Family Evaluation of Hospice Care
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Derived from responses to 17 items on the Family Evaluation of Hospice Care (FEHC) survey presented as a single score ranging from 0 to 100 and is an indication of the hospice´s overall performance on key aspects of care delivery. Target Population: The Family Evaluation of Hospice Care (FEHC) survey is an after-death survey administered to bereaved family caregivers of individuals who died while enrolled in hospice.
Numerator
The numerator is the sum total of the weighted incidence of problem scores occurring in response to 17 specific items on each survey. The 17 questions focus on the following aspects of hospice care: symptom management, communication, provision of information, emotional support and care co-ordination.
Denominator
The denominator represents the number of surveys with responses for at least 14 of the 17 questions required to compute the composite score in the Family Evaluation of Hospice Care (FEHC) survey.
Exclusions
If a survey has responses to fewer than 14 of the 17 FEHC survey questions included in calculation of the composite score, then a composite score will not be calculated for that survey and the survey will not be included in the calculation of a composite score for the hospice.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
The survey measures family member's perception of the quality of hospice care for the entire enrolment period, regardless of length of service. The expectation is that the survey is sent to the primary family caregiver for each deceased hospice patient served by a given hospice. Hospice mails survey (on a rolling basis) to caregivers of all patients who died while enrolled in hospice services (it is recommended to mail the surveys from 1 to 3 months post-death). Surveys are returned to hospice. As soon as surveys are returned, data submission can begin. Data submission is performed online on a quarterly schedule through the FEHC web-based data submission system. The web-based system is accessed through the National Hospice and Palliative Care Organisation (NHPCO) Web site: www.nhpco.org/fehc
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
The Level Of Analysis is performed at Facility level (Hospice).
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/0208
Technical Specifications
Link to Measurement Tools
NQF Measure #0208 (endorsement removed 16 January 2018)