MHCC reports the following quality measures on the Maryland Quality Reports website.
The Center for Medicare and Medicaid Services (CMS) began publicly reporting Hospice Information Set (HIS) quality measures in August 2017 on CMS Hospice Compare. Beginning in late winter 2018 CMS began publicly reporting Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey data. CMS began publicly reporting the Hospice Care Index (HCI) in 2022.
CMS currently requires CAHPS Hospice Survey, HIS and HCI data from all Medicare-certified Hospice providers. The data submitted by qualified hospice providers meets the pay for reporting requirement of the Hospice Quality Reporting Program (HQRP).
The CAHPS Hospice Survey measures patient and caregiver experience with hospice care . There are eight CAHPS measures reported by CMS; six measures are composite measures, and two are global ratings.
For more information about the CAHPS Hospice Survey click here
The HIS is a standardized data abstraction tool used by hospice staff to collect data from medical records that is then entered into the CMS Quality Improvement Evaluation Systems (QIES) Assessment Submission and Processing (ASAP) system1. CMS reports the HIS Comprehensive Assessment Measure, which is a composite of seven HIS care process measures. One independent measure is also reported.
For more information about the NQF endorsed and modified measures calculated using HIS click here
The Hospice Care Index (HCI) measures the care processes throughout the hospice stay, from admission through discharge. Ten indicators are assessed, with one point being assigned for each indicator.
For more information about the measures included in the HCI click here
Influenza Vaccination Rates of Hospice Agency Staff
The Center for Quality Measurement and Reporting began collecting health care worker influenza vaccination data from Hospice and Home Health agencies during the 2021-2022 influenza season. Results are publicly reported on the Maryland Quality Reports website.
It is important that health care workers who provide care to medically vulnerable people get vaccinated against influenza, as advanced age and complicated medical conditions put a person at higher risk for influenza-related complications and death. The rates displayed report the percentage of staff working for the hospice agency that are vaccinated against influenza compared to the statewide average (the percentage of staff vaccinated in all Maryland hospice agencies).
Hospice Utilization Report
View hospice patient utilization rates by race/ethnicity, age, gender, geographic region and jurisdiction of residence for the most recent survey year.
Hospice Utilization Report CY2022
Hospice Utilization Report CY2021
Hospice Utilization Report CY2020
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1. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/Downloads/PV-Copy-1-of-HIS-Training-Slides.pdf Centers for Medicare & Medicaid Services, Baltimore, MD. November, 18, 2016.