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After-death bereaved family interview
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3 versions: hospice, hospital, and nursing home. Up to 8 domains and 133 items. Telephone survey with family member 3–6 months after death
Family perspective
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Numerators: Family members who reported that: (1) overall assessment of quality was excellent; (2) sufficient desired physical comfort and emotional support provided to patient; (3) shared decision making supported; (4) patient treated with respect; (5) needs of family attended to; (6) care coordinated.
Denominator: Deaths
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NHPCO FEHC NDS
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Family Evaluation of Hospice Care: Core survey, 43 items; 17 optional items. Sent 2 months after death. Bereavement satisfaction survey sent 13 months after death
Family perspective
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3 numerators: Family members who reported—(1) Safe dying (caregiver confidence in providing safe care) (2) Effective grieving (emotional support to loved ones before and after death) (3) Family evaluation of hospice care (willingness to recommend hospice care)
Denominator: Hospice deaths
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Identify source of care
ACOVE Continuity
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All vulnerable elders should be able to identify a provider or clinic that they would call in need of medical care
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Numerator: Patient who can identify provider/clinic to call if needs health care
Denominator: Vulnerable elders
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aDeath certificates that listed death as a result of any of the following were excluded: pregnancy and childbirth-related causes, motor vehicle accidents, all other accidents, suicide, assault homicide, and all other external causes. Foreign residents and those with an unknown site of death were also excluded. Death certificates that listed a site of death as other than a nursing home, hospital, or home were included in the denominator for all calculations.
For UHC data, palliative care population admissions were defined as: Adult patients with 2 previous admissions (any DRG) within 12 months of the target admission; and target admission with >4 days length of stay for DRGS for heart failure (127), cancer DRG pool (82, 203, 172, 274, 346, 10), HIV (489), or respiratory DRG pool (483, 475).
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