Hostname: page-component-5f56664f6-n72nm Total loading time: 0 Render date: 2025-05-08T06:22:45.378Z Has data issue: false hasContentIssue false
  • English
  • Français

Facility- and community-level factors associated with hospice patient experience

Published online by Cambridge University Press:  12 November 2024

Mengying He Open the ORCID record for Mengying He [Opens in a new window] ,
Ganisher Davlyatov ,
Gregory Orewa ,
Haiyan Qu  and
Robert Weech-Maldonado
Mengying He*
Affiliation:
Department of Management, College of Business & Economics, California State University, Los Angeles, CA, USA
Ganisher Davlyatov
Affiliation:
Department of Health Administration & Policy, Hudson College of Public Health, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
Gregory Orewa
Affiliation:
College for Health, Community and Policy, University of Texas at San Antonio (UTSA), San Antonio, TX, USA
Haiyan Qu
Affiliation:
Department of Health Services Administration, College of Health Professions, The University of Alabama at Birmingham, Birmingham, AL, USA
Robert Weech-Maldonado
Affiliation:
Department of Health Services Administration, College of Health Professions, The University of Alabama at Birmingham, Birmingham, AL, USA
*
Corresponding author: Mengying He; Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

Mandated by the Affordable Care Act of 2010, hospices were required to provide information regarding the Hospice Quality Reporting Program, with a reduced reimbursement tied to hospices if they fail to submit data to the Centers for Medicare and Medicaid Services. The purpose of this study was to examine the association between hospice organizational and community factors and quality of hospice care as measured by patient experience through Hospice Consumer Assessment of Healthcare Providers & Systems (CAHPS®) survey.

Methods

We used secondary data from Hospice Compare, Healthcare Cost Report Information System Dataset, Rural–urban commuting area codes, and the American Community Survey to examine the relationship between hospice patient/family experience and hospice organizational-level and community-level factors for the period 2017–2020. The unit of analysis was hospice-year observations.

Results

For-profit and chain-affiliated hospices were negatively associated with CAHPS® scores. Organizational longevity and Medicare payer mix were positively associated with CAHPS® scores. Hospice community factors including competition, per capita income, and the racial/ethnic minorities’ percentage were negatively associated with CAHPS® scores.

Significance of results

Hospice organizational and community factors were related to hospice quality of care. Interventions that account for organizational and community factors may be needed to improve patient/family experience of hospice care.

