Patients surviving six months in hospice care: Who are they?

Lindsay R. Rothenberg, Danielle Doberman, Lin E. Simon, Jan Gryczynski, Grace A. Cordts

Research output: Contribution to journalArticle

Abstract

Background: On January 1, 2011, the Centers for Medicare and Medicaid Services (CMS) began requiring U.S. hospices to conduct a "face-to- face" (F2F) assessment of eligibility for continued hospice care with patients entering their third certification period (180 days after initial enrollment). Understanding which patient populations require F2F assessment is important for evaluating the impact of the CMS regulation and gauging the appropriateness of the 6-month prognosis criteria for different patient groups. Methods: Retrospective program records were obtained for patients enrolled in a large hospice 6 months prior to implementation of the CMS regulation (N=375). Patients who remained in hospice and received a F2F (n=140) were compared to patients who were no longer in hospice (n=235) on demographics, terminal condition (categorized as debility/dementia, cancer, or other), presence of serious comorbidity, length of stay, setting of care prior to admission, and hospice outcome using bivariate statistics. Predictors of F2F recertification were examined using a multivariable logistic regression model controlling for demographics, setting of care prior to admission, comorbidity, and primary terminal diagnosis. Results: At the bivariate level, patients who received an F2F were older (p

Original languageEnglish (US)
Pages (from-to)899-905
Number of pages7
JournalJournal of Palliative Medicine
Volume17
Issue number8
DOIs
StatePublished - Aug 1 2014
Externally publishedYes

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Hospice Care
Hospices
Centers for Medicare and Medicaid Services (U.S.)
Comorbidity
Logistic Models
Demography
Certification
Dementia
Length of Stay
Population

ASJC Scopus subject areas

  • Medicine(all)
  • Anesthesiology and Pain Medicine
  • Nursing(all)

Cite this

Patients surviving six months in hospice care : Who are they? / Rothenberg, Lindsay R.; Doberman, Danielle; Simon, Lin E.; Gryczynski, Jan; Cordts, Grace A.

In: Journal of Palliative Medicine, Vol. 17, No. 8, 01.08.2014, p. 899-905.

Research output: Contribution to journalArticle

Rothenberg, Lindsay R. ; Doberman, Danielle ; Simon, Lin E. ; Gryczynski, Jan ; Cordts, Grace A. / Patients surviving six months in hospice care : Who are they?. In: Journal of Palliative Medicine. 2014 ; Vol. 17, No. 8. pp. 899-905.
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