Wednesday, April 22, 2015

Quality of U.S. hospices varies, patients left in dark - The Washington Post

Quality of U.S. hospices varies, patients left in dark - The Washington Post

{Q}A boom in the industry allows patients to choose from an array of hospice outfits, some of them excellent. More than a thousand new
hospices have opened in the United States in the past decade. But the absence of public information about their quality, a void that is unusual even within the health-care industry, leaves consumers at a loss to distinguish the good from the bad.

Though the federal government publishes consumer data about the quality of other health-care companies, including hospitals, nursing homes and home health agencies, it provides no such information about hospices.

 The reasons that some hospices stint on care may be at least partly financial. Medicare, the chief source of industry revenue, pays hospice companies per day of care — about $155 for a “routine” day — regardless of how much care is actually provided. That means that the less a hospice spends on nursing and other services, the more it can profit.
{EQ}

 http://www.washingtonpost.com/wp-srv/special/business/hospice-quality  This database shows, among other things, whether the hospice has provided
more intense levels of care for patients suffering a crisis; how much
it spends on nursing visits per patient; and whether it has won approval
from one of three outside accrediting agencies, the Joint Commission, the Accreditation Commission for Health Care and Community Health Accreditation Program, or CHAP