survey results from Quarter 3, 2015 to Quarter 2, 2017. 

Providers have 30-days to review their HIS and CAHPS® results (March 1, 2018 through March 30, 2018).  

Should a provider believe the denominator or other HIS quality metric to be inaccurate or if there are errors within the results from the CAHPS® Survey data, a provider may request CMS review. Providers must adhere to the process outlined on the Public Reporting: HIS Preview Reports and Requests for CMS Review of HIS Data webpage and the Public Reporting: CAHPS® Preview Reports and Requests for CMS Review of CAHPS® Data  webpage.

For more information on how to access these reports, view the HIS Preview Report Access Instructions and the Hospice CAHPS® Provider Preview Reports Access Instructions.

February 21, 2018

CMS Launches Public Reporting of CAHPS® Hospice Survey Results

CMS announces the initial publication of results from the CAHPS® Hospice Survey on Hospice Compare. Hospice Compare is a user-friendly web tool found at https://www.medicare.gov/hospicecompare/. It provides information to help patients, their families, caregivers, and providers make more informed decisions about choosing a hospice. Hospice Compare allows users to select up to three hospices at a time to compare the clinical quality of care provided and patient experiences with these hospices.

Survey results are published for all Medicare-certified hospices that had at least 30 completed surveys during the eight quarters from Quarter 2, 2015 (April 1, 2015) through Quarter 1, 2017(March 31, 2017). In addition to the survey results, the Hospice Compare site provides a variety of other data about the quality of hospice care, including the Hospice Item Set (HIS).

CMS works diligently to make healthcare quality information more transparent and understandable for consumers and is committed to helping individuals make informed healthcare decisions for themselves and their families based on objective measures of quality.

December 21, 2017

New Guidance on How to Update Demographic Data

The demographic data displayed on the Provider Preview Reports and on Hospice Compare is generated from information stored in the Automated Survey Processing Environment (ASPEN) system.

If inaccurate demographic data is included on the Preview Report or on Hospice Compare, Hospices need to contact their Medicare Administrative Contractor (MAC) for assistance. When requesting updates to your demographic data, it is important to specify that you want your data within the ASPEN system updated, instead of referring to your data on the Hospice Compare site.

View the How to Update Demographic Data 12-21-17 PDF in the downloads for further information.

Please note- updates to Hospice Provider demographic information do not happen in real time and can take up to 6-months to appear on Hospice Compare.

November 28, 2017

Hospice Compare Search Function Alert

CMS is aware that the location search on Hospice Compare may return incorrect results.  As a result, we have provided a message on the home page of Hospice Compare informing users that when searching by location, the list of agencies provided may not serve the zip code, city, or state they entered. The message also recommends that consumers call hospice providers to confirm their service areas.  We are currently working to improve the search functionality and will update the website as soon as possible. We appreciate your patience while we work to enhance the end users’ experience with Hospice Compare. Please continue to monitor this webpage for updates.

October 03, 2017

Hospice Compare Fact Sheet Now Available

A new Hospice Compare fact sheet is now available in the downloads section below. This fact sheet contains information related to Hospice Compare and how the site can serve as a resource to providers in understanding their current quality ratings. The fact sheet also suggest approaches to communicating with patients and family members about how the Compare site can inform their decision making process.

Hospice Public Reporting Archives

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