Hospice Outcomes & Patient Evaluation (HOPE)

The HOPE tool will provide standardized data as all Medicare-certified hospices will be collecting the same assessment items for all patients. Standardization will allow CMS to analyze the data by patients, hospices, and recognize the differences between hospices. The tool will also provide information to hospice providers to help them identify opportunities for performance improvement.

The two primary objectives of the HOPE are to:

      • Provide quality data for HQRP requirements through standardized data collection
      • Provide additional clinical data that could inform future payment refinements.

HOPE Tool Facts

      • CMS plans to develop quality outcome focused measures associated with the new assessment tool that are meaningful to all stakeholders and reflect critical outcomes of care throughout the hospice stay. The measures will meet the Meaningful Measures Initiativeobjectives to identify high priority areas for quality measure development while reducing burden on hospice providers.
      • This new hospice instrument will apply an interdisciplinary patient-centered approach that supports patient choice.
      • The data from HOPE will be used to support the HQRP for quality measures and care planning.
      • The HOPE tool will replace the Hospice Item Set (HIS).
      • Goals for the HOPE:
          • Assessment data can be used for care-planning and outcome quality measures
          • Apply a patient-centered approach that supports patient choice
          • Incorporate full hospice team in assessment process
          • Align assessments with the COPs and the hospice workflow
          • Integrate the assessment with existing assessments and workflow in current electronic health records

HOPE Tool Updates

      • Abt Associates, CMS contractor for the HOPE tool, has completed information gathering to inform the development of a draft standardized assessment tool.
      • Recruitment for hospice providers to participate in the alpha test of the HOPE tool is open now though February 21, 2020. Click on the link below to access the recruitment announcement.
      • CMS Hospice Outcomes Patient Evaluation (HOPE) Alpha Test: Hospice Recruitment Announcement

HOPE Tool Projected Timeline

      • Alpha test data collection is anticipated to begin in late spring 2020.
      • Feedback from alpha test participants will inform the second wave of testing, the beta test (anticipated to begin late summer 2020).
      • The beta test will be a larger, nationally representative field test of the final draft of HOPE version 1.0. Results from the HOPE beta test will inform CMS’s proposal for HOPE data collection in hospice rulemaking, when approved, will be followed by national implementation of HOPE.

CMS resources: