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National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013

Effectiveness Across the Lifespan: Supportive and Palliative Care

 

Measures

Long-stay nursing home residents who have moderate to severe pain
Long-stay nursing home residents with a urinary tract infection
Long-stay nursing home residents who have depressive symptoms
Low-risk long-stay nursing home residents who lose control of their bowels or bladder
Low-risk long-stay nursing home residents with a catheter inserted and left in the bladder
Long-stay nursing home residents with too much weight loss
Adult home health care patients whose episodes of shortness of breath (dyspnea) decreased
Adult home health care patients whose urinary incontinence decreased
Adult home health care patients who received urgent, unplanned medical care
Adult home health care patients who stayed at home after an episode of home health care
Long-stay nursing home residents who were assessed and appropriately given an influenza vaccination
Short-stay nursing home residents who were assessed and appropriately given an influenza vaccination during the flu season
Long-stay nursing home residents who were assessed and appropriately given the pneumococcal vaccination
Short-stay nursing home residents who were assessed and appropriately given the pneumococcal vaccination
Short-stay nursing home residents with moderate to severe pain
Adult home health care patients whose pain when moving around decreased
Long-stay nursing home residents who were physically restrained
High-risk long-stay nursing home residents with pressure sores
Short-stay nursing home residents with pressure sores that are new or worsening
Adult home health care patients who were admitted to the hospital
Hospice patient caregivers who perceived the patient was referred to hospice at the right time
Hospice patient caregivers who indicated that the patient received the right amount of medicine for pain
Hospice caregivers who indicated that hospice patients received the right amount of help for feelings of anxiety or sadness
Caregivers of hospice patients who did not want more information about what to expect while the hospice patient was dying
Caregivers of hospice patients who indicated that patients received care consistent with their stated end-of-life wishes
Family caregivers who received as much contact as desired related to spiritual support
Hospice patient caregivers who rated evening and weekend care "excellent"
 


 

Measure Title

Long-stay nursing home residents who have moderate to severe pain

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2000-2011

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care nursing home residents with a valid target assessment, excluding admission assessments and assessments with inconsistent or missing responses

Numerator

Subset of the denominator where resident reports almost constant or frequent pain and an episode of moderate pain, or any frequency of very severe, horrible pain on the target assessment

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Long-stay nursing home residents with a urinary tract infection

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2000-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care residents with a valid target assessment, excluding admission assessments and target assessments with missing values

Numerator

Subset of the denominator where a urinary tract infection is reported on the target assessment

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Long-stay nursing home residents who have depressive symptoms

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2000-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

All nursing home residents with a valid target assessment excluding residents who are comatose or missing Mood Scale scores on the target assessment or residents who were comatose or whose comatose status was unknown

Numerator

Subset of the denominator with a Mood Scale score indicating little interest or pleasure or a feeling of depression in at least half of the days during a 2 week period

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first).

The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Low-risk long-stay nursing home residents who lose control of their bowels or bladder

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, States

Years Available

State: 2006-2011

National: 2000-2011

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care nursing home residents with a valid target assessment who do not qualify as high risk, excluding admission assessments, residents with missing assessment values, residents with comatose status, residents who had an indwelling catheter or ostomy, or residents with unknown status for these conditions

Numerator

Subset of the denominator who indicated frequent or constant loss of control of bowels or bladder

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Low-risk long-stay nursing home residents with a catheter inserted and left in the bladder

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2000-2011

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care nursing home residents with a valid target assessment, excluding admission assessments or assessments with missing data

Numerator

Subset of the denominator with indwelling catheters on target assessment

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Long-stay nursing home residents with too much weight loss

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2000-2011

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care nursing home residents with a valid target assessment and a valid prior assessment, excluding admission assessments and residents with missing weight loss data

Numerator

Subset of the denominator who experienced weight loss of 5% or more in the last 30 days or 10% or more in the last 6 months

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Adult home health care patients whose episodes of shortness of breath (dyspnea) decreased

Measure Source

Centers for Medicare & Medicaid Services (CMS), Home Health Quality Initiative (HHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2002-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Home Health Outcome and Assessment Information Set (OASIS)

Denominator

All valid home health care episodes that begin in the survey year

Numerator

Subset of the denominator in which a person’s dyspneic status improved compared with a prior assessment in the episode

Comments

The OASIS instrument measures dyspneic status on a 4-level scale from 0 (not short of breath) to 3 (dyspnea at rest).

