Got Help for Feelings of Anxiety or Sadness When Needed

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

Individual survey item asking respondents: "How often did your family member receive the help he or she needed from the hospice team for feelings of anxiety or sadness?"

Note: This item has response options of "Definitely no," "Probably no," "Probably yes," and "Definitely yes."

Numerator

The top box numerator is the number of respondents in a hospice program who responded: "Definitely yes." Top box scores for the measure are adjusted for the mode of survey administration (at the individual respondent level) and case mix (at the hospice level) to calculate the overall hospice-level measure score.

Denominator

The top box denominator is the total number of respondents in the hospice that answered the item.

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

Public data is an aggregate of four questions, not individual question

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

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

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