• NHPCO is committed to building provider capacity to ensure access to high quality hospice and palliative care for patients, families, and interdisciplinary professionals. The Quality Innovation Network represents a community of providers who share a commitment to establishing a culture of quality within their organizations.  By facilitating collaboration across organizations nationwide, the Quality Innovation Network supports sharing best practices and innovative solutions to the common challenges that many hospice and palliative providers face.
      • Members of the QIN will gather for monthly virtual working sessions to discuss their current performance improvement initiatives with members of the NHPCO Quality team and colleagues nationwide. In addition, NHPCO will facilitate connections between organizations focusing on similar challenges to allow them to engage offline.  Archived performance improvement project resources will be available to member organizations for use in planning future initiatives.
      • NHPCO is committed to providing timely and relevant resources that ensure continuous learning for member organizations. Toward that end, NHPCO reserves the right to use content from performance improvement projects, poster abstracts, and other submitted content to contribute to the establishment of this learning community. Please contact quality@nhpco.org with any questions or concerns.

Performance Improvement Project library

Administrative Operations   |   Clinical Operations   |   Documentation and Plan of Care Compliance   |   Family/Caregiver Satisfaction   |   Hospice Visits in Last Days of Life   |   Infection Control   |   Medication Safety   |   Patient and Caregiver Safety   |   Reducing Hospitalizations

Administrative Operations

State
Region
Project Title
IA
Midwest
Improving hospice staff morale
OH
Midwest
Revitalizing hospice quality assurance and performance improvement program
OR
West
Achieving and maintaining state licensure

Clinical Operations

State
Region
Project Title
IA
Midwest
Improving hospice patient symptom management in home
and facility settings
IL
Midwest
Improving and expanding bereavement services
IL
Midwest
Reducing preventable live discharges from hospice
MA
Northeast
Increasing response rate for Veteran Specific Questions
(VSQ) Evaluation of Hospice Care
DE
Southeast
Increasing patient-facing volunteer service with targeted volunteer recruitment model
FL
Southeast
Increasing compliance with in-home hospice visit
requirements
CA
West
Increase Rate of Referrals to Hospice
MT
West
Increasing hospice patient length of stay
OR
West
Improving rate of timely Face-to-Face visits by enhancing scheduling efficiency
OR
West
Increasing compliance with required clinician supervisory
visits

Documentation and Plan of Care Compliance

State
Region
Project Title
KS
Midwest
Improving compliance with admission documentation requirements
MN
Midwest
Improving IDT meeting documentation to enhance patient-centered care
MA
Northeast
Improving Point of Care Documentation
FL
Southeast
Improving compliance with timely documentation
requirements for social workers and chaplains
GA
Southeast
Improving individualized interventions and measurable
goals in hospice Plan of Care
CA
West
Improving compliance with timely documentation
requirements
CA
West
Improving compliance with live discharge documentation requirements
OR
West
Increasing hospice aide missed visit documentation
compliance

Family/Caregiver Satisfaction

State
Region
Project Title
IN
Midwest
Improving CAHPS survey family satisfaction scores related
to hospice team communication
MO
Midwest
Improving Caregiver Experience with End-of-Life Anxiety
or Sadness
AR
Southeast
Improving CAHPS survey family satisfaction scores
FL
Southeast
Improving CAHPS survey family satisfaction scores
FL
Southeast
Improving CAHPS Survey Return Rate
FL
Southeast
Improving CAHPS survey family satisfaction Scores Related
to hospice care training
AK
West
Improving CAHPS survey family satisfaction Scores Related
to Anxiety and Sadness
CA
West
Improving CAHPS survey family satisfaction scores related
to hospice team communication
CA
West
Improving CAHPS survey family satisfaction Scores Related
to Anxiety and Sadness
CA
West
Increasing pediatric patient family satisfaction scores
OR
West
Improving CAHPS Survey Return Rate
OR
West
Improving CAHPS survey family satisfaction Scores Related
to timeliness of care
OR
West
Improving CAHPS survey family satisfaction Scores Related
to timeliness of care

Hospice Visits in Last Days of Life

State
Region
Project Title
IN
Midwest
Increasing number of patients placed on Enhanced
Services protocol
MI
Midwest
Improving performance on Hospice Visits in Last Days
of Life measure
CT
Northeast
Improving performance on Hospice Visits in Last Days
of Life
AR
Southeast
Improving performance on Hospice Visits in Last Days
of Life measure
FL
Southeast
Improving performance on Hospice Visits in Last Days
of Life measure
MD
Southeast
Improving performance on Hospice Visits in Last Days
of Life measure
TX
Southeast
Improving performance on Hospice Visits in Last Days
of Life measure
OR
West
Improving performance on Hospice Visits in Last Days
of Life measure

Infection Control

State
Region
Project Title
FL
Southeast
Increasing compliance with infection control practices
in clinical care settings
FL
Southeast
Improving compliance with infection control
risk assessment and plan procedures
OR
West
Reducing infection rates in hospice patients

Medication Safety

State
Region
Project Title
FL
Southeast
Improving medication reconciliation in facilities
MD
Southeast
Ensuring Medication Review during IDG Meetings
WV
Southeast
Increasing safe comfort kit use by hospice caregivers
WY
West
Reducing controlled medication count errors in an IPU

Patient and Caregiver Safety

State
Region
Project Title
FL
Southeast
Improving compliance with incident reporting
procedures
GA
Southeast
Improving clinician reassessment after hospice patient
falls
MD
Southeast
Reducing falls in hospice patients
SC
Southeast
Reducing falls in the hospice home care setting
CO
West
Improving Hand-off processes to increase patient
safety and CAHPS scores
OR
West
Reducing caregiver injuries in the home setting
OR
West
Creating a culture of safety
OR
West
Reducing serious safety events
OR
West
Improving safe patient transport and handling

Reducing Hospitalizations

State
Region
Project Title
IL
Midwest
Reducing hospitalization of patients enrolled in hospice
MT
West
Reducing 60 Day Rehospitalization Rate in Home Health
Patients

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https://www.nhpco.org/education/conferences/