Further information on HHQI measures is available at: http://www.cms.hhs.gov/HomeHealthQualityInits/.

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Measure Title

Adult home health care patients whose urinary incontinence decreased

Measure Source

Centers for Medicare & Medicaid Services (CMS), Home Health Quality Initiative (HHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2002-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Home Health Outcome and Assessment Information Set (OASIS)

Denominator

All valid home health care episodes that begin in the survey year, excluding episodes for episodes with nonresponsive patients

Numerator

Subset of the denominator in which a person’s urinary incontinence status improved compared with a prior assessment

Comments

Further information on HHQI measures is available at: http://www.cms.hhs.gov/HomeHealthQualityInits/.

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Measure Title

Adult home health care patients who received urgent, unplanned medical care

Measure Source

Centers for Medicare & Medicaid Services (CMS), Home Health Quality Initiative (HHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2004-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Home Health Outcome and Assessment Information Set (OASIS)

Denominator

All valid home health care episodes that begin in the survey year

Numerator

Subset of the denominator with an assessment indicating that urgent, unplanned medical care was initiated

Comments

Further information about HHQI measures is available at: http://www.cms.hhs.gov/HomeHealthQualityInits/.

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Measure Title

Adult home health care patients who stayed at home after an episode of home health care

Measure Source

Centers for Medicare & Medicaid Services (CMS), Home Health Quality Initiative (HHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2004-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS Home Health Outcome and Assessment Information Set (OASIS)

Denominator

All valid home health care episodes that begin in the survey year

Numerator

Subset of the denominator with final assessments indicating patients remained at home at the conclusion of services

Comments

Further information about HHQI measures is available at: http://www.cms.hhs.gov/HomeHealthQualityInits/.

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Measure Title

Long-stay nursing home residents who were assessed and appropriately given an influenza vaccination

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, States

Years Available

State: 2008-2011

National: 2006-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care residents with a valid target assessment, excluding those not in the facility during the current or most recent influenza season

Numerator

Subset of the denominator who received an influenza vaccination during the most recently completed influenza season, who were offered and declined the influenza vaccine, or who were ineligible for the vaccine due to contraindications

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Short-stay nursing home residents who were assessed and appropriately given an influenza vaccination during the flu season

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2008-2011

National: 2006-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care residents with a valid target assessment, excluding those not in the facility during the current or most recent influenza season

Numerator

Subset of the denominator who received an influenza vaccination during the most recently completed influenza season, who were offered and declined the influenza vaccine, or who were ineligible for the vaccine due to contraindications

Comments

Short-stay quality measures include all residents in an episode whose cumulative number of days in the facility is less than or equal to 100 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Long-stay nursing home residents who were assessed and appropriately given the pneumococcal vaccination

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2008-2011

National: 2006-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care nursing home residents with a valid target assessment

Numerator

Subset of the denominator who have an up-to-date pneumococcal vaccination, were offered and declined the vaccine, or were ineligible due to contraindications

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Short-stay nursing home residents who were assessed and appropriately given the pneumococcal vaccination

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2008-2011

National: 2006-2011

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Short-stay nursing home residents with a valid target assessment

Numerator

Subset of the denominator who have an up-to-date pneumococcal vaccination, were offered and declined the vaccine, or were ineligible due to contraindications

Comments

Short-stay quality measures include all residents in an episode whose cumulative days in the facility is less than or equal to 100 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Short-stay nursing home residents with moderate to severe pain

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2000-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Post-acute care patients with a valid assessment, excluding assessments with uncompleted data, or where pain intensity was zero in the last 5 days

Numerator

Subset of the denominator with almost constant or frequent pain and at least one episode of moderate to severe pain, or severe/horrible pain of any frequency

Comments

Short-stay quality measures include all residents in an episode whose cumulative days in the facility is less than or equal to 100 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Adult home health care patients whose pain when moving around decreased

Measure Source

Centers for Medicare & Medicaid Services (CMS), Home Health Quality Initiative (HHQI)

Table Description

Geographic Representation

National, State

Years Available

State- 2006-2011

National: 2002-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Home Health Outcome and Assessment Information Set (OASIS)

Denominator

All home health care episodes that begin in the survey year, excluding episodes with nonresponsive patients

Numerator

Subset of the denominator in which the frequency of pain interfering with activity or movement was lower than in a prior assessment in the episode

Comments

Further information about HHQI measures is available at: http://www.cms.hhs.gov/HomeHealthQualityInits/.