Keywords

Hospice comparequality reportingpatient experienceCAHPSorganizational and community factors
Type
Original Article
Information
Palliative & Supportive Care , Volume 22 , Issue 6 , December 2024 , pp. 1992 - 1997
Check for updates
Copyright
© The Author(s), 2024. Published by Cambridge University Press.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Aldridge Carlson, MD, Barry, CL, Cherlin, EJ, et al. (2012) Hospices’ enrollment policies may contribute to underuse of hospice care in the United States. Health Affairs 31(12), 2690–2698. doi:10.1377/hlthaff.2012.0286CrossRefGoogle ScholarPubMed
Aldridge, MD (2021) Hospice tax status and ownership matters for patients and families. JAMA Internal Medicine 181(8), 1114–1115. doi:10.1001/jamainternmed.2020.6300CrossRefGoogle ScholarPubMed
Aldridge, MD, Epstein, AJ, Brody, AA, et al. (2016) The impact of reported hospice preferred practices on hospital utilization at the end of life. Medical Care 54(7), . doi:10.1097/MLR.0000000000000534CrossRefGoogle ScholarPubMed
Aldridge, MD, Epstein, AJ, Brody, AA, et al. (2018) Association between hospice spending on patient care and rates of hospitalization and Medicare expenditures of hospice enrollees. Journal of Palliative Medicine 21(1), 55–61. doi:10.1089/jpm.2017.0101CrossRefGoogle ScholarPubMed
Anhang Price, R, Tolpadi, A, Schlang, D, et al. (2020) Characteristics of hospices providing high-quality care. Journal of Palliative Medicine 23(12), 1639–1643. doi:10.1089/jpm.2019.0505CrossRefGoogle ScholarPubMed
Apenteng, BA, Linder, DF, Opoku, ST, et al. (2016) Trends in the use of volunteers in US hospices: 2000 to 2010. American Journal of Hospice and Palliative Medicine® 33(3), 256–263. doi:10.1177/1049909114557351CrossRefGoogle ScholarPubMed
Carlson, MD, Gallo, WT and Bradley, EH (2004) Ownership status and patterns of care in hospice results from the national home and hospice care survey. Medical Care 42, 432–438. doi:10.1097/01.mlr.0000124246.86156.54CrossRefGoogle ScholarPubMed
Carlson, MD, Herrin, J, Du, Q, et al. (2009) Hospice characteristics and the disenrollment of patients with cancer. Health Services Research 44(6), 2004–2021. doi:10.1111/j.1475-6773.2009.01002.xCrossRefGoogle ScholarPubMed
Centers for Medicare and Medicaid Services (CMS) (2022) CAHPS® Hospice Survey. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Hospice-Quality-Reporting/CAHPS%C2%AE-Hospice-Survey (accessed 13 February 2023).Google Scholar
Centers for Medicare and Medicaid Services (CMS) Hospice Quality Reporting Program. https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/hospice-quality-reporting (accessed 13 February 2023).Google Scholar
He, M, O’Connor, SJ, Qu, H, et al. (2021) Hospice inpatient services provision, utilization, and financial performance. Health Care Management Review 46(4), E68–E76. doi:10.1097/HMR.0000000000000303CrossRefGoogle ScholarPubMed
He, M, O’Connor, SJ, Qu, H, et al. (2020) Systematic review of the hospice performance literature. Health Care Management Review 45(4), E23–E34. doi:10.1097/HMR.0000000000000258CrossRefGoogle ScholarPubMed
Hsu, SH, Hung, P and Wang, SY (2019) Factors associated with hospices’ nonparticipation in Medicare’s hospice compare public reporting program. Medical Care. 57(1), 28–35. doi:10.1097/MLR.0000000000001016CrossRefGoogle ScholarPubMed
Kazley, AS, Ford, EW, Diana, M, et al. (2015) Market factors related to hospitals’ patient satisfaction ratings. Journal of Hospital Administration 4(4), 40–47. doi:10.5430/jha.v4n4p40CrossRefGoogle Scholar
Lindrooth, RC and Weisbrod, BA (2007) Do religious nonprofit and for-profit organizations respond differently to financial incentives? The hospice industry. Journal of Health Economics 26(2), 342–357. doi:10.1016/j.jhealeco.2006.09.003CrossRefGoogle ScholarPubMed
Lorenz, KA, Asch, SM, Rosenfeld, KE, et al. (2004) Hospice admission practices: Where does hospice fit in the continuum of care? Journal of the American Geriatrics Society 52(5), 725–730. doi:10.1111/j.1532-5415.2004.52209.xCrossRefGoogle Scholar
Mazurenko, O, Collum, T, Ferdinand, A, et al. (2017) Predictors of hospital patient satisfaction as measured by HCAHPS: A systematic review. Journal of Healthcare Management 62(4), 272–283. doi:10.1097/JHM-D-15-00050CrossRefGoogle ScholarPubMed
McFarland, DC, Ornstein, KA and Holcombe, RF (2015) Demographic factors and hospital size predict patient satisfaction variance – implications for hospital value-based purchasing. Journal of Hospital Medicine 10(8), 503–509. doi:10.1002/jhm.2371CrossRefGoogle ScholarPubMed
MedPac (2019) Hospice Services. Chapter 12. https://www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/reports/mar19_medpac_ch12_sec.pdf (accessed 13 February 2023).Google Scholar
National Hospice and Palliative Care Organization (NHPCO) (2021) NHPCO Facts and Figures Report. https://www.nhpco.org/hospice-care-overview/hospice-facts-figures/ (accessed 13 February 2023).Google Scholar
Price, RA, Parast, L, Elliott, MN, et al. (2023) Association of hospice profit status with family caregivers’ reported care experiences. JAMA Internal Medicine 183(4), 311–318. doi:10.1001/jamainternmed.2022.7076CrossRefGoogle Scholar
Prsic, E, Plotzke, M, Christian, TJ, et al. (2016) A national study of live hospice discharges between 2000 and 2012. Journal of Palliative Medicine 19(9), 987–990. doi:10.1089/jpm.2015.0383CrossRefGoogle ScholarPubMed
Rizzuto, J and Aldridge, MD (2018) Racial disparities in hospice outcomes: A race or hospice‐level effect? Journal of the American Geriatrics Society 66(2), 407–413. doi:10.1111/jgs.15228CrossRefGoogle ScholarPubMed
Stevenson, D and Sinclair, N (2018) Complaints about hospice care in the United States, 2005–2015. Journal of Palliative Medicine 21(11), 1580–1587. doi:10.1089/jpm.2018.0125CrossRefGoogle ScholarPubMed
Stevenson, DG, Dalton, JB, Grabowski, DC, et al. (2015) Nearly half of all Medicare hospice enrollees received care from agencies owned by regional or national chains. Health Affairs 34(1), 30–38. doi:10.1377/hlthaff.2014.0599CrossRefGoogle ScholarPubMed
Thompson, JW, Carlson, MD and Bradley, EH (2012) US hospice industry experienced considerable turbulence from changes in ownership, growth, and shift to for-profit status. Health Affairs 31(6), 1286–1293. doi:10.1377/hlthaff.2011.1247CrossRefGoogle ScholarPubMed
Teno, JM, Plotzke, M, Gozalo, P et al. (2014) A national study of live discharges from hospice. Journal of Palliative Medicine 17(10), 1121–1127. https://doi.org/10.1089/jpm.2013.0595CrossRefGoogle ScholarPubMed
U.S. Department of Health & Human Services Guidance Portal (2013) https://www.hhs.gov/guidance/document/implementation-hospice-quality-reporting-required-affordable-care-act-section-3004 (accessed 13 February 2023).Google Scholar
Supplementary material: File

He et al. supplementary material

He et al. supplementary material
Download He et al. supplementary material(File)
File 28.9 KB