Burdensome Transitions (Type 2), Live Discharges From Hospice Followed by Hospitalisation With the Patient Dying in the Hospital - Hospice Care Index (HCI) Indicator
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of all live discharges from hospice that were followed by hospitalisation within two days, and where the patient also died during the inpatient hospitalisation stay. Part of the Hospice Care Index (HCI) Indicator where 1 point is earned if the hospice's individual hospice score for Type 2 burdensome transitions falls below the 90th percentile ranking among hospices nationally.
Numerator
The total number of live discharges from the hospice followed by a hospitalisation within two days of live discharge with death in the hospital within a reporting period.
Denominator
The total number of all live discharges from the hospice within a reporting period.
Exclusions
Hospices with fewer than 20 discharges in the year are not assigned a calculated index score.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Claims based measure: using 8 quarters of pooled Medicare Fee-for-Service claims data.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Hospice Quality Reporting Program (CMS and Providers) Reported on CMS Provider Data Catalogue and CMS Care Compare - Hospice Care as part of the Hospice Care Index but individual indicator is not publicly reported.