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Quality initiatives in hospice Quality initiatives in hospice

Beck, Amy (2016) Quality initiatives in hospice Quality initiatives in hospice. Master Essay, University of Pittsburgh.

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Abstract

The hospice industry requires public health policy in regards to quality of healthcare to improve the value of patient care. The first quality measures for hospices nationally were mandated by the Affordable Care Act (ACA) in 2010 and implemented in later years. This thesis will review the Hospice Item Set (HIS-7), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and Service Intensity Add-On (SIA) focusing specifically on the Service Intensity Add-On. The history of policy development, scope of each policy, and compliance measures are discussed in this paper in detail. History in this case is over the past fives years and foreshadows the future quality indicators in hospice. This Master’s Essay heavily focuses on the first incentive policy in hospice quality, the Service Intensity Add-On, as well as its future usefulness, importance in relation to quality, and potential economic impact among hospices in the United States. The goal of this Master’s Essay is to emphasize the importance of national quality measures among medical professionals to increase the value of patient care and contain costs for treatment at end of life. Public Health Relevance Hospice began in 1965 and did not have any mandated quality measures until the Affordable Care Act of 2010. Quality measures could reduce disparities in end of life care utilization. Many people in the aging community have mistrusted the healthcare system and chosen not to access hospice. Quality measures that will be available to the public (CAHPS) could encourage future use of services. Since a majority of the care is given in patient homes, there could be resistance in allowing hospice professionals into their private lives. On the other hand, this population could be fearful of receiving insufficient care. Also, a study demonstrated that the use of quality indicators increases performance among medical professionals in hospitals. Quality measures drive internal organization improvement strategies in delivering optimal care to patients. The hospice industry needs to instill the same standard of care similar to hospitals that have been accountable for quality care for over a decade.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Beck, Amyaeb117@pitt.eduAEB117
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBarron, Gerald Mgbarron@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberHawk, Mary Emary.hawk@pitt.eduMEH96UNSPECIFIED
Committee MemberIvanko, Barbarabivanko@familyhospice.comUNSPECIFIEDUNSPECIFIED
Date: 29 March 2016
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: hospice, quality, Medicare, Centers, for, Medicare, and, Medicaid, Services, CMS, end, of, life
Date Deposited: 07 Sep 2016 17:25
Last Modified: 30 Oct 2018 14:05
URI: http://d-scholarship.pitt.edu/id/eprint/27659

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