The percentage of hospice service days that were provided at the Continuous Home Care (CHC) or General Inpatient (GIP) level of care. This is one of the ten claims-based indicators which comprise the Hospice Care Index (HCI) measure.

The total number of Continuous Home Care (CHC) or General Inpatient (GIP) service days provided by the hospice within a reporting period. The provision of CHC and GIP are identified on hospice claims by the presence of hospice revenue centre codes 0652 (CHC) and 0656 (GIP).

The total number of hospice service days provided at any level of care within a reporting period.

None

None

Data Source: Hospice Medicare claims data. Data are obtained from provider submitted claims for the information needed to calculate the measure, so providers do not submit any additional data to CMS. CMS will use 2 years of Medicare claims data (8 quarters) to calculate the measure. The ten indicators contribute to the HCI score as follows: Each HCI indicator has its own numerator, denominator, and resulting indicator score. A hospice's given indicator score relative to an Index Earned Point Criterion determines whether the hospice earns a point for that indicator towards the full index score; Index Earned Point Criteria were set based on CMS' statistical analysis of national hospice performance to ensure meaningful distinction between hospices; Hospices' HCI scores are calculated as the total number of Index Earned Points across the ten indicators and can range from a perfect 10 to a 0. All hospices with at least 20 claims during the sample period have indicator scores calculated.

Public reporting.

Hospice Care Index Technical Report: www.cms.gov/files/document/hospice-care-index-hci-technical-reportjuly-2022.pdf. Date cited 12/10/23. CMS Current Measures: www.cms.gov/medicare/quality/hospice/current-measures. Date cited 12/10/23.

www.cms.gov/files/document/hqrp-qm-users-manual-v100oct2021.pdf

This measure is linked to the Hospice Care Index (HCI) measure.