Multi-item measure. "While your family member was in hospice care..." P1: "How often did the hospice team keep you informed about when they would arrive to care for your family member?" P2: "How often did the hospice team explain things in a way that was easy to understand?" P3: "How often did the hospice team listen carefully to you when you talked with them about problems with your family member's hospice care?" P4: "How often did the hospice team keep you informed about your family member's condition?" P5: "How often did the hospice team listen carefully to you? P6: "How often did anyone from the hospice team give you confusing or contradictory information about your family member's condition or care?" Note: All items have response options of "Never," "Sometimes," "Usually," and "Always."

CAHPS® Hospice Survey measures are calculated using top-box scoring. The top-box score refers to the percentage of caregiver respondents that give the most positive response. For questions P1 through P5 in this measure, the top box numerator is the number of respondents who answer "Always." For question P6, the top box numerator is the number of respondents who answer "Never." Top box scores for each survey question within the measure are adjusted for the mode of survey administration (at the individual respondent level) and case mix (at the hospice level), and then averaged to calculate the overall hospice-level measure score.

The top box denominator is the number of respondents who answer at least one question in the multi-item measure (i.e., one of P1 through P6).

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.

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

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

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

www.cms.gov/medicare/quality/hospice/current-measures

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