Hospice Visits in the Last Days of Life
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The proportion of hospice patients who have received visits from a Registered Nurse or Medical Social Worker (non-telephonically) on at least two out of the final three days of the patient's life.
Numerator
The number of patient stays in the denominator in which the patient and/or caregiver received visits from registered nurses or medical social workers on at least two of the final three days of the patient's life, as captured by hospice claims records.
Denominator
All hospice patient enrollments in hospice with the patient discharged to death except those meeting exclusion criteria outlined below.
Exclusions
Patient stays are excluded from the measure if the patient (1) received any continuous home care, respite care, or general inpatient care in the final three days of life or (2) if the patient was enrolled in hospice fewer than three calendar days.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Data Source: Claims Data
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
The Level Of Analysis is performed at the facility level.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Partnership for Quality Measurement. (2023). Available from: p4qm.org/measures/3645
Technical Specifications
Link to Measurement Tools
NQF Measure #3645 (last endorsed July 2022)