Quality Measures for the U.S. Hospice System

Noe, Kelly; Smith, Pamela

doi:10.1007/s12126-010-9100-1

Cited by 4 publications

(6 citation statements)

References 14 publications

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“…Our final set of controls, dummy variables for organization type and facility form, allows us to address the issue of specialization in hospice. We note here that Noe and Smith (2012) identify differences between nonprofit and for-profit providers regarding quality of service. Little research has been done that addresses the specialization of the organization, although some literature (Grabowski & Town, 2011) has promoted the idea that there is a lack of competition in many nursing home markets, which will directly affect our market share measure.…”

Section: Variablesmentioning

confidence: 83%

“…The offering of respite care to support caregivers of patients with advanced disease, such as found in hospice, may be critical in the patients’ decision to choose a specific type of hospice provider (Ingleton, Payne, Nolan, & Carey, 2003). To address the issue of quality variation, we control for length of service (LOS) as a proxy for the quality of care needed for the hospice patient, because LOS has been linked to quality (Noe & Smith, 2012). Quality of care can affect consumer choice, which will influence market share.…”

Section: Data and Measurementmentioning

confidence: 99%

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Increasing Competition: Measuring the Impact of Policy Prescription in Hospice Provision

Eger

Mendieta

2016

The American Review of Public Administration

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This study sheds light on the effects of policies that introduce competition into the marketplace of the provision of government services. The outcomes indicate that both nonprofit and government market share in a state are negatively affected by forprofit entry, a substitution relationship. The framing of the article in the New Public Management era and the Balanced Budget Act (BBA) of 1997 provides context in which to assess the policy consequences in hospice care. Given the budgetary challenges and growing cost of health care, this analysis begins a discussion of the effects of for-profit entry into the provision of government services, providing a glimpse into what the future holds for hospice care in the reforms of the Affordable Care Act (ACA) of 2010.

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Section: Variablesmentioning

confidence: 83%

Section: Data and Measurementmentioning

confidence: 99%

Increasing Competition: Measuring the Impact of Policy Prescription in Hospice Provision

Eger

Mendieta

2016

The American Review of Public Administration

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“…9 By 2002, that number had grown to 47%. 10 As of 2010, the Medicare Payment Advisory Commission estimated that there were 3,555 Medicare-certified hospices in the United States, over half of which were for-profit providers. 11 For-profit providers accounted "almost entirely" for the increase in providers after 2002.…”

Section: Introductionmentioning

confidence: 99%

Selling Hospice

Halabi¹

2014

J. Law. Med. Ethics

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Americans are increasingly turning to hospice services to provide them with medical care, pain management, and emotional support at the end of life. The increase in the rates of hospice utilization is explained by a number of factors including a "hospice movement" dating to the 1970s which emphasized hospice as a tool to promote dignity for the terminally ill; coverage of hospice services by Medicare beginning in 1983; and, the market for hospice services provision, sustained almost entirely by governmental reimbursement. On the one hand, the growing acceptance of hospice may be seen as a sign of trends giving substance to the death-with-dignity movement and the growing strength of end-of-life decision-makers and planners who integrate medical, community, family and spiritual networks. On the other hand, the precise relationship between the death-with-dignity and commercial processes driving hospice utilization rates are not well understood. On May 2, 2013, the U.S. Government intervened in a lawsuit brought by former hospice employees alleging that behind Vitas Innovative Hospice Care, the largest for-profit hospice service provider in the United States, lie an intricate web of incentives for patient intake nurses, physicians and marketers which not only drove hospice patients to use more expensive (and medically unnecessary) crisis care services, but influenced patient and family decisions as to whether or not to discontinue curative treatment. The corporate, investment, and regulatory history behind Vitas provides an important insight into the market realities behind Americans' embrace of hospice care and the risks to patient autonomy and health that accompany the commercialization of this ethically and morally complex health care service.

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“…Implementation of quality improvement (QI) and process improvement methods is needed to meet the needs of patients and family members as they face a difficult time in their lives (Burstin and Johnson, 2017). Hospice was recognized as the primary source available for patients to help them achieve better end of life care (Noe and Smith, 2012). Hospice organizations provide supportive and palliative care to patients who seek comfort in their end of life stage (Noe and Smith, 2012).…”

mentioning

confidence: 99%

“…Hospice was recognized as the primary source available for patients to help them achieve better end of life care (Noe and Smith, 2012). Hospice organizations provide supportive and palliative care to patients who seek comfort in their end of life stage (Noe and Smith, 2012). Uncoordinated processes, faulty communication and lack of standardization can result in serious problems for patients and families seeking end of life care.…”

mentioning

confidence: 99%

Quality improvement in hospice settings: perceptions of leaders

Singh

Sillerud

Omar

2019

IJHCQA

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Purpose The purpose of this paper is to explore and examine attitudes and perceptions of leaders on application of quality improvement (QI) strategies in a palliative and hospice care organization. Design/methodology/approach This study employed qualitative research methodology where leaders working in a hospice and palliative care organization were invited to participate in 45–60-min-long semi-structured interview. Interviews were recorded and transcribed verbatim. Qualitative content analysis was utilized to analyze the data collected during participant interviews. Findings Seven leaders participated in the interviews. Five themes were developed from data analysis: patient-centered care; continuous QI; leadership involvement and commitment; communication as a foundation for QI; and perceived barriers. Data analysis suggests that use of QI approach in palliative and hospice care enhances the quality of care provided for patients, and can help improve patient satisfaction. Practical implications Because there is a paucity of research on implementation of QI strategies in hospice and palliative care settings, this research can have wide practical implications. This research can provide useful practical tips to leaders as they work on implementing QI projects in their organization. Originality/value This manuscript can be of value to leaders, administrators and academicians who are interested in applying QI principles to healthcare processes especially in palliative and hospice care settings. Ability to work with others, solid communication and involvement of employees from all levels can help in streamlining current systems of care.

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Quality Measures for the U.S. Hospice System

Cited by 4 publications

References 14 publications

Increasing Competition: Measuring the Impact of Policy Prescription in Hospice Provision

Increasing Competition: Measuring the Impact of Policy Prescription in Hospice Provision

Selling Hospice

Quality improvement in hospice settings: perceptions of leaders

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