Hospice

COMPASSUS MILWAUKEE METRO

Address

2525 N 124th St Suite 103

Brookfield, WI 53005

Contact

(414) 455-9510

Certification Date

05/28/1997

Details

CMS Certification Number

521561

Ownership Type

For-Profit

County/Parish

Waukesha

CMS Region

5

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 100.0 04/01/2022-03/31/2023
Hospice and Palliative Care Dyspnea Screening 99.8 04/01/2022-03/31/2023
Hospice and Palliative Care Dyspnea Treatment 100.0 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 99.8 04/01/2022-03/31/2023
Hospice Visits in the Last Days of Life 450 01/01/2021-12/31/2022
Hospice Visits in the Last Days of Life 65.1 01/01/2021-12/31/2022
Hospice Care Index Overall Score 10.0 01/01/2021-12/31/2022
CHC/GIP provided (% days) 62,121 01/01/2021-12/31/2022
CHC/GIP provided (% days) 3.0 01/01/2021-12/31/2022
CHC/GIP provided (% days) 95 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 368 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 57.3 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 51 01/01/2021-12/31/2022
Early live discharges (% live discharges) 126 01/01/2021-12/31/2022
Early live discharges (% live discharges) 11.9 01/01/2021-12/31/2022
Early live discharges (% live discharges) 84 01/01/2021-12/31/2022
Late live discharges (% live discharges) 126 01/01/2021-12/31/2022
Late live discharges (% live discharges) 34.1 01/01/2021-12/31/2022
Late live discharges (% live discharges) 36 01/01/2021-12/31/2022
Burdensome transitions, Type 1(% live discharges) 126 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 13.5 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 81 01/01/2021-12/31/2022
Burdensome transitions, Type 2(% live discharges) 126 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 1.6 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 53 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 1,186 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 10,201 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 17 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 60,227 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 9.7 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 21 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 584,205 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 9.6 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 67 01/01/2021-12/31/2022
Visits near death (% decedents) 985 01/01/2021-12/31/2022
Visits near death (% decedents) 97.2 01/01/2021-12/31/2022
Visits near death (% decedents) 82 01/01/2021-12/31/2022
Average Daily Census 73.0 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 24 01/01/2020-12/31/2020
Percent of Patients with Dementia 8 01/01/2020-12/31/2020
Percent of Patients with Stroke 8 01/01/2020-12/31/2020
Percent of Patients with Circulatory/heart disease 15 01/01/2020-12/31/2020
Percent of Patients with Respiratory disease 14 01/01/2020-12/31/2020
Percent of Patients with Other Conditions 10 01/01/2020-12/31/2020
Care Provided in Home 56 01/01/2020-12/31/2020
Care Provided in Assisted Living Facility 17 01/01/2020-12/31/2020
Care Provided in Nursing Facility 22 01/01/2020-12/31/2020
Care Provided in Skilled Nursing Facility Not Available 01/01/2020-12/31/2020
Care Provided in Inpatient Hospital Facility 2 01/01/2020-12/31/2020
Care Provided in Inpatient Hospice Facility Not Available 01/01/2020-12/31/2020
Care Provided in All other locations Not Available 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 14 Not Applicable 04/01/2021-03/31/2023
The hospice team provided the right amount of emotional and spiritual support 86 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 32 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 9 or 10 59 Not Applicable 04/01/2021-03/31/2023
NO, they would probably not or definitely not recommend the hospice 11 Not Applicable 04/01/2021-03/31/2023
YES, they would probably recommend the hospice 23 Not Applicable 04/01/2021-03/31/2023
YES, they would definitely recommend the hospice 66 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never treated the patient with respect 4 Not Applicable 04/01/2021-03/31/2023
The hospice team usually treated the patient with respect 14 Not Applicable 04/01/2021-03/31/2023
The hospice team always treated the patient with respect 82 Not Applicable 04/01/2021-03/31/2023
The patient sometimes or never got the help they needed for pain and symptoms 17 Not Applicable 04/01/2021-03/31/2023
The patient usually got the help they needed for pain and symptoms 22 Not Applicable 04/01/2021-03/31/2023
The patient always got the help they needed for pain and symptoms 61 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 19 Not Applicable 04/01/2021-03/31/2023
The hospice team always communicated well 71 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never provided timely help 16 Not Applicable 04/01/2021-03/31/2023
The hospice team usually provided timely help 23 Not Applicable 04/01/2021-03/31/2023
The hospice team always provided timely help 61 Not Applicable 04/01/2021-03/31/2023
They did not receive the training they needed 14 Not Applicable 04/01/2021-03/31/2023
They somewhat received the training they needed 22 Not Applicable 04/01/2021-03/31/2023
They definitely received the training they needed 64 Not Applicable 04/01/2021-03/31/2023
Family caregiver survey rating Not Applicable 1 04/01/2021-03/31/2023