Hospice Best Practices
Admission to hospice is a critical time for patients and caregivers. It is emotionally and physically stressful for patients and caregivers. Patients at the end of life must be evaluated to ensure safe, timely, efficient, and effective care in a compassionate framework. The patient/caregiver experience of care is positively or negatively affected by the hospice’s approach to integrating and implementing care.
Hospices are accountable to patients and to payers, most of all Medicare. Medicare requires participation in the Hospice Quality Reporting Program (HQRP), which includes required reportable performance measures and administration of 'Hospice CAHPS,' a patient / caregiver survey. Medicare offers the patient-centered website Hospice Compare to help patients select the right hospice for them, and annually announces new measures to be displayed on Hospice Compare. The measures are both survey-based patient experience indicators, and claims-based metrics of quality and outcomes. The Best Practices discussed in the Blueprint correspond to many of the metrics on hospice care. Thus, hospice adoption of best practices influences outcomes and is also a business imperative.
Use these links to navigate the Hospice Best Practices modules:
Hospice Care Initiation
Treatment Preferences and Beliefs
Hospice Symptom Management
Palliative Care Continuum