Help for Pain and Symptoms

Identifying Attributes

Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicare Services (CMS): CAHPS Hospice Survey
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Palliative Care

Defining Attributes

Definition

Percentage of caregivers who reported that the patient "always" received help for pain and symptoms

Numerator

Number of caregivers who reported that the patient "always" received help for pain and symptoms

Denominator

Number of caregivers who answer at least one question in the multi-item measure

Exclusions

The hospice patient is still alive. -The decedent's age at death was less than 18.  -The decedent died within 48 hours of his/her last admission to hospice care. -The decedent had no caregiver of record. -The decedent had a caregiver of record, but the caregiver does not have a U.S. or U.S. Territory home address. -The decedent had no caregiver other than a nonfamilial legal guardian. -The decedent or caregiver requested that they not be contacted (i.e., by signing a no publicity request while under the care of hospice or otherwise directly requesting not to be contacted). -The caregiver is institutionalised, has mental/physical incapacity, has a language barrier, or is deceased. -The caregiver reports on the survey that he or she "never" oversaw or took part in the decedent's hospice care.

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Surveys
Data Collection Methods

The Consumer Assessment of Healthcare Providers and Systems® (CAHPS®) Hospice Survey

Frequency of Data Collection
Monthly
Frequency of Data Collection in Days
30
Reporting Methods

As part of Care Compare on the www.Medicare.gov website

Reporting Frequency
6 monthly
Reporting Frequency in Days
182
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Alshakhs S, Sweet E, Luth E, Reid MC, Henderson CR, Phongtankuel V. Hospice Composition Based on Diagnosis is Associated with Caregiver-Reported Quality Measures. American Journal of Hospice and Palliative Medicine. 2022;39(12):1410-1417 Parast, L., Tolpadi, A. A., Teno, J., Elliott, M. N., & Price, R. A. (2022). Variation in Hospice Experiences by Care Setting for Patients With Dementia. Journal of the American Medical Directors Association, 23(9), 1480-1485.e1486. dx.doi.org/10.1016/j.jamda.2022.03.021

Link to Measurement Tools

The Consumer Assessment of Healthcare Providers and Systems® (CAHPS®) Hospice Survey

Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025