CAHPS Hospice SurveyFrequently Asked Questions (FAQs)
What is the CAHPS Hospice Survey?
The CAHPS Hospice Survey is an experience of care survey. The survey considers the hospice patient and his or her primary informal caregiver as the unit of care.
Who must participate in the CAHPS Hospice Survey?
In general, all Medicare-certified hospices (identified by CMS Certification Number [CCN]) must participate in the CAHPS Hospice Survey in order to receive their full APU. However, certain exemptions are granted by CMS for size or newness.
Exemption for Size
"Reference Period" or Decedent Date of Death
Exemption Form Deadline
Exemption Request Review by CMS
Jan 1 to Dec 31, 2015
Dec 31, 2016
Jan 1 to Dec 31, 2016
Dec 31, 2017
Jan 1 to Dec 31, 2017
Dec 31, 2018
Jan 1 to Dec 31, 2018
Dec 31, 2019
Jan 1 to Dec 31, 2019
Dec 31, 2020
FY – Fiscal year
Exemption for Newness
How is CAHPS Hospice Survey compliance determined?
The CAHPS Hospice Survey is currently a “pay-for-reporting” program, which means that the submission of required data by specified deadlines determines compliance. Data submission requirements include the following:
How does a hospice find a CMS-approved CAHPS Hospice Survey vendor?
What requirements does an organization need in order to become an approved CAHPS Hospice Survey vendor?
How can I receive updates/more information related to the CAHPS Hospice Survey?
Sources of information related to the survey include:
How can I contact the CAHPS Hospice Survey Project Team?
When will the survey be administered?
Data collection for sampled decedents/caregivers must be initiated two months following the month of patient death. The data collection process must be completed within 42 calendar days after initial contact. Submission of the data to the CAHPS Hospice Survey Data Warehouse will occur quarterly. Please see the schedule outlined in the table below.
Data Submission to the CAHPS Hospice Survey Data Warehouse
What was the dry run?
What topics are included in the CAHPS Hospice Survey?
How many decedents/caregivers will be sampled?
Who pays to administer the CAHPS Hospice Survey?
Who will the survey be administered to?
Who is eligible to be a “primary informal caregiver?”
What is meant by the data element “Facility Name?”
How do you determine the eligibility of decedents/caregivers?
Decedents/Caregivers who initiate or voluntarily request at any time during their stay that the hospice 1) not reveal the patient's identity and/or 2) not survey him or her will be excluded from the sample frame. Patients whose last admission to hospice resulted in a live discharge will also be excluded.
Note: Decedents/Caregivers must be included in the CAHPS Hospice Survey sample frame unless the survey vendor has definitive evidence that a decedent/caregiver is ineligible. If information is missing on any variable that affects survey eligibility when the sample frame is constructed, the decedent/caregiver must be included in the sample frame. The only exception to this guideline is the date of death; if any part (i.e., day, month or year) of the decedent’s date of death is missing, the case must not be included in the sample frame, and the case must be included in the count of “Missing Date of Death” submitted by the survey vendor to the CAHPS Hospice Survey Data Warehouse.
Note: If a hospice or survey vendor becomes aware that the caregiver is under 18 years old prior to drawing the sample, the caregiver should be excluded from the sample frame.
This page was last modified on 09/26/2019