About Addison County Hha Hospice
Hospice overview and quality summary
Addison County Hha Hospice is a for-profit hospice care provider in Middlebury, VT, serving patients and families in Addison County and the surrounding area. Medicare certified since 1997, Addison County Hha Hospice has provided 29 years of end-of-life and palliative care to the community.
Addison County Hha Hospice serves an average of 19 patients per day, covering 22 ZIP codes across its service area. 53% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Addison County Hha Hospice has earned a 4-star CMS quality rating based on caregiver survey results, reflecting strong satisfaction across communication, symptom management, and emotional support. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 18 physicians are affiliated with this hospice.
When choosing hospice care in Middlebury, VT, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Very Good
CMS CAHPS Hospice Star Rating
Addison County Hha Hospice has earned a 4-star quality rating from the Centers for Medicare & Medicaid Services (CMS), based on the CAHPS Hospice Survey of bereaved family caregivers. This rating reflects above-average satisfaction across emotional support, symptom management, team communication, and respect. This places Addison County Hha Hospice among the higher-rated hospice providers serving families in Middlebury, VT.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Addison County Hha Hospice a top rating for emotional & spiritual support, above the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
93% of caregivers gave Addison County Hha Hospice a top rating for treated with respect, above the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
79% of caregivers gave Addison County Hha Hospice a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
88% of caregivers gave Addison County Hha Hospice a top rating for team communication, above the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
81% of caregivers gave Addison County Hha Hospice a top rating for getting timely care, above the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
78% of caregivers gave Addison County Hha Hospice a top rating for training for family caregivers, above the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
84% of caregivers gave Addison County Hha Hospice a top rating for overall rating (9-10), above the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
95% of caregivers gave Addison County Hha Hospice a top rating for would recommend, above the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
97.5%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
97.5%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
97.3%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.4%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
91.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
95.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
88.5%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Addison County Hha Hospice's Hospice Care Index (HCI) score is 10 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
80.9% of Addison County Hha Hospice's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
96.9%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
10.9
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
55%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
3.2%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
41.9%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
3.2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.1%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$10,623
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Addison County Hha Hospice's patient population is primarily composed of individuals with cancer (34%), followed by dementia (18%), cardiovascular disease (15%), respiratory disease (15%), other conditions (14%). While cancer has historically been the most common hospice diagnosis, the proportion of non-cancer patients has grown substantially over the past decade.
Care Settings
Where hospice care is delivered
Addison County Hha Hospice delivers 53% of its care in patients' homes, with 25% in assisted living settings, 7% in skilled nursing settings. The hospice serves an average of 19 patients per day.
Patient's Home
Assisted Living
Skilled Nursing
Doctors at Addison County Hha Hospice
18 affiliated physicians
Dr. Dylan Estes, MD
Family Practice
Dr. Brian Carlozzi, DO
Family Practice
Dr. Kim Kurak, MD
Family Practice
Dr. Michael Markowitz, MD
Internal Medicine
Dr. Kate Lamancuso, MD
Family Practice
Dr. Paul Unger, MD
Hematology/oncology
Dr. Jessica Rouse, MD
Family Practice
Dr. Catherine Ayers, MD
Family Practice
Dr. Whitney Mical
Nurse Practitioner
Dr. Clare O'grady, DO
Hospice/palliative Care
Dr. Katie Miller, MD
Internal Medicine
Dr. Daniel Huber, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Addison County Hha Hospice
What is the CMS rating for Addison County Hha Hospice?
Addison County Hha Hospice has a 4-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does Addison County Hha Hospice primarily treat?
Addison County Hha Hospice's patient population includes cancer (34%), dementia (18%), cardiovascular disease (15%), respiratory disease (15%), other conditions (14%). This reflects the hospice's experience managing these conditions.
Where does Addison County Hha Hospice provide care?
Addison County Hha Hospice provides care in patient's home (53%), assisted living (25%), skilled nursing (7%).
How large is Addison County Hha Hospice?
Addison County Hha Hospice serves an average of 19 patients per day and covers 22 ZIP codes in its service area.
How many doctors are affiliated with Addison County Hha Hospice?
18 physicians are affiliated with Addison County Hha Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·