About Duke Hospice
Hospice overview and quality summary
Duke Hospice is a nonprofit hospice care provider in Durham, NC, serving patients and families in Durham County and the surrounding area. Medicare certified since 1986, Duke Hospice has provided 40 years of end-of-life and palliative care to the community.
Duke Hospice serves an average of 174 patients per day, covering 82 ZIP codes across its service area. 83% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Duke 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. 20 physicians are affiliated with this hospice.
When choosing hospice care in Durham, NC, 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
Duke 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 Duke Hospice among the higher-rated hospice providers serving families in Durham, NC.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
92% 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
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
74% 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
84% of caregivers gave Duke 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
74% 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
79% of caregivers gave Duke 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 Duke 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
87% of caregivers gave Duke 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
99.9%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.5%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.0%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
96.6%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.8%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
98.5%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.4%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
95.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Duke 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.
47.1% of Duke Hospice's patients received visits from the hospice team in their final days of life, consistent with the national average of 47.9%. Presence during the final days reflects the hospice's commitment to supporting families when it matters most.
Visits Near Death
Patients with visits in last 3 days of life
93.8%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.2
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.4%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
54.8%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
11%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
15.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
7.8%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.3%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
5.8%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$10,798
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Duke Hospice's patient population is primarily composed of individuals with cancer (41%), followed by other conditions (19%), cardiovascular disease (14%), dementia (12%), respiratory disease (9%), stroke (7%). 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
Duke Hospice delivers 83% of its care in patients' homes, with 6% in skilled nursing settings, 5% in assisted living settings, 5% in inpatient hospice settings, 1% 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 174 patients per day.
Patient's Home
Skilled Nursing
Assisted Living
Inpatient Hospice
Hospital
Doctors at Duke Hospice
20 affiliated physicians
Dr. Xiaoyan Li, MD
Neurology
Dr. Jonathan Walter, MD
Internal Medicine
Dr. Neha Kayastha, MD
Hospice/palliative Care
Dr. Kevin White, MD
Internal Medicine
Dr. Jonathan Fischer, MD
Family Practice
Dr. Alexandra Lee, MD
Internal Medicine
Dr. Farr Curlin, MD
Hospice/palliative Care
Dr. Heidi White, MD
Geriatric Medicine
Dr. Teah Bayless, DO
Family Practice
Dr. Lisa Pickett, MD
General Surgery
Dr. Mingwei Chen, MD
Internal Medicine
Dr. Bolanle Mufuka, MD
Internal Medicine
+ 8 more physicians
Dr. Megan Jordan, MD
Hospice/palliative Care
Dr. Gunjan Antaal Mann
Internal Medicine
Dr. Wil Santivasi, MD
Hospice/palliative Care
Dr. Noppon Setji, MD
Internal Medicine
Dr. James Watson, MD
Internal Medicine
Dr. Jay Kachoria, MD
Internal Medicine
Dr. Karen Jooste, MD
Pediatric Medicine
Dr. Talia Bernal, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Duke Hospice
What is the CMS rating for Duke Hospice?
Duke 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 Duke Hospice primarily treat?
Duke Hospice's patient population includes cancer (41%), other conditions (19%), cardiovascular disease (14%), dementia (12%), respiratory disease (9%), stroke (7%). This reflects the hospice's experience managing these conditions.
Where does Duke Hospice provide care?
Duke Hospice provides care in patient's home (83%), skilled nursing (6%), assisted living (5%), inpatient hospice (5%), hospital (1%).
How large is Duke Hospice?
Duke Hospice serves an average of 174 patients per day and covers 82 ZIP codes in its service area.
How many doctors are affiliated with Duke Hospice?
20 physicians are affiliated with Duke Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·