Hospice

COMPASSUS HOSPICE AND PALLIATIVE CARE-BIRMINGHAM

Address

1400 Urban Center Drive, Suite 100

Vestavia Hills, AL 35242

Contact

(205) 437-8655

Certification Date

10/10/2007

Details

CMS Certification Number

011664

Ownership Type

For-Profit

County/Parish

Jefferson

CMS Region

4

Hospice Provider List

Measure Name Score Measure Date Range
Hospice and Palliative Care Treatment Preferences 100.0 04/01/2022-03/31/2023
Beliefs & Values Addressed (if desired by the patient) 100.0 04/01/2022-03/31/2023
Hospice and Palliative Care Pain Screening 100.0 04/01/2022-03/31/2023
Hospice and Palliative Care Pain Assessment 99.9 04/01/2022-03/31/2023
Hospice and Palliative Care Dyspnea Screening 99.9 04/01/2022-03/31/2023
Hospice and Palliative Care Dyspnea Treatment 99.8 04/01/2022-03/31/2023
Patient Treated with an Opioid Who Are Given a Bowel Regimen 100.0 04/01/2022-03/31/2023
Hospice and Palliative Care Composite Process Measure 99.7 04/01/2022-03/31/2023
Hospice Visits in the Last Days of Life 1,080 01/01/2021-12/31/2022
Hospice Visits in the Last Days of Life 53.7 01/01/2021-12/31/2022
Hospice Care Index Overall Score 9.0 01/01/2021-12/31/2022
CHC/GIP provided (% days) 126,689 01/01/2021-12/31/2022
CHC/GIP provided (% days) 2.1 01/01/2021-12/31/2022
CHC/GIP provided (% days) 93 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 835 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 62.2 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 58 01/01/2021-12/31/2022
Early live discharges (% live discharges) 283 01/01/2021-12/31/2022
Early live discharges (% live discharges) 9.9 01/01/2021-12/31/2022
Early live discharges (% live discharges) 75 01/01/2021-12/31/2022
Late live discharges (% live discharges) 283 01/01/2021-12/31/2022
Late live discharges (% live discharges) 26.5 01/01/2021-12/31/2022
Late live discharges (% live discharges) 19 01/01/2021-12/31/2022
Burdensome transitions, Type 1(% live discharges) 283 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 8.5 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 61 01/01/2021-12/31/2022
Burdensome transitions, Type 2(% live discharges) 283 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 6.4 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 93 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 2,578 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 8,080 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 7 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 123,305 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 11.6 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 42 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 1,432,455 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 10.2 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 72 01/01/2021-12/31/2022
Visits near death (% decedents) 2,148 01/01/2021-12/31/2022
Visits near death (% decedents) 93.5 01/01/2021-12/31/2022
Visits near death (% decedents) 53 01/01/2021-12/31/2022
Average Daily Census 78.0 01/01/2020-12/31/2020
Provided Routine Home Care and other levels of care Yes 01/01/2018-12/31/2020
Provided Routine Home Care only No 01/01/2018-12/31/2020
Percent of Patients with Cancer 23 01/01/2020-12/31/2020
Percent of Patients with Dementia 9 01/01/2020-12/31/2020
Percent of Patients with Stroke 12 01/01/2020-12/31/2020
Percent of Patients with Circulatory/heart disease 9 01/01/2020-12/31/2020
Percent of Patients with Respiratory disease 13 01/01/2020-12/31/2020
Percent of Patients with Other Conditions 11 01/01/2020-12/31/2020
Care Provided in Home 39 01/01/2020-12/31/2020
Care Provided in Assisted Living Facility 1 01/01/2020-12/31/2020
Care Provided in Nursing Facility 53 01/01/2020-12/31/2020
Care Provided in Skilled Nursing Facility 0 01/01/2020-12/31/2020
Care Provided in Inpatient Hospital Facility 0 01/01/2020-12/31/2020
Care Provided in Inpatient Hospice Facility 5 01/01/2020-12/31/2020
Care Provided in All other locations 2 01/01/2020-12/31/2020
Hospice served at least 1 patient enrolled in Medicare Advantage during one year Yes 01/01/2020-12/31/2020
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year Yes 01/01/2020-12/31/2020

CAHPS Survey Data List

Measure Name Score Star Rating Date
The hospice team did |not| provide the right amount of emotional and spiritual support 15 Not Applicable 04/01/2021-03/31/2023
The hospice team provided the right amount of emotional and spiritual support 85 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 6 or lower 9 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 7 or 8 22 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 9 or 10 69 Not Applicable 04/01/2021-03/31/2023
NO, they would probably not or definitely not recommend the hospice 8 Not Applicable 04/01/2021-03/31/2023
YES, they would probably recommend the hospice 20 Not Applicable 04/01/2021-03/31/2023
YES, they would definitely recommend the hospice 72 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never treated the patient with respect 5 Not Applicable 04/01/2021-03/31/2023
The hospice team usually treated the patient with respect 12 Not Applicable 04/01/2021-03/31/2023
The hospice team always treated the patient with respect 83 Not Applicable 04/01/2021-03/31/2023
The patient sometimes or never got the help they needed for pain and symptoms 14 Not Applicable 04/01/2021-03/31/2023
The patient usually got the help they needed for pain and symptoms 19 Not Applicable 04/01/2021-03/31/2023
The patient always got the help they needed for pain and symptoms 67 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never communicated well 10 Not Applicable 04/01/2021-03/31/2023
The hospice team usually communicated well 15 Not Applicable 04/01/2021-03/31/2023
The hospice team always communicated well 75 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never provided timely help 14 Not Applicable 04/01/2021-03/31/2023
The hospice team usually provided timely help 15 Not Applicable 04/01/2021-03/31/2023
The hospice team always provided timely help 71 Not Applicable 04/01/2021-03/31/2023
They did not receive the training they needed 15 Not Applicable 04/01/2021-03/31/2023
They somewhat received the training they needed 19 Not Applicable 04/01/2021-03/31/2023
They definitely received the training they needed 66 Not Applicable 04/01/2021-03/31/2023
Family caregiver survey rating Not Applicable 2 04/01/2021-03/31/2023