Hospice CAHPS Survey Pilot Study Results Released
Mean overall rating of hospice care was 93.0 out of 100
August 12, 2014 04:21 PM
The results of the Fall 2013 Hospice CAHPS survey pilot study have been released. The field test was conducted from November – December 2013. Responses from 1,136 individuals reporting care experiences from decedents receiving hospice care from 29 different organizations were analyzed.
Surveys for three settings were utilized:
Home, which includes both home and assisted living facilities
Nursing home, which includes both skilled and regular nursing facilities
Two subsettings of inpatient care:
Acute care hospitals
Freestanding hospice IPUs
Response rates varied by setting, but were greater than 50 percent across all settings. Parents and spouses were more likely to respond than children of decedents, and those individuals who had already received a hospice survey - i.e. the Family Evaluation of Hospice Care (FEHC) or another experience of care survey - were less likely to respond. In addition, those whose decedents had longer lengths of stay in hospice care were more likely to respond. The CAHPS test survey was sent no earlier than one month and no more than 12 months after the patient’s death.
Overall, across hospice, decedent, and caregiver characteristics, the mean overall rating of hospice care was 93.0 out of 100. Mean scores for each composite were generally high, ranging from 81.0 for Understanding the Side Effects of Pain Medication and 85.2 for Hospice Care Training to 94.9 for Information Continuity and 95.7 for Treating Your Family Member with Respect. Chain hospices also tended to have lower adjusted mean scores than non-chain hospices. Differences in adjusted mean scores by hospice size were not observed for any outcomes examined. Reported experiences of care are typically worse in the nursing home setting
Because few setting-specific items were maintained for the final version of the survey instrument and because it is simpler and less expensive to administer one survey instrument in national implementation than to administer multiple setting-specific versions, the three setting-specific survey instruments administered during the field test were consolidated into one instrument designed to measure experiences with care in all settings in which the patient received care.
Providers can access the final survey instrument on the Hospice CAHPS Survey website.