Reported end-of-life care experiences are typically worse in the nursing home setting, according to the latest results of a recent CMS survey developed and field tested by RAND.
The Hospice Experience of Care Survey measured experiences of patients and their caregivers in three hospice settings:
- Nursing home (including both skilled and regular nursing facilities)
- Home care (including assisted living facilities)
- Inpatient care (acute care hospitals and freestanding hospice IPUs).
The overall ratings were:
- Home = 92.2
- Hospital = 93.0
- Nursing Home = 90.2
Nursing home results were particularly lower for Hospice Team Communication, Providing Emotional Support, and Understanding the Side Effects of Pain Medication.
The survey is meant to act as a pilot to test the future Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey, which will be implemented at eligible hospices nationwide beginning in 2015.
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