Health Data and Quality   Quality    Hospice Quality Measures

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 currently requires CAHPS Hospice Survey and HIS 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.   MHCC reports these quality measures on the Maryland Quality Reports website.  

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.  MHCC reports these quality measures on the Maryland Quality Reports website.  

For more information about the NQF endorsed and modified measures calculated using HIS click here


 
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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.

 

  

Last Updated: 4/20/2021