Hospice Quality Reporting Program (HQRP)

CAHPS® Hospice Survey Hospice Item Set (HIS)

The Centers for Medicare & Medicaid Services (CMS) has developed a post-death family caregiver survey to systematically assess patient and family experiences with hospice care.  The survey is part of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) family of surveys and is officially designated by CMS as the CAHPS® Hospice survey.

The survey is 47 questions long and is available in English, Spanish, Chinese, Russian, and Portuguese.  The Chinese mail survey is provided in both traditional and simplified characters and targets both Mandarin and Cantonese speakers.

Surveys responses will be used to calculate 11 quality measures:

Composite Measures

  • Hospice Team Communication
  • Getting Timely Care
  • Treating Family Member with Respect
  • Providing Emotional Support
  • Getting Help for Symptoms
  • Getting Hospice Care Training (Home Setting of Care Only)

    Single Item Measures

  • Providing Support for Religious and Spiritual Beliefs
  •  Information Continuity
  •  Understanding the Side Effects of Pain Medication

    Global Measures

  • Overall Rating of Hospice
  • Recommend Hospice

The survey is administered by CMS approved vendors on behalf of hospices. Hospices are required to contract with an approved survey vendor and to provide caregiver contact information to the vendor on a monthly basis.

Hospices with fewer than 50 decedents during the prior calendar year are exempt from the data collection and reporting requirements for payment determination.

Questions on CAHPS® Hospice survey?  Send an email to Quality@nhpco.org

CMS General Resources

Help Desks

  • CAHPS Hospice Survey Quality Assurance Guidelines V2.0… A guide for survey vendors and hospices that provides detailed information on survey data collection processes and all other requirements.
  • Other Resources available on the CAHPS Hospice website:
    • Survey Instruments (Survey Mail Materials, Telephone Scripts, and Consent to Share Responses)
    • General FAQs
    • Hospice-Specific FAQs
    • Participation Exemption for Size Process
      • Exception Request Process
      • Approved Vendor List
    • September 2015 CAHPS Hospice Survey Training

NHPCO Resources