Treating Family Member With Respect
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Multi-item measure P1: "While your family member was in hospice care, how often did the hospice team treat your family member with dignity and respect?" P2: "While your family member was in hospice care, how often did you feel that the hospice team really cared about your family member? Note: All items have response options of "Never," "Sometimes," "Usually," and "Always."
Numerator
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 both questions in this measure, the top box numerator is the number of respondents who answer "Always." 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.
Denominator
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 or P2).
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
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
The Consumer Assessment of Healthcare Providers and Systems® (CAHPS®) Hospice Survey
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
As part of Care Compare on the www.Medicare.gov website
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
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
Technical Specifications
Link to Measurement Tools
The Consumer Assessment of Healthcare Providers and Systems® (CAHPS®) Hospice Survey