As part of HQRP, the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey is now a requirement for all hospices. The survey is a standardized experience of care survey designed to measure the experiences of patients who died while receiving hospice care, and considers the hospice patient and his/her primary informal caregiver as the unit of care. The survey is administered to decedents/caregivers from all payor sources. Providers are required to participate by submitting surverys on a continuous monthly basis beginning April of 2015.
To run the CAHPS Survey report:
1. On the Main Menu, click Reports.
2. Select the CAHPS Survey Report Category.
3. Select the CAHPS Survey Report Name.
4. Click the arrow beside the Offices field, and then select the check box beside the office you want to use. To see all offices, click the top-level check box.
5. To show only responses for Medicare and Medicaid, click the MCR/MCD Only check box. (This option will be unavailable for Hospice users.)
6. Click the arrow beside the Month field and select the month containing the surveys you want to view.
7. Enter the Year (in YYYY format) you want to use.
8. Click the arrow beside the Report Options field and select one of the following options:
● ALL
9. If you know the Survey Designator and/or the Vendor Client ID, select the Expanded Export check box and enter the appropriate information. (These options will be unavailable if the Expanded Export check box is not selected.)
10. Click the link below to learn about the report content:
Understanding the report content
11. Continue with Exporting CAHPS Survey.
Patients eligible for inclusion in the CAHPS Survey:
● Decedents that are 18 years old and older.
● Decedents that passed away at least 48 hours following the last admission to hospice care
● Decedents for whom there is a caregiver record (Patients without caregivers will be included in the hospice CAHPS file and the CAHPS vendor will filter them out prior to submitting data to CMS)
● Decedents whose caregiver is someone other than a non-familial legal guardian (Patients with a non-familial legal guardian/relationship type #6, will be included in the hospice CAHPS file and the CAHPS vendor will filter them out prior to submitting data to CMS)
● Decedents for whom the caregiver has a U.S. or U.S. Territory home address (No address filtering will be performed. Hospice CAHPS vendors will filter out any necessary records prior to submitting to CMS)
Patients not eligible for inclusion:
● Decedents/caregivers who requested they not be contacted (those who signed a "no publicity" request while under the care of hospice or directly request not to be contacted).
● Patients whose last admission to hospice resulted in a live discharge.
Hospice exclusions differ from homecare exclusions. Patients will only be excluded from the CAHPS report if the Exclude from CAHPS checkbox is selected. Following are the reasons for hospice exclusion:
● Expired Less than 48 hours = Patient expired less than 48 hours following the last admission to hospice care. (Enterprise Edition determines that a patient is deceased based on the patient status. If a patient is expired, ensure that the expired checkbox is selected and the patient status has been changed.)
● Live Discharge = Patient status is something other than 20, 40, 41 and 42.
● No Publicity = Caregiver has “Exclude from CAHPS”
● Under 18 years old = Patient is less than 18 years old during the sample month.