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Measure Title

Long-stay nursing home residents who were physically restrained

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2000-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care residents with a valid target assessment or assessments with missing values for several classes of restraints

Numerator

Subset of the denominator who were physically restrained on target assessment by trunk and limb restraints or by chair use

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first). The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

High-risk long-stay nursing home residents with pressure sores

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National & State

Years Available

State: 2006-2011

National: 2000-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare chronic care nursing home residents with a valid target assessment and with any of the following conditions: impaired in bed mobility or transfer, comatose, or suffering from malnutrition on the target assessment; excludes admission assessments and residents with certain disqualifying responses

Numerator

Subset of the denominator with pressure sores (stage 2-4) on target assessment

Comments

Long-stay quality measures include all residents in an episode whose cumulative days in the facility is greater than or equal to 101 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first) The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Short-stay nursing home residents with pressure sores that are new or worsening

Measure Source

Centers for Medicare & Medicaid Services (CMS), Nursing Home Quality Initiative (NHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2000-2011

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

CMS, Nursing Home Minimum Data Set (MDS)

Denominator

Medicare post-acute care patients with valid current and look back assessments, excluding patients with disqualifying responses for previous pressure sores in the look back assessment

Numerator

Subset of the denominator indicating one or more new or worsening Stage II-IV pressure sores

Comments

Short-stay quality measures include all residents in an episode whose cumulative days in the facility is less than or equal to 100 days at the end of the target period. An episode is a period of time spanning one or more stays, beginning with an admission and ending with either a discharge or the end of the target period (whichever comes first) The target period used for these measures ended on December 31, 2011.

For details about this and other NHQI measures, refer to the documentation available at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/NHQIQualityMeasures.html.

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Measure Title

Adult home health care patients who were admitted to the hospital

Measure Source

Centers for Medicare & Medicaid Services (CMS), Home Health Quality Initiative (HHQI)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2011

National: 2002-2011

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

CMS, Home Health Outcome and Assessment Information Set (OASIS)

Denominator

All valid home health care episodes that begin in the survey year

Numerator

Subset of the denominator in which a person was hospitalized for an acute condition while receiving home health care services

Comments

Hospitalization may be for emergent, urgent, or elective conditions.

Further information about risk adjustment and the HHQI measures is available at: http://www.cms.hhs.gov/HomeHealthQualityInits/.

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Measure Title

Hospice patient caregivers who perceived the patient was referred to hospice at the right time

Measure Source

National Hospice and Palliative Care Organization (NHPCO)

Table Description

Geographic Representation

National & State

Years Available

State: 2007-2012

National: 2008-2012

Population Subgroups

Age, gender, education, race/ethnicity

Data Source

National and State

NHPCO, Family Evaluation of Hospice Care Survey (FEHCS)

Denominator

Hospice patient caregivers age 18 and over

Numerator

Subset of the denominator who indicated that the patient was referred to hospice at the right time

Comments

FEHCS is administered to family members of deceased recipients of hospice care. Data represent responses from caregivers who had a family member in a hospice that contributes data to FEHCS.

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Measure Title

Hospice patient caregivers who indicated that the patient received the right amount of medicine for pain

Measure Source

National Hospice and Palliative Care Organization (NHPCO)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2012

National: 2008-2012

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

NHPCO, Family Evaluation of Hospice Care Survey

Denominator

Hospice patient caregivers age 18 and over

Numerator

Subset of the denominator who indicated the patient received the right amount of medicine for pain

Comments

FEHCS is administered to family members of deceased recipients of hospice care. Data represent responses from caregivers who had a family member in a hospice that contributes data to FEHCS. More information on this survey is available in the Data Sources appendix.

