About Coxhealth At Home
Hospice overview and quality summary
Coxhealth At Home is a nonprofit hospice care provider in Springfield, MO, serving patients and families in Greene County and the surrounding area. Medicare certified since 2006, Coxhealth At Home has provided 20 years of end-of-life and palliative care to the community.
Coxhealth At Home serves an average of 76 patients per day, covering 73 ZIP codes across its service area. 84% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Coxhealth At Home 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. 10 physicians are affiliated with this hospice.
When choosing hospice care in Springfield, MO, 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
Coxhealth At Home 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 Coxhealth At Home among the higher-rated hospice providers serving families in Springfield, MO.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Coxhealth At Home 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
91% 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
76% of caregivers gave a top rating for help with symptoms, consistent with the national average of 74%.
Team Communication
How well the hospice team communicated with the family
83% 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
82% of caregivers gave Coxhealth At Home 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
79% of caregivers gave Coxhealth At Home 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
81% 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 Coxhealth At Home 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
99.8%
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
99.4%
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
99.8%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
100.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
99.4%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Coxhealth At Home'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.
68.8% of Coxhealth At Home'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
96.2%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.8
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
9.9%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
46.8%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
6.2%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
40.7%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
8%
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
2.4%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$10,320
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Coxhealth At Home's patient population is primarily composed of individuals with cancer (27%), followed by other conditions (26%), cardiovascular disease (24%), respiratory disease (12%), stroke (7%), dementia (5%).
Care Settings
Where hospice care is delivered
Coxhealth At Home delivers 84% of its care in patients' homes, with 6% in nursing facility settings, 4% in assisted living settings, 4% in skilled nursing settings, 2% in hospital settings. The high proportion of home-based care aligns with the hospice philosophy of enabling patients to receive comfort care in familiar surroundings with family nearby. The hospice serves an average of 76 patients per day.
Patient's Home
Nursing Facility
Assisted Living
Skilled Nursing
Hospital
Doctors at Coxhealth At Home
10 affiliated physicians
Dr. Cody Hoeflicker, DO
Internal Medicine
Dr. Nabil Kamel, MD
Geriatric Medicine
Dr. Stephen Reeder, MD
Internal Medicine
Dr. Melissa Gaines, MD
Internal Medicine
Dr. Jaclyn Pohlers, DO
Family Practice
Dr. Ovais Zubair, MD
Geriatric Psychiatry
Dr. William Moore, MD
Internal Medicine
Dr. Donna Roberts, MD
Family Practice
Dr. Allison Heider, MD
Family Practice
Dr. Brian Clonts, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Coxhealth At Home
What is the CMS rating for Coxhealth At Home?
Coxhealth At Home 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 Coxhealth At Home primarily treat?
Coxhealth At Home's patient population includes cancer (27%), other conditions (26%), cardiovascular disease (24%), respiratory disease (12%), stroke (7%), dementia (5%). This reflects the hospice's experience managing these conditions.
Where does Coxhealth At Home provide care?
Coxhealth At Home provides care in patient's home (84%), nursing facility (6%), assisted living (4%), skilled nursing (4%), hospital (2%).
How large is Coxhealth At Home?
Coxhealth At Home serves an average of 76 patients per day and covers 73 ZIP codes in its service area.
How many doctors are affiliated with Coxhealth At Home?
10 physicians are affiliated with Coxhealth At Home.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·