Family Evaluation of Hospice Care

Identifying Attributes

Care Settings
Palliative Care
Country
United States of America
Publishing Organisation
Partnership for Quality Measurement Geriatric and Palliative Care Project (formerly known as National Quality Forum Palliative Care and End-of-Life Care Measures)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Social Aspects of Care

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
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Surveys
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
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

The Level Of Analysis is performed at Facility level (Hospice).

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools

NQF Measure #0208 (endorsement removed 16 January 2018)

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
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026