CAHPS® Hospice Survey

Information for Hospices
     
General Information Podcasts for Hospices Hospice-specific FAQs

 

The material below contains helpful information and links related to the CAHPS Hospice Survey.

Participation Exemption for Size Requests

  • To request an Exemption for Size from CAHPS Hospice Survey data collection and reporting requirements, a hospice must submit a Participation Exemption for Size Form
  • To view or submit this form, please click on the left hand Participation Exemption for Size navigation button. Please note that this form can only be completed online.

Required Forms to Participate

  • A hospice must submit two forms to the CAHPS Hospice Survey Data Coordination Team in accordance with CAHPS Hospice Survey protocols
    • CAHPS Hospice Survey Vendor Authorization Form
      • This form is designed to authorize your hospice’s approved CAHPS Hospice Survey vendor to submit data on behalf of your hospice
      • To view or download the CAHPS Hospice Survey Vendor Authorization Form, please click here or on the left hand Technical Specifications navigation button 
    • CAHPS Hospice Survey Data Warehouse Form
      • A hospice must have access to the CAHPS Hospice Survey Data Warehouse in order to monitor the data submitted by your authorized survey vendor
      • To view or download the CAHPS Hospice Survey Data Warehouse Form, please click here or on the left hand Technical Specifications navigation button

CAHPS Hospice Survey Quality Assurance Guidelines

  • The CAHPS Hospice Survey Quality Assurance Guidelines V3.0 manual contains the protocols that survey vendors and hospices must adhere to when participating in the CAHPS Hospice Survey. Hospices should be familiar with the guidelines presented in this manual.
  • To view or download a copy of the CAHPS Hospice Survey Quality Assurance Guidelines V3.0, please click here or on the left hand Quality Assurance Guidelines navigation button

The CAHPS Hospice Survey Project Team operates a technical assistance line in order to address questions or comments from hospices regarding the CAHPS Hospice Survey. Please submit any questions or comments to the CAHPS Hospice Survey Project Team at hospicecahpssurvey@HCQIS.org or 1-844-472-4621.

 

This page was last modified on 09/20/2016