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Measure Title

Hospice caregivers who indicated that the hospice patients received the right amount of help for feelings of anxiety or sadness

Measure Source

National Hospice and Palliative Care Organization (NHPCO)

Table Description

Geographic Representation

National

Years Available

State: 2009-2012

National: 2008-2012

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

NHPCO, Family Evaluation of Hospice Care Survey (FEHCS)

Denominator

Hospice patient caregivers age 18 and over

Numerator

Subset of the denominator who indicated that the patient or family member received the right amount of help for feelings of anxiety or sadness

Comments

FEHCS is administered to family members of deceased recipients of hospice care. Data represent responses from caregivers who had a family member in a hospice that contributes data to FEHCS.

This measure is based on responses to question B10 in the Family Evaluation of Hospice Care Survey: "How much help in dealing with these feelings did the patient receive?” The survey was administered to the caregiver.

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Measure Title

Caregivers of hospice patients who did not want more information about what to expect at the time when the hospice patient was dying

Measure Source

National Hospice and Palliative Care Organization (NHPCO)

Table Description

Geographic Representation

National, State

Years Available

State: 2007-2012

National: 2008-2012

Population Subgroups

Age, gender, race/ethnicity

Data Sources

National and State

NHPCO, Family Evaluation of Hospice Care Survey (FEHCS)

Denominator

Hospice patient caregivers age 18 and over

Numerator

Subset of the denominator who indicated that he/she would not have wanted additional information about what to expect when the family member/patient in hospice was dying

Comments

FEHCS is administered to family members of deceased recipients of hospice care. Data represent responses from caregivers who had a family member in a hospice that contributes data to FEHCS.

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Measure Title

Caregivers of hospice patients who indicated that the patient received care consistent with their stated end-of-life wishes

Measure Source

National Hospice and Palliative Care Organization (NHPCO)

Table Description

Geographic Representation

National, State

Years Available

State: 2006-2012

National: 2008-2012

Population Subgroups

Age, gender, race/ethnicity

Data Source

National and State

NHPCO, Family Evaluation of Hospice Care Survey (FEHCS)

Denominator

Hospice patient caregivers age 18 and over

Numerator

Subset of the denominator who indicated the patient or family member received care consistent with his or her stated end-of-life wishes

Comments

FEHCS is administered to family members of deceased recipients of hospice care. Data represent responses from caregivers who had a family member in a hospice that contributes data to FEHCS.

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Measure Title

Family caregivers who received as much contact as desired related to spiritual support

Measure Source

National Hospice and Palliative Care Organization (NHPCO)

Table Description

Geographic Representation

National, State

Years Available

National: 2008-2013

State: 2009-2013

Population Subgroups

Age, education, race/ethnicity, sex

Data Sources

National and State

National Hospice and Palliative Care Organization (NHPCO) Family Evaluation of Hospice Care Survey (FEHCS)

Denominator

Hospice patient caregivers age 18 and over

Numerator

Subset of the denominator who indicated that the family caregivers received as much contact as desired related to spiritual support

Comments

FEHCS is administered to family members of deceased recipients of hospice care. Data represent responses from caregivers who had a family member in a hospice that contributes data to FEHCS.

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Measure Title

Hospice patient caregivers who rated evening and weekend care "excellent.”

Measure Source

National Hospice and Palliative Care Organization (NHPCO)

Table Description

Geographic Representation

National, State

Years Available

National: 2009

State: 2008, 2009

Population Subgroups

Age, education, race/ethnicity, sex

Data Sources

National and State

National Hospice and Palliative Care Organization (NHPCO) Family Evaluation of Hospice Care Survey (FEHCS)

Denominator

Hospice patient caregivers age 18 and over

Numerator

Subset of the denominator who rated evening and weekend care "excellent.”

Comments

FEHCS is administered to family members of deceased recipients of hospice care. Data represent responses from caregivers who had a family member in a hospice that contributes data to FEHCS.

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Page last reviewed July 2014
Page originally created July 2014
Internet Citation: National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013. Content last reviewed July 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/measurespec/palliative_care.html

 

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