HOSPICE · Loading…
HOSPICE · CCN 241559
LAKEWOOD HEALTH SYSTEM HOSPICE
STAPLES, MN 56479
HospiceOther
N/A
CAREGIVER SURVEY
67
QUALITY MEASURES
39
OWNERS
02 — QUALITY MEASURES
67 quality measures
| Measure | Score | Denominator | Period |
|---|---|---|---|
Average Daily Census Average_Daily_Census | 10 | — | — |
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year Bene_Dual_Pct | Yes | — | — |
Hospice served at least 1 patient enrolled in Medicare Advantage during one year Bene_MA_Pct | Yes | — | — |
Care Provided in Assisted Living Facility Care_Provided_Assisted_Living | 11 | — | — |
Care Provided in Home Care_Provided_Home | 62 | — | — |
Care Provided in Inpatient Hospice Facility Care_Provided_Inpatient_Hospice | 0 | — | — |
Care Provided in Inpatient Hospital Facility Care_Provided_Inpatient_Hospital | 0 | — | — |
Care Provided in Nursing Facility Care_Provided_Nursing_Facility | 0 | — | — |
Care Provided in All other locations Care_Provided_other_locations | 0 | — | — |
Care Provided in Skilled Nursing Facility Care_Provided_Skilled_Nursing | 26 | — | — |
H_001_01_DENOMINATOR H_001_01_DENOMINATOR | 75 | — | — |
Hospice and Palliative Care Treatment Preferences H_001_01_OBSERVED | 100 | — | — |
H_002_01_DENOMINATOR H_002_01_DENOMINATOR | 75 | — | — |
Beliefs & Values Addressed (if desired by the patient) H_002_01_OBSERVED | 100 | — | — |
H_003_01_DENOMINATOR H_003_01_DENOMINATOR | 75 | — | — |
Hospice and Palliative Care Pain Screening H_003_01_OBSERVED | 100 | — | — |
H_004_01_DENOMINATOR H_004_01_DENOMINATOR | 54 | — | — |
Hospice and Palliative Care Pain Assessment H_004_01_OBSERVED | 100 | — | — |
H_005_01_DENOMINATOR H_005_01_DENOMINATOR | 75 | — | — |
Hospice and Palliative Care Dyspnea Screening H_005_01_OBSERVED | 94.7 | — | — |
H_006_01_DENOMINATOR H_006_01_DENOMINATOR | 30 | — | — |
Hospice and Palliative Care Dyspnea Treatment H_006_01_OBSERVED | 90 | — | — |
H_007_01_DENOMINATOR H_007_01_DENOMINATOR | 37 | — | — |
Patient Treated with an Opioid Who Are Given a Bowel Regimen H_007_01_OBSERVED | 86.5 | — | — |
H_008_01_DENOMINATOR H_008_01_DENOMINATOR | 75 | — | — |
Hospice and Palliative Care Composite Process Measure H_008_01_OBSERVED | 85.3 | — | — |
Hospice Visits in the Last Days of Life H_011_01_DENOMINATOR | 115 | — | — |
Hospice Visits in the Last Days of Life H_011_01_OBSERVED | 37.4 | — | — |
Hospice Care Index Overall Score H_012_00_OBSERVED | 9 | — | — |
CHC/GIP provided (% days) H_012_01_DENOMINATOR | 6995 | — | — |
CHC/GIP provided (% days) H_012_01_OBSERVED | 0 | — | — |
CHC/GIP provided (% days) H_012_01_PERCENTILE | 52 | — | — |
Gaps in nursing visits (% elections) H_012_02_DENOMINATOR | 56 | — | — |
Gaps in nursing visits (% elections) H_012_02_OBSERVED | 64.3 | — | — |
Gaps in nursing visits (% elections) H_012_02_PERCENTILE | 66 | — | — |
Early live discharges (% live discharges) H_012_03_DENOMINATOR | 14 | — | — |
Early live discharges (% live discharges) H_012_03_OBSERVED | 0 | — | — |
Early live discharges (% live discharges) H_012_03_PERCENTILE | 19 | — | — |
Late live discharges (% live discharges) H_012_04_DENOMINATOR | 14 | — | — |
Late live discharges (% live discharges) H_012_04_OBSERVED | 14.3 | — | — |
Late live discharges (% live discharges) H_012_04_PERCENTILE | 7 | — | — |
Burdensome transitions, Type 1(% live discharges) H_012_05_DENOMINATOR | 14 | — | — |
Burdensome transitions, Type 1 (% live discharges) H_012_05_OBSERVED | 0 | — | — |
Burdensome transitions, Type 1 (% live discharges) H_012_05_PERCENTILE | 19 | — | — |
Burdensome transitions, Type 2(% live discharges) H_012_06_DENOMINATOR | 14 | — | — |
Burdensome transitions, Type 2 (% live discharges) H_012_06_OBSERVED | 0 | — | — |
Burdensome transitions, Type 2 (% live discharges) H_012_06_PERCENTILE | 45 | — | — |
Per-beneficiary spending (U.S. dollars $) H_012_07_DENOMINATOR | 160 | — | — |
Per-beneficiary spending (U.S. dollars $) H_012_07_OBSERVED | 8018 | — | — |
Per-beneficiary spending (U.S. dollars $) H_012_07_PERCENTILE | 5 | — | — |
Nurse care minutes per routine home care days (minutes) H_012_08_DENOMINATOR | 6958 | — | — |
Nurse care minutes per routine home care days (minutes) H_012_08_OBSERVED | 10 | — | — |
Nurse care minutes per routine home care days (minutes) H_012_08_PERCENTILE | 25 | — | — |
Skilled nursing minutes on weekends (% minutes) H_012_09_DENOMINATOR | 69330 | — | — |
Skilled nursing minutes on weekends (% minutes) H_012_09_OBSERVED | 6.1 | — | — |
Skilled nursing minutes on weekends (% minutes) H_012_09_PERCENTILE | 27 | — | — |
Visits near death (% decedents) H_012_10_DENOMINATOR | 139 | — | — |
Visits near death (% decedents) H_012_10_OBSERVED | 79.1 | — | — |
Visits near death (% decedents) H_012_10_PERCENTILE | 13 | — | — |
Percent of Patients with Cancer Pct_Pts_w_Cancer | 27 | — | — |
Percent of Patients with Circulatory/heart disease Pct_Pts_w_Circ_Heart_Disease | 14 | — | — |
Percent of Patients with Dementia Pct_Pts_w_Dementia | 14 | — | — |
Percent of Patients with Other Conditions Pct_Pts_w_other_conditions | 20 | — | — |
Percent of Patients with Respiratory disease Pct_Pts_w_Resp_Disease | — | — | — |
Percent of Patients with Stroke Pct_Pts_w_Stroke | — | — | — |
Provided Routine Home Care and other levels of care Provided_Home_Care_and_other | Yes | — | — |
Provided Routine Home Care only Provided_Home_Care_only | No | — | — |
03 — OWNERSHIP