About By The Bay Health
Hospice overview and quality summary
By The Bay Health is a nonprofit hospice care provider in Larkspur, CA, serving patients and families in Marin County and the surrounding area. Medicare certified since 1984, By The Bay Health has provided 42 years of end-of-life and palliative care to the community.
By The Bay Health serves an average of 365 patients per day, covering 89 ZIP codes across its service area. 59% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned By The Bay Health a 3-star quality rating based on caregiver survey feedback, indicating average satisfaction with the hospice's care. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Larkspur, CA, 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
Average
CMS CAHPS Hospice Star Rating
By The Bay Health has received a 3-star quality rating from CMS, based on the CAHPS Hospice Survey. This average rating reflects caregiver satisfaction across communication, symptom management, timely care, and emotional support. CMS publishes these ratings to help families in Larkspur, CA compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
89% of caregivers gave a top rating for emotional & spiritual support, consistent with the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
89% of caregivers gave a top rating for treated with respect, consistent with the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
71% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
80% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
72% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
74% of caregivers gave a top rating for training for family caregivers, consistent with the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
80% of caregivers gave a top rating for overall rating (9-10), consistent with the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
87% of caregivers gave By The Bay Health 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
99.9%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.9%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
100.0%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
99.9%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
100.0%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
99.7%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.5%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
99.6%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
By The Bay Health'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.
34.5% of By The Bay Health's patients received visits from the hospice team in their final days of life, below the national average of 47.9%. Families may want to discuss end-of-life visit availability with this hospice.
Visits Near Death
Patients with visits in last 3 days of life
83.5%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
11.7
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
74.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
43.3%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
1.4%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0.9%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$23,527
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
By The Bay Health's patient population is primarily composed of individuals with other conditions (36%), followed by cancer (28%), dementia (16%), cardiovascular disease (12%), respiratory disease (6%), stroke (5%).
Care Settings
Where hospice care is delivered
By The Bay Health delivers 59% of its care in patients' homes, with 29% in assisted living settings, 11% in nursing facility settings. The hospice serves an average of 365 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Doctors at By The Bay Health
20 affiliated physicians
Dr. Dominic Picetti, MD
Hospitalist
Dr. Zunairah Syed, MD
Family Practice
Dr. Nana Barnes, MD
Family Practice
Dr. Irene Teper, MD
Internal Medicine
Dr. Rebecca Conant, MD
Geriatric Medicine
Dr. Michelle Desanto, DO
Osteopathic Manipulative Medicine
Dr. Francesca Manfredi, DO
Family Practice
Dr. Basil Hamblin, MD
Family Practice
Dr. Arlin Chin, MD
Family Practice
Dr. Mark Kubik, MD
Family Practice
Dr. Erwin Choi, DO
Family Practice
Dr. Craig Schier, MD
Family Practice
+ 8 more physicians
Dr. Todd Antenucci, DO
Family Practice
Dr. Maria Theresa Paz-lum
Internal Medicine
Dr. Sumandeep Kaur, MD
Internal Medicine
Dr. Lucy Oh, MD
Internal Medicine
Dr. Kawai Cheung, MD
Internal Medicine
Dr. Kokeb Teshome, MD
Internal Medicine
Dr. Jeffrey Meckler, MD
Family Practice
Dr. David Koida, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
Loading reviews...
Manage This Hospice Profile
Claim your profile to update information, respond to reviews, and showcase your hospice to patients and families.
Claim & Manage ProfileOther Hospice Providers Nearby
Hospice care in CA
Madrona Hospice Care Inc
For-Profit · 6 mi away
185 N Redwood Dr, Suite 110, San Rafael, CA 94903
(628) 243-0550
American Carequest North Bay
For-Profit · 6 mi away
4040 Civic Center Dr, Suite 200, San Rafael, CA 94903
(925) 207-8101
Bridge Hospice
For-Profit · 6 mi away
175 North Redwood Drive Suite 285, San Rafael, CA 94903
(707) 602-7567
Sutter Visiting Nurse Association And Hospice
Non-Profit · 12 mi away
2800 Leavenworth Street, Suite 350b, San Francisco, CA 94133
(415) 749-4201
Kaiser Foundation Hospital Hospice-san Francisco
Non-Profit · 12 mi away
4131 Geary Boulevard, 4th Floor, San Francisco, CA 94118
(415) 666-1080
Self-help Home Care & Hospice
For-Profit · 12 mi away
731 Sansome Street, Suite 100, San Francisco, CA 94111
(415) 677-7628
Find Hospice Care in Nearby Cities
Browse hospice providers in surrounding areas
Frequently Asked Questions
About By The Bay Health
What is the CMS rating for By The Bay Health?
By The Bay Health has a 3-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 By The Bay Health primarily treat?
By The Bay Health's patient population includes other conditions (36%), cancer (28%), dementia (16%), cardiovascular disease (12%), respiratory disease (6%), stroke (5%). This reflects the hospice's experience managing these conditions.
Where does By The Bay Health provide care?
By The Bay Health provides care in patient's home (59%), assisted living (29%), nursing facility (11%).
How large is By The Bay Health?
By The Bay Health serves an average of 365 patients per day and covers 89 ZIP codes in its service area.
How many doctors are affiliated with By The Bay Health?
20 physicians are affiliated with By The Bay Health.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·